Looking for natural options for facial volume and rejuvenation? Facial Fat Grafting, PRP and Plasma Fillers are becoming the go-to treatments for anyone looking for safe, effective and natural cosmetic facial enhancements. Dr. Philip Solomon, MD, FRCSC, Otolaryngology, Head and Neck Surgeon, practicing Facial Plastic Surgery in Toronto, told us about the many benefits of these treatments.

Living Luxe: What causes people to lose volume in their face?

Dr. Philip Solomon: There are few contributors to volume loss. Aging is the most common reason as we lose collagen, elastin and fat as we age starting in our thirties. This is part of the natural aging process. People who do high-intensity workouts like a lot of cardio are susceptible to premature aging and looking gaunt over time. Dermal filler has been an excellent option for facial restoration, however, it can cause water retention, creating a puffy look, especially under the eyes. For this reason, we like to offer other options such as Facial Fat Grafting, PRP and Plasma Sculpting, which can provide natural, long-lasting results.

Living Luxe: What is Facial Fat Grafting and who is a good candidate?

Dr. Philip Solomon: Fat Grafting is essentially good for anyone with volume loss who wants to enhance their appearance. Fat Grafting is a natural alternative to dermal filler, as we use the fat harvested from the patient. It can also be combined with facelift surgery to further enhance and augment the results. Facelift surgery addresses skin laxity and tightens fascia and underlying tissue, while Facial Fat Grafting adds volume to the cheeks, temples, tear troughs, naso-labial folds and lips.

LL: How are these procedures performed and what do patients need to know before undergoing them?

Dr. Philip Solomon: Facial Fat Grafting is performed under local anesthesia at my Toronto surgical Centre. We pre-select a donor site, below the waist, either the umbilicus area or the thighs. Harvested fat is cleaned and processed to ensure the highest quality fat is used for injection. The fat is then injected into the desired areas of the face, giving a natural and healthy appearance.

PRP has been around for years. Also known as platelet-rich plasma treatment, PRP stimulates the production of collagen, improves skin quality and brightens the skin, giving a healthy, more youthful glow. PRP is a great rejuvenation treatment for all skin types and can also help with undereye dark circles and thinning hair in both men and women.

A third option is Plasma Filler, also known as Plasma Sculpting, which is getting lots of media attention and gaining in popularity. This treatment provides the benefits of PRP while also adding facial volume. The product we use combines your plasma with a bio-stimulating matrix gel. This combination creates a thick injectable product that is used similarly to dermal filler. This treatment requires the same preparation as PRP in that we draw the patient’s blood, spin it through a centrifuge to separate the plasma, and then combine with the gel. Plasma Filler not only adds volume but can visibly improve skin health.

LL: Why would a patient opt for Facial Fat Grafting instead of your typical filler? What are the benefits?

Dr. Philip Solomon: We have patients who are looking for the most natural and long-lasting options for enhancement. Filler is temporary, lasting anywhere from six to 18 months, while Fat Grafting is typically long lasting. Some of the fat can reabsorb within the first few months following treatment and then what remains provides a long-term result. What’s nice about Fat Grafting is that it not only adds volume, but it also has regenerative qualities that improve the overall complexion of the skin.

LL: Tell us about Plasma Filler Injections— a natural filler versus synthetic filler. Why is it a good option for patients?

Dr. Philip Solomon: People appreciate options that are natural and longer lasting. Some people experience what’s called “filler fatigue,” where they get tired of coming in yearly for touch ups. Plasma Filer is a safe option, as it cannot cause a vascular occlusion, which can happen with a hyaluronic-acid filler. Our patients love the fact that their own plasma can be used as a volumizer like filler.

LL: How are these options different than a liquid facelift or other injections?

Dr. Philip Solomon: The term “liquid facelift” used in the industry is not accurate. Fillers are volumizers, not an alternative to a surgical facelift. That being said, they are an essential tool in facial rejuvenation.

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Itay Kreinin
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I had an amazing experience with Dr. Solomon!! I had a rhinoplasty around 2 and a half months ago and I am obsessed with the results. It’s still far from fully healing, but I can honestly say that it looks absolutely incredible! From the first consultation, everyone at the office was friendly, passionate and knowledgable. Dr. Solomon was transparent with what to expect from the operation, and the healing process, as well as wasn’t deceiving and comforted any worries along the way. My procedure was smooth, I had no pain at all. I was contacted several times after to make sure my recovery was going well. I thank everyone who contributed in my surgery!! Dr. Solomon is truly a genius and I 100% recommend to anyone who is looking to get a nose procedure done.
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Ruth Mandelman
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I am a 70 year old woman who had a face lift when I was younger. Time to do it again and this time I went to Dr. Solomon. What a find! He did an amazing job. Made me look at least 10-15 years younger. Everyone says I look so restedHe also did a CO2 laser treatment in my full face. My skin has never looked this good, not even as a kid. And the best part, he listens and cares. Understood my concerns and gave me exactly what I wanted. So happy!
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meme corp
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My name is Salvatore. I wanted to share my incredibly positive experience with Dr. Solomon and his entire team. Before undergoing a facelift, I had significant fears, especially as someone who wanted to look younger without it being obvious that I had undergone plastic surgery. It’s a delicate paradox—wanting to appear rejuvenated but still natural. Dr. Solomon and his staff exceeded my expectations and completely resolved this concern. Dr. Solomon is not just a conventional plastic surgeon—he is an artist and an empathetic professional. He truly understands how to achieve subtle yet transformative results. My facelift was performed with the utmost care and artistry. The outcome was amazing: my face looks 10 years younger, yet it remains natural and harmonious. I was functional within a week and started seeing people after two weeks. The best part? Nobody suspected I had a facelift! Instead, everyone assumed I had just returned from a relaxing vacation, which is exactly the result I was hoping for. I cannot recommend Dr. Solomon and his staff highly enough. They provided exceptional care from start to finish, and I am beyond grateful. Thank you from the bottom of my heart for giving me such a positive and life-enhancing experience. Five stars all the way!
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anonymous (calendar)
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I recently underwent a deep plane facelift and CO2 laser treatment, and couldn't be happier with the results. From the initial consultation with Dr. Solomon to my follow-up appointments, I was greeted with warmth and kindness that immediately made me feel at ease. Dr. Solomon took the time to explain every step of my procedure, ensuring I fully understood the process and felt confident in my decision. Although I was understandably nervous, Dr. Solomon's reassuring manner and empathetic nature made me feel completely comfortable throughout the entire experience. His expertise and attention to detail were clear from the start, and the surgery and recovery were much easier than I had anticipated. I can honestly say I experienced no pain whatsoever. I took no pain medications, not even a Tylenol. What truly stands out and pleases me the most, is the natural result. I look like a rejuvenated and refreshed version of myself, which is exactly what I was hoping for. My features have been enhanced, but I still feel like me. Dr. Solomon and his entire team are exceptional. They are highly professional, and incredibly empathetic, taking the time to listen to concerns and questions without ever making you feel rushed. What truly sets this practice apart is the dedication to patient care and the compassionate, accommodating nature of the entire staff. Whether it was Dr. Solomon's manager, Nancie, helping me with scheduling and providing support during recovery, or his nurse, Maddie, who was so kind and encouraging during my post- surgery visits, every team member was available and eager to assist. They genuinely care about their patients and go above and beyond to ensure you have the best possible experience. If you are considering facial cosmetic surgery, I highly recommend Dr. Solomon and his team. Their expertise, combined with their kindness and personalized care, made all the difference in my journey. I would certainly return to Dr. Solomon should I require any future procedures and will continue visiting the clinic for non-surgical treatments to maintain the results of my surgery. I am very grateful for the outstanding care I received!
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Donna Najjar
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I came to see Dr. Solomon to inquire about a chin implant. I didn't have much definition on my jawline and my chin before was almost non-existent. Dr. Solomon discussed my options and further explained the benefits of a chin implant which excited me even more. I decided to proceed with the surgery, which went super well and the staff took care of me so well. The healing process was super easy, I didn't need to take any pain medication, my smile was crooked which is totally normal. After four months, my chin completely healed and I couldn't be happier with the results! The shape of my face looks great, more defined and balanced. Dr. Solomon is an artist who works magic to make your vision come to life. Thank you to Dr. Solomon and his wonderful staff for the exceptional experience!
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Ashley Cox
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I recently had rhinoplasty completed by Dr. Solomon and I am so happy with the outcome! His wealth of knowledge and expertise were evident in our initial assessment. I felt completely comfortable and at ease trusting his opinion. He helped shape my nose in a way that better suited my face. I knew very little about the process but Dr. Solomon and his staff were able to answer my questions in a timely and efficient manner. I was able to book surgery very quickly and I was back to work in a week. Overall a fantastic experience!
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Francesco Racanelli
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Dr. Solomon is a nothing short of professional and an exceptional surgeon. I am a Canadian citizen who lives in the  US and it was important to me to do my surgery back home. I had a virtual consultation for a facelift with Dr. Solomon which was extremely informative. His team was incredibly helpful in assisting with the necessary logistics needed for my surgery. My recovery was flawless much easier than I had anticipated. I was ready to celebrate the holidays 4 weeks later. I would highly recommend Dr. Philip Solomon and his team without hesitation. They are exceptionally caring and deliver first class care.
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