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Fat Grafting or Fillers

11/9/2020

Patient: Dr Sin Yong, I want to look younger. My friends suggested that I go ahead for fat grafting to improve me facial volume.

Is that the best option for me?

Fat Grafting has been around since the 1900s and has progressed to allow for improvement of volume in multiple regions apart from just the face. Think about buttock augmentation, breast augmentation, etc etc

Dermal Fillers used to be bovine collagen in the 1970s and has went on to include hyaluronic acid fillers since the 2000s, a natural progression of technology and research.

Here, let's examine the potential advantages of each!

Fillers

Fat Grafting

Exact "take".One ml = one ml
Possibility of dissolving if dislike results
Collagen stimulating agents for rejuvenation effect
Variable hardness to give strong or soft contour depending on region intending to improve
No fat embolism complications
Ready to use in sterile syringes - Lunch Time Procedure
Longevity according to filler, ranges 1-3 years

Variable "take" according to region and individual
Unlikely to dissolve if overfilled
Stimulates collagen depending on level of placement
One hardness and will grant less definition to areas that require strong lifting
Possibility of fat embolism complications
Need for liposuction procedure with associated downtime to harvest the fat
Longevity is permanent

What does this mean for patients?

As a patient, you would need to consider the following factors

Down Time- Fat grafting will always involve a surgical procedure to harvest the fat, whereby post procedure, there will always be some swelling and bruising over the donor site. Fillers are pre manufactured and ready to use in sterile syringes.
Fall Back Plan - The question to ask here is whether you are certain of the end result. If you have tried fillers before and like the resultant look, you might be a good candidate for fat grafting if you seek permanent long term results. Conversely, if you have not seen a possible end result before, jumping straight to fat grafting might be a huge risk as you will have to bear the end result as longevity is relatively permanent.
Region to be treated - Certain areas such as the chin, jawline and nose will require a filling with increased hardness and stronger lifting effect. In such regions, fillers with strong lift are superior to fat grafting to provide the ideal result.
Are you ready? - Ask yourself this over and over again before going for fat grafting, as this is something that is minimally reversible. It can dramatically improve your looks permanently, but also carries a possibility of permanently changing your facial contour in a way you might not like.

Dr Sin Yong Recommendations

Depending on the area treated, the solution might not always be to fill the area with fillers. Take dark eye circles for example, we are always looking at a possibility of increased pigmentation, increased vascularity, or lack of volume. Using fat grafting or fillers as one size fit all treatment will not produce the superior results compared with using multiple modalities to target the root cause of the problem, which might be increased blood vessels or pigments.

Dr Sin Yong trains other doctors in dermal fillers and is an advocate of advanced fillers such as Radiesse and Ellanse.
Based on region treated, he would recommend the use of advanced fillers like Ellanse / Radiesse if permissible, giving especially good results on the nose as compared to using HAs. HAs will have to be selected in other regions like lips / tear trough, where it would not be permissible to use advanced fillers.

Dermal filler treatment or fat grafting is a minimally invasive procedure and cases of complication have been reported. It is hence important to select an adequately trained physician to perform the procedure for you. Do consider all the above factors before proceeding with such a procedure.

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Very Serious, Want Gorgeous

11/4/2020

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Patient: Dr Sin Yong, I am very serious about how I look, I want to look gorgeous.

This will always depend on where we start from, how the basic facial structure is like and whether there are areas that are deficient.

Is there a way to really keep aging at bay? And to look younger than before as we age?

A very common question that we will aim to address today.

3 Steps to Simply Gorgeous

Step 1: Identifying The Areas To Be Addressed
This will involve a proper facial analysis with your doctor.
What your doctor sees will determine how your end result will be.

Step 2: Targeting Them With Relevant Treatments
To reach Simply Gorgeous, various treatments are employed to address the various issues.
Common issues such as skin laxity, volume defect, sagging of facial fats are all addressed here.
Other issues will also be thinning of hair or receding hairline.

Step3: Follow Up And Fine Touch Up
Good results will be achieved immediately post treatment.
Simply Gorgeous results will be achieved after 3-6 months when your skin and face remodels.
Maintainance and fine touch ups are key to grant you the final results.

Case Study:
Always ask your doctor about what Simply Gorgeous results he has achieved for other patients.

Lets take a look at what we have done for this 46 year old chinese patient.

Youthful forehead and temples
Lifting of eyes
Opening of double eyelids
Smoothening of mid face hollows
Definition of nose
Lessening of nasolabial fold
Improvement of global skin texture and quality
Anti Aging Protocol

Simplicity is the ultimate sophistication
~ Leonardo da Vinci

Simply Gorgeous is the ultimate sophistication and radiant beauty.
~ Dr Sin Yong

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Fat Grafting or Fillers

Fillers

Fat Grafting

What does this mean for patients?

Dr Sin Yong Recommendations

Very Serious, Want Gorgeous

3 Steps to Simply Gorgeous

DR SY Blog

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