Fat Grafting, Fat Transfer, Structural Fat Grafting, Micro Fat Grafting are all the same procedure. There are even some fat grafting procedures that are trademarked. What's important is not what the procedure is called, but the experience, training and expertise of the plastic surgeon performing the procedure.Before deciding on a surgeon, take your time looking at lots of before and after photos and evaluating the training of a plastic surgeon before selecting plastic surgeons you'd like to consult with.Fat grafting has gained popularity in recent years. This can be good and not so good. There is tremendous variability in techniques, instrumentation and experience among the surgeons that perform fat grafting, therefore, there is tremendous variability in fat grafting results. A surgeon must employ careful preoperative planning, appropriate instrumentation and meticulous surgical technique to perform fat grafting successfully and reproducibly. The unfortunate reality is that not everyone who performs fat grafting is willing to put in the level of education, training, investment in instrumentation and operative effort required to produce aesthetically ideal results.