Fat transfer to the cheeks, sometimes called buccal fat transfer, is a facial fat grafting procedure that restores volume to the midface using your own body fat. We tend to naturally lose fat in our cheeks as we age, leading to a flat or hollow look. Losing a large amount of weight can also lead to a gaunt look and is sometimes caused by medications such as semaglutide and tirzepatide, leading to the term “Ozempic face.” Transferring fat into the area restores lost volume to give you a more refreshed and youthful appearance without synthetic fillers or implants.
There are many reasons that patients opt for a fat transfer to the cheeks as opposed to dermal fillers or implants. Their reasons are varied but often include:
Patients who come to Mia Aesthetics seeking help for lost cheek volume have often heard about dermal fillers and are curious to know whether fillers or fat transfer is the better option. Better is a relative term, however, and the best option for you depends on what you’re looking for. This chart gives a good overview of the important differences between the two.
| Feature | Fat Transfer | Dermal Fillers |
|---|---|---|
| Duration | Years (often for life) | 6-12 months |
| Material | Your own fat (autologous) | Synthetic |
| Cost | Higher upfront, lower over time | Lower upfront, may be higher long-term (repeat visits) |
| Volume Type | Softer, more diffuse | Firmer, denser projection |
A fat transfer to the cheeks begins with liposuction somewhere else. You and your plastic surgeon will decide exactly where your donor fat will be taken from, but common donor sites include the abdomen and thighs. The chosen area(s) will be recontoured into a more aesthetically pleasing look using gentle, low-pressure liposuction, and the removed fat collected.
With the liposuction complete, your surgeon will move on to purifying the fat. This process removes oil and damaged fat cells from the mix, allowing the doctor to select only the healthiest fat cells to transfer into your cheeks. These cells are then injected using microinjections that slowly build a fat layer. Microinjections allow for precise control of your new cheek contours and help minimize the risk of complications.
While dermal fillers can give you immediate results, it will take some time to see the new look of your cheeks after a fat transfer procedure. This is because your body needs time to work through post-op swelling, and the fat cells need time to integrate themselves into their new home. You should expect the following after a fat transfer to the cheeks:
Although how you’ll look after your fat transfer procedure is a common concern, recovery is also about taking good care of yourself and following your post-op instructions. Proper healing is vital to a good result, so you should know what your plastic surgeon will ask of you as you care for yourself at home. The recovery timeline usually progresses as follows:
Because we get this question so often, we’re going to address it head-on right now. Yes—you are going to look like a chipmunk for a bit after we transfer fat to your cheeks. But this overcorrection and puffiness are intentional and temporary.
Why? Some of the fat cells transferred into your cheeks will thrive, but some won’t make it. These cells will die and get reabsorbed by your body. Your plastic surgeon knows this and will compensate by adding more fat than you need. Even with this extra fat, experienced plastic surgeons take a less-is-more approach so that when your tissue settles into its new shape, you will have the perfect amount of fat in your cheeks for a natural look.
The swelling will start to ease in a few days, and your chipmunk look should disappear completely in about two to three weeks. It can take a little longer for some patients, however, since everyone heals at different rates. If over-fullness persists beyond 3 months, your provider may assess you for revision surgery to fine-tune your results.
Fat transfer to the cheeks is an excellent option for some patients, but it’s not right for everyone. Great candidates are those with:
You may want to reconsider this procedure if you are extremely lean and lack adequate donor fat. A fat transfer to the cheeks is also a poor option if you’re seeking a reversible procedure like fillers, or if you want near-instant results. Those considering this option are welcome to schedule a free virtual consultation with us to assess their candidacy and get personalized answers to their questions.
While fat transfer isn’t easily reversible like fillers, you can have some fat removed from your cheeks via liposuction after your procedure. Your plastic surgeon may also recommend smoothing out uneven or asymmetrical results with filler. If you don’t feel your cheeks are full enough, you can usually opt to add more fat.
It’s best to just assume that you will, since most patients do. That way you can be pleasantly surprised if you don’t get them rather than disappointed if you do. You can ask your surgeon how much they plan to overfill your cheeks during surgery to try and get an idea, but swelling also plays a role and is more difficult to predict.
No, but the fat can settle subtly as your face ages. Migration is extremely rare when proper technique is used. Gravity will continue to pull on your face as you age, however, so a slight downward shift of the cheeks is not unusual or surprising.
Yes. Although not necessary for everyone, performing fat grafting to the cheeks, under eyes, and nasolabial folds at the same time can create a more harmonious effect. It also reduces the overall cost of having each procedure done separately.
The best way to avoid a pillow-face look is to choose an experienced and skilled plastic surgeon like those at Mia Aesthetics. Our surgeons recognize that facial proportion is more important than volume and use microinjections for precise fat transfer. The result is a balanced and natural look that doesn’t appear swollen or overly full.