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Facial Plast Surg
DOI: 10.1055/a-2705-3478
Original Article

Autologous Fat Grafting of the Face in Men

Authors

  • Lavanya Nagappan

    1   Division of Otolaryngology, Head & Neck Surgery, Department of Surgery, Cooper University Health Care, Camden, New Jersey

  • David Liao

    2   Division of Facial Plastic & Reconstructive Surgery, Department of Otorhinolaryngology, Head & Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania

  • Jason D. Bloom

    2   Division of Facial Plastic & Reconstructive Surgery, Department of Otorhinolaryngology, Head & Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
    3   Bloom Facial Plastic Surgery, Bryn Mawr, Pennsylvania
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Abstract

Aim and Background

Men have distinct facial anatomy and facial patterns. Autologous fat grafting techniques can be tailored to maintain masculine features.

Historical Aspects

Interest in male facial rejuvenation has grown in recent decades. Autologous fat grafting is favored for its natural, durable results and regenerative benefits.

Anatomy

Men have angular facial structures with prominent brows, wider jaws, and thinner fat layers. Aging leads to forehead rhytids, midface hollowing, nasal lengthening, jawline blunting, and a more rectangular profile due to bone loss and skin laxity.

Patient Selection

Thorough preoperative evaluation and facial analysis are important for successful planning and outcomes.

Techniques

There are various commercially available tools for fat harvesting and processing. The Tulip cannula and PureGraft systems are described in this article. Microfat (1,000–1,500 microns) is preferred in facial grafting for its balance of volume restoration and low nodularity risk. The brow, infraorbital region, midface, jawline, and chin can be targeted to restore a youthful, masculine contour.

Current and Future Development

Research on male-specific outcomes, including hormonal and weight effects on graft longevity and patient-reported outcomes, is limited and is an area ripe for future investigation.

Conclusion and Clinical Relevance

As interest in male aesthetics increases, tailoring facial rejuvenation techniques to their anatomy and aging is essential for successful outcomes.

Keywords

facial fat grafting - facial rejuvenation - facial augmentation - male gender


Publikationsverlauf

Eingereicht: 04. September 2025

Angenommen: 19. September 2025

Accepted Manuscript online:
19. September 2025

Artikel online veröffentlicht:
30. September 2025

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