Fat transfer or fillers? Permanent versus predictable
Fat is your own tissue and lasts for life, but only 60-70% survives, which is exactly why fillers still have a place.
What each one is good at
Hyaluronic acid fillers are predictable, immediate, reversible with an enzyme and ideal for small precise volumes, lips, tear troughs, a nasal bump. Fat is better for larger volume: hollow cheeks, temples, overall facial deflation.
The survival question
Grafted fat needs a blood supply. Roughly 60-70% survives the first three months and then stays for life; the rest resorbs. Good surgeons over-correct slightly and warn you that the two-week result is not the final one.
Downtime compared
Fillers: none, minor bruising. Fat transfer: swelling for 1-2 weeks, plus a donor site that needs compression. That difference is often what decides for people with jobs to return to.
Cost over five years
One session of fat transfer, €2,400, versus filler maintenance every 9-15 months at €250-€500 a session, one to two syringes, from €250 each. Fat wins on arithmetic; fillers win on precision and reversibility.
The Ones People Actually Ask.
Can fat transfer be reversed?
Not easily. That is the trade-off for permanence. Fillers can be dissolved within hours if you dislike the result.
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