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Category: Fat Transfer

Your Own Fat, Donor Fat, or Filler: Where Lipoderma Fits Now That It Is on the Menu

Your Own Fat, Donor Fat, or Filler: Where Lipoderma Fits Now That It Is on the Menu

October 29, 2026 | Facial Rejuvenation, Fat Transfer, Injectables

Lipoderma, the donor fat graft, is now on the face menu at The MedSpa at Southwest Plastic Surgery. I still graft a patient’s own fat in the operating room every week. Here is how I choose between the three: your own fat, donor fat in a vial, and hyaluronic acid filler, with the GLP-1 face as the case that decides it most often.

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Filler Migration, Over-Treatment, or the Wrong Photo: What I Check Before I Dissolve, Graft, or Lift

Filler Migration, Over-Treatment, or the Wrong Photo: What I Check Before I Dissolve, Graft, or Lift

October 28, 2026 | Facelift, Facial Rejuvenation, Fat Transfer

The Megan Fox posts started from a year-old interview and at least one photo that may be AI-altered. I do not diagnose anyone from a screenshot. Here is what I check in the room: whether a puffy area is soft and gone by lunch or firm and sitting next to where the filler went, why old filler keeps swelling, what overfilled means, why a frozen forehead is a dosing problem, and when I stop dissolving and start grafting or lifting.

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FaceAge and the Facelift: What an AI Reads in Your Photo, and What Surgery Actually Changes

FaceAge and the Facelift: What an AI Reads in Your Photo, and What Surgery Actually Changes

October 25, 2026 | Facelift, Fat Transfer, Patient Safety

A Harvard model trained on more than 40 million faces can read biological age from a photo, and in about 38,000 patients those who looked five years older than their age had a 21 percent higher risk of death. It looks at the temples, the folds beside the nose and the forehead. Here is what I treat in each of those places, why I graft fat into every facelift, why nicotine shows in a photo, and what a lift resets and what it does not.

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The Younger Facelift Patient in the GLP-1 Era: What I See in El Paso, and What I Tell Them

The Younger Facelift Patient in the GLP-1 Era: What I See in El Paso, and What I Tell Them

October 23, 2026 | Facelift, Fat Transfer, Weight Loss

Plastic Surgery Practice reports that facelift patients are arriving in their 30s and 40s after GLP-1 weight loss. I see the same thing: the face and neck are the first place the weight shows, I now do three or four of these a week, and the deep plane and ponytail lifts have become my most common post-GLP-1 operations. Here is what I tell the younger patient about timing, fat versus filler, and which lift fits.

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A Dent After Surgery: Why It Happens and the Three Ways a Plastic Surgeon Fixes It

A Dent After Surgery: Why It Happens and the Three Ways a Plastic Surgeon Fixes It

October 22, 2026 | Facial Rejuvenation, Fat Transfer, Plastic Surgery Recovery

Sharon Osbourne’s indentation from nose to chin made headlines this week. Dr. Frank Agullo has not examined her and names no one, but he fixes dents: the hollow where too much was taken, the dimple where a scar band pulls, the volume that left on its own. Here are the three causes and the three repairs, in his words.

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ISAPS 2025: Fillers Fell a Quarter Worldwide. Fat Grafting Held. A Year Later, the Tax Came Due

ISAPS 2025: Fillers Fell a Quarter Worldwide. Fat Grafting Held. A Year Later, the Tax Came Due

October 14, 2026 | Facial Procedures, Fat Transfer, Plastic Surgery News

A year ago I called fillers a tax. The ISAPS 2025 global survey now shows hyaluronic acid filler down 25.2 percent in a single year, every other injectable filler down with it, and fat grafting to the face holding at nearly a million procedures, up 60 percent since 2021. Here is why patients are switching, and what fat can and cannot do.

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