Lipofilling / facial restructuring

What is facial lipofilling surgery?

What is facial lipofilling surgery?

The word lipofilling means filling with fat in English. Dr Romano and Dr Fuhr perform this operation under local anaesthesia in order to reduce the hospital stay and post-operative discomfort.

This term is used to describe all surgical procedures that involve harvesting autologous fat tissue from areas of the body where it is particularly abundant (abdomen, hips, thighs, etc.), purifying it from the blood, and then injecting it into areas of the face or other parts of the body such as the buttocks, legs, scars, etc.




60 minutes


Day Hospital


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Patients approaching this technique are predominantly female patients aged between 40 and 60 years suffering from:

  • Loss of trophism in the malar regions (cheekbones) and cheeks
  • Correction of sub-palpebral grooves
  • Augmentation of the lips
  • Scar corrections

The result of this operation is to obtain a more relaxed and radiant skin, giving the patient a fresher and more rested look. The procedure can be performed throughout the year.

The preoperative consultation with the medical staff at Studio Romano Fuhr is aimed at assessing the patient's general clinical situation and agreeing on the desired result in an absolutely informal but professional atmosphere.

In order to exclude pre-existing pathologies, patients are advised to perform routine examinations for all surgical procedures (blood count, coagulation balance and ECG).

Patients are advised not to take any anticoagulant medication (aspirin, excessive vitamin C, contraceptives, etc.) for 10 days prior to surgery.

The procedure can be performed under local anaesthesia combined with mild sedation to make the operating course more pleasant. Adipose tissue is harvested by means of fine canulae placed under light suction through small incisions of about 2-3 mm in the skin of the harvested areas. The most common harvesting areas are:

  • Hips
  • Abdomen
  • Thighs
  • Inner knees

The harvested adipose tissue is commonly 'filtered' using various techniques and once separated from the serum component injected into the previously identified hypotrophic areas of the face.

The procedure lasts between 60 and 90 minutes with a short outpatient stay. The immediate result will be apparently excessive as the transplanted adipose tissue will have a variable quota of reabsorption.

The definitive result will only be appreciable approximately 30 days after the operation.

The post-operative phase of lipofilling is generally quick and painless, characterised by slight oedema and a few haematomas that, if present, disappear about 7 days after the operation.

Rest for 12 hours is recommended with complete resumption of normal life from the second day.

The patient can accelerate the return to social life with the help of light make-up from the 2nd postoperative day.