Oxygen: There is a face shape called “heart-shaped face”, which is more natural compared to a cone face, with flesh on the face but not fat. Doctor: The reason why you think this face shape looks good is because the inverted triangle has an obvious visual lifting effect and presents a youthful trend. The heart represents an uplifting, upward, vigorous and energetic. This face shape can be achieved through fat filler, the technology is very mature, and I was the first to propose autologous fat to improve facial contour in China. Sister Oxygen: Is it true that if you inject mainly in the apple muscle and chin, you will have a heart-shaped effect? Doctor: Injecting these two places will give a heart shape to the lower part, but it doesn’t necessarily mean that the whole face will look good. It is only suitable for people who have a full forehead and temples. If the top of the face is narrow and the bottom is wide, it doesn’t look good either. I think autologous fat filler is like fine decoration, it needs to be laid out comprehensively for good results. The most obvious 1 heart shape of the face is shown as follows: People with a flat forehead and sunken temples: In addition to filling the apple muscle and chin, you also need to fill the forehead, the arch of the eyebrows, and the temples (big heart) People with sunken temples: In addition to filling the apple muscle and chin, you also need to fill the temples, the arch of the eyebrows, (center) People with no obvious sunken face: Fill the apple muscle and chin (careful) Sister Oxygen: Create a heart-shaped face and fill the What is the order of priority? Doctor: From top to bottom, the order is forehead, eyebrow arch, temple, apple muscle, and chin. The top part is lifted by the filler first, and then the bottom part is filled. Otherwise, there will be a sagging feeling, and then there will be no room for filling the upper part. Sister Oxygen: Do you need to fill it several times? Doctor: Generally speaking, facial filler can achieve good results in 1 time, so there is no need for multiple fillers. Sister Oxygen: How can I fill evenly and avoid unevenness? Doctor: This is a purely technical issue. Multiple injections to give the fat time to adapt and interact with the skin; multi-point and multi-directional injections, playing into a multi-layered grid-like plane, and gentle techniques to ensure even injections. Sister Oxygen: Since fat filling is an addition, will the face look bigger after filling? Doctor: The size of the face is not an absolute concept, but a visual impression. For example, for the forehead, it is not a full filler, but a well-designed filler that fills in where the patient is flat, and creates a wide and full feeling; for the apple muscle, the injection is very careful, especially for people with wide cheekbones. The width of the apple muscle should not exceed the line of the outer canthus, the line should be curved and go on the inside of the widest side, so as not to have an abrupt feeling; the filling of the chin should be based on the face shape, if it is a long face, the chin should be built mainly in the front; if it is a short face, it should be both elongated and made to look good. Sister Oxygen: Each person’s situation is very different, is it sometimes necessary to supplement with other treatment methods? Doctor: It is very common to use multiple methods, for example, fat face has to be liposuctioned from the face first, and then filled. The method of autologous fat + Botox is more common in the forehead. Because filling the eyebrow arch and forehead, if the expression is too much, it affects the fat survival. Sister Oxygen: Is it not necessary to use autologous fat to fill the nasolabial folds with Botox? The nasolabial folds are also an area with frequent expressions. Doctor: You can’t use Botox for the nasolabial folds. If you don’t let the nasolabial folds move, facial expressions will be affected and you will look unhappy. Sister Oxygen: Where is the most suitable fat for filling the face? Doctor: The fat of the thigh is tight, small cells, more content in the unit volume, and presents a good effect. The front inner thighs and front outer thighs are fine. Do not extract abdominal fat if you have had a child, because there is more fibrous tissue in the abdomen after stretching, and the fat purity is poor. Sister Oxygen: Is it okay to choose the parts that are not good for weight loss for liposuction? Doctor: You need to negotiate, and it is OK if it is suitable. For example, back waist, buttocks, arms. However, some parts have to be charged extra because the requirements for liposuction in these parts are particularly high. For example, the technical requirements for liposuction of calves are very high, and it is easy to cause skin depressions and tissue adhesions if you are not careful. Sister Oxygen: The treatment method of fat after suction also affects the survival rate, how do you treat the fat? Doctor: We use the method of resting + cotton pad adsorption to treat the fat. The fat is placed on the cotton pad and the water and oil are filtered out. There is no mechanical loss effect and there is no damage to the fat cells. Sister Oxygen: Will there be stiff expression after facial autologous fat filler? Doctor: Generally speaking, there is a possibility that the facial expression will be temporarily stiff within the first week after surgery due to the swelling of the fat injection site, but once the swelling period is over, there will generally be no stiffness of expression because experienced doctors know how to avoid damage to the nerves and blood vessels caused by the needles to avoid the facial expression stiffness caused by the damage to the nerves. Sister Oxygen: Will there be problems of liquefaction and calcification after fat filler facial? Doctor: Part of the transplanted fat gets an effective blood supply and becomes viable, and part of it is absorbed by the body. With a small amount of facial injection and abundant blood supply, there is usually no problem of liquefaction and calcification. Sister Oxygen: Will the fat after autologous fat filler shift and sag to other parts? Doctor: Fat transfer according to the regular surgical operation will not be displaced. About two weeks after the surgery, the fat cells establish blood supply relationship with the surrounding tissues, and after the fat becomes viable, the fat will not be shifted by pressing and expressions generally at more than three months. However, within two weeks after the surgery, you should still avoid excessive external force (e.g. massage, lying on the side to produce pressure on the filling site, etc.) or prolonged and violent expression muscle contraction (e.g. frowning, raising forehead, wrinkling nose, etc.) to prevent compression of fat particles, resulting in low survival rate. Sister Oxygen: How long does it take to reach the best condition after filling? Is the effect long term? Doctor: For most people, 1-2 months is fine. The effect can be maintained for a long time, but it is not set in stone, because after the cells become alive, they will also gradually age and wither with the normal metabolic cycle of the body. Like a glass of water that keeps losing, if it is filled up once during the process of losing, the emptying cannot be avoided eventually, but it can be delayed. Fat filler plays a delaying role. Sister Oxygen: Is it true that a higher fat survival rate gives better results? Doctor: The survival rate of fat is a vague concept. It can only be roughly projected. The survival rate does not accurately reflect the clinical effect. I often dispel this rumor: Suppose an area needs 1000ml of fat, and you inject 500ml, the survival rate is 100%, but the filler effect is not ideal. Sister Oxygen: How to take care of fast recovery after facial fat filler? Doctor: Keep still, don’t make exaggerated expressions; don’t massage or scrape; keep hygiene to prevent infection; don’t wash your hair until the eye of the needle is closed for 3-4 days; smoking makes the blood vessels contract and reduces blood supply, try not to smoke. Sister Oxygen: Will losing weight after surgery affect the effect of fat filler? Doctor: Exercise and fitness is OK, dieting is not. Dieting will lead to insufficient supply of nutrients; you should not stay up late, and bad habits are not good for the growth of fat. Sister Oxygen: When can laser and photorejuvenation be done? Doctor: 1 month after surgery is fine. If you go to do it just after the surgery, there is slight edema in the facial area, and the presence of water makes the laser effect discounted.