Beauty By Design

The Center of Excellence for Facial Plastic and Reconstructive Surgery

Courses & Workshops

COVID-19 - Protect Yourself

Call Us Now Las Vegas: (702) 242-6488
California (949) 220-0532
ENG  ESP
Request an appointment
Beauty By Design
MENU
  • About Us
    • About Dr. Troell
      • Training and Education
      • Honors and Awards
      • Memberships / Certifications
    • Mission Statement
    • Tour Our Offices
    • Testimonials
    • FAQ
    • Courses and Workshops
    • News & Media
      • Videos
      • Recent News
      • Press
      • Cosmetic Publications
      • Presentations
      • Reconstructive Publications
    • Coronavirus Epidemic in the US
  • Surgical
    • Face
      • Bellafill® Volume Filler
      • Lip Augmentation
      • Nose Surgery
      • Eyelid Surgery
      • Face Lifts
      • Forehead/Eyebrow Lifts
      • Cosmetic Chin & Cheek Enhancements
      • Plastic Surgery of Ears
      • MicroDermal Needling
      • Facial Fat Grafting
      • Laser Skin Resurfacing
      • Lip Reduction
      • Neck Lift Rejuvenation
      • Reconstructive Plastic Surgery
    • Body
      • Breast Lift
      • Brazilian Butt Lift
      • Natural Breast Augmentation
      • Breast Augmentation
      • Cellulite Treatments
      • Body Fat Grafting
      • High Definition Liposuction
      • Total Definer Body Contouring
      • Revision Liposuction
      • VASER Liposuction
      • Body Fat Contouring
      • PUREGRAFT in Fat Grafting
    • Skin
      • Bellafill® Facial Filler
      • Reduce Wrinkles and Lines
      • Renew Your Skin, Remove Blemishes & Wrinkles with a Chemical Peel
      • Electrolysis
      • Laser Skin Therapy
      • IPL Photofacial Treatment
      • Microdermabrasion
      • Skin Care Products
      • Anti-aging in Fat Grafting
      • Lumage Skin Lightening System
  • Non surgical
    • Bellafill® Permanent Filler
    • Botox Dermal Filler
    • Chemical Peel Treatment
    • Dermal Fillers: Restylane® Juvederm™ Radiesse®
    • DEKA CO2 Laser Treatment
    • DOT Laser Skin Therapy
    • Blepharoplasty/Ptosis Surgery
    • Rhinoplasty / Septoplasty
      • Revision Rhinoplasty
    • VASER Shape
      • VASERsmooth
    • Venus Treatments
    • VelaShape
    • Endermologie
    • Anti-Aging Program
  • Before & After
    • Face Lifts and Mid-Face Lifts
    • Chemical Peels
    • Cheek and Chin Implants
    • Forehead and Eyebrow Lifts
    • Dermal Fillers
    • Nose Beautification / Rhinoplasty
    • Ear Reshaping
    • Eyelid Surgery
    • Neck Rejuvenation
    • Laser Skin Resurfacing
    • Lip Augmentation
    • Liposuction
    • Facial Fat Grafting
    • Breast Surgery
  • Financing
  • Reviews
    • Video Testimonials
    • Patient Reviews by realself
  • Schedule Consultation
    • Request an In-Person Office Consultation
  • Patient Portal
ENG  ESP
Call Us Now

Permanent Facial Volume Replacement: Implants, Fat & Bellafill

Home » Permanent Facial Volume Replacement: Implants, Fat & Bellafill

September 1, 2018 by Beauty by Design Leave a Comment

Permanent Facial Volume Replacement: Implants, Fat & Bellafill Dermal Filler

All of these are treatment options. Each patient should present their desires to there trusted physician, examine the benefits, limitations, and possible complications of each option. You and your surgeon should clarify the specific anatomic areas that you desire correction.

Perception of Beauty and Its Anatomical Features: Las Vegas

Perception of beauty
Angelina Jolie

The important variables to determine the best alternative are:

  1. age of the patient (fat transfer is not the best in the very young, due to possible deformities occurring with weight gain over time.
  2. if facial soft tissue suspension is desired, a silastic implant is best.
  3. when one specific anatomic area is requested, either Bellafill dermal filler or a silastic implant is best.
  4. those over 35 years of age with facial volume loss throughout, fat transfer is the best option.
  5. chin augmentation is best with a silastic implant
  6. nonsurgical options limits the treatment to Bellafill dermal filler
  7. one can combine these treatments for optimal cosmetic outcome
  8. amount of correction by any technique should be clarified with you and your surgeon prior to treatment.

Facial Volume Replacement rejuvenates one’s face.

Reversing the aging process cosmetically is paramount to restoring one’s beauty.

Skin resurfacing (CO2 laser and radiofrequency (RF)), treating animation wrinkles with Botox & Dysport, and replacing facial volume loss are the three pillars of facial rejuvenation.

Since I just completed instructing surgeons at the Implantech facial implant course showing the proper technique for placement of all types of implants on cadavers last weekend and a hands-on comprehensive work shop highlighting advanced liposuction techniques along with facial fat transfer with stem cells and platelet rich plasma growth factors on live patients, I thought permanent volume replacement was appropriate.

Permanent facial volume replacement technique best practices:

  1. Bellafill dermal filler– can be used anywhere in the face except the bulk of the lip. The PMMA stimulates your body to make collagen, thus, the final volume is 80% your own collagen. The largest filler clinical study shoed that 87% of patient looked as good or better at 5 years then at one year post-injection. Biopsy studies show the facial volume is still there 7-10 years later. Inject about 80% or less of the estimated volume at the initial injection with followup 10-14 days later for fine tuning. The main indications are facial volume replacement and acne scarring treatment. Microcannula injection offers less bruising and pain then needles. If patients do not confirm an allergic to local anesthetics (lidocaine) and can eat red meat without a reaction, then skin testing is not mandatory prior to injection of the treatment dose. Over-injection or firm nodules (<0.1% incidence) can be treated with steroid injections (triamcinolone or Kenalog). Rarely is surgical removal necessary.

    Bellafill volume replacement and acne scarring treatment.

    Bellafill layered from immediately below the skin for maximum collage stimulation

     

    2. Facial soft silastic implants can be placed with oral sedation, nerve blocks and local anesthesia, intravenous sedation or general anesthesia. The techniques involve a small incision, undermining the soft tissue on the bone, placement of the implant into a pocket and fixation with a titanium screw. There are implants for almost every facial anatomic area and even patient specific or custom implants that can conform to any volume loss or reconstruction.

    Location of Facial Implants: Las Vegas

    Location of some Facial Silastic Implants

  2. Fat transfer or grafting can be done with oral sedation, nerve blocks and local anesthesia, intravenous sedation or general anesthesia. The fat is collected during liposuction, purified by fat processing techniques, enriched with stem cells and growth factors (PRP) and then injected with microcannulas. The entire face can be injected. Fat can be stored in a cryo-bank for later revision use, if desired.

    LipoKit Fat Harvesting Processing Las Vegas

    Fat Purification using Centrifugation-Filter technique.

Transferred Viable Adipocytes: Las Vegas

Adipocytes or Fat Cells require a blood supply within the first 48 hours to survive after fat transfer.

 

 

 

 

 

 

 

 

A comprehensive cosmetic observation and analysis will confirm with you the facial volume sites you desire correction or enhancement. The alternatives will be reviewed in detail to find the best option for you.

Please contact my office for free consultation at 702-242-6488.

ARTICLES & BLOGS BY DR. TROELL, M.D., F.A.C.S.

Monthly Specials

Monthly Specials It's Time for a New You This '22! Add some sparkle to your appearance and get a new glowing look this year with Dr. Troell’s special offers. Dazzle everyone with your fresh new face, body, and skin. Dr. Troell and his staff remember the reason for the season and that’s giving, so he wants to give you the best discounted offers! Give us a call at (702) 242-6488 to speak with your [...]
  • Permanent Facial Volume Replacement Options in Las Vegas

  • Spectacular Results Using the Brazilian Butt Lift (BBL) Technique

  • How Much Fat Can Be Removed During a Single Day Liposuction Surgery?

  • Does the Technique of Liposuction Surgery Make a Difference?

  • Using Liposuction Fat to Optimize One’s Cosmetic Result Anywhere in the Face or Body

  • What type of Anesthesia Should I Do for Liposuction?

View More...
Face

FACE

Facial Cosmetic Surgery.

Face

BODY

Body Plastic Surgery. Body Contouring.

Face

SKIN

Skin Treatments, including Bellafill®

Face

ANTI-AGING

Stem Cell Therapy and other Anti-Aging programs.

FACE

Face Procedures

Facial Cosmetic Surgery.

BODY

Body Procedures

Skin Treatments, including Bellafill®

BREAST

Breast Procedures

Implants. Augmentation. Reduction. And more!

ANTI-AGING

Anti-Aging Procedures

Anti-Aging programs.

Robert J. Troell, M.D., F.A.C.S. at Corona Del Mar, New Port Beach, CA

BEAUTY BY DESIGN New Port Beach: A REGENERATIVE MEDICAL SPA IN Corona Del Mar, CA.

Beauty By Design in Las Vegas is not the only location where you can meet Dr. Troell. Robert J. Troell, .M.D., F.A.C.S. is also serving clients in Corona Del Mar, New Port Beach, California. Learn more about Beauty By Design Corona Del Mar, or call (949) 220-0532.

Two Locations to Better Serve You

Las Vegas

Robert J. Troell, M.D., F.A.C.S. (Las Vegas, Nevada)

Robert J. Troell, M.D., F.A.C.S.
(Las Vegas, Nevada)

Address: 5375 S Fort Apache Rd
Suite 101
Las Vegas, NV 89148.
Phone: (702) 242-6488

Driving Directions Contact Us

New Port Beach

Robert J. Troell, M.D., F.A.C.S. (New Port Beach, California)

Robert J. Troell, M.D., F.A.C.S.
(New Port Beach, California)

Address: 2801 East Coast Hwy
Suite E
Corona del Mar, New Port Beach, CA 92625.
Phone: (949) 220-0532

Driving Directions Contact Us
  • Las Vegas
  • Corona del Mar

Las Vegas

Robert J. Troell, M.D., F.A.C.S. (Las Vegas, Nevada)

Robert J. Troell, M.D., F.A.C.S.
(Las Vegas, Nevada)

Address: 5375 S Fort Apache Rd
Suite 101
Las Vegas, NV 89148.
Phone: (702) 242-6488

Driving Directions Contact Us

New Port Beach

Robert J. Troell, M.D., F.A.C.S. (New Port Beach, California)

Robert J. Troell, M.D., F.A.C.S.
(New Port Beach, California)

Address: 2801 East Coast Hwy
Suite E
Corona del Mar, New Port Beach, CA 92625.
Phone: (949) 220-0532

Driving Directions Contact Us
FPS ACOS AOHNS ASOLP AOHNS

BEFORE AND AFTER PHOTOS

Before & After

FACIAL

  • Chin & Cheek Enhancements & Implants
  • Ear Reshaping
  • Eye Cosmetic Surgery (Blepharoplasty)
  • Face Lift & Neck Rejuvenation
  • View all Facial

BODY

  • Abdominoplasty
  • Natural Breast Augmentation
  • Body Fat Grafting
  • Brazilian "Butt Lifts"
  • View all Body

SKIN

  • Body Scrubs & Wraps
  • BOTOX®
  • Chemical Peels
  • Dermal Fillers
  • View all Skin

ANTI-AGING

  • Biodentical Hormone Replacement
  • Comprehensive Anti-Aging Program
  • View all Anti-aging

© 2021 Dr. Troell - Beauty by Design
All Rights Reserved
¿Habla español?: DrTroell.com/es

Follow us

Las Vegas, NV

(702) 242-6488

Corona del Mar, New Port Beach, CA

(949) 220-0532
Legal/ Disclaimer | Privacy Policy | Procedures | Gallery | Testimonials | Blog | Financing | Contact Us | Sitemap | Patient Portal

Disclaimer: Beauty by Design does not promise results, as they may vary for both non-surgical and surgical procedures. This includes experimental procedures, like Anti-aging Therapy. All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. Before and after photos on this website are Beauty by Design's actual patients, and all patients have given consent for use of these photos.

Dr. Robert Troell is a multi-board Certified Cosmetic Surgeon with a DEA number, and is permitted to dispense narcotics and pharmaceutical drugs. BOTOX® and Juvéderm® are registered trademarks of Allergan. Dysport®, Restylane®, and Perlane® are registered trademarks of Galderma.

Ready for your transformation?Schedule your consultation today!
  • Hidden
  • This field is for validation purposes and should be left unchanged.
Advanced Search
  • BY BODYPART

  • BY PROCEDURE

  • BY SOLUTION

Recognition - Award from U.S. Senate
Recognition - Award from U.S. Senate