Fat Grafting / FAMI / Multi-Level Fat Grafting

As we age, our faces begin to show the effects of gravity, exposure to the sun and many years of facial muscle movement such as smiling, chewing and squinting our eyes. The underlying tissues that keep our skin looking youthful begin to break down, often leaving laugh lines, smile lines, crow’s feet or facial creases over the areas where muscle movement occurs.

fat grafting - beverly hills - azizzadeh

Multi-level Fat Grafting, FAMI, or facial fat grafting is a new non invasive restorative approach to aesthetic surgery which facilitates correction of facial volume deficiencies to provide a more youthful appearance. Fat grafting is an outpatient procedure which removes and refines fat tissues from the lower part of the body, with Liposuction. This refined fat is then injected into the 30 main facial muscles with the use of 10 specific cannulae. This procedure restores the facial volume loss that is associated with aging and prior face lifting procedures. Fat grafting significantly improves the skeletonization of the face which is a hallmark of aging; hence restoring a more youthful facial appearance. Dr. Azizzadeh often utilizes fat grafting simultaneously with facelifts to improve the overall result.

fat grafting illustration - beverly hills - azizzadeh

Watch Dr Azizzadeh perform Multi-Level Fat Grafting and a Neck Lift on patient Richard Sain

Fat Grafting Procedure Highlights:

  • Pure fat cells are taken from the abdomen of the patient.
  • It is then injected into the layers of the face.
  • These cells age along with the cells.
  • Almost 90 per cent of the patients get permanent grafting in the first try itself.
  • However, others may have to go in for two or three repeat procedures.
  • There is another related procedure that repositions and smoothes out the fat under eyes.
  • Results last for about 5 years, so fat grafting cost is usually very cost-effective


  • There may be some swelling and bruising, which disappears in a week.
  • It is not recommended for people with kidney or liver disease and very low body fat.

Read more about Periorbital Fat Grafting

periorbital fat grafting - beverly hills - azizzadeh

Read Dr Azizzadeh’s Interview on ABC 7 News “Fat for your Face Better than a Face Lift?”

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Before & After Gallery

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In The Media


 Dr. Babak Azizzadeh in ABC News   Dr. Babak Azizzadeh on The Doctors

Dr. Babak Azizzadeh in ELLE Magazine      Dr. Babak Azizzadeh in People Magazine

 Dr. Babak Azizzadeh in The New York Times

Dr. Azizzadeh’s Instagram Feed


Dr Azizzadeh’s Philosophy for Dermal Fat Grafting:

We have to listen to our patients and we have to educate our patients so that we can explain the procedures and products that will give them the best results. Balance is very important. I think that we usually under treat patients, and as a result they’re not happy with the results. It’s always important to make sure that we achieve the correction that will give the patient a great result.

On the other hand, we should also recognize that the face should not be overfilled or overstuffed; there should still be contours and shadows that preserve a natural-looking face. We sometimes see people whose buccal spaces have been overfilled, so they get an unattractive round face when they started out with an oval face. Make sure that the zygomatic arch, lips and cheeks aren’t overfilled. Fat grafting can also be customized and performed with an individualized facelift.

Read more about periorbital fat grafting.

The injection techniques and the injection protocol are very important so that too much — or too little — product isn’t injected. Balance is very important.

Dr. Azizzadeh is the author of several textbooks

Read Chapter 1: The Aging Face Consultation from Dr Azizzadeh’s best-selling medical textbook “Master Techniques in Facial Rejuvenation”.

Fat Grafting Before and After Photos:

fat grafting - los angeles - azizzadeh fat grafting before and after - beverly hills - azizzadeh multi level fat grafting - beverly hills - azizzadeh

View more Multi-Level Fat Grafting before and after photos

Read real patient testimonials

Learn more about Multi-Level Fat Grafting / FAMI
Dermal injectable fillers are one of the most popular non-surgical treatments being performed today, but it is important to have dermal fillers performed by an experienced cosmetic surgeon, not just any one. Contact Dr. Azizzadeh today if you live in the Beverly Hills or Los Angeles, California area and would like to schedule an initial consultation. During your initial consultation Dr Azizzadeh will perform a throughout facial assessment and find the right dermal filler, fat grafting or combination of dermal fillers to fit your unique needs. Below, Dr. Azizzadeh has answered some frequently asked questions.

Q: How long will it take before final results from fat transfer to the cheeks and lips appear?

A: Typically, 6 months after the procedure is a good indication of the final results of a fat transfer.