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The procedure in brief
| What for | Restoring volume in cheekbones, cheeks, temples, under the eyes, backs of the hands |
| How it works | Small-volume liposuction under local anaesthesia or sedation, fat processing, injection with cannulas; 1–2 hours |
| Recovery | Swelling and bruising for 1–2 weeks |
| Result | Final after 3–6 months, once part of the fat is resorbed; a repeat session is sometimes needed |
| Versus fillers | Volume from your own tissue, without repeat injections every 6–12 months, but more complex and less predictable |
Complications and contraindications
- Common: swelling, bruising, irregularities, asymmetry, resorption of part of the fat.
- Rare but serious: fat entering a blood vessel and impairing blood supply to the skin or vision. This is why an experienced plastic surgeon should perform it.
- Contraindications: bleeding disorders, active infection, cancer, pregnancy.
- Promises of “skin regeneration” by fat stem cells are not supported by studies.
We select clinics with plastic surgeons and request a plan and prices. Other procedures are on the aesthetic medicine page.
Scientific evidence
Reviews of studies this page is based on:
- Gornitsky J et al. A systematic review of the effectiveness and complications of fat grafting in the facial region. JPRAS Open, 2019.
- Schiraldi L et al. Facial fat grafting (FFG): worth the risk? A systematic review of complications and critical appraisal. J Clin Med, 2022.
- Moellhoff N et al. Arterial embolism after facial fat grafting: a systematic literature review. Aesthetic Plast Surg, 2023.
Frequently asked questions about facial fat grafting
How much fat survives?
It varies — usually between a third and two thirds of the volume. That is why a second session is sometimes needed.
What is Lipogems?
A system for mechanically fragmenting fat without enzymes. It is a processing method, not a separate type of treatment.
How long does the result last?
Fat that survives stays long-term, but the face keeps ageing, and volume decreases with weight loss.
How can RegenPAS help?
RegenPAS is a patient service centre in Munich, not a clinic. We review your images and symptoms and send a request to several partner clinics at once. Clinics that can accept you send their own conditions and price; prices differ between clinics, and you choose the option that suits you. The coordinator replies within 24 hours, and a clinic physician’s preliminary opinion follows in 1–3 business days. We then arrange the appointment, visa invitation, interpreter, transfers and accommodation. Treatment decisions are made by the clinic physician. Contact a coordinator.
Interested in facial fat grafting in Germany? Send a request — we will select clinics
Send your MRI or ultrasound and describe where and when it hurts. The coordinator replies within 24 hours; a clinic physician gives an opinion in 1–3 business days.
Send images