315 Tsar Boris III Blvd.
Sofia 1619, Bulgaria
Face Lipofilling


Lipofilling is fat transfer or structural fat grafting. It uses patients’ own fat as a permanent filler to add volume to soft tissues. The fat is harvested with thin cannulas, through small incisions, using conventional liposuction. After filtering, the isolated fat cells are then injected into the deficient area(s). In addition to adding volume, lipofilling reduces scarring, improving the quality and elasticity of the overlying skin. It’s mechanism of action is not fully understood but by repeated clinical application, this technique has demonstrated its safety and efficacy.

Lipofilling is used in soft tissue augmentation, body contouring, facial rejuvenation, facial reconstruction (e.g. Romberg’s disease) and breast surgery (both reconstructive and aesthetic).

» Technique

Preoperatively, suitable donor site areas for fat harvesting are identified. These include the inner aspect of the knee, the thigh, the buttock, abdomen, love handles, back, upper inner arm and neck
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» Pre-operatively

It is vitally important that you discuss your expectations. In many cases two or three attempts at lipofilling may be necessary to achieve the desired effect. Unfortunately, approximately 50% of the injected fat is reabsorbed after each procedure and every patient needs to be aware of this
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» Post-operatively

Many patients experience areas of numbness post-operatively. This is related to swelling, mild trauma to the sensory nerves and the fact that local anaesthetic was administered. In addition, it is very common to develop bruising in the areas where the fat has been harvested and injected
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» Post-operative complications

Common sequelae:


  • Discomfort
  • Transient numbness
  • Bruising
  • Swelling


General complications:


  • Haematoma(<1%) which may require a return to theatre
  • Wound infection (<1%)
  • Seroma (<5%)
  • Hypertrophic scars


Complications specific to this procedure:


  • Subcutaneous cysts, nodules or scarring
  • Fat reabsorption requiring additional surgery

» Advantages and Disadvantages



  • Improvement at both the recipient site and the area from where fat is harvested.
  • Surviving fat is permanent.
  • A completely natural material
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Lipofilling - breast

€ 1 200 - € 1 950

Lipofilling - buttocks

€ 2800 - € 3500

Lipofilling - breast

€ 2500 - € 3900