FACIAL FAT TRANSFER pros and cons | What you need to know with top NY cosmetic surgeon Dr Westreich

Рет қаралды 22,481

Күн бұрын

Face fat grafting is one of the most in-demand non-surgical aesthetic procedures of the moment.
I visited leading plastic surgeon Dr ‪@RichardWestreich‬ at his Manhattan clinic to find out what can go right and what can go wrong when transferring fat to the face.
The procedure involves harvesting your own fat cells from elsewhere in the body and then injecting them into areas of the face where you want to improve volume.
#facialfattransfer #cosmeticprocedures #aesthetics #facefat
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CHAPTERS:
00:00 Intro & facial fat transfer popularity
02:06 What happens in fat transfer
04:03 How is the fat best sourced?
05:25 How it's injected and how much to use?
09:20 Why choose it over other fillers?
12:48 How long does it last?
13:23 What if you're overfilled?
16:00 The risks
18:30 Best treatment for extreme volume loss
20:15 What the future holds
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Edited by David at www.redfacilities.com
Disclaimer: This video and all content on this channel is for informational purposes only and is not intended as medical advice and should not be treated as a substitute for medical advice.

Пікірлер: 138

@Mazzaaaaman 7 ай бұрын

It's not without risk. I was left with permanent scar tissue under one eye. Not on the skin, but underneath where the cannula/needle was inserted to place the fat. That was many years ago and although it's better than it was, it's still visible.

@bonnier7746 5 ай бұрын

I wonder if the needle could be inserted by the temple/side of under eye when inserting fat, to prevent noticeable scar tissue? I’m thinking of having this done, but worried it won’t turn out the way I want it to. 😮

@shraddhanikhil 3 ай бұрын

I underwent under eye fat transfer ..the doctor was in hurry and injected numerous fat lumps .lumps are nt visible now bt I can easily palpate them. Now I need surgery to get them removed

@yasmin.flngmail 20 күн бұрын

That happen to me too. I had fat transfer in 2012.

@chch6171 3 ай бұрын

This is the video I requested. It’s finally here! Thank you!

@oakasis 8 ай бұрын

This interview is so incredibly helpful, thank you and Dr. Westreich!

@stanlong8761 7 ай бұрын

Wow! Such an excellent interview. I’m going to schedule my consultation with Dr Westreich immediately. Thanks, Stan

@akap_987 2 ай бұрын

Thanks for this interview 😊

@rafigladboy 10 ай бұрын

Heavenly and awesome interview.🆒

@valoak928 11 ай бұрын

Great interview as always Clare. Intelligent discussion and great questions. Hope you’re enjoying the trip ❤

@thehonestchannel 11 ай бұрын

Thanks Val. ❤️ Back home again now (just took us a few days to get the edit turned around 😁) but we had a great trip. We must have done about 25k steps a day!

@shawnryan8802 8 ай бұрын

Hands down this is the best explanation of the procedure I’ve heard yet! Big TY to the interviewer and the surgeon this education🙏🏼

@thehonestchannel 8 ай бұрын

So glad you found this helpful.

@claudiaglows 11 ай бұрын

Another great interview! Thank you Clare Loved that you were able to do it in person

@thehonestchannel 11 ай бұрын

Thanks Claudia! We loved our time in NYC x

@heidikamrath1951 11 ай бұрын

Claudia, your results from Lanluma are amazing!

@claudiaglows 10 ай бұрын

@@heidikamrath1951thanks Heidi ❤

@dammar117 5 ай бұрын

You asked great questions! This was super helpful.😀

@thehonestchannel 5 ай бұрын

So glad you found it helpful!

@askingwhy123 11 ай бұрын

Really interesting, and very comforting that he's not an early adopter. There's always a cutting edge, but you only have one face. Also interesting that he noted a decline in surgery, but that's clearly the most durable intervention: expensive, riskier than injections, but also a bigger payoff.

@thehonestchannel 11 ай бұрын

All true!

@CherylBerryl 10 ай бұрын

Thanks Claire!

@susannataylor7106 10 ай бұрын

Fantastic video Clare, thank you so much.

@thehonestchannel 10 ай бұрын

You’re welcome 😊

@markmcgrath4853 11 ай бұрын

very good work clare !

@thehonestchannel 11 ай бұрын

❤️

@OneGulshan 7 ай бұрын

Would love to know more about Renova to stimulate fat; the was Sculptra stimulates collagen 😀 Thank you for your thoughtful research and interviews you bring to this channel 💛

@beyond50skin 9 ай бұрын

I’m definitely curious about fat transfer vs filler. Appreciate your interview. I learned so much!!

@thehonestchannel 9 ай бұрын

Appreciate your interest!

@TheYazmanian 9 ай бұрын

Girl!!! We are literally on the same journey and the algorithm knows. I see you everywhere now😅😅 Dr Karam, Dr Rajani and more ❤

@beyond50skin 9 ай бұрын

@@TheYazmanian lol! KZfaq is SMART ;)

@JoolaJen 4 ай бұрын

@@TheYazmanianany updates? Lower lid filler ok or fat transfer? Very hard to find affordable reliable FT to lower lids.

@TheYazmanian 4 ай бұрын

@@JoolaJen I still haven't done anything as of yet other than a little bit of botox in the glabella. I personally won't be doing any filler in the under eye and if I ever have the guts and the money to go to a reputable surgeon like Dr Karam, I think I will still be very scared of fat transfers because of the possibility of vascular occlusion. I'm now leaning towards energy devices to tighten the face but again some of those can lead to fat loss and on my research journey I have found that much of the information out there is opinion based and it really depends on what physician you're asking. The contradictions in terms of the information available is dizzying and making my head spin and I really don't know what direction to Go in. So for now it's just moisturizer sunscreen and trying to limit stress and caffeine but the latter 2 are very difficult to do right now LOL

@angibee2836 2 ай бұрын

Great interview and very informative. The only area I wish that was discussed is in regards to asymmetry and percentage of times this happens when using in the cheek area. It would seem to be a high percentage since there is a possible 50% chance of the fat not taking which then in turn seems more than likely the amount of loss/maintained probably would not be exactly equal in each cheek.

@ann6406 10 ай бұрын

Great video Clare..i was very curious about a fat transfer so it cones at a good time for me

@thehonestchannel 10 ай бұрын

So glad you found it helpful!

@krisq3616 2 ай бұрын

Great discussion!! No procedure is without risk. If you're considering fillers, they have risks too! I would trust a doctor over an injector, personally. There are great injectors out there, but they do not have to have much experience or education, certainly not as much as a doctor, which is a little unnerving to me. Always check credentials and look at before and after pics to ensure that you like the aesthetic of the practitioner.

@carriespackman762 10 ай бұрын

Very interesting

@Anonymouse166 3 ай бұрын

Great information but what about after care and how to prevent any possible fat loss?

@marisacallan1921 10 ай бұрын

This was excellent and so comprehensive. Thank you.

@user-fl3hv4wb1u 7 ай бұрын

Can we do the thermage first before the fat transfer? And how long should be the interval between the two?

@drehoward9670 11 ай бұрын

Very interesting interview. Thank you for your continued research in all things aging. Personally as I am looking at the women in my life, I think the ones without any (surgical) interventions age the most beautifully. I find it sad that we are normalizing Botox and fillers as just part of aging. Thank you for all the informative content!

@thehonestchannel 11 ай бұрын

There’s definitely a balance to be found.

@drehoward9670 11 ай бұрын

@@thehonestchannel I really like Ivan Galanin’s (Adipeau) take on the whole fat transfer idea. I feel like the cosmetic industry is always looking for ‘quick fixes’ rather than approaching it from the foundational function of our bodies. Injecting things into places they don’t belong is just another way they sell “solutions” for which there are no long term studies. And just like he said - fat cells remember where they came from. Our bodies are so much more complex than even doctors realize. Thank you again for tackling all these interesting subjects. Blessings

@birdlover7776 10 ай бұрын

Yea no. No one ages beautifully give me a break! Invest in yourself no one else will

@drehoward9670 10 ай бұрын

@@birdlover7776 I know plenty of women that have aged absolutely beautifully without any surgical interventions, or even Botox or fillers! Myself, and all the women in my family included. I invest in myself daily - I invest in my spiritual and my physical health. I invest in self love and self acceptance. Superficial things are just that - superficial. The industry again offers a ‘solution’ rather than addressing the problem. And - just because our society and the “beauty” industry is normalizing injecting ourselves with whatever, does not mean that it actually makes people more ‘beautiful’. If anything, I’d think it creates an avalanche of more self confidence issues, as the quick fix fades and they will always want more.

@illuminata8097 9 ай бұрын

@@drehoward9670 Then why are you here looking at plastic surgery.

@samcha156 9 ай бұрын

If infection were up occur as a complication post fat graft , How is infection treated ? Will antibiotics take care of it ? What happens if fat necrosis occurs ? Thanks Also do they graft on the forehead ? Can you please do a follow up of the above questions ?

@nvb455 11 ай бұрын

Video suggestion: threadlifts for people who are too young for a faoelift. So who have good skin, no wrinkles but a little sag or jowl. Which threads are best? I know they don’t last for years but if they last a year it seems like a nice option to try

@thehonestchannel 11 ай бұрын

Good suggestion. I did explore threads a little in this video but neither of the doctors I was talking to rated them: Procedures we wouldn't have, from Sculptra to buccal fat removal and thread lifts kzfaq.info/get/bejne/gLClbJWezKick30.html

@michelles2299 11 ай бұрын

Threadlifts leave large amounts of scar tissue and are very very short lived and costly

@NelumboNelumbo 6 ай бұрын

You have to repeat (about) every 1,5 year, so its expensive over time. The only ones that do lift are from aptos the ones that have „hooks“, you cant sleep on the side, stomach. One side can break and you will have uneven face. Its painfull to. Lastly-you will get fibrosis and surgions hate this, your future surgical gace lift will be more complicated/expensive.

@aredrose527 11 ай бұрын

After doing it twice, I absolutely do not recommend this. Fat transfer is highly unpredictable and it lumps! Do not inject into lips or even into lip lines. Filler may not be perfect, but it absorbs and can even be reversed.

@thehonestchannel 11 ай бұрын

Sorry to hear you had a bad experience - and thanks for sharing this with us.

@ginany3565 10 ай бұрын

Did you get fat transfer in other areas of your face, like your cheeks and eyes? My only hesitation is that I'll lose more than 50% of the transfer. HAs didn't work for me.

@aredrose527 10 ай бұрын

@@ginany3565 I got it into the lips and upper eyelids, both a disaster. With the lips, what didn't dissolve literally migrated up above the lip. It ends up lumpy and uneven. Yes some does dissolve, I'd say closer to 40%, I wish it all dissolved.

@MrAmaziah12 9 ай бұрын

@@thomasanstaett1732how it go?

@galaxyglitterlatte4664 14 күн бұрын

😮😮😮😮😮😮😮😮😮😮😮😮😮😮😮😮😮 But now it's been discovered that fillers never really dissolve and can create scar tissue. So there's no easy answer.

@wulfsorenson8859 11 ай бұрын

Would a procedure like nano fat transfer work for very small areas like marionette lines? Is it better than say HA?

@alejandrajuarez6156 6 ай бұрын

I love this video. New follower here . I wish you would’ve asked how much on average this procedure cost.

@thehonestchannel 6 ай бұрын

It's a good point, sorry! And thank you for subscribing!!

@alejandrajuarez6156 6 ай бұрын

@@thehonestchannel . Can you do a video about PRP treatment for hair growth?

@TheMauraSullivan 3 ай бұрын

I just had fat transferred from my lower abdomen to my lips. We’ll see how much I retain.

@shivangisrivastava6416 2 ай бұрын

hi, please share your experience till now

@jodybucci285 11 күн бұрын

I had fat transfer to my lips and I have a big upper duck lip. It changed the look of my face and not in a good way. I am so depressed. I have to find someone to correct this. I don’t know if anyone is willing to fix this. I was attractive before this. Now I’m embarrassed to be seen.

@juliaal.4051 9 ай бұрын

If hyaluronic acid has been injected into the cheeks before, is it even allowed to be injected into the same place afterwards? After e.g. a year?

@sandi7858 10 ай бұрын

Did you ever give a review of the Adipeau Active Face Cream for increasing fat in the face?

@thehonestchannel 10 ай бұрын

Yes, here’s the 3-month review Adipeau facial fat renewal cream | 3-month review with before and afters kzfaq.info/get/bejne/hr-Jhdlotc3Kko0.html

@mrsfloragoforth4130 10 ай бұрын

Would love to hear more about exosomes!

@nvb455 11 ай бұрын

I was somewhat overfilled and I fixed it much cheaper with simple deep hifu and a device called accent prime! They are less invasive too then Morpheus and Facetite (looked at those options too). Needed a couple of sessions, like 3 from both.

@thehonestchannel 11 ай бұрын

Interesting! Thanks for sharing this. Good to know you found a fix.

@nvb455 11 ай бұрын

@@thehonestchannelyes hope it helps others. I researched everything for months!! In the cheeks you can’t do a lot but these options are safe, effective and don’t break the bank like Morpheus and FT

@Moonlite902 27 күн бұрын

Thanks so much for providing this information. Looking into ways to minimize any fullness that may occur once I go into menopause. I have hollow cheeks I’ll like to bring fullness to. Was also told sculptra could provide results but would prefer trying my own fat first.

@arianacyrus4640 6 күн бұрын

I am so happy I found this video. This is the only one I have found discussing reversal of fat grafting. I was overfilled around the eyes area both up and down and I would like to try Accutite and MORPHEUS8. The problem is that from my research, I have found that any plastic surgeons that have these technologies in my country have only recently started using them in their practice. From your video I understand how important it is to select a good practitioner so my question is how I can find this practitioner. How can I make sure that I am selecting someone who knows what he’s doing? Are they supposed to have gone through certain training and have certain certificates or certain number of years of experience? I would greatly appreciate it if you could please let me know your thoughts on this matter. I would travel abroad for this so comments for UK or any other countries are welcome. Thank you so much in advance.

@thehonestchannel 4 күн бұрын

Sorry to hear you’ve had this experience. I think it’s a case of finding a highly reputable cosmetic specialist closer to you, who comes recommended, and with who you could discuss options.

@cococgb5389 11 ай бұрын

Well here’s a positive for a Tummy !! 😜

@michelles2299 11 ай бұрын

I had consultation with aplastic surgeon about this facial fat transfer, he said it doesn't solve laxity that you have to be very conservative usually combined with a face lift he said if you harvest the fat from the abdomen it still behaves like abdominal fat and easily increases if you put on some weight more so than normal facial fat does, the impression I got was that it should only be used very sparingly so I'm guessing if you are under 40 it may be ok for facial thinness but after 40 it is best combined with a facelift, the fee for anyone interested was1660.00 per treatment I'm guessing that's per vial of fat as a daycase under LA some surgeons may cost more a facelift is between 10k up to 30k depending what you have done I was quoted £16k for facelift upper and lower blepharoplasty 1 overnight stay in hospital under GA Wilmslow hospital it will be much more expensive outside of NW of England I know that one surgeon does facelifts under LA in Birmingham it was 6k on my quote for the hospital fees alone 🎉

@thehonestchannel 11 ай бұрын

Interesting. Thanks for sharing that.

@gingernightmare9152 10 ай бұрын

Or you can go to Turkey.

@JoolaJen 4 ай бұрын

Excellent info! Please keep us updated if you do any fat, transfer or facelift

@user-go7eb6ge1c 3 ай бұрын

They have a Facebook group with those who had the fat disappear or moved or caused lumps etc. 😊

@thehonestchannel 3 ай бұрын

Such a shame for people who end up having problems. With every procedure there’s always the potential for harm. It’s so important to choose an experienced practitioner but that’s not always easy.

@gabi.a 9 күн бұрын

what about the risk of blindness when injecting under the eyes?

@samhermans8236 11 ай бұрын

Once again a very interesting and comprehensive video. Me personally , I’m never getting HA again. It started lumping up and I had to get it disolved. And after a a few years, still small lumping that I can’t get rid off. I’ve been using PRF since. I’m looking for maybe fattransfer for next year. So considering the fluctuations i’m thinking getting grafted from a ‘fat retaining area’ like maybe bra bulge. Wonder if that is possible /good solution. Also I’m wondering about my age

@thehonestchannel 11 ай бұрын

Thanks for sharing your experience here. I’d be interested to hear how your fat transfer goes if you decide to do it.

@samhermans8236 11 ай бұрын

@@thehonestchannel not sure if I will finally have the procedure. Plli remains another option. But thanks to this video I know what to ask or be mindful for when I go for consultations

@JoolaJen 4 ай бұрын

@@samhermans8236please keep us updated. I’m finding it very difficult to locate a surgeon that does fat transfer to the lower lids. Only a couple on KZfaq and they are charging insane amounts.

@soniarasul1950 5 ай бұрын

Can you please give an estimate of facial fat transfer in dollars. That question and anaesthesia you didn’t ask the doctor besides healing process and hospital cost.

@lukuma79 10 ай бұрын

Placental stem cells …where those placentas will come from I wonder.. we all have to watch “ The Sound of Freedom” movie..

@jamesortega8681 2 ай бұрын

can it cause arterial blockage like fillers when injected in the nasolabial area because of the arteries present there

@chariots8x230 2 ай бұрын

19:09 I’d also like to hear more about the exosomes. Although fat is said to have stem cells, I worry that it might not be enough to allow the fat to assimilate with the area of the face where it was transferred. If fat was taken from the belly, and then transferred to the face, wouldn’t that fat grow & shrink in the same way that the belly fat does when the person gains or loses weight? I’m concerned about lumps of fat being formed if I gain or lose weight, and my face ends up looking disproportional. So, I really hope they figure out the stem cell technology, and make the fat transfer procedure more reliable & with fewer risks involved.

@Alma-ld1lc 8 ай бұрын

Does hyperbaric oxygen therapy cause the fat to reabsorb more rapidly?

@KC-ft9hp 3 ай бұрын

Can you put in marrionett lines?

@sadiqakhan3498 10 ай бұрын

Dear can you please do a video for open pores dry skin in 50s with a dull skin.

@melancholicflaneur23 9 ай бұрын

try niacinamide and tretinoin.

@sadiqakhan3498 9 ай бұрын

@@melancholicflaneur23 Thank you Edmund

@askingwhy123 11 ай бұрын

I'm picturing a shredded KZfaqr like Jeff Cavalier getting the bad news that he doesn't have any abdominal fat.

@thehonestchannel 11 ай бұрын

I guess there are advantages to carrying a bit of fat after all!

@EllenSmellen 11 ай бұрын

She's a jet setting journalist 😍❤️

@thehonestchannel 11 ай бұрын

😁

@Coley996 4 ай бұрын

Can you please make a video on cheek implants? The filler is just so expensive & I feel like people need more options. 🩶

@anaya1817 5 ай бұрын

Hey what happened to the fat after a few years does it sagging on cheeks or simply desapear like before . I asked for under eye fat grafting?

@thehonestchannel 5 ай бұрын

Hi. We discuss this in the video 12:48 How long does it last?

@urwajatt6556 7 ай бұрын

Hy i go for fat grafting for full face i have deep acne scars.i see my scars improved but i lose the shape of my face totally which i don't like it so my question is this should i go for hifu for face conditioning and after how long we can go for Morpheus8 aftar fat grafting?

@thehonestchannel 7 ай бұрын

You would need to have this conversation with a specialist who can assess your skin and suggest what would be most helpful for you.

@pahadi...228 9 ай бұрын

Is facial fat grafting a permanent treatment????

@jodybucci285 11 күн бұрын

Do you know anyone who does work to fix an upper “duck” lip from a fat transfer? I’m so distressed about this.

@chariots8x230 2 ай бұрын

6:17 So you’re saying that nano-fat is used on softer areas, like around the eyes or nasolabial folds? You’re saying this is because it distributes more smoothly & decreases the risk of getting irregularities. If we decide to do the fat transfer procedure, I wonder how we can ask our surgeon if they will be using nano-fat for these areas. I also want to know if they’re harvesting the fat properly, and implanting it properly, so that the fat will have as little chance as possible to die off. These things are essential for a successful procedure, yet it’s hard to tell what you’re signing up for when picking a surgeon. That’s the part that makes me the most anxious.

@jodybucci285 11 күн бұрын

I had fat transfer in my lips done by a board certified plastic surgeon and I ended up with a big duck lip. I’m SO depressed. It changed the whole look of my face in a bad way. It also caused the marionette lines to look more prominent. I need to find someone to correct this.

@thehonestchannel 11 күн бұрын

So sorry to hear this.

@ukLORCANAfan 11 ай бұрын

can you reccommend any reasonably prices for the in the uk please?

@thehonestchannel 11 ай бұрын

The British Assoc of Aesthetic Plastic Surgeons have a helpful search tool here baaps.org.uk/patients/surgeons/

@Lehanorah1918 11 ай бұрын

I had a good look at facial fat transfer a couple of years ago and the starting prices were 7-8k for a good London surgeon,and they're not much different,now . Further north, you're looking at 4k+ . Lipo is a pretty pricey procedure,anyway .

@thehonestchannel 11 ай бұрын

@@Lehanorah1918 Ooft!

@michelles2299 11 ай бұрын

I know that in the north it's about £1660.00 per treatment with a consultant plastic surgeon not inc the initial consultation fee but likely very much more in London , I recently had a consultation for this in Cheshire spire hospital, again it can also depend on the surgeons and hospital fee this was under LA so less hospital fees and was a day case

@Lehanorah1918 11 ай бұрын

@@thehonestchannel Indeed . I spent a long while chatting to a surgeon about fat transfer (who I actually went to for a rhinoplasty consult(although I didn't choose him for that)) , so I satisfied my curiosity and concluded that it was expensive, invasive(the lipo bit) ,with results too fickle to justify the cost . Mind you,I know a few people that have zero noticeable results from Sculptra,too,and the cost of that soon mounts once you start having 3/4/5+ sessions . I guess with anything that's *so* dependent on the body's reaction, it's always going to be a bit of a lottery .

@KC-ft9hp 3 ай бұрын

Home RF caused lip lines and marionette lines

@cuidado555 11 ай бұрын

This is public service👏

@thehonestchannel 11 ай бұрын

Thank you ❤️ So glad you found it helpful.

@carolmartin3028 10 ай бұрын

Didnt work for me lasted 2 months

@thehonestchannel 10 ай бұрын

Sorry to hear that.

@ginany3565 10 ай бұрын

This is my primary concern. HAs did nothing for me and was gone after a month. I think fat transfer would disappear because my weight fluctuates.

@d023juthyakter2 8 ай бұрын

Which procedure didn’t work...fillers or fat graft?? Plzz do reply...😢

@maryamruunmaxamud4514 10 ай бұрын

What is the name for that guy pls

@thehonestchannel 10 ай бұрын

Dr Westreich - details are in the description

@Beautishka1 9 ай бұрын

he suggested "underfill" so u do 2 surgeries and pay double... he want to make more money to pay his expensive NY rent LOL

@cameliap1146 8 ай бұрын

Yes and no. Is more safe to go little by little because the outcome is unpredictable . Yes is pricey. But you know that from day 0. Is an elective surgery. You have the money for...or not. No mystery there. Personally , I prefer to do it by bits and avoid bad surprises ( having to dissolve some "chunks"after - that costs 💰 also !- ).