Is it necessary to use nano fat for a facial fat transfer, or are different methods ok? (Photo)

Question

I’m interesyed in this procedure to restore fat to my face, however one doctor suggested nano fat and one didn’t.

Michael P. Morrissette, DDS, FACS · Answer

Personally, I prefer macrofat for facial fat grafting. I wash the fat through a filter to remove impurities, then transfer this fat to small cannulas for injection. I can place this fat anywhere in the face and the results are long lasting.

Guray Yesiladali, MD, FEBOPRAS · Answer

Hello and thanks for the photo. Nano fat is not required for a good facial fat transfer. It does a different job than the fat used for volume.
What each option is used for• Micro fat contains viable fat cells and is used to restore contour in deeper planes like midface, temple, jawline, chin• Nano fat is emulsified and filtered. It has very few fat cells, mainly stromal cells, so it does not add volume. It is used very superficially to help fine lines, texture, color mismatch around the eyes or mouth• Some surgeons blend approaches. Micro for structure, nano in a very thin layer to polish the skin
How we choose• Your goals decide the mix. If the main aim is fuller cheeks or a softer tear trough, micro fat in precise deep layers is the workhorse• If the skin looks crepey or there are fine etched lines, a small amount of nano fat can be added very superficially for quality• It is acceptable to use micro fat alone when volume is the priority
Safety and expectations• Swelling and asymmetry are common in the first weeks• Part of the graft is resorbed. Underfilling a little and accepting a staged touch up is safer than overfilling• Irregularity risk rises when fat is placed too superficially in thick threads. Micro threads and correct planes lower that risk• Stable weight, no smoking and gentle massage instructions help the take
Good questions to ask your surgeon• Which planes will receive micro fat and where, if anywhere, nano will be used• How the fat will be harvested and processed, and whether decanting or light centrifugation is planned• Target volumes for each area, how overfilling will be avoided, and the plan if a small second session is needed• How tear troughs will be protected from Tyndall like show and lumps• Aftercare, timelines for swelling to settle, and when photos will be taken to judge graft take
Bottom line• Nano fat is optional, not mandatory. It helps skin quality. It does not replace micro fat for volume• A layered plan tailored to your anatomy gives the most natural result
A precise plan needs an exam and standardized photos to map layers and set realistic volumes. If you would like a more specific opinion a short complimentary conversation with a coordinator can help gather photos and history before any medical evaluation.
Wishing you a smooth process and a natural, refreshed result.Güray Yeşiladalı, MD

Jaeil Lee, MD · Answer

Nano fat is not required for every facial fat transfer. Nano fat works well for improving skin quality and fine lines, while micro fat or small-particle fat is used when true volume restoration is needed. The best method depends on the area being treated, your skin thickness, and how much structural support you want to restore.
From your photo alone, it’s difficult to determine which technique would be most appropriate, so an in-person evaluation is important. Both approaches can be effective when matched correctly to your anatomy and goals.

Kamol Pansritum, MD · Answer

Both traditional fat transfer and nano fat can be effective, but they serve slightly different purposes. Nano fat is processed into very fine particles, which allows it to improve skin quality and helps with long-term volume maintenance in delicate areas of the face. Standard facial fat transfer uses larger fat cells that provide structural volume and contour. In many cases, both methods can be combined for the best result. Nano fat is particularly helpful when the goal is to enhance skin texture and support volume retention over time.

Is it necessary to use nano fat for a facial fat transfer, or are different methods ok? (Photo)

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