Nanofat and microfat in São Paulo

Who it is for

• My face has gotten thinner, and my temples and cheeks look more hollow.
• I would rather restore volume with my own fat.
• The skin under my eyes is thin and darker.
• I have scars and fine lines that bother me.

How I do it

When the face loses volume, it also loses support, and it starts to look more tired. One way to restore that volume is fat grafting, which is part of my non-surgical lift protocol, alongside absorbable threads, biostimulators and lasers. The idea is to use your own fat to reposition volume and proportions, with no incisions on the face.

The procedure is done in the office under local anesthesia, and sedation is also possible, as decided at the evaluation. I harvest a small amount of fat, usually from the abdomen or thighs, and prepare it in two ways. Microfat is fat in small parcels, which I use to restore volume in areas such as the temples, cheeks, jawline and lips. Nanofat is fat that has been emulsified and filtered until it is very fine: it does not add volume and goes into the skin to work on its quality, such as the texture and color of the under-eye area, fine lines and scars.

As with everything I do, the plan starts with an analysis of your face, and I like to work with subtlety: small volumes, to enhance what is already beautiful without changing your structure. Technique and knowledge of anatomy make a difference in safety. And it is worth being transparent: part of the grafted fat is reabsorbed in the first months, and sometimes a touch-up is needed.

What can happen

Fat grafting has a longer recovery than a filler. Swelling and bruising are expected on the face and in the area where the fat was harvested, and they can last from a few days to a few weeks. The amount of fat that remains varies from person to person and from area to area, and a touch-up may be needed once the result stabilizes. Irregularities, lumps and, more rarely, infection can also occur. Fat injection in the face carries a rare but serious risk of vascular complications, when fat enters a blood vessel and compromises circulation, including to the eyes. That is why the indication, the technique and knowledge of anatomy matter so much. For nanofat, studies show improvement in skin quality and scars, but they are still small, and the long-term benefit is less certain. The evaluation is always the first step.

Frequently asked questions