Will Fat Injections On Top Of Jaw Angle Implants Create My Desired Look?

Q: Dr. Eppley, I am a 27 years old male. One year ago I got 5 mm Medpor jaw angle implants but unfortunately, I think they are not big enough for my face. I talked with my surgeon and he said he could inject fat to provide more projection as a permanent filler. I tried HA filler 3 months ago, while it got absorbed fast in two months, I found the projection it provided to be satisfactory. I got 1.5 ml on each side. 

My question is, would fat provide a projection similar to the ones that fillers did? From what I’ve seen, fat seems unable to make contours, but if the volume required is small, wouldn’t they still be a good alternative? If not, replacing the implants seems to be my only option as I seem to absorb fillers fast.

Thanks for taking the time and read my mail. I’m looking forward to your reply. I’m attaching a picture; no 1 is the current me and no 2 is what I’d like to have ( I used software to create). 

Best regards.

A: While fat injections would be a logical graduation from injectable fillers, it has two aesthetic issues. First fat injection survival in a  young man will likely go just like the fillers…it will be absorbed fast with little to no successful survival. Secondly, even if it survived, it will not create your imaged results. Fat is soft and will not  create sharper angles..it will just be rounder with no sharpness. Implants can only create that result because they have an assured firm push on the overlying soft tissues.

Dr. Barry Eppley

Indianapolis, Indiana