Facial Fat Transfer
- Anesthesia: General anesthesia (or, in the case of an in-office fat transfer procedure, local anesthesia)
- Potential Benefits: Replenishment of youthful facial volume; reduction of signs of aging in the face; long-lasting and natural-looking effects
- Procedure Length: About one hour
- Recovery: Patients can usually return to regular activities in two to three weeks*
- Cost: Roughly $3,500 when performed in-office; approximately $4,000 – $6,000 as a full-length surgery
- What Is Facial Fat Transfer?
- Facial Fat Transfer Benefits
- Facial Fat Transfer Candidates
- The Facial Fat Transfer Procedure
- Microfat and Nanofat
- Facial Fat Transfer Safety
- Facial Fat Transfer Recovery
- Facial Fat Transfer Cost
- How to Choose the Right Facial Fat Transfer Surgeon
What Is Facial Fat Transfer?
Facial fat transfer, also known as “fat grafting” or “fat injections,” is a facial rejuvenation treatment that redistributes excess fat in the body to improve facial volume and minimize wrinkles. This treatment can be performed on its own or in combination with other procedures (such as a facelift or brow lift) to improve outcomes. Unlike most cosmetic injectables, fat injections use the patient’s own fat for natural-looking results that last.
Board-certified Philadelphia plastic surgeon Joseph DiBello, MD, FACS works with each facial fat transfer patient to help them achieve their ideal aesthetic.
What Are the Benefits of Facial Fat Transfer?
In the hands of a skilled plastic surgeon, facial fat transfer can deliver a plethora of benefits. The procedure can address concerns such as:
- Deep tear troughs
- Forehead wrinkles
- Loss of volume in the lips, cheeks, and/or temples
- A hollowed appearance around the eyes
- “Marionette” lines
As another advantage, your own extracted fat contains stem cells and growth factors, which can enhance skin quality and promote tissue regeneration upon re-injection. Additionally, facial fat transfer involves removing unwanted fat from a donor area, providing the added advantage of subtle body contouring. Moreover, while not all transferred fat will survive the process, the majority typically integrates successfully, typically resulting in long-lasting – if not lifelong – enhancements.
Who Is a Candidate for Facial Fat Transfer?
The ideal candidate for facial fat transfer will be in reasonably good health and have realistic expectations about the outcome of this procedure. Before moving forward with treatment, Dr. DiBello will meet with you in a consultation, during which the two of you can discuss your goals and medical history. If you have experienced drastic weight fluctuations, we advise you to share this with Dr. DiBello, as extreme changes in weight may cause the results of facial fat transfer to be unpredictable.
What Can I Expect During a Facial Fat Transfer Procedure?
To perform facial fat grafting, the fat to be used in the procedure must first be removed from a donor site. This can be any area of the body with excess fat, but typical areas include flanks, thighs, or abdomen. The unwanted fat is removed via liposuction, then filtered and cleansed. Once the fat has been properly prepared, it is carefully injected into the areas of concern.
While small areas can safely be done under local anesthesia and oral sedation in the office, Dr. DiBello performs most facial fat grafting under either deep sedation or general anesthesia. The procedure usually takes about one hour, but the duration may vary depending on your unique treatment plan. Patients can usually return home later that same day (under the care of a family member or close friend), but if fat transfer is being combined with other procedures, you may need to stay overnight.
What Are Microfat and Nanofat?
Microfat and nanofat are specialized forms of fat used in facial fat transfer to achieve both volume enhancement and skin rejuvenation. While both come from the patient’s own fat, they serve distinct purposes in the procedure.
Microfat consists of smaller fat particles than those used in traditional fat transfer procedures, such as a Brazilian butt lift or natural breast augmentation, where higher volumes and larger fat particles are needed. For facial fat transfer, microfat is refined to create a smooth, injectable consistency that restores lost volume in areas like the cheeks, lips, and temples while maintaining a natural-looking enhancement.
Nanofat, on the other hand, is an even more refined form of fat, processed into a liquid form that contains stem cells and growth factors. Unlike microfat, nanofat does not provide volume but acts as a regenerative “fertilizer” for the skin, promoting collagen production, improving skin texture, and rejuvenating the treated areas. This makes it especially beneficial for addressing fine lines, wrinkles, and overall skin quality.
By combining microfat for volume and nanofat in a facial fat transfer procedure, Dr. DiBello can deliver both structural enhancement and skin revitalization.
Is Facial Fat Transfer Safe?
When performed by a qualified plastic surgeon, facial fat transfer is generally considered a safe procedure. Many choose facial fat transfer over other types of injections because the fat injected into the body is their own, which effectively minimizes the possibility for any adverse reactions.
Nonetheless, the liposuction aspect of this treatment involves surgery, and every surgery comes with inherent risks. Facial fat transfer has been associated with hematoma (a bruise-like collection of blood under the skin), infection, or asymmetrical results; however, rest assured that Dr. DiBello carefully tailors each procedure to be as safe as possible, limiting the opportunity for these potential complications.
What Is Recovery Like After Facial Fat Transfer?
Patients may experience some mild discomfort after a facial fat transfer, but this can be managed well with prescribed medication. To help reduce swelling, Dr. DiBello advises patients to keep their head elevated for the first several days after the procedure. Additionally, patients might notice some numbness around the injection sites, but sensation should improve over the following weeks.
In the majority of cases, patients can return to their regular activities within two to three weeks. Based on the location where fat was harvested, Dr. DiBello will provide you with additional post-operative instructions as necessary.
How Long Does Fat Transfer Last?
As swelling fades, the final results of facial fat transfer become more apparent, and are typically fully realized after a few weeks. Outcomes often continue to improve over time, as new fat cells can grow within the treated area. A small percentage of fat cells will naturally be reabsorbed into the body, but the fat that remains is permanent. Depending on your aesthetic goals, additional treatments may be recommended.
How Much Does Facial Fat Transfer Cost?
While a conservative facial fat transfer performed in the office under local anesthesia is approximately $3,500, on average most facial fat transfers performed at the hospital cost $4,000 – $6,000 at our practice. That said, pricing will vary depending on each patient’s individual needs and expectations, as well as factors such as hospital costs, anesthesia, the surgeon’s fee, and more. Dr. DiBello will provide you with a more personalized price estimate during your consultation.
How to Find the Best Facial Fat Transfer Surgeon
Much of your procedure’s success will depend on the skill and experience of the provider you choose. As such, we recommend you do extensive research before deciding on a surgeon. Your ideal surgeon must be certified by the American Board of Plastic Surgery (ABPS), which signifies the proper training, and it is certainly preferable that they maintain membership in organizations such as the American Society of Plastic Surgeons (ASPS) or The Aesthetic Society®. It is also wise to verify that your plastic surgeon has privileges to perform surgery in fully accredited hospitals or surgery centers, as this ensures your surgeon has been properly vetted.
In addition to his many qualifications and vast experience, Dr. DiBello prioritizes his patients’ safety and satisfaction, approaching each case with an attitude of compassion and caring. He aims to create a comforting environment for every patient he treats and encourages each patient to freely express any questions or concerns.
Contact Us
To learn more about the benefits of facial fat transfer and schedule a consultation with Dr. DiBello, please contact DiBello Plastic Surgery today.