Facial Plastic Surgery Sydney
Facial Fat Grafting
Fat grafting is a surgical procedure that uses a patient’s own fat from areas such as the abdomen or thighs to address areas of facial volume loss. With aging, the facial structure changes, resulting in hollowing in the cheeks, under the eyes, or in the temples, which can alter overall facial balance.
The procedure is a long-lasting, natural alternative to synthetic fillers, providing permanent results, enhancing facial contour, and improving skin texture using your own tissue.
Elegant, harmonious, authentic.
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“Using your own tissue, I carefully restore volume and shape, focusing on subtle, long-lasting refinement tailored to your frame.“
Facelift surgery Sydney
What can a Fat Grafting help with?
Concerns fat grafting may address include:
The surgical procedure aims to:
- Restore facial volume long-term using the patient’s own fat.
- Improve harmony between different facial areas.
- Address specific contour concerns by targeting areas most affected.
Overall benefits may include:
- Permanently redefined and smoother facial contours.
- Directly addressing volume‑related changes associated with age or other factors.
Dr ILLIE encourages thorough consultations to:
- Ensure understanding of the procedure, recovery, and outcomes
- Help make an informed decision
Before and After
Am I a good candidate?
Suitable candidates for fat grafting may:
- Be in good overall health and present with concerns related to facial volume loss.
- Not smoke, or be willing to stop smoking prior to and after surgery, as smoking increases the risk of poor healing and complications.
- Have no significant medical conditions that interfere with fat survival or wound healing, such as clotting disorders or poorly controlled diabetes.
- Commonly be between 30 and 70 years of age, though each person is individually assessed.
Dr ILLIE will perform a thorough assessment during consultation to determine whether fat grafting is an appropriate option for you.
Procedure Options
Dr Vlad ILLIE offers several fat grafting techniques, customised to each patient’s anatomy and specific areas of concern. Every approach is carefully considered, and Dr ILLIE will discuss which method may suit you best after assessing your goals, medical history, and facial structure. He will also explain the potential risks, benefits, and limitations.
Autologous Fat Transfer
Fat is harvested from another part of the body, such as the abdomen or thighs, then purified and injected into areas of the face with volume loss. This option is well suited to treating visible hollowing in larger areas.
Microfat Grafting
Involves refining the harvested fat into smaller particles, making it suitable for delicate regions such as under the eyes. The finer preparation allows for precise placement in sensitive zones.
Nanofat Grafting
This technique further processes fat cells so that it can be used to improve skin texture or fine contour adjustments. It does not provide the same structural volume as microfat or standard fat transfer, but may benefit surface quality.
Procedure snapshot
Surgical procedure duration: Approximately 2-4 hours
Hospital stay: Day procedure
Post-operation recovery:
- Take 1-2 weeks off work to allow for initial healing
- Avoid intense exercise for 2-4 weeks to support recovery
- No driving for 24 hours after the procedure to ensure safety
- No smoking for 4-6 weeks before and after to promote healing
Your surgical team includes:
- Dr Vlad ILLIE, qualified plastic surgeon with specialised training in facial procedures
- Experienced anaesthetist to manage your comfort and safety
- Accredited facilities adhering to Australian standards
Expected results:
- Improved volume in targeted areas such as cheeks or under eyes
- Balanced facial contours through natural fat restoration
- Refined appearance that develops over time as swelling settles
Dr ILLIE is committed to delivering results that complement your natural features while prioritising your wellbeing throughout the process.
Surgical Steps:
- Harvesting the fat: Microincisions, typically 2-4 mm, are made at a donor site such as the abdomen, thighs, or flanks. A thin cannula is inserted to gently remove fat using liposuction. This method preserves the fat cells’ viability while keeping the procedure minimally invasive.
- Processing and purifying the fat: The harvested fat is carefully processed to separate viable fat cells from fluids and debris. The goal is to prepare high-quality fat for injection, ensuring only the healthiest cells are used.
- Injecting the fat into facial areas: Using fine cannulas, purified fat is injected in small amounts into targeted facial regions, such as the cheeks, under eyes, or temples. Dr ILLIE layers the injections strategically to achieve even distribution and natural integration with existing tissues, avoiding overfilling.
- Closing the incisions: The microincisions at both the donor and injection sites are closed with fine sutures or adhesive strips. These are designed to heal with minimal scarring, and any dressings are applied to protect the areas during initial recovery.
Surgical Considerations
Facial Anatomy & Ageing

Layers and Volume Loss
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The face is made up of several anatomical layers: bone, deep and superficial fat pads, and skin.
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In the 30s, early changes may show as subtle hollowing in cheeks and temples. By the 50s, gradual reduction in fat pads and bone mass can result in more pronounced deflation and shifting of contours.
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The skin’s support decreases as the deep fat pads shrink and bone density drops, changing how the face appears over time.
Fat Grafting Approach
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Fat is commonly harvested from the abdomen or thigh, then carefully prepared and introduced into the face to restore soft tissue support (e.g., cheeks, under-eye, jawline).
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Grafting addresses contour and symmetry; the approach is chosen based on ILLIE’s clinical assessment of a person’s unique needs, anatomy, and goals.
Suitability
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Best for those noticing volume loss or contour change with age, or requiring correction after injury or previous surgery.
More About Donor Fat Selection
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Fat is usually taken from the abdomen or thighs, both regions shown by current evidence to yield suitable fat for face grafting, with no major difference in clinical outcomes for most healthy adults.
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Dr Vlad ILLIE will discuss with each individual which site offers the best quality and availability for their body and preferences.
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Additional donor sites may include the flanks or back, as determined to be suitable during consultation.
Application Areas
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Transferred fat may be used to address facial volume changes (e.g., under eyes, midface, temples, jawline) that typically result from aging or weight loss.
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The method is individualised to ensure the most stable and proportional result possible for the site being treated.
Types of Incisions
Incisions for fat grafting are kept small and discreet to reduce visible scarring and promote quick healing. For harvesting fat from donor sites such as the abdomen or thighs, microincisions (about 2-4 mm) are made in natural skin folds or hidden areas. These are closed with minimal sutures, allowing them to fade over time. Dr ILLIE carefully selects incision sites to blend with your anatomy and minimise any impact on your daily life.
Effectiveness
Fat grafting works by restoring volume to areas affected by age-related changes, helping to improve facial contours and create a more even profile. The transferred fat integrates with your tissues, providing a natural feel compared to synthetic options. It is important to understand that some of the fat is resorbed by the body within the first few weeks after the procedure, which is carefully considered by Dr ILLIE.
Fat grafting does not prevent ongoing ageing; it addresses current visible effects like hollowing. Results depend on factors such as fat survival rate and your overall health, with some refinement occurring as the face settles post-procedure.
Duration and Recovery
Procedure Duration: The surgery typically lasts 2-4 hours, depending on the extent of harvesting and injection areas. It is often performed under local anaesthesia with sedation or general anaesthesia, with a day procedure or short overnight stay for comfort.
Recovery Timeframe: Initial recovery takes about 1-2 weeks, during which you may need time off work. Swelling and bruising are common in the face and donor sites, usually peaking in the first few days and subsiding over 1-2 weeks. Gentle activities can resume gradually, but avoid exercise for 2-4 weeks to prevent disrupting the grafted fat.
Full Recovery: Most daily routines return within 2-4 weeks, though minor swelling may linger. Results begin to stabilise after 3-6 months as the fat settles and integrates. Longevity varies based on your health, lifestyle (like avoiding smoking), and how well the fat takes—some patients see effects lasting years.
Dr ILLIE discusses these aspects in your consultation to set realistic expectations and personalise your recovery plan, ensuring you feel supported every step of the way.
Potential Risks and Complications
- Anaesthesia reactions: Responses to local or general anaesthesia can occur, such as nausea or allergic reactions; your medical history is reviewed beforehand to minimise this.
- Bleeding or haematoma: Minor bleeding during or after surgery may lead to a collection of blood under the skin, which could require drainage if it persists.
- Infection: Though uncommon, bacteria can enter at incision sites, treatable with antibiotics; strict sterile techniques reduce this risk.
- Fat resorption: A portion of the grafted fat (up to 30-50%) may not survive, leading to partial volume loss; this is normal and often accounted for with slight over-injection.
- Asymmetry: Uneven fat distribution or settling can cause temporary or minor imbalances, potentially needing touch-up if it doesn’t resolve.
- Lumps or irregularities: Uneven injection may result in palpable nodules, which usually soften over time but can occasionally require revision.
- Donor site issues: Bruising, swelling, or discomfort at the harvest area (e.g., abdomen) is common and resolves in 1-2 weeks; contour irregularities are rare with gentle techniques.
- Rare complications: Nerve irritation causing temporary numbness, or visible scarring if healing is delayed; serious issues like significant nerve damage are very uncommon.
Safety Measures & Surgeon Expertise
Why is it important to choose a fully qualified, board-certified plastic surgeon?
Choosing a certified Specialist Plastic Surgeon (FRACS) who is a member of the Australian Society of Plastic Surgeons (ASPS) or ASAPS ensures your surgeon meets the highest professional standards. A fully qualified and AHPRA‑registered surgeon has completed rigorous training and adheres to strict professional requirements. Board certification and specialised training in facial surgery indicate that the surgeon has the expertise needed to perform procedures safely and competently, helping to reduce the risk of complications.
What qualifications and training does Dr Vlad ILLIE have?
Dr ILLIE brings extensive experience and highly refined surgical skills to facelift procedures, supported by his comprehensive plastic surgery training and more than a decade of performing complex facial reconstructions for patients with traumatic injuries and cancer‑related defects. This depth of experience shapes his approach to aesthetic surgery, enabling him to operate with precision, care, and a deep, anatomically grounded understanding of the face.
As a fully qualified plastic surgeon with training in facial surgery, Dr Vlad ILLIE is registered with AHPRA and holds relevant certifications that demonstrate his commitment to maintaining high standards of surgical care and patient safety.
How does Dr ILLIE ensure surgical safety?
- Conducts comprehensive pre-operative assessments to understand your health status and individual needs.
- Develops a personalised surgical plan tailored to your facial anatomy and goals.
- Uses refined, evidence-based surgical techniques to minimise tissue trauma and promote smoother recovery.
- Works within accredited surgical facilities that adhere to strict hygiene and safety protocols.
- Collaborates with experienced anaesthetists and nursing staff to monitor your wellbeing throughout the procedure.
What role do consultations play in safety?
Dr ILLIE prioritises thorough consultations to:
- Explain the procedure clearly, including potential risks and realistic outcomes.
- Answer all your questions to ensure you have a full understanding before proceeding.
- Discuss lifestyle factors such as smoking cessation and health optimisation to support healing.
- Set clear expectations to help you make an informed decision.
How are risks minimised during and after surgery?
- Careful patient selection and preparation, including managing any medical conditions.
- Strict adherence to infection control and surgical safety checklists.
- Post-operative monitoring and follow-up appointments to detect and manage any issues early.
- Providing detailed aftercare instructions to support recovery.
Recommendations for Patients
Maintain open and honest communication with Dr ILLIE throughout your surgical journey. It is important to provide a complete and accurate medical history, including any medications, allergies, or previous procedures. Discuss any concerns or questions you have, as well as your expectations, to ensure a clear understanding of the procedure and realistic outcomes.
Follow all preoperative instructions carefully. This may include:
- Adjusting or temporarily stopping certain medications as advised to reduce risks during surgery.
- Ceasing smoking at least six weeks before the procedure to support better healing and reduce complications.
- Maintaining a balanced diet and staying well-hydrated to prepare your body for surgery.
- Arranging for support on the day of surgery and during the initial recovery period, as you may have limited mobility.
Adhere strictly to postoperative care guidelines provided by Dr ILLIE and his team. This includes:
- Proper wound care and hygiene to prevent infection.
- Avoiding heavy lifting, strenuous exercise, and smoking for the recommended duration to promote healing.
- Taking prescribed medications as directed to manage pain and reduce inflammation.
- Attending all scheduled follow-up appointments to monitor your recovery progress.
Be vigilant for any signs of complications and contact the clinic promptly if you experience:
- Severe or persistent pain that is not relieved by medication.
- Redness, warmth, swelling, pus, or fever, which may indicate infection.
- Excessive bleeding or swelling beyond what was explained during your consultation.
- Any other unexpected symptoms or concerns regarding your recovery.
Following these recommendations carefully helps to minimise risks, supports effective healing, and contributes to achieving the best possible results from your procedure.
Combined Surgical Interventions
Fat grafting can be combined with other procedures to address multiple facial concerns at once, allowing for a more integrated approach. Dr ILLIE evaluates your needs to determine if a combination suits you, performed in a single session to reduce overall recovery time.

Fat Grafting + Facelift
This pairing restores volume in hollow areas while repositioning tissues for better contour. It helps create a more even facial profile by combining fat addition with lifting of sagging skin and underlying structures.

Fat Grafting + Eyelid Surgery
Adding fat to under-eye hollows alongside eyelid adjustments addresses both volume loss and excess skin around the eyes. This supports a smoother transition in the eye area without isolated focus on one issue.
Combining these procedures allows for a more harmonious and natural restoration of facial balance and ageing signs across multiple areas, with careful planning to ensure patient safety and optimal recovery.
Frequently Asked Questions
At what age is fat grafting suitable?
There’s no strict age, but it’s often considered from the 30s onward when volume loss becomes noticeable. Factors like skin condition, health, and anatomy matter most—Dr ILLIE assesses these individually during your visit.
How long is the recovery period after fat grafting?
Initial downtime is 1-2 weeks for swelling and bruising to ease, with most returning to work then. Full settling takes 3-6 months, but light activities resume sooner with Dr ILLIE’s guidance.
Will there be visible scars from fat grafting?
Incisions are small and placed in hidden spots, so scars are minimal and fade over 6-12 months with proper care. They’re rarely noticeable once healed.
How long do fat grafting results last?
Results vary, with some fat lasting years, but partial resorption means effects may evolve over 1-5 years depending on health and lifestyle. Dr ILLIE discusses maintenance options.
Why should I consult Dr ILLIE for fat grafting?
- Discuss your specific concerns and what you hope to achieve.
- Receive a clear explanation of the surgical procedure, including potential risks, benefits, and realistic outcomes.
- Confirm Dr ILLIE’s qualifications, experience, and approach to ensure your safety and satisfaction.
- Opportunity to ask questions and understand the full process before making a decision.
What should I do to prepare for fat grafting?
Follow instructions like stopping smoking 4-6 weeks prior, adjusting medications, and eating well. This helps reduce risks and supports better fat integration—Dr ILLIE provides a clear checklist.
Are there non-surgical alternatives to fat grafting?
Yes, temporary options like dermal fillers can add volume without surgery, lasting 6-18 months. They’re suitable for milder cases but don’t offer the same permanence as your own fat.
Will I need revision surgery after fat grafting?
Some patients opt for touch-ups if volume shifts over time, but many don’t. Dr ILLIE plans conservatively and reviews long-term expectations in consultation.
What is the recovery process like?
Expect swelling for 1-2 weeks, managed with rest and cold compresses. Bruising fades gradually, and follow-ups ensure smooth progress—most feel much better by week two.
How do I choose the right surgeon for fat grafting?
- Confirm they are a certified Specialist Plastic Surgeon (FRACS) and a member of the Australian Society of Plastic Surgeons (ASPS) or ASAPS, ensuring they meet the highest professional standards.
- Look for surgeons with substantial, specialised experience in facial rejuvenation, including deep knowledge of facial anatomy and advanced facial fat grafting techniques.
- Review their before‑and‑after portfolio to assess consistency, attention to detail, and alignment with your aesthetic goals.
- Ensure they operate in accredited surgical facilities, which support safety, sterility, and appropriate standards of care.
- Choose someone you feel comfortable with, who listens to your goals and concerns and communicates clearly throughout the process.
- Dr ILLIE exemplifies these qualities, combining FRACS‑accredited training with extensive experience in facial surgery, personalised care, clear communication, and a strong commitment to patient safety.
how Dr Vlad ILLIE’s Approach Stands Out

Dr Vlad ILLIE is a highly qualified Specialist Plastic and Reconstructive Surgeon based in Sydney, with extensive experience in facial plastic and reconstructive surgery.
Dr ILLIE has completed comprehensive international fellowships in Oxford, UK and Stuttgart, Germany, specialising in microsurgical reconstruction, complex facial revision surgery, and advanced cosmetic techniques. His background includes managing challenging reconstructive cases, including head and neck reconstruction, which contributes to his precise surgical skill set.
His results distinguish by:
- Precise fat harvesting: Using gentle liposuction to collect viable fat cells with minimal disruption to donor sites, maximising the quality for transfer.
- Targeted injection techniques: Layering small volumes into specific areas like cheeks or under eyes to achieve balanced contours without excess.
- Minimal incisions: Tiny, concealed entry points that heal quickly and leave faint marks, reducing recovery impact.
- Volume preservation strategies: Accounting for natural resorption by injecting conservatively, ensuring stable, even results over time.
- Personalised anatomical planning: Tailoring the procedure to your unique facial structure and volume needs, based on detailed assessments.
Further information
For fat grafting and facial cosmetic surgery interventions, please book a consultation with Dr Vlad ILLIE, Specialist Plastic Surgeon and Fellow of the Royal Australasian College of Surgeons. Dr ILLIE will provide further information on the treatment and specific recommendations for your circumstances.
For additional emotional care through your wellness journey, we can also provide psychological support.
Schedule a Consultation
Ph (02) 9101 4707
Fax (02) 9182 0092
office@drvladillie.com.au
Sydney Centre for Plastic Surgery
Suite 1702, Westfield Tower 2
101 Grafton St
Bondi Junction NSW 2022
Gosford Private Medical Centre
Suite 2, 213 Albany St North,
Gosford NSW 2250
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