Collagen, fascian, Restylane, etc., are wonderful options for tissue fillers, but their effect seems to be measured in months. If a patient repeats the procedure enough, the costs soon approach those of surgery. I found myself suggesting to more and more patients that they should just have surgery and make the result more permanent. Fat injections in the facial area do provide a longer lasting result than most fillers. However, fat injections are more of a surgical procedure rather than a quick injection. With fat injections, I use the patient’s own fat as a filler. The results can be dramatic and long lasting. Fat injections can be used in areas besides the face. I use a special type of fat injection is to fill out areas we never thought could benefit from large volume injections, such as the butt. I love doing fat injections, but there are a certain amount of pre and post op issues associated with it. So I look upon fat injections as a surgical procedure with a recovery time.