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Instituto de Cirugía Oculofacial
🇪🇸ES | 🇫🇷FR | 🇬🇧EN | 🇷🇺RU | 🇸🇦عر
Madrid · Chamberí

Facial
Lipofilling

We restore the lost volume of the mid-face and cheekbones with your own fat. A younger, more natural face. Permanently.

Rejuvenecimiento facial con efecto lifting mediante lipofilling en Madrid
Temple
Temple
Cheekbone
Cheekbone
Mid-face
Mid-face
Result
Permanent
Tissue
100% natural
98%Satisfaction
+3.000Procedures
15+Years of experience
Rejuvenecimiento facial con efecto lifting mediante lipofilling en Madrid
Temple
Cheekbone
Mid-face
Temple
Cheekbone
Mid-face
Result
Permanent
Tissue
100% natural
First consultation free
Chamberí, Madrid
24h emergencies
Member SECPF · ESCRS
The treatment

Your own fat.
Permanent result.

Facial lipofilling extracts fat from the patient's own body and transfers it strategically to the face to restore volume lost with ageing.

The main treatment area is the mid-face and cheekbones. By restoring their projection, features lift and grooves soften naturally, without touching them directly.

This is not superficial filler: it is a structural correction in depth.

Fat contains mesenchymal stem cells and other stromal components. Research suggests they take part in angiogenesis and tissue remodelling processes, which may come with a gradual improvement in skin texture; the exact clinical magnitude of this effect is still under study.
Dr. Jiménez Ortiz's own protocol: developed over the last 7 years, it takes meticulous care of every step — harvesting, decanting and filtering — and never varies. The outcome: predictable, consistent, long-lasting results.
Treatment zones
Cheekbones and cheeks
Greatest impact. Restoring projection here visually lifts the entire face.
Mid-face area
Restores the triangles of youth and the eyelid–cheek transition.
Temples
Corrects temporal hollowing, common with age.
Brow lift
Fat placed at the brow tail and temple lifts the gaze with a lifting effect.
Hollow orbit and enophthalmos
Fills the sunken upper sulcus and corrects a sunken eye after trauma or surgery.
Nanofat: skin and scars
Emulsified fat rich in regenerative cells to improve skin quality and scars.
Chin and jawline
Projection and definition of the lower facial profile.
Lips and nasolabial folds are not indications for this technique. Hyaluronic acid gives better results in those areas.
Why choose it

Advantages over
other alternatives

01

100% natural tissue

No implants or synthetic materials. Zero risk of rejection or allergic reaction.

02

Permanent result

Integrated fat lasts a lifetime. No periodic maintenance.

03

Double effect

The donor area improves and the face rejuvenates in a single procedure.

04

Skin improvement

Stem cells stimulate collagen, improving texture and radiance.

05

Natural appearance

By integrating as own tissue, the result is organic and harmonious.

06

Combinable

Can be combined with blepharoplasty or aesthetic medicine for an integral result.

Dr. Antonio Jiménez Ortiz
Oculoplastic Surgery · Facial Lipofilling · Madrid
Hospital de Stanford · Byers Eye Institute
Miembro SECPF · ESCRS
24h emergencies
First consultation free

Your best self
starts here

We analyse your case personally and without commitment.

The treatment

What is
Facial Lipofilling?

What it consists of, which areas it treats, how it is performed and what to expect.

The technique

A deep
correction

Facial lipofilling extracts fat from the patient by gentle liposuction, purifies it in the operating room following the Coleman protocol and reinjects it strategically into the face.

The result is three-dimensional rejuvenation with a lifting effect across the entire mid and upper face: the gaze is lifted, lost volume is recovered and skin quality improves thanks to the growth factors and stem cells in fat tissue.

Anaesthesia

Local with mild sedation. Outpatient: you go home the same day.

Duration

Between 1 and 2 hours depending on areas and volume needed.

Recovery

Presentable at 7 days when no surgery is combined: cannula only, no incisions, no stitches.

Final result

From 3–6 months. Integrated fat is permanent.

Areas we treat

Cheekbones and cheeks — main area

Restoring their projection lifts the entire face, narrows dark circles and reduces nasolabial folds without touching them directly.

Eyelid–cheek transition

Fills the tear trough from depth, with more natural results than superficial fillers.

Temples

Temporal hollowing is a frequent and under-diagnosed sign of ageing.

Brow lift

Grafting at the brow tail and temporal region lifts and supports the upper third: the gaze opens up without traction surgery.

Hollow orbit and enophthalmos

Filling of the hollowed upper eyelid and deep orbital sulcus, and correction of a sunken eye: post-traumatic, after orbital surgery or in ocular prosthesis wearers.

Nanofat: skin treatment and scars

Emulsified fat (nanofat), rich in regenerative cells, is injected superficially to improve texture, radiance and fine lines, and to treat acne or surgical scars.

Chin and jawline

Projection and definition of the lower facial profile.

Not indicated for: lips or direct nasolabial folds. Hyaluronic acid gives better results in those areas.
The process

From consultation to
final result

I

Consultation and planning

Complete morphological analysis and personalised design. First consultation always free.

II

Fat extraction

Minimally invasive liposuction from the donor area under local anaesthesia.

III

Purification in the operating room

Gentle decanting — no centrifugation — to avoid adipocyte rupture and maximise cell survival.

IV

Sculptural infiltration

Microdroplet by microdroplet injection in multiple planes with blunt microcannulas.

V

Post-operative follow-up

Reviews with Dr. Jiménez Ortiz. 24h emergency telephone assistance.

Area of specialisation

Periocular fat grafting:
volume restoration with autologous fat

A periocular surgery technique aimed at restoring lost volume around the eyes — upper eyelid, lower eyelid and the orbitomalar groove — using the patient's own fatty tissue, performed by an oculoplastic surgeon.

Periocular ageing

It isn't only about
excess skin

Ageing around the eyes is not a single phenomenon: it produces skin changes, muscle changes, changes in the supporting ligaments, orbital bone remodelling and redistribution (with loss) of periocular fat, all at once. A purely resective blepharoplasty — which only removes skin and fat — can be insufficient, or even counterproductive, in patients where volume loss is the main component.

In some patients, removing more tissue does not rejuvenate the eye: it can make it look more skeletonised. That's why modern periocular surgery combines preserving, repositioning and restoring volume — not only resecting.
What is periocular fat grafting?

1. Harvesting

A small amount of autologous fat is harvested from a donor area through gentle liposuction.

2. Processing

The fat is gently decanted (without centrifuging) to preserve the adipocytes and the cellular fraction.

3. Controlled transfer

It is infiltrated in micro-deposits, into selected areas of the periocular contour, using a microcannula.

Realistic expectations

Why doesn't all
the fat stay?

Part of the transferred volume may be reabsorbed during the first few months. The final volume depends on several factors, not only on the surgical technique:

Vascularisation and quality of the recipient tissue
Fibrosis or previous surgeries in the area
Amount of fat transferred and size of the deposits
Distribution of the graft across different planes
The patient's individual biology (age, habits, metabolism)
This explains why two patients undergoing the same procedure can have different retention. In certain patients a second session may be necessary — this is not a failure of the technique, but an expected part of the process in some cases.
Result timeline
0–2 wks.

Initial inflammation

Swelling and possible bruising. The visible volume is greater than what will remain permanently.

2–6 wks.

Swelling reduction

The apparent volume progressively decreases. It still does not equal the final result.

6–12 wks.

Main integration

Main phase of neovascularisation and remodelling of the graft.

3–6 months

Representative result

The result is now much more reliable, although it may continue to refine.

6–12 months

Late remodelling

Fine biological remodelling may continue for up to approximately 12 months.

Times are approximate and vary depending on the procedure and each patient.

Upper eyelid

Fat grafting of the
upper eyelid

Indicated for a deep superior sulcus, a skeletonised eyelid appearance, age-related loss of fullness, sequelae of previous overly resective blepharoplasties, or volume asymmetries between both eyes.

The goal is not to make the eyelid thicker, but to reconstruct a natural anatomical transition between the brow, the orbital rim and the eyelid.
Lower eyelid and orbitomalar groove

Tear troughs and the
orbitomalar groove

Tear troughs can have very different causes: skin pigmentation, thin skin, a herniated fat pocket, bony or soft-tissue hollowing, or a combination of several. Fat grafting only makes sense when there is a real component of volume loss.

Not every tear trough is a volume problem, and therefore not all of them should be treated with fat. Differential diagnosis is the first step.
Modern periocular surgery

Fat grafting
and blepharoplasty

Fat grafting and blepharoplasty are not mutually exclusive: they can be combined in the same surgical procedure. Modern periocular surgery is not only about resecting; in selected patients it also involves repositioning tissue and restoring volume.

Possible strategies

Upper blepharoplasty + fat grafting
Lower blepharoplasty + fat grafting
Redistribution of the patient's own fat + fat grafting
Correction of sequelae from previous surgery + fat grafting

⚠ Requires individual assessment

The right strategy depends on each individual anatomy
A combination is not recommended without a prior examination
The plan is defined in consultation with the surgeon
When the anatomy has already changed

Fat grafting in secondary
or revisional surgery

An upper eyelid hollowed by excessive previous fat resection, irregularities, asymmetries, hollowing or postoperative skeletonisation are frequent reasons for secondary consultation. Revisional cases require an especially careful evaluation: the anatomy may be altered by previous surgery, fibrosis and scarring, which makes the result less predictable.

An honest assessment in secondary surgery does not promise a complete correction: it describes what is reasonable to expect in each specific case.
Duration

How long does
the result last?

Fat that successfully integrates can behave like the patient's own adipose tissue, and be potentially long-lasting. It can, however, change over time due to age, weight changes, metabolism or later anatomical changes — just like the rest of the body's fatty tissue.

Neutral comparison

Fat grafting vs.
hyaluronic acid

Autologous fat

The patient's own tissue
Requires surgical harvesting
Variable integration
Potentially long-lasting
Three-dimensional volumetric restoration

Hyaluronic acid

Does not require a donor area
More predictable initial result
Reabsorbable
Reversible with hyaluronidase

The choice depends on the anatomy, the indication, the history and the goals of each patient. Neither option is universally superior.

Frequently asked questions

Periocular fat grafting:
common questions

It is obtained through gentle liposuction of a donor area on the patient's own body (usually the abdomen or flanks), under local anaesthesia. The amount needed for the periocular region is small.

There is no fixed figure: in facial fat studies, the published average retention is around 47%, with a range of 26–83% depending on technique and measurement method. It depends on the recipient's vascularisation, the amount transferred and each patient's biology.

It is uncommon, but individual variability exists. Part of the volume is reabsorbed as expected during the first few months; in selected patients a second session may be necessary.

The initial result is not final due to inflammation. It becomes much more representative from 3–6 months onward, and fine biological remodelling may continue for up to approximately 12 months.

Yes, this is a frequent combination in modern periocular surgery. The specific strategy (which area to operate on, which area to fill) is defined after assessing each case.

Neither option is universally superior. Hyaluronic acid is reversible and gives a more immediate result; fat grafting uses the patient's own tissue and is potentially longer-lasting. The choice depends on each patient's anatomy and goal.

No. It only makes sense when there is a real component of volume loss. Tear troughs caused by pigmentation, thin skin or herniated fat pockets may require other treatments, or a combination of them.

Microfat preserves adipocytes and provides real volume; it is used for structural restoration. Nanofat undergoes greater mechanical processing, provides very little volume, and its interest is mainly cellular/stromal, with clinical evidence still heterogeneous.

Yes, in certain patients, especially if resorption was greater than expected. This is not considered a failure of the technique, but a possibility anticipated within the process.

Fat that integrates can behave like the patient's own tissue and be potentially long-lasting, but it can change over time due to age, weight or metabolism — just like the rest of the body's fat.

In certain cases of a skeletonised or hollowed eyelid after previous surgery, fat grafting can improve appearance. Since this is revisional surgery, the altered anatomy makes the result less predictable, and it is assessed individually.

The most frequent are oedema, bruising, asymmetry or irregularity, generally mild and transient. The medical literature also describes serious vascular complications, extraordinarily rare, associated with facial injection. Experience in periocular surgery reduces this risk.

Evidence

What we know
from scientific studies

The content of this page is based on published scientific literature on autologous fat transfer. These are some of the most relevant references:

1

Eto H, Kato H, Suga H, et al. "The Fate of Adipocytes after Nonvascularized Fat Grafting." Plast Reconstr Surg. 2012;129(5):1081–1092. PubMed 22261562

2

Tonnard P, Verpaele A, Peeters G, et al. "Nanofat Grafting: Basic Research and Clinical Applications." Plast Reconstr Surg. 2013;132(4):1017–1026.

3

Shih L, et al. "The Science of Fat Grafting." Semin Plast Surg. 2020;34(1):5–10.

4

Revisión sistemática y metaanálisis. "Volume Retention After Facial Fat Grafting and Relevant Factors." Aesthetic Plast Surg. 2021;45(2):506–520. PubMed 31940073

5

Yang F, et al. "Efficacy, Safety and Complications of Autologous Fat Grafting to the Eyelids and Periorbital Area: A Systematic Review and Meta-Analysis." PLoS One. 2021;16(4):e0248505. PMC8016360

6

Khouri RK, Rigotti G, Cardoso E, et al. "Megavolume Autologous Fat Transfer: Part I. Theory and Principles." Plast Reconstr Surg. 2014;133(3):550–557.

7

Lazzeri D, Agostini T, Figus M, et al. "Blindness Following Cosmetic Injections of the Face." Plast Reconstr Surg. 2012;129(4):995–1012. PubMed 22456369

References 4 and 6: the bibliographic citation is confirmed for journal, year, volume and pages; the exact name of the first author is pending a final check by the medical team before final publication (see the final control report).
AJ
Contenido médico revisado por el Dr. Antonio Jiménez Ortiz
Specialist in Ophthalmology and Oculoplastic Surgery · Last scientific review: July 2026
Graft integration

What happens beneath the skin

Compare the freshly placed fat graft with the same graft once integrated, when the extracellular matrix has completed angiogenesis.

Injerto graso recién depositado: adipocitos dispersos sin red vascular
Freshly placed
Injerto graso a los 3-6 meses: red vascular y matriz extracelular desarrolladas
3–6 months

Diffusion

In the first days the graft survives by diffusion from the recipient bed: it does not yet have its own blood supply.

Neovascularisation

The recipient tissue generates new vessels that penetrate the graft along the matrix scaffold.

Remodelling

By around 3 months the extracellular matrix has reorganised and the remaining volume stabilises.

Schematic illustration for educational purposes; it does not correspond to a real histological image.
Differential diagnosis

Under-eye bags:
what actually causes them?

"I have bags" is one of the most common reasons for consultation, but it covers very different causes. The right treatment depends on the real cause — not all bags are treated the same way, and not all of them require surgery.

Herniated orbital fat

This is the classic cause: with age, the septum that holds periorbital fat in place weakens and the fat protrudes forward, forming a visible bulge under the lower eyelid. It is usually corrected with lower blepharoplasty (removing or repositioning the fat), not with fat grafting.

Volume loss in neighbouring areas

When the cheekbone or the orbitomalar groove lose volume, the bag —even without having grown— becomes more visible by contrast. This is where fat grafting can help, not by filling the bag itself, but by softening the transition around it.

Thin or lax skin

The skin of the lower eyelid is among the thinnest in the body. With age it can lose elasticity and form folds that are mistaken for fat bags. The approach here is different: skin quality treatment, or skin resection if there is a relevant excess.

Pigmentation (dark circle)

A dark tone under the eye is not a volume problem: it can be due to thin skin revealing the underlying vessels, pigment deposits, or the shadow cast by a groove. Fat grafting does not correct pigmentation itself.

Fluid retention

Morning puffiness from fluid retention —common due to genetics, sleep, or salt intake— is not a structural problem. It usually improves throughout the day and does not require surgical treatment.

Before proposing any treatment, including fat grafting, it is necessary to identify which of these causes —or combination of causes— is present. Treating the wrong cause does not give good results, whatever the technique.
Diagnosis

Droopy eyelids:
two different problems

"My eyelids are drooping" describes, in consultation, two anatomically distinct situations — which are treated differently. Telling them apart is the first step of any assessment.

Excess skin (dermatochalasis)

This is the most common: the skin of the upper eyelid loses firmness with age and falls over the crease, sometimes interfering with peripheral vision. The eyelid itself functions normally — the problem is the excess skin. It is corrected with upper blepharoplasty.

True eyelid ptosis

This is different: the eyelid margin covers more of the eye than normal because the levator muscle —which holds the eyelid up— is not working with its usual strength, not because of excess skin. Oculoplastic surgeons differentiate it from dermatochalasis through a specific eyelid examination, not just a visual one. Correcting it requires a different technique from standard blepharoplasty.

Both problems can coexist in the same patient, and periocular volume loss —treatable with fat grafting— can visually accentuate the drooping appearance without being its cause. That's why the assessment must consider skin, muscle and volume separately before deciding what to correct.

Not every drooping eyelid is a skin problem, and not every drooping skin is corrected the same way as ptosis. Differential diagnosis avoids treatments that don't address the real problem.
Eyelid surgery and treatment

Upper, lower and
volumetric blepharoplasty

"Blepharoplasty" doesn't describe a single technique. The right approach depends on whether the main problem is excess skin, herniated fat, or volume loss — and in practice they can be combined.

Upper blepharoplasty

Removes the excess skin of the upper eyelid —and, if necessary, repositions or removes localised fat— to open up the eyes and, in cases with functional impact, improve peripheral visual field.

Lower blepharoplasty

Addresses herniated fat and/or excess skin of the lower eyelid. Depending on the case, the fat can be repositioned (rather than removed) to fill the orbitomalar groove from within, avoiding a hollow appearance after surgery.

Volumetric blepharoplasty

When the main problem is not excess skin or fat but volume loss —a skeletonised eyelid, a hollow temple, a marked lid-cheek transition—, a non-resective approach can be chosen: restoring volume with fat grafting instead of removing tissue. This approach is sometimes referred to as volumetric blepharoplasty, and is the central focus of this practice in cases where it is indicated.

Blepharoplasty and fat grafting are not mutually exclusive and don't compete with each other: they solve different problems —skin and herniated fat versus volume loss— and in selected patients are combined in the same surgical procedure.

As eyelid surgery, blepharoplasty requires specific anatomical knowledge of this region —beyond general facial aesthetic surgery— to avoid both overcorrection (an operated or skeletonised look) and undercorrection.
The specialist

Dr. Antonio
Jiménez Ortiz

Specialist in ophthalmology and oculoplastic surgery. MIR residency at La Princesa University Hospital, advanced training at Stanford Hospital (Byers Eye Institute, California), in Beverly Hills with Dr. Jalalabadi and at La Paz University Hospital in Madrid.

Over the last 7 years he has developed his own fat grafting protocol that controls every detail — harvesting, decanting and filtering —, adapting the size of the fat graft to each area of the face. The protocol never varies: predictable, consistent, long-lasting results. More than 3,000 rejuvenation procedures performed.

MIR residency · La Princesa University Hospital (Madrid)
Stanford Hospital · Byers Eye Institute (California)
Facial aesthetic surgery in Beverly Hills · Dr. Jalalabadi
Training · La Paz University Hospital (Madrid)
Head of the Facial Palsy Unit · Severo Ochoa Hospital
Master's in Aesthetic Medicine · Complutense University of Madrid
Member of SECPF and ESCRS · Teaching associate, UAM
International speaker at congresses and courses · Ongoing training with international medical societies
Dr. Antonio Jiménez Ortiz
Dr. Antonio Jiménez Ortiz

Do you have any questions?

The first consultation is free and without commitment.

Candidates

Is lipofilling
right for me?

Not all profiles are the same. Find out if you are a good candidate.

The ideal candidate

Who can
benefit?

Lipofilling achieves the best results in people with facial volume loss due to ageing who seek a natural, lasting solution without synthetic materials.

✓ Ideal candidates

Flat or sunken cheekbones with age
Mid-face area with loss of projection
Hollow or sunken temples
Deep dark circles of structural origin
Drooping brows: seeking a lifted gaze without surgical facelift
Hollow orbit (sunken upper eyelid) or enophthalmos
Want to improve skin quality or scars with nanofat
Adequate fat reserve in the donor area
Seeking permanent results without fillers
Wish to combine with blepharoplasty
Good general health

⚠ Require special assessment

Low body mass index
Active smokers
Expectations focused on lips or nasolabial folds
Certain autoimmune or coagulation disorders
Recent facial surgery in the area
Comparison

Lipofilling vs.
Hyaluronic Acid

These are not exclusive techniques. Each has its own indications. In many cases the best solution is to combine them.

Facial lipofilling

Permanent result
Improves skin quality
100% natural, no maintenance
Double effect (donor + face)
Requires surgery
7-day recovery (without associated surgery)

Hyaluronic acid

No surgery, immediate result
Ideal for folds and lips
Reversible
Absorbed in 12–18 months
Requires periodic maintenance
Does not improve skin
In many cases the optimal solution is to combine both techniques: lipofilling for deep structural volume and hyaluronic acid for details such as folds or lips.
Frequently asked questions

We answer your
questions

The procedure is performed under anaesthesia. The post-operative period is manageable with standard painkillers, mild during the first 2–3 days.

Generally between 50 and 100 cc. Most patients, even the slimmest, have adequate reserves. Evaluated during consultation.

At 7 days if fat grafting is not combined with surgery: it is performed with a cannula only, with no incisions or stitches. If combined with blepharoplasty or other surgery, recovery follows that procedure (10–14 days).

Yes, although initial swelling distorts the real volume. The definitive result is appreciated from 3–6 months.

Yes, it is a very common and complementary combination. Dr. Jiménez Ortiz will evaluate the best option.

It is not a surgical facelift (which tightens the skin), but it produces a lifting effect: by restoring volume in the cheeks, temples and midface, the face is lifted and the gaze opens naturally, with no scars. When the issue is volume loss, fat grafting is usually the best option; with significant skin laxity, a facelift or a combination is considered.

It depends on the cause. If it's herniated fat, it's usually corrected with lower blepharoplasty. If the problem is surrounding volume loss, fat grafting can help. If it's skin or pigmentation, the approach is different. That's why diagnosis is the first step, not treatment.

Not directly. Fat grafting does not remove herniated fat — that requires blepharoplasty. What fat grafting can do is fill the area around the bag to soften the transition and improve the overall appearance, when volume loss is also present.

Excess skin (dermatochalasis) is a problem of the eyelid skin, which sags with age; the eyelid itself opens normally. Eyelid ptosis is a problem of the muscle that holds the eyelid up, causing it to cover more of the eye than normal, with or without excess skin. They require assessment and, often, different surgical techniques.

This isn't something you can determine just by looking in the mirror: it requires a specific eyelid examination. During consultation, the eyelid's position relative to the pupil and the levator muscle's function are assessed, along with excess skin, to differentiate both conditions — which often coexist.

It is the surgery that corrects excess skin and/or herniated fat in the upper and lower eyelids. It can be performed on one eyelid, on both, or combined with fat grafting when volume loss is also present.

It depends on where the problem is: excess skin above, herniated fat or skin below, or both. This is determined through an examination in consultation; not all patients need both eyelids operated on.

It is an eyelid rejuvenation approach based on restoring volume with the patient's own fat (fat grafting), instead of removing skin or fat as in classic blepharoplasty. It makes sense in patients where the main component is volume loss, not tissue excess; the right approach for each case is assessed in consultation.

Fat grafting in the tail of the brow and the temple can produce a visual lift of the gaze by restoring lost volume in that area, without surgery or scars. It is not a surgical brow lift (which physically repositions tissue through incisions) and does not replace it in cases of marked sagging — it is a different option, useful when the main problem is volume loss.

Not necessarily. The processing of the fat graft is adapted to the area being treated: on the cheekbones, temples or cheeks, it may be preferable to preserve a larger graft (macrofat) to maximise projection; on the eyelids and other very thin-skinned areas, a finer processing (microfat) is used, with a maximum of 10 passes through the filter to preserve the matrix surrounding the adipocyte, to achieve a natural result without the graft being noticeable. The decision is made individually during the assessment.

Results

Duration of
results

How long does it last? What percentage of fat survives? Honest answers.

The key

Integrated fat
is permanent

The great advantage over hyaluronic acid is that the fat that manages to integrate lasts a lifetime, ageing naturally with the patient.

The process requires the injected fat to vascularise. Not all of it succeeds, and the technique is designed to maximise this percentage.

Survival rate

Between 50–70% of grafted fat integrates permanently.

Can it be improved?

Yes. Coleman technique, multi-plane injections and not smoking maximise the result.

Timeline
Day 1–3

Immediate post-op

Expected swelling and bruising. Visible volume is greater than the final result.

Day 7

Social recovery

Without associated surgery the result is already presentable: cannula only, no incisions or stitches. Most people resume their social life.

Mo. 1–2

Partial reabsorption

Volume decreases as non-integrated fat is reabsorbed. Normal and expected.

Mo. 3–6

Stabilisation

Integrated fat stabilises. Definitive result visible. Skin improvement evident.

+6 months

Permanent result

Integrated fat lasts a lifetime. No periodic maintenance.

What happens beneath the skin

From the freshly placed graft
to integration at 3-6 months

Compare both images to see why the result takes months to stabilise: the graft needs to build its own blood supply before it can be considered integrated.

Injerto graso recién depositado: adipocitos dispersos sin red vascular
Freshly placed
Injerto graso a los 3-6 meses: red vascular y matriz extracelular desarrolladas
3–6 months
Schematic illustration for educational purposes; it does not correspond to a real histological image.
For medical professionals

Facial Fat Grafting
Training

Programs taught by Dr. Antonio Jiménez Ortiz in Madrid: operating-room observership courses and hands-on courses with real patients.

The training

Learn the technique
in a real operating room

The Instituto de Cirugía Oculofacial offers practical facial fat grafting training for physicians who want to add this technique to their practice. All teaching takes place during real surgery, in an accredited operating room, in small groups.

The program covers the full process following the Coleman protocol: patient selection, treatment planning, harvesting, processing and zone-by-zone injection, plus complication management and follow-up.

Seats

Small groups of 2–4 physicians per edition.

Venue

Madrid · The Institute's accredited operating room.

Languages

Spanish and English.

Upcoming editions

Held periodically. Ask about the next available dates.

Who it is for

Plastic and maxillofacial surgeons

Looking to refine facial fat transfer and its aesthetic planning.

Ophthalmologists and oculoplastic surgeons

Interested in tear-trough and periocular volume restoration.

Dermatologists

Wishing to expand their portfolio with minimally invasive surgical facial rejuvenation.

Otolaryngologists (ENT)

Especially those focused on rhinoplasty and facial surgery who want to add autologous fat grafting.

Experienced aesthetic physicians

Skilled injectors ready to move to permanent volume with autologous fat.

Legal requirement: to operate on the face in Spain a MIR specialty (or its official recognition) is required under the Ley Sara. The hands-on format is reserved for Plastic, Maxillofacial, ENT, Ophthalmology or Dermatology surgeons, with an active license and malpractice insurance.
Formats

Two learning
formats

Format 1 · Observership

Operating-room observership course

Watch live facial fat grafting surgeries performed by Dr. Jiménez Ortiz, with step-by-step explanation of every technical decision.

Duration1 day
FormatOn site
LevelIntroductory
Live surgeries narrated step by step
Patient selection and case planning
Coleman protocol: harvesting, processing and injection
Theory session and Q&A
Course technical dossier
Format 2 · Hands-on

Hands-on course with real patients

Perform the technique end to end on a real patient, under the direct supervision of Dr. Jiménez Ortiz, on cases pre-selected by the Institute.

Duration2 days
Ratio1–2 trainees
LevelAdvanced
Supervised practice on a real patient: harvesting, processing and injection
Cases pre-selected by the Institute's team
Direct supervision by Dr. Jiménez Ortiz
Complication management and follow-up protocols
Legal requirement (Spain's « Ley Sara »): the hands-on format requires a MIR specialty —or its official recognition/homologation— authorised for facial surgery (Plastic Surgery, Maxillofacial Surgery, ENT, Ophthalmology or Dermatology), plus an active license and malpractice insurance. We guide you according to your country of practice.
Syllabus

Course
syllabus

I

Applied facial anatomy and vascular safety

Fat compartments, danger zones and prevention of vascular complications.

II

Patient assessment and treatment planning

Morphological analysis, photography, indications and limits of the technique.

III

Fat harvesting

Donor sites, tumescent infiltration and atraumatic liposuction.

IV

Fat processing: decanting

Atraumatic decanting — no centrifugation, to avoid adipocyte rupture — graft preparation and obtaining microfat and nanofat.

V

Zone-by-zone injection

Cheek, lid–cheek junction, temple, chin and jawline. Planes, cannulas and volumes.

VI

Complications, clinical cases and follow-up

Prevention and management of complications. Case discussion and postoperative protocol.

Free consultation

Request an
assessment

First consultation always free and without commitment. We attend you personally.

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Contact information

Address
Calle de Blasco de Garay, 25
Chamberí, 28015 Madrid
WhatsApp
Email
Post-operative emergencies
24h telephone assistance

The first consultation includes

Completely free assessment
Morphological facial analysis
Personalised treatment plan
Detailed quote with no commitment
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