As we age, we lose one of the most important elements of a youthful face: volume. This results in sunken cheeks, hollow eyes, and deep folds that no amount of skincare can fix. While dermal fillers have become a go-to solution, there’s a more natural, longer-lasting option that’s growing in popularity—facial fat grafting.At Dr. Janak …
As we age, we lose one of the most important elements of a youthful face: volume. This results in sunken cheeks, hollow eyes, and deep folds that no amount of skincare can fix. While dermal fillers have become a go-to solution, there’s a more natural, longer-lasting option that’s growing in popularity—facial fat grafting.
At Dr. Janak Parikh’s Houston practice, many patients are turning to fat grafting as a more organic, customized alternative to synthetic fillers. But is it right for you?
Let’s explore how this procedure works, what sets it apart from injectables, and why it might be the long-term facial rejuvenation solution you’ve been looking for.
What Is Facial Fat Grafting?
Facial fat grafting also called autologous fat transfer is a cosmetic procedure where fat is gently removed from one area of your body (usually the abdomen or thighs), purified, and then strategically injected into your face to restore lost volume.
It’s commonly used to rejuvenate:
- Sunken cheeks
- Hollow under-eyes
- Nasolabial folds
- Marionette lines
- Temples
- Jawline
Because the fat comes from your own body, results look incredibly natural and your body is far less likely to reject it.
Facial Fat Grafting vs. Fillers: Key Differences
Feature | Facial Fat Grafting | Dermal Fillers |
Material | Your own body fat (natural) | Hyaluronic acid or synthetic substances |
Longevity | Semi-permanent to permanent (years) | Temporary (6–12 months) |
Downtime | 5–7 days | Minimal (1–2 days) |
Cost | Higher upfront, better long-term value | Lower upfront, may require frequent touch-ups |
Texture/Feel | Soft, natural feel | Smooth, slightly firm feel |
Additional Benefits | Body contouring from liposuction | None |
Why Patients Choose Facial Fat Grafting
- Natural Look and Feel: Since the filler material is your own fat, it blends seamlessly into facial tissue and softens features in a subtle way. The result is a plumper, younger-looking face without the overfilled look that can sometimes result from synthetic fillers.
- Long-Lasting Results: Unlike dermal fillers that wear off over months, fat grafting can last for several years, with some fat cells remaining permanently.
- Two-in-One Benefit: Fat grafting involves gentle liposuction to harvest fat, which means you can also slim areas like your waist, thighs, or flanks during the process.
- No Allergic Reactions: Since it’s your body’s own tissue, the risk of allergic response or rejection is minimal.
- Natural Stem Cells: Your fat has natural stem cells which rejuvenate the skin beyond just volume restoration. This can lead to improvements in skin texture, dyschromia and firmness.
The Procedure: What to Expect
At Dr. Parikh’s clinic, facial fat grafting is performed under local or general anesthesia, depending on the scope.
- Step 1: Fat Harvesting: A small amount of fat is removed via liposuction, often from the lower abdomen, flanks, or thighs.
- Step 2: Purification: The harvested fat is processed and purified to ensure only healthy, viable fat cells are used.
- Step 3: Fat Injection: Using micro-cannulas, Dr. Parikh carefully injects the fat into targeted areas of the face, sculpting natural volume and balance.
The entire procedure takes 1 to 2 hours and is usually done on an outpatient basis.
Recovery and Results
You can expect:
- Mild swelling or bruising for 5–7 days
- Final results within 3–4 weeks
- Long-lasting enhancement as fat establishes a blood supply
While not all transferred fat survives (typically 60–80% remains), results are natural and long-term. Patients are typically back to normal activities within a week and makeup can usually be worn after a few days.
Who’s a Good Candidate?
You may be a strong candidate if you:
- Have volume loss in your cheeks, under-eyes, or temples
- Want a natural alternative to fillers
- Have enough donor fat for harvesting
- Prefer longer-lasting results
- Are in good overall health
Facial fat grafting is ideal for patients in their 30s to 60s experiencing early to moderate facial aging.
Ready for a Natural Facial Refresh?

Ready for a Natural Facial Refresh?
FAQs
How long does facial fat grafting last?
Results can last for years, with 60–80% of the injected fat surviving permanently.
Can facial fat grafting replace dermal fillers?
Yes, in many cases. Fat grafting provides similar volume enhancement, with the benefit of being natural and longer-lasting.
Will it make me look “overdone”?
No. Dr. Parikh uses conservative, artistic technique to restore subtle, natural contours—not create artificial fullness.
Can I combine this with other procedures?
Absolutely. Fat grafting pairs well with facelifts, eyelid surgery, and lip lifts for total facial rejuvenation.
Is it painful?
Discomfort is minimal. Most patients compare it to mild soreness from a bruise and are back to work in a week.





