Guide:
- Overview of Fat Transfer
- Overview of Dermal Fillers
- Key Differences: Cost, Longevity, Naturalness
- Who Is a Better Candidate for Each?
- Can I Combine Facial Fat Transfer and Fillers?
When it comes to restoring youthful facial volume, there are two key choices that stand out from the rest: facial fat transfer and dermal fillers.
These two choices are similar in that both are effective solutions for volume loss, contour enhancement, and overall rejuvenation … but they differ in approach, longevity, and ideal patient profile.
Here at LEA Plastic Surgery in Newport Beach, we specialize in helping each patient choose the method that best aligns with their goals, lifestyle, and long-term vision of beauty.
So today, we’re taking a closer look at facial fat transfer vs fillers, and how to decide which might be right for you…
Overview of Fat Transfer
Facial fat transfer (also known as fat grafting) is a natural facial rejuvenation technique that uses your body’s own fat to restore volume and contour.
The process involves three key steps:
- Harvesting fat from an area like the abdomen or thighs.
- Purifying the fat to ensure only the healthiest cells are used.
- Reinjecting it strategically into areas such as the cheeks, under-eyes, or temples.
Because it uses your own tissue, fat transfer is widely regarded as a natural filler for the face, offering smooth, organic-looking results that age beautifully.
Unlike dermal fillers, which gradually wear off, facial fat transfer offers a long-lasting and often permanent boost in skin volume. It also improves skin quality over time thanks to the regenerative properties of fat-derived stem cells.
Learn more about facial fat transfer
Many patients are drawn to fat transfer for its natural origins and regenerative benefits, but that doesn’t mean fillers don’t have their place.
In fact, for certain goals and lifestyles, dermal fillers may still be the preferred choice…
Overview of Dermal Fillers
Dermal fillers are injectable treatments, most commonly based on hyaluronic acid (HA) — a substance naturally found in the body. These treatments are popular for enhancing features like the lips and cheeks, softening lines, and restoring gentle volume to areas like the nasolabial folds.
The appeal of dermal fillers lies chiefly in their convenience and versatility. Most filler appointments take less than 30 minutes and require little to no downtime. They’re also reversible, offering peace of mind for first-time patients.
However, results are temporary, typically lasting 6 to 18 months, depending on the product and treatment area. Over time, many patients begin to explore the best filler alternative … especially if they’re seeking more permanence or are concerned about issues like filler migration.
Explore dermal filler treatments
Key Differences: Cost, Longevity, Naturalness
Let’s break down some of the most important distinctions between fat grafting vs hyaluronic acid fillers:
Criteria | Facial Fat Transfer | Dermal Fillers |
---|---|---|
Cost | Higher upfront | Lower upfront |
Longevity | Often permanent | 6–18 months |
Source | Patient’s own fat | Synthetic (usually hyaluronic acid) |
Downtime | Moderate (1–2 weeks) | Minimal |
Natural Feel/Look | Very high | High (but temporary) |
Each option offers its own set of advantages.
For patients who value natural rejuvenation techniques and longer-term outcomes, fat transfer may be worth the additional downtime and investment. For those seeking flexibility and quick refinement, fillers may still be the preferred route.
Who Is a Better Candidate for Each?
Understanding your facial anatomy, aesthetic goals, and comfort level with recovery is key to choosing the right treatment.
Both options are designed to address one of the most common signs of aging: facial volume loss. Choosing the right volume loss treatment depends on your lifestyle, goals, and how long you want results to last.
You may be a better candidate for facial fat transfer if:
- You’re experiencing noticeable facial hollowing or volume loss
- You have adequate donor fat available
- You’re seeking a natural, long-term solution
- You’ve tried fillers and are now looking for the best filler alternative
You may be a better candidate for dermal fillers if:
- You’re new to facial treatments
- You want quick, in-office results
- You need only minor enhancements or contouring
- You prefer a reversible option with no downtime
When considering either treatment, it’s important to weigh the pros and cons of fat grafting carefully. While fat transfer offers longevity and natural results, it does require a short recovery period and carries some variability in how much fat survives long-term.
Fillers offer predictable outcomes but require ongoing maintenance to retain results.
Can I Combine Facial Fat Transfer and Fillers?
Absolutely. Many of our Newport Beach patients choose a hybrid approach for the most natural, long-lasting facial volume.
Fat grafting can restore foundational fullness, while dermal fillers add fine-tuned enhancements around the lips, temples, or jawline. This layered strategy often leads to the most harmonious, balanced results, especially when guided by a board-certified facial plastic surgeon.

Our Approach: Tailored Plans
At LEA Plastic Surgery in Newport Beach, we don’t believe in one-size-fits-all beauty. Every face is unique, and every treatment plan should be, too.
Dr. Goretti Ho Taghva—a board-certified plastic surgeon with advanced training in facial anatomy—takes a personalized approach to each patient. Whether you’re interested in fat grafting, hyaluronic acid fillers, or a combination of both, your consultation includes a thorough evaluation and thoughtful conversation about your goals.
Many of our patients find that a hybrid approach offers the best of both worlds—using fat transfer for foundational volume and dermal fillers for delicate refinement. Above all, we prioritize results that feel natural, elegant, and timeless.
Learn more about facial fat transfer and how long it lasts here.
Ready to Explore the Best Facial Rejuvenation Option for You?
Let’s design a treatment plan that fits your features — and your future.
Book a personalized consultation with our expert team today.