How long does fat grafting last in the forehead?

Will it also make it rounder? Get rid of sleepy lines that form while sleeping? Fill in the areas that make your forehead flat above the eyebrows across and improve your overall look?

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F, New Hampshire

Tags:woman forehead eyebrows fat graft fat transfer

The forehead is often overlooked in facial aesthetics, with attention more frequently given to the nose or the chin. However, the forehead appearance contributes significantly to overall facial beauty and symbolizes strength, intelligence and various emotions.

The forehead is also one of the first places to betray signs of aging, with loss of elasticity resulting in frown lines between the eyebrows and drooping above the eyebrows, along with horizontal forehead wrinkles that are caused by the forehead frontalis muscle.

Over the last few years, plastic surgeons have become increasingly aware that an aged appearance is often caused by fat atrophy which causes the face to look sunken and hollow. Restoring fat to the forehead not only plumps up the skin but also helps to smooths out facial creases by adding volume.



 

When these lines are still subtle and the skin not overly lax, autologous fat grafting offers an excellent method to re-volumize the upper third of the face and soften creases caused by the forehead muscles. In some cases, this is a more effective method to correct forehead wrinkles than Botox, which temporarily paralyzes the muscle. In addition, autologous fat transfer lasts indefinitely once the transplanted fat cells have established themselves in the new site. You will likely only need one, possibly two, fat grafting procedures, but the results will be long-lasting.

When there is pronounced sagging of the skin on the forehead, fat transfer will have limited efficacy and may actually contribute to more pronounced forehead heaviness. In these cases, a forehead lift offers surgical correction by removing excess forehead skin through a hairline approach. The remaining skin will be pulled taut, lifting the eyebrows and smoothing forehead wrinkles.

If you are concerned about your forehead having a flat appearance, fat grafting can also add roundness to the front of the forehead. Anatomically, the forehead comprises two components, the upper forehead, and the supraorbital bar. In some individuals there is a lack of projection where these two components meet, leading to a flattened appearance.

Where only a subtle improvement is needed, carefully placed fat injections can offer some rounding to improve the contour. In cases where the forehead contour needs significant projection, forehead augmentation procedures such as bone advancement, bone grafts, silastic implants, or methyl methacrylate may be considered. I suggest that you consult with a board-certified surgeon to determine if autologous fat transfer is the best option for correcting your forehead concerns.

The forehead takes up one-third of the face and is integral to its overall beauty. A softly-rounded, smooth forehead that is in proportion to the chin and the rest of the face contributes to overall facial aesthetics by creating a harmonious profile.

Autologous fat transfer or fat grafting can offer beautiful, long-lasting results when applied to the forehead. During the procedure, small incisions are made elsewhere on the body and fat is removed through micro-liposuction, purified, then re-injected into the forehead to smooth out out the horizontal wrinkles caused by overactivity of the frontalis muscle.

By adding volume to your specific problem areas your forehead lines and creases can be filled out and your overall look rejuvenated. The quantity of fat taken from the donor area is very modest, and significantly less than is removed in standard liposuction surgery.

Autologous fat grafting promises long-term results. Between 30% to 60% of the fat cells that are transferred will establish a blood supply in the forehead. Sometimes, however, a second procedure is required for optimal results.

Fat grafting can also effectively add subtle roundness to your forehead by injecting fat into the necessary area to enhance the nasofrontal angle. The nasofrontal angle is the angle formed by the forehead, glabella (the smooth part of the forehead above and between the eyebrows) and the radix (where the nose has its origin from the glabella). A subtly augmented nasofrontal angle can dramatically improve facial balance and beauty in patients with a slightly flat forehead.

This procedure isn’t as invasive as forehead augmentation surgery, which requires insertion of an implant beneath the forehead skin to correct a flat or sunken forehead appearance. However, an augmentation procedure may be more suitable for adding significant roundness or volume to your forehead if it appears to be hollowed or have a depression, or is extremely flat.

Micro-fat grafting of the face can create beautiful aesthetic results when used in the right circumstances. Fat transfer can be used to restore volume in the cheeks, eyelids, lips, jawline, nasolabial folds, and the forehead. Re-volumizing the face is one of the most effective ways to reverse the signs of aging.

While fat grafting will not completely erase fine lines or wrinkles in the forehead, it will help to soften them by restoring lost volume and filling out facial depressions. When performed correctly, fat transfer lasts a lifetime as the fat cells which survive the transfer procedure will establish a blood supply in the area.

Some patients require two fat transfer procedures for best results, as a proportion of the transferred fat cells will not survive.

If your forehead is slightly flat in appearance, micro-fat grafting can be used to create a slight contour. The harvested fat may be injected into the hairline, near the supraorbital ridge and the radix of the nose. This enhances the nasofrontal angle rendering the facial profile more harmonious with the chin and nose. Only small volumes of fat are injected at a time to ensure the contour change is subtle.

However, the forehead skin is quite thin and fat can sometimes migrate or create a bumpy appearance. Hyaluronic acid fillers or Bellafill, which is collagen based, can sometimes create a smoother, more predictable forehead contour that is harmonious with the nose and chin.

A formal consultation with an expert in facial fat transfer and filler treatments would be best to determine the most effective treatment for your facial anatomy. Most experts only use fillers or fat grafting for subtle forehead augmentation or to improve a small area of depression. People whose foreheads are significantly lacking volume or contour benefit from implants. In these instances, an incision is made behind the hairline and the implant is strategically placed beneath the forehead skin. Implants can be customized based on individual patient's needs.