Would fat graphing to the cheeks effect rosacea?

Facial fat grafting should not create rosacea or cause any other skin conditions generally speaking.
I typically recommend patients stay away from facial fat grafting unless they are quite certain that volume enhancement is exactly what they’re looking for and they are working with a provider who has an exceptional proven track record with this procedure.
Regardless, I would always recommend patients start working with fillers to see if the added volume is desirable before attempting a permanent solution.
Recognized that Liposuction and fat grafting are to some degree permanent and someways irreversible procedures.
It can be very difficult to reverse facial fat grafting if patients are not happy with the outcome.
For this and a multitude of reasons, I recommend patients stay with fillers which in comparison to grafting fat are far more predictable, consistent and forgiving.
Best,
Mats Hagstrom MD