How it works
It all begins with a consultation. Your surgeon will ask about what you are hoping for, look at your facial proportions, study the fullness and structure of your cheeks, assess the areas where fat could be taken from, and ask about your health history and any medicines you take. This step matters because it helps work out whether the lack of fullness in your cheeks comes from lost volume or from loose skin, which in turn decides whether fat grafting is truly right for you. This is also the time to be clear about your expectations and to ask questions, so the two of you can agree on a realistic plan.
The procedure is usually done under local anesthesia with sedation, or under general anesthesia, depending on how much is involved and the habits of the clinic. Your surgeon will discuss the option that suits you best, especially if you are having another operation at the same time.
First, your surgeon takes fat from a donor area — usually the abdomen, hips, or thighs — using a small tube through a few very small incisions. This step is called liposuction. The fat that is removed is then processed and cleaned to keep only the healthy tissue before it is grafted.
Next, your surgeon places the prepared fat into the cheek area in many small layers, through a needle or a very fine tube, shaping it gradually so the two sides stay balanced and the contours stay harmonious. Your surgeon works carefully because the cheek area sits close to the eye socket and the blood vessels of the face. Because some of the fat is known to be reabsorbed, your surgeon usually places a little more than the final amount expected. The entry points are typically very small and leave discreet scars.