Fat transfer to face, can I achieve good result in one process?

Planning to have lipo and thinking about having the fat transfer to my face, any suggestions? I heard it has a low rate of survival.

Doctor Answers 8

Fat Grafting

Fat grafting can provide beautiful and natural results. Some patients can achieve the desired results after one treatment. Others may feel the desire to have additional treatments, even though they see significant improvement after a single treatment. It is critical not to overfill as sometimes all the fat can persist and patients will be left with an unnatural, puffy appearance.  Prospective patients should look at many, many before and after images to assess the expertise and experience of the plastic surgeon you select. Photos are also a way to determine whether or not you and your surgeon share an aesthetic ideal.

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 120 reviews

Fat Transfer Results, Are They Permanent? To FACE

I find that if you do gentle harvesting with PRP results are much more predictable.  Fat is permanent when it stays but people age over time, so more fillers/fat will be needed as you age.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews

Fat Grafting to Face

Thank you for the question.  Fat grafting allows for a natural filling of the face to give a more youthful and long lasting appearance.  Of the sites on the body where fat grafting is performed, the face has the best blood supply and the highest rates of survival actually.  Talk to your plastic surgeon and learn more about your options.

Khashayar Mohebali, MD, FACS
Bay Area Plastic Surgeon
4.9 out of 5 stars 11 reviews

Fat transfer to face,

Fat transfer to the face has evolved greatly over the past 20 plus years. Improved extraction techniques, improved preparation techniques and improved injection techniques have increased the take rates for facial fat transfer.  It is much more predictable than in years past, yet not everyone has the same metabolism or the same quality of blood vessels in their fat to allow for 100% take rates. Although controversial, PRP (Platelet Rich Plasma) added to the fat is reported to improve survival rates of fat injections.John Standefer MD

John A. Standefer Jr., MD, FACS
Dallas Facial Plastic Surgeon
4.6 out of 5 stars 61 reviews

Fat transfer to face,

Autogenous transfer of adipose tissue, known as fat transfers, have many variables which can impact tissue survival. The technique of harvest, fat separation and how the fat is re-injected can all have an impact on the percentage of fat which survives. In optimal outcomes a range of fat viability is often quoted at 50% survival. The remainder is reabsorbed by the body.

R. Brannon Claytor, MD, FACS
Bryn Mawr Plastic Surgeon
5.0 out of 5 stars 41 reviews

Facial Fat Transfer

Thanks for your great question.  Yes, you can have a good result with one treatment, but patients often elect to have more than one treatment.  I inject conservatively so as not to make the face too puffy and if more is needed we do a second procedure.  When selecting your plastic surgeon be sure that he or she does this procedure frequently so as to assure the best results.  Good luck in your search!

Anna I. Wooten, MD, FACS
Pittsburgh Plastic Surgeon
4.7 out of 5 stars 47 reviews

Fat transfer to the face

Fat transfer to the face is an almost universally beneficial procedure for patients who are losing volume as they age (most of us).  If you are already having liposuction for contouring of your body, and in addition you have hollows developing throughout your face, then this would be a very worthwhile combination of procedures.  The technique for harvesting fat for injection into the face is different from the technique for liposuction to improve body contour, but it is very common that both are combined.  The survival of the fat transferred is dependent upon many variables, including harvesting technique and the patient's own capacity to heal, but the survival rate should be in the range of 60-90%.  It is long-lasting, but you will have ongoing aging and will likely need further interventions to maintain your results.  Best wishes to you as you move forward!

Alyson Wells, MD, FACS
Baltimore Plastic Surgeon
5.0 out of 5 stars 24 reviews

Fat transfer to the face works well for laugh lines and crow

Hi Marsha,If you have facial creases, such as laugh lines, smile lines, and crow’s-feet, fat can be removed from your abdomen, thighs, or other areas and be injected into your face. Acne scars and sunken areas of the face, lips, and cheeks can also be filled in. Grafted fat can also minimize lines between your nose and mouth, correct skin depressions or indentations and minimize forehead wrinkles. Fat is harvested from one part of your body, washed and purified, and then carefully reinjected with specially designed needles into the areas that need augmentation. It may be necessary to repeat the fat grafting procedure several times to achieve the desired result. Fat grafting can be explained as a three-stage process: (1) harvesting  (2) purification and transfer and (3) placement. Harvesting: You and your surgeon will select a site for fat removal and will inject it with a local anesthetic. Your surgeon will then create a small incision in the area for fat removal and, using a sterile technique, insert a cannula connected to a syringe to carefully extract fat (liposuction). Purification and transfer: Once enough fat is obtained from the donor area, your surgeon will process it to prepare the fat cells for transfer to small syringes that will be used for fat injection. Purification may require the use of a centrifuge to spin the fat or a filtration process to remove impurities. Placement: The area designated to receive the graft will then be prepared. Your surgeon will insert a needle or cannula into the incision point of the site being augmented. The injection needle is usually passed in and out of the areas to be augmented multiple times. Each time the needle or cannula is withdrawn, a line of fatty tissue parcels is carefully deposited in natural tissue planes. This process is repeated until the desired correction has been achieved, creating a grid of grafted fat..

Jan Zemplenyi, MD
Bellevue Facial Plastic Surgeon
5.0 out of 5 stars 16 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.