Facial fat transfer vs. fillers: which is right for you?

Daniel Ezra, 21 February 2025

With age comes the gradual diminishment of facial volume. This is entirely natural, though it also creates a hollowed appearance—often accompanied by wrinkling and sagging—that does not reflect your vibrancy and youthful nature. Volume restoration techniques conducted by the specialists at The Ezra Clinic rejuvenate your appearance and restore vitality by increasing facial volume.

Facial fat transfer (also known as facial fat grafting) and dermal fillers are two of the most popular volume restoration techniques. Advancements in technology coupled with our specialists’ growing expertise in this arena make both viable choices for you. You merely need to answer a question. Facial fat transfer vs fillers – which will make you look as refreshed and happy as you feel?

What is facial fat grafting?

Ageing brings sagging and a sunken look to your face, both of which you can counter with a facial fat transfer. Think of the technique as a means to reverse the natural signs of ageing by transferring fat from a donor site—usually from your thighs or stomach—and injecting that fat into your face. Injections are targeted to specific areas where your face has lost volume, allowing them to smoothen wrinkles and enhance the contours of your face that the natural ageing process hides.

Many choose facial fat grafting as an alternative to traditional facelifts due to its ability to redeliver volume to your face. The procedure often accompanies others designed to create a more vibrant-looking you, such as blepharoplasty. For instance, a facial fat transfer can improve the outcome of a blepharoplasty using injections targeting any hollowing below your lower lid bags. Other potential target areas include your cheeks and any other face area that has lost volume.

Benefits of facial fat transfer

The key benefit of a facial fat graft is its near-permanence. The results are long-lasting enough that you will rarely require a second procedure. Your transferred fat reintegrates into your facial tissues, where it stays to deliver the natural and youthful look that reflects how you feel inside.

Beyond this permanence, accompanied by restoring facial volume and contouring, the procedure is minimally invasive and may only require the use of a local anaesthetic. You will not require long stays in the hospital and can return to your regular activities in a matter of days with minimal irritation or scarring.

white lady with hand on her eye

What are dermal fillers?

Dermal fillers are made using hyaluronic acid rather than fat. This substance still naturally occurs in your body, so it is not alien to you.

The effect fillers have is similar to that seen in fat grafting. Reduction of wrinkles and a volumising effect are both apparent, with key target areas being your cheeks, temple, jawline, chin, and underneath your eyes.

Benefits of dermal fillers

Though dermal fillers require more maintenance than a facial fat transfer, they compensate for this downside with benefits, starting with their non-invasive nature. With fillers, you are not undergoing surgery. No anaesthetic is required, as The Ezra Clinic specialists only need to inject the filler into the targeted area.

The lack of a need for surgery shortens the entire process, with many of our patients spending just 30 minutes to an hour with our specialist. The recovery period is also minimal, and the effects of your fillers can be both tailored prior to your appointment and adjusted during follow-up consultations. Fillers also come in varying types, with thinner variants used to tackle fine lines, while thick fillers offer more structural support for your face.

Points to consider about the treatments

Beyond what we have already mentioned, there are several considerations to consider for the facial fat transfer vs. fillers debate.

Fat grafting

The obvious consideration with a fat graft is the surgery required for the procedure. Though minor, this surgery does require some downtime, mostly managed from home. Survival rates of the transferred fat cells also impact the success of a fat transfer. Some of the transferred fat may not be reabsorbed into the body, requiring follow-up treatments to ensure the vibrancy created by the process is reflected in all targeted areas.

Here, expertise combined with experience in the facial fat transfer process becomes vital. The Ezra Clinic’s specialists offer an unparalleled approach to this aesthetic procedure, combining a cutting-edge technological base with specialised care derived from our understanding of how you may feel when undergoing a fat graft.

Fillers

Proper placement is as vital to fillers as in fat transfer. The Ezra Clinic’s specialists confront that issue through full consultations and by accounting for any potential filler migration before it can occur.

Beyond that, a dermal filler is a more temporary option than a fat transfer, which may require repeat treatments every six to 24 months, depending on the target area. A minor risk of an allergic reaction also exists. However, modern filler formulations reduce that risk, as does an in-depth consultation with one of our specialists.

beautician doing injection filler female client. Drooping eyelids after botox

Comparing: fat grafting vs. fillers

Both of these procedures have advantages and disadvantages. A deeper dive into the differences between the two is required to help you properly compare a facial fat transfer to fillers.

Longevity of results

Is facial fat grafting permanent? It is, providing that most transferred fat cells survive once placed. Those that do remain in place indefinitely, with touch-ups only required when a significant number of fat cells fail to survive. Even when touch-ups are needed, they are less frequent than they are for fillers. The dermal filler option necessitates repeat visits to your Ezra Clinic specialist, in most cases six months to every two years, but that frequency depends on the filler’s nature and treatment area.

Invasiveness and recovery

There is no escaping the fact that facial fat grafting is a more invasive procedure than having fillers injected. The former requires surgery, which includes a local anaesthetic and incisions that require a recovery time of between one and two weeks. That starkly contrasts the near-immediate recovery you experience with dermal fillers.

Expenses

Upfront, facial fat transfer comes with a higher cost than fillers due to the more complex nature of the procedure. That added cost, however, results in a long-term benefit due to fat grafts not requiring repeated applications. Once it is done, it is there forever. You will spend less on a single application of dermal fillers but may spend more over time, depending on the regularity of reapplication.

 

How to choose between fillers and facial fat transfer?

Permanence at a higher upfront cost vs. less expensive but more regular treatments may be your key deciding factor when comparing fat grafting vs. fillers. There is also the decision regarding surgery compared to a non-invasive procedure. That is why we always recommend consultation with a specialist to determine which treatment suits you best. The Ezra Clinic’s consultants are ready to discuss your options. Contact us today if you are ready to rejuvenate your facial volume.


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