Facial Fat Grafting

Charlotte's Most Trusted Plastic Surgeon

— delivering confidence through precision and care.

Natural Volume That Stays With You

Volume loss can happen so gradually that you might not notice it until, one day, you start to wonder where the fullness in your cheeks went. While many people focus on sagging when considering facial rejuvenation, the loss of youthful volume plays an equally important role in how we age. At May Plastic Surgery, Dr. Brian May uses facial fat grafting to restore natural contours and softness, creating results that look beautifully refreshed and balanced.

TRUST YOUR LOOK TO AN EXPERT

With years of experience in facial rejuvenation, Dr. Brian May delivers results that are refined, authentic, and naturally you.

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Facial Fat Grafting
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Anesthesia

General (when combined with other procedures)

Procedure Time

1-3 hours

Recovery

1-2 weeks

What Is Facial Fat Grafting?

Facial fat grafting is a surgical procedure that uses your own fat to restore volume to areas that have lost fullness over time. Dr. May first harvests fat from donor sites like the abdomen or thighs, then carefully processes and injects it using a small cannula to restore youthful contours.

Unlike synthetic fillers that last for six to 18 months, facial fat grafting provides exceptionally natural, long-lasting volume. Because the fat comes from your own body, it integrates seamlessly with your tissues. Once the fat “takes,” the results are considered permanent.

My goal is simple. I combine surgical precision with genuine, personalized care so every patient not only looks their best but feels seen, heard, and confident in their transformation.

- Dr. Brian May

The Art & Science of Facial Rejuvenation With Dr. May

There's something uniquely satisfying about solving a complex problem with precision and creativity, a mindset Dr. May developed long before he ever held a scalpel. His undergraduate engineering degree taught him to approach challenges methodically, while his artistic sensibility ensures every solution is as beautiful as it is functional. This blend of analytical thinking and creative vision shapes how Dr. May approaches every facial rejuvenation procedure, seeing the signs of aging not as separate “issues” but as an interconnected system that needs to be rebalanced as a whole.

Technical skill gets you halfway there, but Dr. May’s artistic eye is what separates good results from truly transformative ones, influencing everything from incision placement to tissue repositioning. He also considers factors like natural facial asymmetries, expression patterns and even how someone’s face moves when they smile or laugh to craft each surgical plan.

“I don’t believe in a one-size-fits-all approach and tailor every aspect of the procedure.”

- Dr. Brian May

Procedure Details

Facial fat grafting is typically performed as part of a comprehensive facial rejuvenation plan under general anesthesia. The procedure begins with liposuction to harvest fat from donor areas, usually the abdomen or thighs, where it can be obtained with minimal discomfort.

The harvested fat is then carefully processed and purified. Using precise techniques, Dr. May places the fat in specific areas to restore volume and create natural-looking contours. The procedure allows Dr. May to sculpt and enhance facial features with remarkable precision, restoring softness and structure where it's been lost over time. For the right patient, it's a powerful complement to surgical lifting and skin-tightening procedures.

Inside the Consultation Room With
Dr. Brian May

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What can I expect at my consultation?

The first consultation is a genuine, thoughtful conversation. We want the experience to feel comforting and non-clinical while still meeting all the medical needs of our patients. We’ll talk in-depth about your goals, concerns and medical history, and I’ll perform a physical exam to help determine the best treatment options. I like to think that my approach is honest and educational. I want patients to leave feeling informed, not pressured. You’ll receive a customized plan and have plenty of time to ask questions. This is your space to explore what’s right for you. We’ll also make sure to discuss skincare and how to properly prepare for surgery, as well as how to take care of your skin after surgery to ensure the best results possible.

How do you approach facial fat grafting?

While I don’t adhere to one strict method, I believe facial fat grafting is one of the most overlooked tools in facial rejuvenation. Many patients think of aging only in terms of sagging or skin laxity, but volume loss is a major component of facial aging. When this isn't addressed, even a technically excellent lift can fall short of its full potential. I do often combine facial fat grafting with other facial rejuvenation procedures for holistic, harmonious results.

How can I be sure my results will look natural and not overdone?

Through meticulous planning, customization and execution. I use the latest surgical techniques and maintain a relentless commitment to continuous learning. I also set realistic expectations and follow patients closely during their recovery to ensure optimal results. It is my opinion that some plastic surgeons will simply do the procedure a patient asks for because their friend had it or because they read about it. I offer options and have in-depth conversations about the pros and cons of those options. If a patient’s goals do not align with what I feel is a safe or appropriate treatment, I am more than comfortable telling them no or that I’m not their surgeon.

Adjunct Procedures:

To take your

Facial Fat Grafting

results to the next level, consider these options for a more complete transformation:

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Request Your Consultation

At May Plastic Surgery, Dr. May understands that true facial rejuvenation goes beyond just lifting sagging skin. His expertise in facial fat grafting helps patients restore the natural volume and softness that creates a genuinely youthful appearance. Call us at 704-200-2493 to schedule your consultation and discover if facial fat grafting is right for you.

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We are here to help. Whether you’re exploring your options or ready to schedule, our team is here to answer your questions about procedures, recovery, and next steps — and to personally guide you every step of the way.

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