​Fat Grafting

“Restoring volume with your own extra fat.”

Common name – ​Fat Grafting.

Technical name/also known as – ​Fat Grafting.

Benefits of Fat Grafting

This surgery is for women with a loss of volume of the face… and hands, too. Folds around the mouth may become more pronounced and the cheek can look flattened. Fat grafting can help restore some of the lost volume with the body’s own tissue. It is often done in conjunction with a facelift but can be a standalone procedure. While this description describes fat grafting for facial rejuvenation, fat can be transplanted to other areas of the body as a corrective procedure (such as for contour irregularities after breast procedures or liposuction).

How it is done: How fat is grafted.

Fat grafting involves the harvest or removal of fat from one area (often the abdomen or lower extremities) by liposuction and transfer to another by injection. After the fat is harvested through a small, usually inconspicuous incision, it is prepared for injection by gravity or centrifugation. This process removes oils and serum and allows just the intact fat to be transferred. The fat is then placed into the areas of volume loss through tiny entrance sites. Some overcorrection is performed in anticipation of reabsorption of the fat. It is expected that only 30% of the fat will “take” and become vascularized and act like the other fat naturally found in the face.


As a filling material, there is often a plentiful supply of fat. What is transplanted and vascularized after absorption is expected to remain. While it does not prevent future volume loss, it may make the need for future “boxed” filler less. There is also little concern about reacting to this filling material since it is your own.


The amount of fat which takes after grafting is approximately 30%, so additional filling to maintain correction with “boxed” fillers may be needed.

Who pays for this

This is a cosmetic procedure, paid for by the patient.

What to expect

Length of operation

1-2 hours as a standalone procedure.

Anesthesia used

Local (if stand alone procedure) or general anesthesia (if combined with a facelift or other procedure).

In or out patient

Outpatient, unless combined with a surgery requiring an overnight stay.

Time until final appearance

3 to 4 months, depending on how swelling resolves.

Length of results

Long-lasting, but varies from patient to patient.

Side effects

Temporary swelling, bruising, and some pain commonly occur. There is usually more discomfort at the site of harvest than at the site of placement. Overfilling may be noticed initially which dissipates with time. Sensation of the face may be different initially.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise.   Risks include pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin laxity, dissatisfaction with appearance, asymmetry, seroma, sensory changes including permanent loss of sensation, temporary or permanent changes in facial movement, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.


“I love when patients tell me their friends and coworkers ask if they’ve gone on vacation or lost weight—their results are seen as a natural improvement. They look like themselves, just better rested.”

– Dr. Danielle DeLuca-Pytell  

Virtual Consults


While we are under social distancing and shelter at-home instructions, I am offering virtual consultations for new patients interested in meeting with me.

You can do this from a computer (via an invitation) or a smartphone (via an invitation and the Google Meet app).
There are four parts to the consultation:


1. Arrange a consultation by phone or email,
Phone: 248-885-8858
Email: info@delucapytell.com


2. Download the new patient forms. Click here.

After you fill them out, you can either fax or email them to me.
Fax: 248-856-3975
Email: info@delucapytell.com


3. Once the consultation is arranged, a meeting invite will be sent to you with the link for the consultation. At our prearranged time, follow the link to our secure and private consultation.

There, you and I will have time to talk about your goals, medical history, and all about the procedure.

While the examination is limited to observation in two dimensions, I should be able to determine whether or not you are a candidate for surgery.


4. If you are indeed a surgical candidate, you will be contacted by Andrea, my patient coordinator, to get a surgical quote (or if insurance-based, your expected out of pocket costs), and an opportunity to hold a surgical date.

You will also be given a follow-up visit to confirm with your exam that you are a candidate and preoperative visit time for us to prepare you for surgery.


I hope to virtually see you soon!

Your Next Step!

Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.

Our phone number


Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to 3pm.

Our email address

Please also email us anytime with questions you have.


Quick Contact Form

    Before and After Gallery

    When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.

    Recovery time

    If healing proceeds as expected:

    Rest at home (princess treatment) 2 weeks (no housework or exercise). Outsource housework a while you rest. Walk around the house, but do not work out. Rest with your head up and sleep with your neck extended (to avoid creasing) for the first two weeks.
    Return to gentle exercise and household chores at two weeks and gradually increase activity. May resume work if it is sedentary.

    Returning to Work

    This depends on the type of work that you do. Many women can return to sedentary work two weeks after surgery, though not everyone is ready to return to work by then. Surgery affects different people differently.

    Time until final appearance

    3 to 4 months, depending on how swelling resolves.

    Length of results

    Long-lasting, but varies from patient to patient.

    Smoking and Surgery

    If you smoke, it is imperative that you quit six weeks both before and after surgery.  To better understand why, please click this link:

    Smoking and Plastic Surgery

    Other Information

    Plan to bring a scarf with you on the day of the procedure as well as dark glasses to camouflage your temporarily swollen appearance on leaving the office. For other suggestions during the “ugly ducking” stage, click here

    If you color your hair, do so right before surgery as you will not be able to color your hair until three weeks following the procedure. Plan to bring a scarf with you to the hospital on the day of the procedure as well as dark glasses to camouflage your temporarily swollen appearance on leaving the hospital.


    See what her patients have to say about their surgical experience.

    Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.

    Your Appointment

    When you visit the office for your appointment, we will talk about the side effects and risks of this procedure.

    You will have the chance to ask any questions you might have.

    Don’t forget:  it is your body!  There is no such thing as a bad or silly question!

    Contact us

    Give us a call to schedule your appointment.

    Our phone number