Autologous fat grafting surgery can be performed for any patient wishing to restore or add volume in a given area of this body. This technique is now well refined and offers excellent results, it is used in the fields of cosmetic and reconstructive surgery. Fat grafting is especially useful in case of lack of tissues of different types as fat tissue can differentiate into any cell type from mesenchymal lineage. If you are looking for information about fat grafting breast augmentation or the Brazilian Butt Lift, you will find in the breast and buttock augmentation Tunisia pages of Dr.Balti’s website. Even though these procedures are more popular than others, fat grafting has many applications in facial rejuvenation and reconstructive surgery.

Fat grafting applications in cosmetic and reconstructive surgery

Fat grafting applications in cosmetic and reconstructive surgery

Aging signs

  • Ptosis : fat grafting can correct tegument ptosis caused by loss of tone.
  • Tissue atrophy : ptosis and atrophy are linked and result in facial aging for instance.

There are two types of aging faces. The ‘heavy’ face, with sagging excess skin and fat for which a cervico facial lift (face and neck lift) can offer good results. The ‘hollowed’ face showing atrophy and ptosis. In this case, volumes can be restored with fat grafting after a facelift.


Any condition affecting a tegument can result in volume changes.

  • Trauma : any trauma can alter facial contours (wound, atrophic scar, loss of substance, fat atrophy, bone deformation…).
  • Malformation : all congenital or acquired malformations alter facial contours and indicate volume restoration.

Iatrogenic conditions

Sequelae of surgery, radiotherapy, chemotherapy, surgical scars, corticotherapy… can affect facial contours, in which cases volume restoration with fat grafting can be beneficial. Laryngeal paralysis can also be an indication : fat tissue injection can medialize the paralyzed vocal cord.

Fat grafting in facial surgery

  • Cosmetic surgery : the initial stage of facial aging with an isolated fat atrophy can be treated with a fat grafting procedure only. The more advanced stage, with tegument ptosis, has to be treated with a face lift and fat grafting.
  • Reconstructive surgery : if there is a major functional impairment or bone involvement, it will have to be treated first. For morphology corrections, beginning with fat grafting is justified with any degree of atrophy. If multiple fat grafting procedures (3 on average) do not provide satisfying results, muscle flap reconstruction becomes necessary.