
As we age, the once evenly distributed fat deposits that give our face its shape shrink and shift downward. Studies show that over the course of 10 years, adults between the ages of 30 and 65 lose an average of 11.3% of their superficial facial fat and 18.4% of deep fat deposits.
This accelerates facial aging, making areas like your cheeks, temples, and undereyes appear sunken, and accentuating wrinkles. While dermal fillers can restore some of this lost volume, they require frequent maintenance for continued results, and they aren’t the right solution for everyone.
At Pearlman Aesthetic Surgery, we’re helping you achieve your goals on your terms, so we offer facial fat grafting in New York City as a natural, long-term solution.
When to Consider a Face Fat Transfer
In NYC, there are many options for anti-aging, but they aren’t all equal. While you lose fat in some parts of your face with age, you may gain it in others—typically in the lower face around the chin. We recommend fat grafting in New York City to restore fat to some areas, and buccal fat removal and liposuction to remove it in others, while facelifts and neck lifts focus on removing excess skin and repositioning the muscles.
→ What to Expect From Buccal Fat Removal: Before and After

Facial aging is complex, and it doesn’t look the same for any two patients. That’s why it’s crucial to work with a surgeon who understands your unique facial anatomy and goals, using this information to strategically combine the appropriate surgeries and achieve the most impactful results. Not only is Dr. Steven Pearlman among providers trusted as the best buccal fat removal surgeon in NYC, but he also specializes in all of these procedures as a dual board-certified facial plastic and reconstructive surgeon with decades of experience.
What to Expect From Facial Fat Grafting
Fat grafting is a procedure that uses liposuction to remove fat from one area and inject it into another. Unlike implants and fillers, this is a natural approach to volume restoration.
Fat Harvesting
After administering anesthesia, we create small incisions at the donor site—typically the abdomen, thighs, or buttocks—to insert a thin cannula. Then, we use gentle liposuction to remove fat cells from the area.
Fat Injections
After purifying the fat cells to reduce post-injection inflammation, we strategically inject the fat into your desired areas. Over time, these cells integrate with the existing fat, offering lasting results. However, your body may not “accept” all the fat cells, so we may recommend an additional fat transfer once you have fully healed if you wish to achieve more dramatic results.
Typically, patients retain between 40 and 70% of the injected fat.
Get Back to You
If you’re ready to reclaim your youthful features, schedule your consultation with Dr. Pearlman to determine whether a face fat transfer in NYC is your best option.

If you’re not quite ready for an in-person visit, use our virtual procedure match tool to receive customized recommendations in your inbox.
Up Next: How Kybella Compares to Neck Liposuction for Neck Fat Removal in NYC