Volume deficiency
Fat transfer may restore selected areas where loss of soft-tissue support is the main problem.

Facial fat transfer is not simply “filling lines.” It is a surgical volume-restoration procedure that combines careful facial analysis, donor-site planning and controlled placement of your own fat. The aim is proportionate correction—not an overfilled appearance.


Ageing does not only create loose skin. The temples, upper cheeks, under-eye support and other facial compartments may lose volume or descend. Some people also have naturally hollow contours, asymmetry, post-traumatic depressions or soft-tissue deficits after previous surgery.
During autologous fat transfer, a modest amount of fat is removed from a suitable donor area, processed and placed in small controlled amounts into selected facial planes. The transferred tissue must establish a blood supply to survive. Because only part of the graft remains, early fullness is not the final result.
The procedure must be planned around the whole face. Adding volume to the wrong place, or treating skin laxity as a volume problem, can produce heaviness rather than balance.
A useful consultation separates volume loss from loose skin, muscle activity, pigmentation and surface texture.
Fat transfer may restore selected areas where loss of soft-tissue support is the main problem.
Small, layered additions may improve selected depressions or asymmetry when anatomy permits.
Fat grafting can have a reconstructive role after trauma, scarring or previous surgery in carefully selected cases.
It cannot reliably correct substantial jowls, neck laxity or descended tissues when lifting is required.
Melasma, tanning and post-inflammatory pigmentation need a skin-specific diagnosis and treatment plan.
Fine lines, pores and texture may need separate treatments; fat grafting is primarily a volume procedure.
Facial ageing is three-dimensional. A fold may appear deeper because the cheek above it has lost support; an under-eye shadow may come from hollowness, pigmentation, fluid retention or all three. The treatment plan begins with the cause, not the name of the line.
Dr. Pawan Shahane, M.Ch. Plastic Surgery
Founder, Mayflower Clinic, Nagpur
| Option | Best suited to | Main advantage | Important limitation | Typical recovery |
|---|---|---|---|---|
| Facial fat transfer | Selected moderate volume loss, multiple zones or reconstructive deficits | Uses the patient's own living tissue and may provide long-lasting retained volume | Requires donor-site liposuction; retention is variable and repeat grafting may be needed | Usually more swelling and bruising than filler |
| Hyaluronic-acid filler | Small, targeted adjustments or patients wanting a non-surgical option | Office-based, controlled volume and shorter recovery | Temporary product; maintenance is required and vascular risks still exist | Often shorter, but swelling/bruising can occur |
| Facial implant | Selected structural augmentation such as cheek or chin projection | Fixed structural volume | Requires an implant and surgical pocket; infection, movement or revision may occur | Surgical recovery |
| Facelift or neck lift | Significant tissue descent, jowls or neck laxity | Repositions deeper tissues and removes selected excess skin | Does not automatically replace lost volume; may be combined with fat transfer | Longer surgical recovery |
| Skin resurfacing | Texture, scars, fine lines or surface damage | Targets skin quality rather than volume | Cannot replace missing deep facial support | Depends on treatment depth |

Suitability depends on facial anatomy, donor-fat availability, health, smoking status, previous procedures, medication use and the degree of correction requested.
Dr. Shahane evaluates facial shape, volume compartments, skin quality, bone support, asymmetry and whether laxity is also present.
The abdomen, flanks or thighs may be examined. Medical history, medicines, allergies, smoking, previous procedures and baseline photographs are reviewed.
Anaesthesia is selected according to procedure extent. A limited liposuction technique harvests fat through small access points.
The harvested tissue is prepared to remove excess fluid, oil and unwanted components while preserving usable graft material.
Fat is placed in controlled micro-aliquots at planned depths rather than as one large deposit. The technique is adapted to each facial zone.
Early fullness is expected and is not the final result. Instructions cover head elevation, activity, compression if prescribed and medicines.
Symmetry and retained volume are reassessed after swelling resolves. A touch-up is considered only after adequate biological settling.
Recovery varies with the number of facial zones, donor area, anaesthesia, individual bruising and whether another operation is combined.
Facial fullness, bruising and donor-site soreness are common. Keep the head elevated and follow medicine instructions.
Swelling starts changing rather than disappearing. Avoid pressure, massage or exercise unless specifically advised.
Many patients feel more comfortable returning to work or social activity, although residual swelling may remain.
Most bruising has resolved and donor sites are more comfortable. Activity is increased according to review.
Retained volume is judged after biological settling. A second session, if needed, is discussed only at this stage.
Temporary swelling, firmness and bruising can affect both the face and donor area.
Some transferred fat is naturally reabsorbed. Undercorrection, overcorrection or a staged procedure may result.
Asymmetry, nodules, oil cysts, fat necrosis or visible irregularity may require observation or treatment.
Bruising, temporary numbness, small scars, contour change, seroma or infection may occur at the harvest site.
Bleeding, infection, poor healing, allergy, blood clots and other anaesthetic complications are possible.
Inadvertent entry into a blood vessel can cause skin loss, visual injury or neurological harm. These events are rare but potentially devastating.
The face is deliberately fuller immediately after surgery because of swelling and because not every transferred cell survives. The retained fat that establishes a blood supply can behave like other body fat and may remain for years.
However, retention varies between patients and facial zones. Ageing continues, and future weight gain or loss can change the size of surviving fat cells. This is why the result is described as potentially long-lasting—not guaranteed permanent.
Small staged corrections are often safer than trying to force a large change in one sitting. A second procedure is not failure; it may be part of a planned conservative strategy.
There is no honest one-price estimate for all patients because the procedure can range from one small reconstructive depression to multi-zone facial rejuvenation with donor-site liposuction.
Cost is influenced by the number and complexity of facial areas, donor-site work, anaesthesia, facility requirements, clinical investigations, whether another procedure is combined and the follow-up plan.
Mayflower Clinic provides a transparent written recommendation after examination. A more extensive procedure is not automatically a better procedure.
These reviews describe other procedures or general clinic experience. They are not facial-fat-transfer outcome claims and do not predict an individual result.
“Good Work on Cosmatic surgery.”
Verified Google review“Had a treatment for the injury and it was a great experience. It was like after removing stitches it looks as it was almost before the injury”
Verified Google review“Best cosmetic surgeon, I strongly recommend, him for all plastic surgery. He is very intelligent and guides you very well.”
Verified Google review · excerpt retained verbatimBring your treatment history and any previous procedure details. Dr. Pawan Shahane will assess the full face, explain realistic options and tell you when facial fat transfer is not the appropriate choice.
Page medically reviewed: 29 July 2026. References support general patient education and do not replace individual clinical assessment.
Mayflower Clinic is Central India's premier multi-specialty hub for advanced aesthetic and reconstructive plastic surgery. Every procedure is planned and executed exclusively by board-certified M.Ch. Plastic Surgeon Dr. Pawan Shahane, ensuring an absolute commitment to zero-delegation surgery, patient safety, and transparent pricing.

What Is Acne Scar Correction? A Complete…

Who Is a Good Candidate for Lip…
Clinic Address: Surdham Complex, Behind Silver Palace Building, 2nd Lane from Panchsheel Square, Opp. Yashwant Stadium, Dhantoli, Nagpur, Maharashtra - 440012
Landline Connect: 0712-6692706 / 0712-3551170
Secure WhatsApp Line: +91 8087471244
