Facial Volume Loss: Fat Injections vs. Laser Collagen Stimulation

Our face is one of the areas where the signs of aging appear most quickly. Over time, the skin loses elasticity, wrinkles become more pronounced, and most importantly, volume loss occurs. Cheekbones, cheeks, under the eyes, and the jawline are the regions where these changes are most visible, giving a tired and older expression. Today, aesthetic medicine offers different solutions to restore lost facial volume. The two main options are fat injections and laser collagen stimulation.

In this article, we will compare the advantages, disadvantages, and long-term results of both methods.

Why Does Facial Volume Loss Occur?

The most common causes of facial volume loss are:

• Aging: Decreased collagen and elastin production reduces skin firmness.

• Fat Tissue Loss: Fat tissue in the cheeks and temples diminishes, causing a sunken appearance.

• Gravity: Over time, the skin sags downward.

• Sun Damage: UV rays break down collagen fibers, leading to premature aging.

• Weight Loss: Rapid weight loss decreases facial fat tissue.

When these factors combine, the youthful and vibrant look is replaced with a tired and aged appearance.

Fat Injections (Lipofilling)

What Is It?

Fat injection involves harvesting fat from the patient’s own body (commonly from the abdomen, waist, or thighs), processing it, and injecting it into the facial area.

Advantages

• Natural Filler: Since the patient’s own fat is used, there is no risk of allergy or rejection.

• Long-Lasting Results: With proper technique, results can be permanent.

• Improves Skin Quality: Stem cells in fat tissue contribute to skin regeneration.

• Multiple Areas of Use: Can be applied to cheeks, under-eyes, lips, and the jawline.

Disadvantages

• Partial Absorption: Some of the injected fat is reabsorbed by the body, so additional sessions may be needed.

• Surgical Procedure: Performed under local or general anesthesia.

• Recovery Period: Bruising, swelling, and edema may occur.

Who Is It Suitable For?

• Patients with moderate to advanced volume loss

• Those who prefer a natural filler

• Patients with skin laxity who do not want surgical lifting

Laser Collagen Stimulation

What Is It?

Laser treatments stimulate collagen production beneath the skin, tightening tissues and restoring volume. Fractional laser, Er:YAG, and CO2 lasers are the most commonly used techniques.

Advantages

• Non-Surgical Solution: No incisions, sutures, or anesthesia required.

• Short Recovery Time: Patients can quickly return to daily activities.

• Improves Skin Quality: Enhances skin tone and texture in addition to volume.

• Safe for Delicate Areas: Effective around the eyes and mouth.

Disadvantages

• Gradual Results: Effects become visible after several sessions.

• Temporary Effect: Improvements may diminish within 1–2 years.

• Mild Discomfort: Heat and mild burning sensations may occur during treatment.

Who Is It Suitable For?

• Patients with mild to moderate volume loss

• Those who prefer non-surgical treatments

• Patients looking to improve skin tone and texture

Fat Injections vs. Laser: Comparative Analysis

Which Method Is Better?

There is no single correct answer to this question. The choice depends on the patient’s expectations, age, degree of volume loss, and lifestyle.

• Laser treatments are more suitable for younger patients and those avoiding surgery.

• Fat injections provide more effective and long-lasting results in older patients with significant volume loss.

• In some cases, combining both methods offers maximum benefit.

Long-Term Results

• Fat injections provide permanent fullness and help the skin look more youthful.

• Laser treatments improve skin quality when performed regularly over time.

The best outcome is achieved through personalized planning and the correct method selection.

Expert Opinion: Dr. Gökhan Semerci

Op. Dr. Gökhan Semerci, Plastic, Reconstructive, and Aesthetic Surgery Specialist, carefully evaluates each patient’s facial anatomy, skin structure, and expectations when treating facial volume loss.

• Offers combined treatment plans when necessary

• Prioritizes minimal scarring, natural appearance, and patient satisfaction

• Uses sterile, modern, and internationally approved techniques for safety

Conclusion

Facial volume loss is an inevitable result of aging, but modern aesthetic treatments can significantly reduce its effects.

• Fat injections provide more permanent and natural volume restoration.

• Laser collagen stimulation offers a non-surgical option with faster recovery.

For the best results, consultation with an experienced surgeon is essential. Dr. Gökhan Semerci’s expertise ensures that patients undergo this process safely and achieve the most natural outcomes.