Can facial fat transfer cause premature aging?

We are doing facial fat transfer for over 20 years and the only think that is permanent, is unpredictability. One frequently has to do additional grafting, 6-12 months after first, to achieve correct volume replacement. In general, we tell our patient that around 30% of fat injected in the site (1.5-2 ml from 5 ml in your case??) would survive. That is, however very individual and varies significantly. Fat graft retention in areas like buttocks and breasts is significantly higher, around 50-60% in our experience. It is, very likely, that after initial augmentation and swelling that went away after several weeks/moths, you are seeing real effect of volume change which can be barely visible considering volume you started with?. Discussion with your surgeon and possibly, second opinion consultation with a surgeon with long experience with this procedure, is recommended. Good luck.

I don't really know enough about you to answer you specifically, and the pics are certainly not adequate enough to explain your situation. For patients who need more facial volume, repeat fat transfer or fillers are options, and those with loose skin and muscle may opt for a facelift. You should repost with more pics or seek an in person evaluation.

Fat transfer to face can fill more than lift, as seen in your case. I might recommend a mini FL/NL c SMAS plication and additional fat transfer. Fees in $20,000 ranges.