Introduction
Autologous fat temple filling has become an increasingly popular cosmetic procedure in New York City. It offers a natural - looking way to enhance the appearance of the temples, adding volume and reducing the signs of aging. This article aims to present a comprehensive ranking list of doctors and institutions for autologous fat temple filling in New York City, along with detailed information about the procedure, the doctors, and the associated risks and benefits.
What is Autologous Fat Temple Filling?
Autologous fat temple filling, also known as autologous fat grafting, is a procedure that involves taking fat from one part of the patient's body, typically the abdomen, thighs, or buttocks, and injecting it into the temples. This method has several advantages over other fillers. As the fat is taken from the patient's own body, there is no risk of allergic reaction or rejection. The results are often more natural - looking and can last longer compared to synthetic fillers. According to a study on autologous fat grafting (Marwah et al., 2013), this procedure has been used for over a century for tissue augmentation and is an effective way to restore volume in various areas of the body, including the temples.
Top Doctors for Autologous Fat Temple Filling in New York City
Dr. David Cangello
Dr. David Cangello is a world - class, board - certified plastic surgeon in NYC. He has an extensive background in plastic and reconstructive surgery, as well as general surgery. He trained at some of the nation's top institutions, including Hamilton College, Johns Hopkins University, and SUNY Upstate Medical University. One of his unique qualifications is that he is one of only two surgeons in the world trained by Dr. Sydney Coleman, a pioneer of the fat grafting technique. He also co - authored a chapter in Dr. Coleman’s book regarding correction of liposuction deformities with fat transfer.
Dr. Cangello's approach to plastic surgery combines artistry with surgical precision. He believes that plastic surgery is both a science and an art, and he creates results that showcase the delicate balance between aesthetic beauty and medical precision. His clinic offers comprehensive plastic surgery services, including autologous fat grafting for temple filling. He has received numerous awards and recognition, such as being named a “top doctor” by Castle Connolly, listed as a “super doctor” in the New York Times magazine, and named “top doctor” by RealSelf.
Dr. Mark H. Schwartz
Dr. Mark H. Schwartz is a New York City board - certified plastic surgeon who performs fat grafting, including autologous fat temple filling. His procedure involves taking fat from the patient's abdomen, thighs, or other areas using a small cannula under local anesthesia, similar to liposuction. The harvested fat is then purified, and only the fat cells are grafted into the temples.
Dr. Schwartz has performed scores of fat transplants over the years and has refined the skills needed to produce superb results. He emphasizes the safety and long - lasting effects of autologous fat grafting. After the procedure, patients may experience mild swelling and bruising, which can be minimized with oral pain medications. Fat grafts usually last longer than fillers, and the procedure is considered safe for most patients since no foreign material is being injected into the body.
Dr. Barry M. Weintraub
Dr. Barry M. Weintraub is a top plastic surgeon in NYC. His philosophy is “less is more,” and he provides high - quality, detailed cosmetic plastic surgery of the face and body. He uses the latest minimally invasive, non - surgical, and short - incision techniques to offer maximum benefit to his patients.
In the context of autologous fat temple filling, Dr. Weintraub gently suspends tissues and restores lost volume with fat transplantation, rather than using unnaturally tight skin traction. He has ivy league credentials and has been recognized with numerous awards, including being named in Newsweek's America’s Best Plastic Surgeons for facelift, eyelid surgery, and rhinoplasty in different years, as well as receiving Castle Connolly's Top Doctors recognition for the New York metro area from 2018 - 2023.
Additional Reputable Doctors in New York City for Dermal Fillers (Potential for Temple Filling)
Healthgrades found 940 doctors who perform dermal filler in New York. Here are some of the highly - rated ones who could potentially offer autologous fat temple filling:
| Doctor's Name | Rating (out of 5) | Location |
|---|---|---|
| Dr. Adelle Quintana, MD | 4.80 | 130 W 42nd St Ste 1900, New York, NY 10036 |
| Dr. Hirshel Kahn, MD | 4.70 | 110 Duane St, New York, NY 10007 |
| Dr. Lindsey Bordone, MD | 4.80 | 51 West 51st Street, New York, NY 10019 |
| Dr. Rasa Zarnegar, MD | 4.80 | 525 E. 68th Street, New York, NY 10065 |
| Dr. Brendan Finnerty, MD | 5.00 | 520 East 70th Street Starr Pavilion, 8th floor, New York, NY 10021 |
| Dr. Jaimie Glick, MD | 4.80 | 119 5th Ave Fl 2, New York, NY 10003 |
| Dr. David Otterburn, MD | 5.00 | 525 East 68th Street Starr 8, New York, NY 10065 |
| Dr. Jeffrey Weinberg, MD | 4.80 | 32 Union Sq E Ste 516, New York, NY 10003 |
| Dr. Jeremy Brauer, MD | 4.60 | 1035 5th Ave, New York, NY 10028 |
| Dr. Gary Rothfeld, MD | Not specified in rating range details | 629 Park Ave, New York, NY 10065 |
| Dr. Philip Torina, MD | 5.00 | 5 E 98th St #2, New York, NY 10029 |
| Dr. Annemarie Ulia Sz, MD | 4.60 | 197 Grand St Ste 3e, New York, NY 10013 |
Leading Institutions for Autologous Fat Temple Filling in New York City
Cangello Plastic Surgery
This institution is led by Dr. David Cangello. It offers a state - of - the - art, fully accredited (AAAASF) operating room in its NYC office. Most of the plastic surgery procedures, including autologous fat temple filling, are performed here. The staff at Cangello Plastic Surgery is dedicated to making the patient's comfort and safety an absolute priority. Patients are also welcome to have a tour of the operating facilities during their consultation. For those who prefer a hospital - type setting, Dr. Cangello has operating privileges at Lenox Hill Hospital and Manhattan Eye, Ear, and Throat Hospital.
Dr. Mark H. Schwartz's Office
Dr. Mark H. Schwartz performs autologous fat grafting procedures, including temple filling, at his office in New York City. The procedure is carried out on an outpatient basis. His office provides a professional and comfortable environment for patients to undergo the treatment, and he and his team are experienced in handling all aspects of the autologous fat temple filling process.
The Procedure of Autologous Fat Temple Filling
Pre - operative Planning
Pre - operative planning is crucial for a successful autologous fat temple filling procedure. During the consultation, the doctor will review the patient's medications and allergies, especially those that may interfere with lidocaine metabolism. The patient will be instructed to stop all medications that interfere with platelet function two weeks prior to surgery and can restart them one week after the procedure. Appropriate laboratory tests will be obtained approximately one week before the procedure. In some cases, patients may be advised to take antibiotics such as cefadroxil the evening before and continue twice daily for one week after the procedure. For patients with a history of previous herpes labialis infection, acyclovir may be prescribed (Marwah et al., 2013).
Donor Site Selection
Studies have shown that there may not be a clearly favorable donor site for fat harvest. However, the lower abdomen and inner thighs are considered better donor sites as they may have a higher concentration of adipose - derived stem cells. Once the donor site is decided, the surgeon will estimate the approximate amount of fat to be transplanted into the temples. The area for liposuction is marked with the patient in the standing position after a sterile preparation.
Harvesting the Fat
The fat is harvested from the donor site using a small cannula. In some cases, patients are given short general anesthesia to reduce anxiety and pain. The area to be suctioned is infiltrated with a solution containing Ringer lactate and adrenaline. After the area is infused, it is best to wait 15 minutes to allow the epinephrine to take full effect and for the anesthesia to infuse evenly through the tissues. A blunt atraumatic fat grafting cannula is often preferred for harvesting the fat as it is considered superior to conventional liposuction. The size of the cannula and syringe can also affect the viability of the fat graft. A 2 - mm diameter cannula with a blunt tip and several side holes connected to a 10 - cc syringe has been shown to result in better viability of fat grafts compared to a 3 - mm diameter blunt - tipped cannula connected to a 60 - cc syringe (Gonzalez et al., 2007).
Processing the Fat
Most surgeons believe that the harvested fat needs to be processed to limit the blood or oil within the lipoaspirates. Three primary methods - sedimentation by gravity, filtering technique, and centrifugation - are commonly used. Centrifugation at 3000 rpm (about 1289 g) for 3 minutes is considered a better method as it can clear the fat from most blood remnants and possibly maintain the highest concentration of stem cells within the processed lipoaspirates. After centrifugation, the blood - stained fluid in the lower layer is removed before injection.
Injecting the Fat into the Temples
For recipient site anesthesia, the entry sites are anesthetized, and a regional nerve block may be given. A standard 18 - gauge needle is used to create the entry site, and local anesthesia is infiltrated with a blunt cannula. Then, a 10 - cc syringe full of adipose tissue is used, and approximately 0.1 cc of fat is injected with every pass. The injection is carried out in an intermittent retrograde pattern at various different levels to obtain a harmonious result and restore the previous anatomy of the temples. This technique also ensures that the fat grafts have a maximal amount of contact with the vascularized tissue in the grafted area for better survival (Marwah et al., 2013).
Results and Recovery
After the autologous fat temple filling procedure, patients may experience mild swelling and bruising, which usually subside within a few days to a week. The final results may take a few weeks to become fully apparent as the swelling goes down. Fat grafts usually last longer than synthetic fillers, but the overall take rate of fat grafting by even more experienced surgeons ranges from about 50 - 90% (Marwah et al., 2013). This means that additional procedures may be necessary to achieve an optimal result. Patients are advised to follow a healthy lifestyle, including a balanced diet and regular exercise, to maintain the results.
Risks and Complications
Although autologous fat temple filling is generally considered a safe procedure, there are some risks and complications associated with it. The most common complication is the absorption of fat, which can be addressed by some overcorrection during the initial procedure. Other complications may include:
- Superficial nodules: These can result from the injection of an extremely large bolus of fat too superficially.
- Post - operative erythema, oedema, bleeding, and ecchymosis: These are common side effects but usually resolve over time.
- Infections: Infections following augmentation have been reported. The physician needs to screen for and treat any active, chronic, or recurrent infections, particularly of adjacent facial areas such as the sinus, dental, or ocular regions, during the pre - operative period.
- Vascular occlusion or emboli: This is the most serious complication associated with fat transplantation. There have been reports of blindness, middle cerebral artery occlusion, and acute fatal stroke following autologous fat transplantation in the face. To reduce the risk, a blunt - tipped cannula with initial withdrawal prior to injection can be used, and physicians may also use 1 - cc syringes and epinephrine in the anesthesia to promote vasoconstriction.
- Fat hypertrophy: Fat hypertrophy following weight gain may occur after augmentation, which may require surgical revision to correct.
- Depressions, asymmetries, and bulges: These can occur and may require additional procedures to correct.
- Fat necrosis: Fat necrosis may lead to contour irregularities. In some cases, a growing liponecrotic pseudocyst may develop, which may need to be excised.
Conclusion
Autologous fat temple filling is a popular and effective cosmetic procedure in New York City. There are several highly - qualified doctors and reputable institutions that offer this service. Dr. David Cangello, Dr. Mark H. Schwartz, and Dr. Barry M. Weintraub are among the top doctors known for their expertise in autologous fat grafting. Leading institutions such as Cangello Plastic Surgery and Dr. Mark H. Schwartz's office provide a safe and professional environment for the procedure. However, patients should be aware of the risks and complications associated with the procedure and carefully choose a doctor based on their qualifications, experience, and patient reviews.
If you are considering autologous fat temple filling in New York City, we encourage you to schedule a consultation with one of the doctors mentioned in this article. Discuss your goals, concerns, and expectations with the doctor to determine if this procedure is right for you. Share this article with others who may be interested in learning more about autologous fat temple filling, and explore related topics to gain a more comprehensive understanding of cosmetic procedures.
