Who is the most talented facial fat transfer and facial liposuction surgeon in the United States?

I am. Just kidding. No one knows. But there are many fine plastic surgeons who do this procedure and get great results.  Fat grafting is becoming one of the most helpful tools for facial rejuvenation and it is becoming more and more widely practiced.  There have been teaching courses for the last fifteen years, and advances in techniques for harvesting, purifying and re-injecting the fat. Two well-known names are Sydney Coleman of New York and William Little in Washington, D.C.  But as with any procedure in plastic surgery, you just have to do your homework, meet the surgeons, get references and see if you are comfortable.

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for a facial fat transfer. 

I suggest you see an expert and do sculptra/PRP to get long term improvement and maintenance of the fat. PRP and purgraft give the best outcome and viability. Best, Dr. Emer