Will Fat Transfer Address my Heavy Jowls and Lack of Cheek Volume and Marionette Lines?

I have heavy jowls marionette lines and loss of cheek volume..im 56, scared of getting a facelift, and wanting to know my options?

Doctor Answers 3


I most commonly perform fat transfer in conjunction with facelifting surgery.  I find that the two techniques complement one another to produce a natural and aesthetically pleasing result.  Fat transfer can fill in and volumetrically support lost volume in the face, specifically around the eyes, midface, and around the mouth.  However, only a tightening or lifting procedure can fully treat laxity of the tissues of the face and neck!

Wayne Facial Plastic Surgeon
4.9 out of 5 stars 124 reviews

Fat transfer marionette lines facelift

Hi, your question is a good one.  Essentially the trasnfer of fat will allow a volume increase to a particular target area.  Fat is used to augment depressions, areas of hollowing and can also be used to fill  the marionette lines as well.  You can also address volume issues in the cheeks as well.  This would help to some extent offset some of the transition points around the areas of the face.  The fat transfer will not however actually address any areas of skin sag or laxity or underlying facial/neck muscle laxity.  There are other filling materials as well that can be injected that will resorb in six to nine months so you can get an idea of the effects of a fat transfer (which is permanent). 

Michael A. Carron, MD
Detroit Facial Plastic Surgeon
4.9 out of 5 stars 36 reviews

Combination fat transfer and facelift

I know you're afraid of face lift surgery, but this skin tightening procedure will be the best way to address a sagging jawline and loose facial skin with or without fat transfer. Fat transfer will address volume loss and atrophy, but will not improve lower facial and neck skin laxity. It would be best to schedule several consultations with some of your local plastic surgeons. An evaluation in person will provide you with better comprehensive recommendations than anything that could be provided online. Thank you for your question. Best wishes.

Gregory Park, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 158 reviews

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