Facial Fat Transfer Before & After Gallery
Browse our facial fat transfer gallery to see how Dr. Balikian restores volume and balance with natural, refined results.
Browse our facial fat transfer gallery to see how Dr. Balikian restores volume and balance with natural, refined results.
Facial Fat Transfer, also known as fat grafting or fat injections, is a minimally invasive procedure that restores youthful volume to the cheeks, under-eye hollows, temples, and other areas using your body’s own fat. This approach creates natural-looking, long-lasting rejuvenation without synthetic fillers.
Dr. Richard Balikian customizes each treatment with an artistic eye, enhancing facial balance and softening signs of aging for results that feel authentic to you.
Facial Fat Transfer is rarely performed on its own. It is often combined with procedures like a Preservation Deep Plane Facelift, deep vertical neck lift, or eyelid surgery to achieve full facial harmony. Pairing volume restoration with structural lifting ensures a natural, balanced outcome and longer-lasting transformation.
Browse our before and after gallery to see how Facial Fat Transfer, when combined with other procedures, transforms hollow or tired features into a refreshed, fuller appearance.
(Click an image for full procedure details.)
Volume loss is one of the earliest and most noticeable signs of aging. Restoring that missing structure with your own natural fat can soften harsh lines, rebuild youthful contours and rejuvenate the face in a way that looks effortless.
When done with precision, facial fat transfer enhances the cheeks, under-eyes, temples and jawline while preserving your natural anatomy.
Dr. Balikian’s approach is rooted in subtlety and preservation. Using gentle harvesting and micro-droplet placement techniques, he restores volume exactly where it has diminished, creating smooth transitions and natural curves. His method protects the surrounding tissues, improves fat graft survival and ensures balanced, long-lasting rejuvenation.
Benefits include:
Patients trust Dr. Balikian because he understands how to rebuild volume in a way that feels authentic. His goal is not to inflate the face, but to restore the youthful structure that time has taken away.
As swelling settles, the face begins to reveal fuller, smoother and more harmonious contours. The midface appears lifted, the under-eyes look brighter and the transitions around the temples, jawline and cheeks blend seamlessly.
Because fat integrates with your own tissue, results feel soft, natural and stable over time.
Many patients pair facial fat transfer with a deep plane facelift, brow lift or laser resurfacing for an even more comprehensive rejuvenation.
What do facial fat transfer results look like in before and after photos?
Most before and afters show softer, fuller contours in areas that commonly hollow with age, like the cheeks, under eyes, temples and jawline. The face looks more rested and youthful, not puffy or overfilled. This aligns with the core goal of facial fat grafting: restoring lost structure with natural appearing volume.
How long does it take to see final facial fat transfer results?
You will see early volume right away, but swelling and bruising can mask the true outcome. Most patients look presentable within 2 to 3 weeks and the result stabilizes as the fat integrates over about 3 to 4 months.
How much of the transferred fat actually survives?
Studies consistently show that some resorption is expected. A recent systematic review of low volume facial fat grafting found average retention around the 40 to 50 percent range by 3 to 12 months. Skilled technique and careful placement improve survival.
If some fat absorbs, why do results still look long lasting?
Because the fat that survives becomes living tissue with its own blood supply. Once stable, it behaves like normal facial fat and can last for years. Long term follow up studies show durable improvement even though early resorption occurs.
Will I look overfilled at first?
Early on you can look fuller than expected due to swelling and because surgeons often account for normal resorption. Dr. Balikian’s philosophy is to restore youthful shape without changing identity, so the goal is never exaggerated volume. As swelling resolves, the look refines.
Do patients ever need a second fat transfer?
Sometimes, yes. Because retention varies by person and area, a touch up can be helpful if someone wants more volume after the first graft settles. Reviews note that staged treatments can optimize symmetry and longevity.
Which areas show the biggest before and after improvement?
Cheeks and midface, under eye hollows, temples and the jawline are the most common. Research shows high satisfaction in these zones, with temples sometimes needing more than one session because survival there can be lower.
Does facial fat transfer improve skin quality too, or only volume?
It can do both. PubMed reviews describe regenerative effects from adipose derived cells, especially when microfat or nanofat is used for superficial skin concerns. Many patients notice smoother texture and a healthier glow over time.
How natural do results feel compared to filler?
Fat feels like your own tissue because it is your own tissue. Unlike filler, it integrates into the face and moves naturally with expression. This is one reason Dr. Balikian often recommends fat transfer for patients who want restoration rather than a filled look.
What is the typical complication risk and how does it affect results?
Most complications are minor, like temporary swelling, bruising, or small lumpiness that can be smoothed with massage or minor correction. Large reviews show a low overall complication rate, especially when done by experienced facial surgeons using safe planes and micro placement.
What makes Dr. Balikian’s facial fat transfer results different in before and after photos?
His approach is preservation based and anatomy driven. He places fat in tiny, layered passes to recreate youthful contours and smooth transitions, not to inflate one area. That technique is strongly supported in current literature as a key factor for survival and natural aesthetics.
Dr. Richard Balikian is a highly respected facial plastic surgeon serving the San Diego area.
With over 20 years of experience and double board certification in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery, Dr. Balikian offers a unique combination of technical expertise and artistic vision.
He is part of an elite group of surgeons with extensive training focused exclusively on the face and neck.
Dr. Richard Balikian is recognized for elevating facial plastic surgery through precision, artistry and outcomes that reflect your true self.