Cheekbone restoration using fat

2025-04-111 min read

Written and reviewed by Dr Bernard Hayot, ophthalmologist, RPPS 10003926226.

Cheekbone restoration using fat


Cheekbone restoration using fat

Cheekbone restoration with fat is an increasingly popular technique in eyelid and oculoplastic surgery, using lipofilling, or fat transfer, to add volume and improve the contour of the face.

The method offers several advantages over injections of hyaluronic acid or other synthetic fillers, since it uses autologous adipose tissue, taken from the patient themselves, which minimises the risk of allergic reaction or rejection.

Why do cheekbones lose their shape?

Cheekbones can lose their attractive roundness and drop for a number of reasons.

The natural ageing process plays an important part: with age, the skin loses its elasticity and tone, which can cause the tissues around the cheekbones to sag. The loss of subcutaneous fat that comes with ageing also contributes, as it reduces the volume and the structural support of the cheekbones.

Other factors can play a role too, among them genetics, weight fluctuations, smoking, excessive sun exposure and a poor diet. Significant weight loss, for example, can reduce the volume of fat around the cheekbones and make them look flatter.

Lifestyle habits such as lack of sleep, stress and poor hydration can also affect the health of the skin and contribute to premature ageing, which in turn shows in the appearance of the cheekbones.

Fat injections: a good alternative to surgery?

The benefits of using fat to increase cheekbone volume include:

  • A natural look: fat gives a filling that looks more natural than hyaluronic acid, which can sometimes appear over-inflated or artificial. Fat integrates harmoniously with the facial tissues and follows the natural contours of the face.
  • Tissue integration: transferred fat is incorporated evenly into the thickness of the tissue, unlike hyaluronic acid, which can remain confined to the area where it is injected.

This page is for information. It does not replace a consultation: every situation is judged on examination.

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Introduction
Cheekbone restoration with fat is an increasingly popular technique in cosmetic surgery, which uses lipofilling (or fat transfer) to add volume and improve facial contour. This method offers several advantages over injections of hyaluronic acid or other synthetic fillers, since it uses autologous adipose tissue, taken from the patient themselves, which minimises the risk of allergic reaction or rejection.

Why do cheekbones lose their shape?

Cheekbones can lose their beautiful roundness and sag due to a number of factors. Firstly, the natural aging process plays an important role. With age, the skin loses its elasticity and tone, which can lead to sagging of the tissues around the cheekbones. In addition, the loss of subcutaneous fat that occurs with aging can also contribute to this phenomenon, as it reduces the volume and structural support of the cheekbones. Other factors can also play a role, such as genetics, weight fluctuations, smoking, excessive sun exposure and poor diet. For example, significant weight loss can lead to a reduction in fat volume around the cheekbones, which can make them appear droopier. In addition, lifestyle habits such as lack of sleep, stress and poor hydration can affect skin health and contribute to premature aging, which can also be reflected in the appearance of cheekbones.

Fat injections: a good alternative to surgery?

The benefits of using fat to increase cheekbone volume include:
  • A natural look: fat gives a filling that looks more natural than hyaluronic acid, which can sometimes appear over-inflated or artificial. Fat integrates harmoniously with the facial tissues and follows the natural contours of the face.
  • Tissue integration: transferred fat is incorporated homogeneously into the thickness of the tissue, unlike hyaluronic acid, which can remain confined to the area where it is injected. This ensures a more natural distribution of volume and avoids visible demarcations or irregularities.
  • Durability: although fat is not a permanent product, it has the potential to outlast resorbable fillers. It ages with the patient, and some of the transferred fat cells can survive indefinitely, offering long-lasting results.
  • Regenerative effects: fat transfer also contains stem cells and growth factors that can stimulate skin regeneration, improving its texture and quality. This represents an added benefit, because in addition to restoring volume, the procedure contributes to the overall health and appearance of the skin.
The micro-lipostructure or defibrosed fat technique is preferred to achieve these results, as it involves the injection of viable fat cells capable of integrating with the recipient tissue. Unlike nano-lipostructure, which focuses on providing stem cells for regeneration without adding significant volume, micro-lipostructure aims for a more pronounced volumizing effect.

Cheekbone restoration using fat: what are the results?

It's important to note that results may vary from patient to patient, depending on factors such as age, the quality of the fat injected, and the surgeon's technique. A consultation with an experienced plastic surgeon is essential to assess the most appropriate options and realistic expectations for each individual.