Lipofilling

Through a small incision of approximately 2 mm, fat is harvested from an area with excess fat tissue, typically from the abdomen or inner thighs. This is done using a fine, blunt cannula with tiny openings—a technique known as microliposuction. The harvested fat is then carefully washed with saline solution over a sterile filter. Due to the small size of the fat particles, this is referred to as microfat. One of the main advantages of microfat, particularly when used in the face, is the significantly reduced risk of irregularities.

The injection of this microfat is called lipofilling. Lipofilling involves transplanting fat to another area of the body. Like the liposuction itself, this procedure can be performed under local or general anesthesia and takes place during the same surgical session. The fat is injected using ultra-fine, blunt cannulas of less than 1 mm in diameter, inserted through tiny needle punctures.

Lipofilling is far more than simply injecting fat—it is a refined and artistic procedure that demands experience, precision, and a strong aesthetic sense. Dr. Tonnard and Dr. Verpaele have over 25 years of experience with this technique. Their approach is distinguished by the integration of lipofilling with traditional facelift methods, consistently aiming for optimal and natural-looking results. (See publications)

Lipofilling requires little to no specific aftercare. Moderate swelling may occur in the treated area, which can last from about five days to several weeks depending on the extent of the procedure. During the first six weeks, it is important to avoid weight loss, as general fat loss can also affect the successful integration of the injected fat tissue. Some volume loss is normal up to approximately four months after the procedure.

Contrary to common belief, lipofilling is a permanent treatment. The fat that remains after four months is generally considered stable and long-lasting. In some cases—particularly when larger volumes are involved—the procedure may be performed in multiple stages to minimize excessive swelling. This is always discussed in advance with the treating surgeon.

A sensation of tightness or mild pressure during the first few days is normal, though the procedure is rarely described as painful. Depending on the extent of the treatment, mild pain relievers (such as paracetamol) and/or antibiotics may be prescribed. The area where the fat was harvested may feel temporarily bruised, and some bruising of the skin may appear, typically resolving within a few weeks.

In cases involving more extensive liposuction, the skin over the treated area may feel temporarily numb. This occurs due to minor trauma to the superficial nerve endings and is a temporary effect that may last from a few weeks to several months (occasionally up to six months).

Unlike the use of large quantities of chemical fillers, complications with lipofilling are rare, as only autologous (body’s own) tissue is used. Essentially, three things can go wrong: too little fat may be injected, too much, or the fat may be placed in the wrong location. These factors are entirely dependent on the skills and expertise of the surgeon. As is often the case in aesthetic surgery, it is not just the technique but especially the surgeon’s experience and precision that determine the success of the result.

In very rare cases, an infection of the transplanted fat tissue may occur. Symptoms such as pain, redness, or increasing swelling are warning signs that require immediate attention from the surgeon. If necessary, a course of antibiotics will be initiated.

It is also possible, though uncommon, that part of the injected fat is reabsorbed by the body during the first few months—the so-called "integration phase." This may happen due to illness, infections, or significant weight loss resulting from stress or emotional strain. In such cases, an additional lipofilling session may be considered.

Surgical fee starting from €750 per zone
single zone: start-up cost minimum €1250

Price excludes VAT, anesthesia, operating room fees, materials, staff, and hospital stay