Fat Grafting (Fat Transfer) to the Face

Many patients look for a rejuvenative touch. They ask me what the best filler for different areas of the face is. Without a doubt, it is fat. There are many reasons for this. It is voluminous. It can be harvested painlessly from the tummy or medial thigh. This is done in ample quantities to volumize the entire face. It is natural. Your body won’t reject it. Unless injected carelessly, it will result in a smooth rejuvenation. This is true even in hard to correct areas like eyelids and tear troughs. Finally, it has stem cells. Yes, fat derived stem cells are injected with these grafts. It is still controversial. Do these stem cells repair overlying scars after fat injection? Do they have other beneficial effects on the skin? Nonetheless, there is anecdotal evidence of significant improvement in scar maturation and in skin health after fat grafting.

In younger individuals interested in a rejuvenative touch, fat grafting adds volume to areas with early signs of atrophy. These areas include nasolabial folds, lips, and cheeks. In older individuals that would gain from a facelift procedure, fat grafting is often added. This addition restores volume that improves fine lines. These lines are not addressed with the facelift technique. In fact, the combination of a facelift with fat grafting has become the gold standard in facial rejuvenation.

Now fat grafting does not come entirely without some drawbacks. There is a donor site to consider which requires some small anesthesia to allow for harvesting and some recovery. The small volumes required for fat grafting to the face are in the order of 40-60 cc. They do not result in significant changes to the donor site. There is also swelling and bruising that can result from injecting the fat. This is probably the biggest drawback. If bruising occurs, it can take 2-3 weeks to completely resolve. The careful use of local anesthetics and anti-bruising oral homeopathic agents can help limit this.

An article by Dr. Rohrich, et al, in the Plastic and Reconstructive Surgery Journal provides a summary. It discusses the varied ways fat can be used today to rejuvenate the face. This includes the forehead and the chin in place of a chin implant. The article is free and can give you an idea of what to expect from the procedure. You can find it in the next link:

Visit us at Thomassen Plastic Surgery to learn more on how fat grafting can be used in facial rejuvenation. See our video on the fat grafting procedure discussed here.