Hi Dr. Lam,
The more I read and look at younger pictures of myself, the more I am convinced that I should have fat grafting to my face versus any type of lifts. I love all your educational articles.
I have just turned 50 and have good skin tone, no jowl, not a lot of wrinkles, since I stayed out of the sun. But I am small person (106-110 lbs. all my life) and so I am really noticing the hollowing under my eyes and in my cheek and buccal area of my face.
While extensively researching online I have seen doctors talking about several different ways to do fat grafting. So I wanted to ask you about the pros and cons of each of these different methods/protocals.
1) Plasma Rich Platelets (PRP) -
Some doctors are using PRP as part of their fat transfer procedure to help the fat grafting "take" better (reach blood supply) so more of the fat stays and to accelerate facial healing.
Is this something that you do? Does using PRP help?
2) Extra isolated stem cells get added to the injected fat -
Some doctors are isolating adult stem cells from your fat and then re-introducing those extra stem cells into the fat to be injected into the face. I know that your fat already has adult stem cells in it. They say that doing this allows the stem cells to work more efficiently since they have been "liberated from the fat" and that concentrating the stem cells in the fat will again allow more of the fat cells to find a blood supply and survive, as well as lead to better skin tone and anti-aging long term from the growth factors in the stem cells. What do you think about this?
3) FAMI- Facial Autograft Mesenchymal Injection-
They are placing the fat into the muscle area of the face. Sounds like he is using fat and perhaps isolated stem cells as well.
Quote from FAMI website- "Dr. Amar's insight was to place the adipose mesenchymal stem cells into the muscles of the face using specialized cannulas shaped to the contours of the face, as opposed to just under the skin as common fat grafting does. By placing the fat and mesenchymal stem cells into the rich vascular bed of the muscles, their chances of survival are enhanced. By using a person's own facial muscles as the model for graft placement, a person's natural appearance is preserved."
What do you think about FAMI?
Thanks in advance for your feedback on these 3 different fat grafting protocals.