Fat grafting to the face is a cosmetic procedure that has gained popularity in recent years. It involves transferring fat from one part of the body to the face. This method is often sought by individuals looking to rejuvenate their facial appearance or restore volume lost due to ageing, weight fluctuations, or certain medical conditions.
The procedure stands out as a less invasive alternative to traditional surgical facelift. By using your own body fat, it removes some of the risks associated with the use of hyaluronic acid based dermal fillers and ensures a more natural look compared to these synthetic alternatives. It’s an effective way to enhance facial contours, smooth out wrinkles, and bring a more balanced and harmonious look to your features.
Moreover, since the procedure uses your own fat, it’s a more holistic approach to facial rejuvenation. It not only improves the appearance of the face but also utilises the natural resources of your own body, making it a harmonious choice for those who prefer a more organic approach to cosmetic enhancement. Although you will not keep all of the transferred fat (survival is around 50% in the upper face) what remains is incorporated into your native facial fat and adds volume on a permanent basis.
Personalised care at a hospital close to you with a comprehensive five-year structured follow-up programme and fully BAAPS and BAPRAS accredited surgeon.
1 to 2 hours
Local or general
Day or 1 night
4 to 6 weeks
The volume change is apparent straight away, but it can take up to a full year to see the final results.
What is Fat Grafting to the Face?
Fat grafting to the face, also known as Facial Fat Transfer or Fat Injection, is a cosmetic procedure where fat is harvested from your own body and then injected into specific areas of your face (we are looking to target the locations that generally affected by the ageing process). Unlike fat grafting to the breast where fat is typically harvested from areas where it’s plentiful, such as the abdomen, thighs, or buttocks, in Facial Fat Grafting the inner aspect of the knee is the ideal donor site. This is because it is a relatively weight stable location – most people will preferentially gain or lose weight form the trunk or upper thighs which would then be reflected in your facial volume. By using a weight stable donor site facial volume is less likely to be affected by weight fluctuation in the future.
Once the fat is harvested, it undergoes a purification process to separate the healthy fat cells from the damaged ones and other fluids. The purified fat is then carefully injected into target areas of the face to restore volume and to sculpt or enhance facial features.
This procedure is highly customisable and can be used to address a variety of concerns. Common treatment areas include the cheeks, under-eye areas, nasolabial folds, lips and jawline. The main aim is to create a more balanced and aesthetically pleasing facial structure by adding volume and softness.
Who Needs Fat Grafting to the Face?
Fat Grafting to the face is a procedure tailored for individuals seeking to enhance their facial appearance by addressing volume loss or by defining certain facial features. It’s an appealing option for those aiming to rejuvenate their face in a subtle yet effective manner. The procedure is recommended for:
- Individuals noticing hollow or sunken areas on their face, especially prevalent around the cheeks or under the eyes, can find this procedure beneficial. Fat grafting can effectively replenish these areas, giving a fuller and more balanced look.
- Those with fine lines and wrinkles can benefit significantly. The added volume can help smooth out these lines, lending a more refreshed appearance to the face. By injecting fat directly into the skin (plumping out the wrinkle itself) it can also help reduce wrinkle depth.
- People that desire more defined facial contours, such as a more pronounced jawline or fuller cheeks, often find this procedure suitable. It allows for precise enhancements, contributing to a more harmonious facial structure.
- Those who have experienced volume loss due to ageing, weight loss, or certain medical conditions often seek out this procedure. As we age or undergo significant weight changes, our facial volume can diminish, and fat grafting offers a way to restore this lost volume.
- Individuals looking to improve facial symmetry can also consider this procedure. It can be finely tuned to address asymmetrical areas, leading to a more balanced appearance.
- People seeking a more natural alternative to synthetic fillers might find fat grafting an appealing option. Using one’s own fat reduces the risk of adverse reactions and ensures the enhancements blend seamlessly with the natural facial structure.
- Those who prefer a less invasive procedure compared to traditional surgical options might opt for fat grafting. It offers a gentler approach with minimal downtime, making it a convenient choice for many.
It’s important for candidates to be in good overall health and have realistic expectations about the outcome.
The procedure does require a sufficient amount of donor fat, so it’s not suitable for individuals with very little body fat, however, in practice most people have enough.
As with all surgery, certain health conditions that might affect healing could make one an unsuitable candidate for this procedure.
Benefits of the Fat Grafting to the Face Procedure
Fat Grafting to the Face offers numerous benefits, making it an attractive option for facial rejuvenation. Some of the advantages include:
- Natural Results: Since the procedure uses your own fat, the results are natural-looking.
- Long-Lasting Effects: While some of the injected fat gets absorbed by the body over time, a significant portion does survive, offering long-lasting results.
- Safety: As your own fat is used, there’s a reduced risk of allergic reactions compared to synthetic fillers and no risk of the inflammatory issues that can be seen with HA fillers (such as lymphatic obstruction – leading to facial swelling).
- Minimal Downtime: Recovery from fat grafting is generally quicker and less painful compared to more invasive surgical procedures.
- Improved Skin Texture: The injected fat can improve the texture and tone of the skin, giving it a healthier appearance.
Types of Fat Grafting to the Face
Structural Fat Grafting
- Best suited for adding volume to larger areas of the face.
- Used to enhance the cheeks or chin.
- Helps in creating a more defined facial profile.
- Can address facial skeleton issues and provide significant contouring.
- Involves placing blocks of fat into pocket created just above the surface of the bone.
Micro Fat Grafting
- Especially useful for targeting midfacial volume loss and volume loss associated with bone resorption.
- Involves the injection of fat into targeted areas.
- Offers precision in treating delicate areas like the lips or under the eyes.
- I combine this technique with almost all facelifts as it is such a good additional treatment.
SNIF (Sharp Needle Intradermal Fat) grafting
- Very small sized fat particles (harvested with a special cannula) are injected directly into the skin to plump out the wrinkles.
- There seems to be a direct rejuvenating effect on the skin possibly mediated through stems cells of growth factors that care carried with the transferred fat.
Nano Fat grafting
- Used to treat skin quality issues (such as dark circles under the eyes or crepey skin).
- Harvested fat is liquidised breaking up the fat cells and releasing the intracellular growth factors which then act to directly improve skin quality.
How is the Fat Grafting to the Face Procedure Performed
This procedure, though intricate, can be broken down into stages to ensure a smooth and effective process:
Harvesting of Fat
- The first step in the actual procedure.
- Involves extracting fat from the chosen donor site.
- A syringe and cannula (with small hole size) is used to harvest the fat.
- Local or general anaesthesia is used to ensure comfort.
Purification of Harvested Fat
- Once extracted, the fat undergoes purification.
- Separation of healthy fat cells from other fluids and tissues.
- This step is crucial for the success and longevity of the graft.
Preparation of the Face
- The facial area is prepared for receiving the fat.
- This may involve cleaning and marking the specific sites for injection.
- Ensures precision in enhancing the targeted areas.
Injection of Fat into the Face
- The purified fat is then carefully injected into the face using a special blunt ended side ported cannula (to minimise the risk of fat embolization).
- Techniques vary depending on the areas being treated and the desired outcome.
- Multiple injections might be made to achieve an even and natural distribution.
Layering Technique
- The fat is injected in layers – this is essential to ensure graft survival as each droplet of fat has to be surrounded by living tissue in order for it to survive – a bit like filling the holes in a sponge in with droplets of fat.
- This technique helps in achieving a smooth contour and integrating the fat more effectively with existing tissues.
Closing of Incisions
- There is a small incision in the location where the fat was harvested from that will need to be closed with a fine stitch but the face does not have any associated scars (the holes for the cannula to pass through are made with a needle and no mark is visible after).
Fat grafting to the face can represent a variety of techniques, each designed to cater to specific facial areas and aesthetic goals. The main techniques include Structural Fat Grafting, Micro Fat Grafting, SNIF (Sharp Needle Intradermal Fat) grafting, and Nano Fat grafting,
The choice of technique depends on various factors, including your specific concerns, the areas of your face you wish to enhance, and the overall look you aim to achieve. A thorough consultation with Anthony can help determine the most suitable approach for your needs, ensuring that the results align with your aesthetic goals.
Recovery after Fat Grafting to the Face Procedure
While the recovery period is generally less demanding compared to more extensive surgeries, it’s vital to understand what to expect and how to manage this phase effectively:
- Immediate Post-Procedure Care: Directly after the procedure, you may experience swelling and bruising in both the donor and recipient areas. Mild discomfort is common, and pain relief can be provided if necessary. You will receive specific instructions on how to care for the treated areas.
- First Few Days: Swelling and bruising are most noticeable during the first few days. You are advised to rest and avoid any strenuous activities. Keeping your head elevated can help reduce swelling.
- Returning to Normal Activities: Most patients find they can return to normal activities within a week. It’s important to avoid any activities that could put strain on the healing areas. Gentle walks and light tasks are usually manageable.
- Avoiding Strenuous Activities: Exercise, especially aerobic exercise needs to be avoided for 2 months following the surgery as during this time the fat will be the first energy store to be mobilised by the body. This precaution helps ensure proper healing and the settling of the fat grafts.
How Much Is Fat Grafting to the Face in the UK?
The cost of Fat Grafting to the Face in the UK can vary depending on several factors, including the specific areas of the face being treated, the amount of fat to be harvested and transferred, the surgeon’s experience and expertise and any additional services or procedures included in the treatment plan.
To obtain an accurate price quote for Fat Grafting to the Face tailored to your needs, it’s recommended to schedule a consultation with Anthony. During the consultation, the surgeon will assess your facial anatomy, discuss your goals and expectations, and provide you with a personalised treatment plan, including a detailed cost breakdown.
FAQs
Find out more about your surgical journey
How long do the results of fat grafting to the face last?
Fat grafting to the face generally offers long-lasting results, but the longevity can vary from person to person. Some of the transferred fat may be reabsorbed by the body, but a significant portion remains. The enduring nature of the results depends on factors like the technique used, the individual’s lifestyle, and their body’s response to the procedure. Regular follow-ups and a stable lifestyle can help maintain the results.
Is fat grafting to the face painful?
During the procedure, you shouldn’t feel pain due to the anaesthesia. Post-procedure, any discomfort is mild and can be managed with prescribed pain relievers. Most patients report feeling more discomfort at the donor site than at the injection sites on the face.
Can fat grafting to the face be combined with other cosmetic procedures?
Yes, fat grafting can often be combined with other procedures such as facelift, eyelid surgery, or skin resurfacing treatments. Combining procedures can provide more complex rejuvenation and can be more cost-effective and convenient, as it consolidates recovery time.
What is the difference between fat grafting and dermal fillers?
Fat grafting uses your own fat to add volume and shape to your face, while dermal fillers use synthetic or natural substances. Fat grafting results tend to be more natural-looking and longer-lasting, but the procedure is more involved than filler injections.
How do I know if I am a good candidate for fat grafting to the face?
Ideal candidates for fat grafting are those who wish to improve facial volume and contour, have realistic expectations, and are in good general health. Adequate fat reserves for donation and a lack of serious health conditions that could impair healing are also important. The best way to determine your suitability is through a consultation with Anthony.
What are the risks of fat grafting to the face
It’s essential to be aware of the potential risks associated with fat grafting to the face. While Anthony can significantly mitigate these risks, being informed is an important part of preparing for any cosmetic procedure. Here are some risks and considerations:
- Scarring: While incisions made during fat grafting are typically small, there is a risk of scarring. The extent and visibility of scars depend on individual healing characteristics and the technique used.
- Nerve Damage: Though rare, there is a possibility of temporary or permanent nerve damage during the procedure. This can result in numbness or changes in sensation in the treated areas.
- Blood Vessel Damage: The procedure could potentially damage blood vessels, leading to bruising or, in rare cases, more serious complications.
- Fat Embolism: An extremely rare but serious complication is a fat embolism, where fat enters the bloodstream and travels to the lungs, brain or retina. Choosing an experienced surgeon is crucial to reduce this risk.
- Asymmetry: Although not a complication as such it is important to understand that our faces are inherently asymmetric and although the procedure will help reduce volume discrepancies between the sides of the face it will not produce facial symmetry.
- Satisfaction with Results: There’s always a risk that the final results may not meet your expectations. Open communication with Anthony about expected outcomes is important.
- Longevity of Results: The longevity of fat grafting results can vary, with some fat being reabsorbed by the body over time. Additional treatments may be necessary to maintain the desired effect.
- Swelling and Prolonged Recovery: Some individuals may experience prolonged swelling or a longer recovery period. It’s important to follow post-operative care instructions to aid recovery.
Medical References about Fat Grafting to Face
- Autologous Fat Grafting for Facial Rejuvenation – NCBI
- Techniques in Facial Fat Grafting – Oxford Academic
- Fat Processing Techniques – PubMed
- Fat Transfer – Cleveland Clinic
- Facial Fat Grafting (FFG): Worth the Risk?
Reviews
Patient satisfaction is the top priority for Anthony. You can find how patients feel about his work below.
Elderly lady – Tremendous boost to my morale
I had a deep plane face lift with fat augmentation to lose my facial and deep mandible “ misery” lines .The result has been more than I hoped for and a tremendous boost to my morale. Thank goodness I chose Anthony MacQuillan, who is not only a top class surgeon but also the most lovely and kindest man. I think that most patients are a little apprehensive at the first consultation but Anthony was so easy to talk with and I never felt rushed or unclear about anything.
The operation went smoothly with no pain and the aftercare has been brilliant. ( extra thanks to Michelle who was so supportive and reassuring)
Superb surgeon and amazing result.
I was frightened of doing it but I am so glad I did
I had a deep plane facelift, neck lift and fat taken from my stomach and put into my face to give it volume again. Anthony and his assistant Lucy were amazing and really kept me calm during and after the procedure. Thank you so much, I are delighted with what you have done.
Amazing experience, absolutely thrilled with my results
Underwent lower face and neck lift with fat transfer in September 2018 under the care of Anthony MacQuillan I am thrilled with the results! My face looks natural and not ‘over done’ Anthony MacQuillan is a thoroughly nice young man and an excellent surgeon. He is approachable and friendly whilst remaining professional at all times and I would have no hesitation whatsoever in recommending him. The care I received from start to finish has been first class. I was given realistic advice and my expectations were fully met. The procedure was relatively painless and the results are well worth a few days of discomfort! The follow up appointments are regular and help is always at the end of the telephone should there be any concerns – thankfully I had none, but I was very reassured knowing that I could have contacted someone had I needed to. I have had a very positive experience with Anthony MacQuillan and will look forward to using his services again.
I am so happy with my face, neck and fat transfer procedure. It has taken years off me and the whole experience was handled so amazingly by Anthony and his assistant Lucy. Thank you
Further Reading about Facelift Surgery with Consultant Plastic Surgeon Anthony MacQuillan
- Read more about Facelift Surgery
- Read more about Ear Correction Surgery
- Read more about Mid Facelift Surgery
- Read more about Neck Lift
- Read more about Facial Feminisation Surgery
