Fat Grafting/Fat Transfer
Member of American Society of Plastic Surgeons and the American Board of Plastic Surgery


Post-partum Body Restoration
· Breast Augmentation
· Abdominoplasty
· Liposuction

Minimally Invasive Facial Rejuvenation
· Neck Lift
· Blepharoplasty
· Facial Fillers
· Botox
· Fat Transfer

Procedure: Structural Fat Grafting (Fat Transfer/Lipostructure)


Structural fat grafting is a natural means to enhance and rejuvenate the face and body. As we age our underlying collagen and elastic begins to break down and wrinkles and folds emerge. This along with facial fat loss and the fact that our skin, muscle and bone all decrease in thickness and size, brings about deep facial lines and hollow appearance to the face. Fat grafting is a cosmetic procedure where your own fat is used to re-contour your face and provide definition to your cheeks, chin, jaw-line or lips, and/or correct problems such as hollowness around the eyes or acne scars.

A good candidate is:

  • A non-smoker
  • Men and women typically over age 40
  • Not in the active stages of acne
  • Generally in good health
  • Not pregnant or breast-feeding
  • Not taking blood thinners (i.e. ibuprofen, aspirin, Plavix or Coumadin)

Procedure description:

Structural Fat Grafting is performed as an outpatient/office procedure under local anesthesia with occasional oral sedative. This procedure takes between 1½ to 2 hours, depending on the amount of fat grafting needed to the area. During this procedure fat is gently removed from the donor site (usually the buttocks, abdomen or the saddle bags) with a small hypodermic needle using a special cannula with limited suction as so not to damage the membrane of the fat cell. The fat is then spun in a centrifuge to remove excess fluids and the damaged fat cells are picked out and only whole, undamaged fat cells would be used. The fat is then injected with the use of a separate smaller hypodermic needle either just under the wrinkle or deep within the muscle in some areas where there is a higher vascularity within the muscle increasing the longevity of the fat graft.


Following the procedure you can expect to be swollen, a bit bruised, and a little sore both at the treatment site and the donor site. You shouldn't wear make-up until at least 1-2 days after. If you were given any type of sedative you will need someone to drive you home. You should keep the treatment area as still as possible for the first few days to allow proper healing and give the area and newly transplanted fat cells a good chance to become vascularized. Avoid high-impact exercise or activities for the first 2 to 3 weeks, depending upon the extent of the surgery.

Dr. James M. Shenko
Dr. Richard Montilla

299 Lincoln Street
Suite 201
Worcester, MA 01605
fax: 508.852.3001

Dr. Shenko sees patients in the Leominster/Fitchburg office 4 days/month.

For an appointment please call the Worcester office.

Patient Forms
Health History Form

Cosmetic Procedures:
Plastic Surgery, Cosmetic Surgery, Hand Surgery - Dr. James M. Shenko - Dr. Richard Montilla - Worcester MA, Leominster MA, Fitchburg MA