Reshaping the face with fat grafting (not lipo)?

Thank you for your question. As we age, the combination of gravitational decent of our muscles and volume loss leads to the look you describe. Facial sculpting using fat grafting is an efficacious treatment. It can also be combined with customized facial implants for greater accuracy. You should see a surgeon who can computer image you. That way you can see realistically what is possible based upon your anatomy.Beat wishes!

The findings that you describe are very normal with aging.  We loose fat in the upper third of our face and fat tends to collect above the ligamentous structures at the nasolabial fold creating the fullness that bothers you.  we also loose tissue under the nose and in the lips.  I commonly correct these findings using fat or filllers wth a process that I call "Aesthetic Facial Balancing."  using volume I restore the shapes of youth and beauty and twek the features to bring out or "unlock" the individual's own unique beauty.  The most important key is finding a doctor that understands these principles well with aesthetic judgement that is sound.  Look at before and after pictures to evaluate whether results look natural and beautiful or not.  I hope this helps!All the best,Rian A. Maerkcs M.D.