Facial Rejuvenation with Fat Transfer

By Dr. Mathew T. Epps CONTRIBUTOR

The past several years have seen a multitude of advancements in both surgical and non-surgical facial rejuvenation. Modern advancements in aesthetics aim to lessen the effects of facial aging. These include a decreased production of nutrients and essentials to the skin such as elastin and collagen, bone resorption, and a loss of subcutaneous tissue leading to sagging skin and a gaunt appearance. The good news is Facial Fat Transfer (aka - Fat Grafting) is an advancing technology that restores facial volume and a natural contour for a more youthful look. Candidates for facial fat transfer are of any age group when the effects of aging by fat atrophy have led to decreased volume in the temples, cheek, midface, and chin hollows. Fat transfer effectively improves fine lines and wrinkles by restoring the volume between the muscle and the skin, especially when paired with skin resurfacing such as peels and lasers. Older patients appear to have a greater benefit from fat grafting, specifically in the areas of the temple and cheek hollows. The transferred fat integrates seamlessly with the existing facial tissues, creating a smoother and more harmonious appearance. This natural outcome is attractive for those who wish to enhance their features without appearing overdone or fake.

The process of facial fat grafting has advanced significantly in recent years. Historically, fat transfer was less predictable as the fat graft survival rate was 40-60% which infrequently required repeat grafting and revision. However, advancements in harvesting, processing, and grafting techniques can achieve close to an 85-95% success rate in fat graft survival. The result is a safe and predictable replacement of fat cells that can last years. Further, grafts in recent studies have noted the fat grafts produce a stem-cell like rejuvenation of the overlying skin, for enhanced age rejuvenation.

Facial fat transfer can be performed in the outpatient setting in close to an hour. Fat is harvested through a small incision from a multitude of locations including the abdomen and thighs. While the cost is typically more than fillers, fat grafting does not require yearly touchups. Other factors to consider include a longer time to achieve results, possible bruising and swelling, and the need for a medical or surgical professional with an advanced understanding of anatomy and procedural skill set. With proper planning and expert implementation, Facial Fat Transfer can help you achieve a refreshed and more youthful appearance.