Customized Full Face Fat Grafting

Customized Full Face Fat Grafting in San Antonio, TX

There are numerous surgical and non-surgical facial rejuvenation methods. If you’re looking for one that does not require fillers or invasive surgery, customized full facial fat grafting is an excellent option that allows you to restore the natural volume and shape that make the face appear younger. Customized full face fat grafting with triple board-certified facial plastic surgeon Dr. Jose Barrera is one of the most effective ways to rejuvenate facial shape, soften shadows, sculpt structure, and correct aging-related deflation using the most natural filler available: your own fat.

Unlike temporary dermal fillers, fat grafting uses your own fat, taken from another area of your body via liposuction, and permanently restores facial volume and skin quality (through regenerative cells). Dr. Jose Barrera’s advanced approach uses microfat, nanofat, SMAS grafts, and targeted augmentation techniques to rebuild youthful facial architecture with precision and artistry.

As a facial plastic surgeon who performs over 50 comprehensive fat grafting surgeries each year and teaches at the Masters of Aging Face Surgery Course with Marina Medical, Dr. Barrera brings deep anatomical expertise and advanced technique mastery to every customized fat grafting procedure.

Learn how personalized full face fat grafting can rejuvenate your features. Call (210) 468-5426 or contact us online to schedule your friendly and informative consultation with Dr. Barrera. Virtual consultations are available throughout Texas from our San Antonio office.

What Is Customized Full Face Fat Grafting?

Customized full face fat grafting is a highly personalized rejuvenation procedure that strategically relocates your own fat to areas of facial hollowing, flattening, or contour imbalance. Using micro-liposuction, Dr. Barrera harvests fat from areas like the abdomen or flanks, processes it into microfat, nanofat, and specialized grafts, and places it into precise facial planes to restore youthful shape and proportion.

Instead of simply “filling lines,” Dr. Barrera uses advanced volumetric mapping to rebuild deeper structures, enhance facial transitions, and restore the natural curves that define a youthful face. His technique blends artistry with deep anatomical understanding to preserve each patient’s unique facial identity while enhancing harmony.

Why Patients Choose Dr. Barrera for Fat Grafting

Patients from across Texas seek Dr. Barrera for fat grafting because of his ability to create structural, natural-looking rejuvenation without overfilling or distortion. His approach emphasizes:

Anatomical Precision

Fat is placed in specific deep and superficial compartments, restoring youthful contours from the inside out rather than simply adding bulk.

Customized Multi-Layer Techniques

Dr. Barrera utilizes microfat, nanofat, SMAS grafting, buccal fat repositioning or reduction, and temporalis fascia grafting to treat individual aging patterns and surgical deformities. In addition, PRP and PRFM augmented fat grafts are offered for patients with revision rhinoplasty and facelift with secondary defects or need for secondary surgery to correct asymmetry. These PRP augmented fat grafts provide growth factors and progenitor cells by combining platelet derived fibrin with nanofat for healing and augmentation. 

Teaching & Expertise

Dr. Barrera lectures at the Masters of Aging Face Surgery Course, teaching other surgeons the advanced methods of deep plane lifting and volumization. He has over 75 peer-reviewed publications in facial plastic surgery, rhinoplasty, craniofacial reconstruction, and facelift surgery. He is a sought-after clinical researcher and investigator of new facial devices and speaks internationally on facial plastic surgery.  Dr. Barrera is a fellowship director with the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) and an Executive Vice President of the AAFPRS. 

Long-Term, Natural Results

Fat integrates biologically with your tissues, creating softness, longevity, and gradual regenerative improvements in skin.

What Full Face Fat Grafting Can Improve

Full face fat grafting treats all major regions of facial aging, including:

  • Under-eye hollows and tear troughs
  • Midface flattening and A-frame deformities
  • Cheek volume loss
  • Jawline definition and lower face sculpting
  • Temporal hollows
  • Lip thinning (nanofat lip augmentation)
  • Contour irregularities from aging or previous surgery
  • Deep facial tension lines caused by volume loss
  • Skin texture and quality (nanofat regenerative benefits)

Fat grafting is the most natural way to restore facial curves, improve shadowing, and enhance dimension without implants or synthetic fillers.

Advanced Techniques Used in Dr. Barrera’s Customized Fat Grafting

Microfat & Nanofat Augmentation

Dr. Barrera uses a customized microadonizer system to convert harvested fat into microfat and nanofat.

  • Microfat restores structure and volume in deeper compartments
  • Nanofat improves fine lines, skin tone, and delicate areas such as:
    • Under-eyes
    • Lips
    • Fine wrinkles
    • Upper eyelid A-frame deformities

Nanofat contains a high concentration of regenerative cells, making it ideal for revitalizing aging, thin, or damaged skin.

SMAS Grafting

Fat is blended with SMAS tissue for added structural support. This provides volume with natural firmness, ideal for deeper hollows, midface support, and long-standing contour deficiencies.

Buccal Fat Reduction & Grafting

When midface heaviness or buccal fullness obscures facial contour, buccal fat may be reduced and repurposed as grafting material. This allows refinement in the lower face while using the removed tissue to correct other facial hollows.

Temporalis Fascia with Nanofat for Facial Defects

For surgical depressions or asymmetries from previous procedures, Dr. Barrera may combine temporalis fascia with nanofat to provide structural coverage and regenerative enhancement.

Lip Rejuvenation with Nanofat

Nanofat restores hydration, color, and natural fullness in the lips without the excessive “puffiness” sometimes seen with fillers. Results appear soft, subtle, and authentically youthful.

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Midface Volumization Goals (Based on Anatomical Literature)

A youthful midface is defined by:

  • A smooth lid-cheek junction
  • A convex cheek contour
  • Adequate projection of the deep medial cheek fat pad
  • Soft, blended transitions between facial zones

Dr. Barrera’s volumization approach, which is supported by published fat grafting and midface anatomy research, focuses on restoring:

  • The deep medial cheek fat pad
  • The SOOF (suborbicularis oculi fat)
  • The deep pyriform space
  • The ogee curve (the hallmark of youthful midface contour)

This creates natural lift, reduces under-eye hollowing, and improves midface support. 

Correction of Surgical Irregularities & Facial Defects

Customized fat grafting is an exceptional tool for correcting:

  • Surgically induced depressions
  • Asymmetry from previous procedures
  • Old incision planes
  • Contour defects
  • Volume loss from trauma or prior surgery

Fat grafting can rebuild tissue in areas where previous surgeries left visible contour irregularities, creating a smoother and more balanced facial appearance.

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Full Face Fat Grafting Procedure Overview

Your customized fat grafting experience begins with an in-depth consultation and detailed facial mapping session to understand your anatomy and goals. 

On the day of treatment, Dr. Barrera performs gentle liposuction to harvest donor fat from areas such as the abdomen or flanks. The fat is then carefully processed into microfat, nanofat, and other specialized graft types, each prepared for use in different facial planes. 

Once ready, the grafts are placed with precision into targeted compartments throughout the face, restoring youthful balance, improving contours, and enhancing natural lift. Because the transferred fat gradually integrates with your existing tissues, the results continue to soften and improve over the following weeks and months.

Recovery & Restorative Care

Recovery after full face fat grafting is generally smooth, with most patients experiencing only mild swelling or bruising for a few days. Early improvements are visible almost immediately, and because the procedure uses your own tissue, healing is highly biocompatible and comfortable. Each customized fat grafting procedure includes a complete restorative care package designed to support retention and optimize your results. This includes medical-grade skincare products, targeted supplements to promote healing, routine postoperative follow-up, and personalized guidance on maintaining graft health throughout the recovery process.

Pricing & What’s Included

The total cost for Customized Full Face Fat Grafting is $15,000, which includes:

  • Surgery
  • Anesthesia
  • Surgery center fees
  • Restorative postoperative care
  • Skincare package
  • Supplements

This bundled approach ensures transparency and delivers a complete treatment experience.

Dr. Barrera’s Expertise in Fat Grafting

Dr. Barrera performs over 50 comprehensive fat grafting procedures every year and educates surgeons worldwide through the Masters of Aging Face Surgery Course with Marina Medical. His work reflects a mastery of both facial anatomy and advanced volume restoration.

Virtual Consultations

Patients anywhere in Texas can meet with Dr. Barrera through a virtual consultation from our San Antonio office. This option allows early planning and review of candidacy before traveling.

Schedule Your Customized Fat Grafting Consultation

Full face fat grafting sufficiently restores volume, sculpts contour, and rejuvenates the face with natural, long-lasting results. With Dr. Barrera’s advanced training and personalized approach, patients receive a beautifully balanced outcome that enhances their natural features, not replaces them. 

Call (210) 468-5426 or reach out to us online to schedule your consultation today.

San Antonio Custom Full Facial Fat Grafting FAQ

Fat grafting can provide long-lasting, often permanent, volume when placed in the correct anatomical compartments.

Fat is ideal for patients seeking natural, structural, biocompatible volume with improved skin quality and no need for repeated treatments.

Yes. Microfat and nanofat are excellent for softening the tear troughs, reducing shadows, and blending the eyelid-cheek junction.

Absolutely. Fat grafting is one of the best tools for improving contour defects, depressions, and asymmetries caused by earlier procedures.

Most patients resume normal activities within a week, with gradual improvements continuing for months.

How much fat a surgeon takes for full face fat grafting will vary depending on the patient and their goals. In general, the fat each patient requires will be a small volume, and it’s usually extracted from the abdomen or flanks. Dr. Barrera uses a highly refined microfat and nanofat, so our team can process even a modest amount of fat. This fat can be processed into multiple graft types used for structural support, regenerative skin improvement, and fine-line refinement.

No, Dr. Barrera’s face sculpting techniques yield exceptional precision. He places fat in superficial and deep compartments using nanofat, microfat, and SMAS-supported grafts, which means we will avoid overfilling. This leads to a balanced, beautiful result that most patients seek.

Don’t worry; we expect a small percentage of the transferred fat to be reabsorbed by the body. However, Dr. Barrera knows how to intentionally inject fat into the best areas to ensure that, once the grafts stabilize, the final result looks balanced and natural. 

Yes, we can repeat facial fat grafting multiple times because the procedure uses your own tissues. While rare, some patients decide to return to refine their results after months or years. If you think you need a touch-up, reach out to our team so we can help you review your options.

Absolutely. Patients who have experienced age-related fat loss, weight loss, or facial deflation often benefit greatly from full face fat grafting. Restoring fat to key structural areas can rejuvenate facial shape, soften harsh angles, and recreate youthful fullness.

Fat grafting is great for improving the appearance of smile lines, marionette lines, and deep folds. Fat transfer is different than fillers in that it fills the deeper, internal structures more naturally and durably.

Yes, it’s safe for the under-eye area at the hand of an experienced and knowledgeable facial plastic surgeon. Dr. Barrera’s use of microfat and nanofat are perfect for this area, as it has delicate tissues. He can make the fat blend into the tear trough to reduce shadows and create a better lid-cheek transition.

Fat grafting replaces volume, but it does not tighten deeper structures or reposition descended tissues. Patients who have early aging signs can see substantial improvements with fat grafting by itself. However, if patients have considerable sagging, they may benefit more from combining a facelift and fat grafting.