Lipofilling or fat grafting removes fat tissue with liposuction and injects it somewhere else in the body. Lipofilling is not a new technique but recent advances in research and a better knowledge of fat graft survival has boosted the application of fat grafting or lipofilling. Lipofilling can be used for several indications, aesthetic as well as reconstructive.


The main advantage of lipofilling is that your own tissue is used. Foreign material such as fillers or implants are avoided. Your body will “accept” the fat graft without the risk of rejection. Foreign materials induce the formation of scar tissue or are at risk of injection or rejection.


The main disadvantage of lipofilling is the unpredictable resorption rate. Resorption means that part of the injected fat will disappear but this resorption rate ranges from 20 to 70%. Resorption is a natural biological process. Overall in my experience I observe a volume addition of 50 to 60cc when 100cc of fat is injected. Resorption is the reason why sometimes the procedure needs to be repeated.


The basic principles in lipofilling or fat grafting are:

  • liposuction
  • processing – purification
  • injection