Facial fat transfer, also called autologous fat grafting, moves the patient's own fat, usually harvested from the abdomen or inner thigh, purifies it, and injects it in small amounts into areas of the face that have lost volume: the cheeks, temples, the region around the eyes and the jawline. What is injected is living tissue from the patient, not a manufactured filler. The procedure is used to replace age-related fat atrophy, volume loss from significant weight reduction, or facial asymmetry. It is commonly performed under local anaesthesia with sedation, and is often combined with other facial surgery. Not all of the transferred fat survives, because the grafted cells must develop a new blood supply, so a proportion is reabsorbed during the first three to six months. What remains beyond that is generally considered stable. Needing a second session to complete the result is normal and is part of how the technique behaves, not a failure. Suitability is determined by clinical examination. The surgeon assesses where volume has actually been lost, how lax and how thick the skin is, and whether the donor area holds enough usable fat. A very slim patient may not have sufficient donor tissue, and a patient whose main problem is loose skin will not benefit from added volume. Simply wanting a fuller face is not enough to define the plan. The limits are explicit. Fat transfer restores lost volume but does not tighten sagging skin and is not a substitute for a surgical lift. It does not treat pigmentation, does not erase fine surface lines, and does not remove a fatty double chin. Graft survival cannot be fully controlled, so slight differences between the two sides can appear and may need refinement. In patients whose weight fluctuates markedly, the transferred fat can change in volume along with the body. Always verify that the facility is licensed and that the doctor is certified in plastic surgery or cosmetic dermatology through the official Jordanian authorities. Injecting the face is not a trivial beauty treatment that an unqualified practitioner may perform, and safety begins with licensed hands in a setting equipped to manage complications.
Procedure steps
- 1
Assessment and volume planning
By examination the doctor identifies which areas have genuinely lost volume and distinguishes them from skin laxity, then assesses the donor site, skin thickness and symmetry. Medications, chronic conditions and smoking are reviewed, and a realistic goal is agreed, including the possibility of a second session.
- 2
Harvesting fat from the donor site
After the donor area is anaesthetised, fat is withdrawn through a fine cannula using gentle low-pressure suction to keep the cells viable. The harvested volume is calculated from what is needed plus a margin for expected loss, while taking care not to leave a hollow or contour irregularity at the donor site.
- 3
Processing and preparing the graft
The fat is separated from fluid, blood and free oil by sedimentation, filtration or gentle centrifugation, then transferred into small syringes. The purpose is to keep only viable tissue, because injecting fluid or damaged cells increases swelling and reduces the proportion of graft that survives.
- 4
Layered micro-injection
Fat is placed in very small aliquots through a blunt cannula at several tissue levels, with slow withdrawal and a fanned, layered distribution so each droplet contacts living tissue that can nourish it. Depositing a single bolus is avoided, symmetry is checked continuously, and high-risk vascular zones are respected.
- 5
Follow-up and assessment of the result
The donor area is supported with a compression garment, and aftercare instructions and warning signs are explained. Reviews are scheduled at about one week, one month, and three to six months to judge how much volume has persisted; only then is a decision made about whether a top-up session is needed.
Before the procedure
Tell your doctor about all medicines and supplements you use, especially blood thinners, anti-inflammatory drugs, vitamin E and herbal products, and stop a long-term medicine only on medical advice. Disclose any clotting disorder, autoimmune disease or diabetes, any history of cold sores around the mouth, and any previous facial injections, including what was used and when, because this changes the plan. Stop smoking before and after the procedure, since nicotine constricts vessels and reduces graft survival. Postpone if you have dermatitis, active acne, or any infection at the injection or donor site. Do not have another facial treatment within a few days beforehand unless your doctor approves. Keep your weight stable, sleep well, and avoid alcohol before the appointment. Arrange someone to drive you home if sedation is used, prepare a compression garment for the donor area and pillows for sleeping with your head raised, and do not schedule an important event within the next two to three weeks.
After the procedure
Expect swelling and bruising in the face and at the donor site, peaking in the first two days and settling over two to three weeks; the face may look fuller than the final result. Sleep on your back with your head raised, cool the area gently without pressure, and do not massage the face, press on the injected zones, or sleep face-down for several weeks. Avoid strenuous exercise, saunas, hot baths and prolonged sun exposure, wear the donor-site compression garment as instructed, and never use heat or massage in the hope of speeding up the result. **Go to emergency care immediately if, after injection, you develop pallor or white blotching of the skin, severe pain out of proportion, any change in vision, or pain around the eye: these suggest possible vascular occlusion and must not be delayed even by an hour.** **Seek care immediately for fever, purulent discharge, spreading redness, or swelling that increases after it had begun to settle.** Report persistent lumps or clear asymmetry after the third month.
Expected duration
Usually one to two and a half hours depending on the number of areas and the volume grafted, with same-day discharge. Most people return to work after five to seven days, most swelling settles within two to three weeks, and the retained volume should not be judged before three to six months.
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