Okay guys. It’s been 1 month 2 weeks out from my full face fat graft, and this review has been a long time coming.
I struggled to find info on fat grafting results, specifically long-term follow up info from patients, most of whom seemed to disappear post-surgery. Consequently, I will be documenting how well my fat graft holds up at a my 3, 6, and 1 year post-op on my fat grafting blog (
https://seoulcity2017.wixsite.com/seoulcityofdreams).
Personal Concerns:
Loss of mid-face volume, which made me look tired and older, was my main concern. My forehead was rather bony, which in turn accentuated my brow ridge and gave my profile a more masculine look. Hollow temples also accentuated my zygoma and made them look larger than they were. Lastly, I wanted to subtly augment my chin without resorting to more invasive procedures like using an implant or bone surgery.
Clinics consulted:
During face to face consultations, I consulted with 8 specifically for fat grafting (MVP, Hershe, Fresh, GNG, KHS, Wannabe, Iwell, Faceline).
Price range:
-PRP fat grafting price range 2-5 million krw
-Stem cell fat grafting 2.9 to 10 million krw
My takeaways from consultations:
-stem cell fat grafting-Stem cell fat grafting protocol can vary significantly from clinic to clinic, as there is no standardized protocol. One clinic, Hershe, claimed they would use “donor” stem cells, which goes against common practice, and was very vague about the provenance of such cells and their claimed function. Buyer beware!
-PRP-enriched fat grafting-PRP seems to be the new standard for fat grafting. Scientific studies have shown a that PRP (a component of blood) boosts healing. Some scientific articles show a significant increase in fat retention vs regular fat grafting. Jury is still out on how much difference there is between PRP and stem cell fat grafting, but I decided on PRP as it was only a bit more expensive than regular fat grafting, so what do I have to lose?
-claims of how much fat is retained varies widely between clinics. Some say up to 90%+ for the forehead, others 10% or less for the chin and nasolabial lines, but IMO retention rate estimates are hard to assess accurately. Generally, the forehead and midface (structures not subject to much movement) will retain fat the best, while temple, nasolabial lines, and chin will retain less fat because they are subject to more movement. Fat survival also depends on personal factors like metabolism, habits (smoking, drinking, etc), aftercare, and surgeon technique and skill. Generally, results are said to stabilize between 3-6 months.
Procedure:
I had (my first) full face PRP-enriched full face grafting done in Korea at GNG with Dr. Kim. My main areas of concern were my forehead and midface (specifically tear troughs, deficient mid-face volume when viewed in profile), as well as temples, underneath the cheekbones, nasolabial lines, and chin.
Immediately Post-op:
Post-surgery, my face felt like it was swollen incredibly tight, so tight that the top of my scalp felt numb. You literally feel like you’re wearing someone else’s face over your own, and I struggled with facial expression. My nose tip was pulled up slightly by the fat graft to the forehead.
Fortunately I didn’t bruise much, except slightly at the fat injection sites, which they covered with small square hydrocolloid bandages. Dr. Kim harvested donor fat from my outer thighs via liposuction through bilateral ~1 cm long incisions at the groin. Compression tape was placed over the harvest sites, but I still sustained heavy bruising. The pain from liposuction was probably the worst part of fat grafting, and varied from a dull, sore (like you jogged 10 miles the day before) sensation to occasional bouts of sharp, short, stabbing pain.
I also had jaw muscle and frown line (11s) botox.
2 weeks out:
By 2 weeks, my previously hard grafted fat areas has started to “fluff and drop”, and feel more natural. Initially I had worried about the amount and placement of fat, because I could feel a thick ridge under my eyes that went right up to the lower border of my eye socket bone and made my eyes look sunken, but now this was becoming less obvious by the day.
I was still visibly swollen, but unless people knew me, they wouldn’t know that I’d gotten anything done.
1 month out:
My forehead was moving normally at this point, and I began to notice that my forehead botox seemed not to have had its intended effect. I could still wrinkle my forehead as much as before. When I discussed this with GNG, they agreed that this was unusual and offered to redo the botox on my next trip to Korea, but unfortunately I’m not sure when that will be.
I really liked the look of my fat graft at this point. It was mostly gone from my temples and underneath my cheekbones, but everywhere else I saw improvement compared to pre-surgery.
1.5 months out:
Fat volume has gone down a bit compared to 1 month post-op, albeit at a slower rate. I’m happiest with the improvement to my forehead and tear trough/midface region, which looks less sunken when viewed in profile. My chin has held up quite nicely as well, with maybe about 1-2 mm of projection gained in profile. Overall I’m quite happy with the fat graft results and looking forward to how it will hold up long term.
Aftercare:
I was told to stop smoking and drinking before surgery day, and to abstain after surgery for at least a month. No saunas, steam rooms, heavy exercise, or any other activity that could potentially increase metabolism, and no putting pressure on the grafted areas.
Side effects:
I experienced some numbness of my front upper thigh area where my fat was harvested from, the left more profoundly than the right. Numbness is a known side effect of liposuction, so I wasn’t too surprised, but it seems that after a month there hasn’t been much improvement in sensation.