For patients looking for an option that lasts longer than filler, Dover, OH facial plastic surgeon David Hartman, MD says he recommends fat: “Whatever fat survives the first few weeks or months, will remain essentially forever,” he says. “I love fat grafting as it is perhaps the only procedure in cosmetic surgery that actually rejuvenates—from the stem cell reaction—the skin and soft tissue around the grafted fat while adding volume to the lips.”