I came back to see Dr. Marefat two years after doing micro-needling, and the doctor recommended facial fat transfer. He did the procedure in his own surgery suite during a 3 hour session. I was fully awake with local anesthesia, experienced very little pain; I would say the most uncomfortable part was liposuction of the belly and stomach which he needed to do to harvest the fat. He then puts it in a centrifuge to separate the pure fat to injecting it into the strategic spots that he marked earlier. In my case the sides of my eyes had thinned out and my smile lines were pronounced so injecting the pure fat into these spots effectively eliminated these. I am very quick to get bruised so I was prepared with Arnica, which you take as pellets under the tongue. I also used icepacks the first 24 hours. The first week my swelling was substantial and I followed the instructions of sleeping with pillow propped up which is not very comfortable but I got used to it. The swelling slowly decreased but my bruise marks lasted longer, fading just after 2 weeks. The Physicians Formula foundation recommended to me was great in covering up the bruising, and now after 3 weeks I don't use any foundation as both swelling and bruises have completely disappeared. Random strangers have commented on how smooth my skin looks, a great by product of the fat transfer which not only eliminates lines and wrinkles but also boosts the collagen production which slows down with age. I went back to see the doctor 2 days after the procedure, then a week later and on the 2 week mark. I am scheduled to see him at the 4th week point and am excited as he will show me the before and after pictures. Dr. Marefat is truly a master surgeon, Board Certified and competent not just in the technique but as an artist. He is very calm and his bedside manners helps even the most nervous of patients like myself. Thank you Dr. Marefat!!