Angela Hulsey, MD
Angela Hulsey, MD
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Facial Fat Grafting in St. Louis, MO

Volume & facial balancing that feels like you.

Facial fat grafting uses your body's own fat to restore volume, smooth wrinkles, and subtly rejuvenate your features. The result is soft, natural fullness without the need for fillers or implants. 

Before & Afters

Transform Your Look with Angela Hulsey MD

How does fat grafting work?

 This procedure is also known as autologous fat transfer, with “autologous” literally meaning “derived from the same individual.” Essentially, fat tissue is harvested from another area of the patient’s body (typically the abdomen, hips, thighs, or buttocks), purified and processed by the surgeon, and then strategically injected where needed. Adding volume in certain facial locations provides a lifting effect for smoother, fuller skin. 


Fat grafting also gives the added benefits from "adipocyte (fat cell) derived stem cells", providing long lasting effects with improvement in skin quality. 

Am I a candidate for fat grafting?

 Fat grafting is an excellent choice for most patients struggling with a loss of volume in particular areas of the face. This often causes mild to moderate wrinkles, lines (such as laugh lines and marionette lines), folds, and sagging skin in locations like the:

  • Forehead
  • Temples
  • Periorbital areas (around the eyes)
  • Cheeks
  • Nose
  • Lips
  • Jawline and chin

To accurately determine if fat transfer is the best treatment option for your goals, you’ll first need to come in for a consultation with Dr. Hulsey so she can accurately assess your symptoms and review your complete medical history.


Since this technique only involves the use of your own fat, patients can’t be allergic to it, as they might be with some dermal fillers. However, fillers can provide more flexibility later on. Alternatively, more severe levels of skin aging may necessitate facelift and/or neck lift surgery.

What happens during a fat grafting procedure?

 If approved for fat grafting, your surgery will take place at Seven Oaks Surgery Center, LLC, which is next to our St. Louis, MO, practice. You’ll likely be given local anesthesia with intravenous sedation for your comfort, but general anesthesia may be required in some cases. This will be discussed in more detail during your consultation.


Next, Dr. Hulsey will make a tiny incision in the harvesting location and extract a small amount of fat tissue. The fat is then allowed to settle to separate the fat cells from oils and water. The fat is isolated, and purified via "telfa gauze rolling" by Dr. Hulsey. The fat is then processed into micro and nano fat to ensure a smooth injection with lasting results. Lastly, the purified fat is injected into the face in specific areas to plump and smooth the skin. 

What can you expect during fat grafting recovery?

Most patients only report minimal facial and harvesting area swelling or bruising that typically clears up within the first few days of recovery. We will recommend avoiding intense exercise for 1-2 weeks or until these concerns subside. Results are usually apparent almost immediately and are meant to last indefinitely. 

Can fat grafting be performed on other areas of the body?

Of course! Fat grafting can be used for a multitude of reasons. For example, it is a common modality in scar rejuvenation, as it can help with discoloration and hollowing under a scar. If you have an area of concern that you believe could be helped with fat grafting, call our office today to schedule your consultation with Dr. Hulsey

Learn more about our facial procedures to help you meet your goals!

If you live in or around St. Louis, MO, female plastic surgeon, Dr. Angela Hulsey, is here to make you look and feel your best. Please call 314-966-8880 to schedule your consultation, or fill out the form below!

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Angela Hulsey, MD

at the offices of Paul Rottler, MD, FACS

Consults by appointment only

13625 Big Bend Road, St. Louis, MO 63122

Office: 314-966-8880 Email: info@dr-rottler.com

Hours

Mon

09:00 am – 05:00 pm

Tue

09:00 am – 05:00 pm

Wed

09:00 am – 05:00 pm

Thu

09:00 am – 05:00 pm

Fri

09:00 am – 05:00 pm

Sat

Closed

Sun

Closed

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