This is always the major decision process for each patient. As a general rule, for younger patients with early signs of hollowness, fillers are preferred and more than adequate. For someone in their 40s or older, especially someone who has not had fillers before, fat may be more of a universal and cost-effective solution. Even though fat grafting may cost less for a global fill, you may have a tighter initial budget. Fillers offer a less expensive option than fat grafting when targeting just a few select areas of the face that are of critical importance. Dr. Lam is very good at counseling you on which procedure would be better for you based on numerous factors, some of which have been outlined above.