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Face Treatment

ADR-C Facial Enhancement (Facial Fat Grafting)

What Is ADR-C Facial Enhancement (Facial Fat Grafting) and how does it work?

As early as our late 20s, tissue volume in the skin begins to deplete. Typically, we lose up to 35 percent of mid-face volume due to stress, trauma or yo-yo dieting. This loss leads to skin sagging and the formation of jowls, hollows, creases and wrinkles.

But all is not lost as ADR-C Facial Enhancement (Facial Fat Grafting) [1], [2], [3], [4], [5] can restore youthfulness back into the skin such as filling up the fat loss on the face, smooth out facial lines and improve skin texture.

ADR-C Facial Enhancement, also known as fat transfer to the face, autologous fat transfer, micro-fat grafting or facial fat grafting, is a minimally invasive facial enhancement and rejuvenation procedure where the doctor extracts a minuscule amount of fat from another area of the patient's body, cleanses and processes it before reinjecting into the patient's face, in areas where needed.

Fat can be taken from the abdomen, inner or outer thigh. This treatment adds volume to ageing areas of the face and effectively rejuvenates the overlying skin.

Which areas will benefit from ADR-C Facial Enhancement?

Facial ageing

Irons fine lines, deep wrinkles, frown lines and facial creases

Sunken cheeks

Restores sunken cheeks caused by resorption of fat and bony deposits

Facial hollowness

Revolumise the temples and forehead, including sunken, hollowed eyes


Lift the brows and upper eyelids for a more youthful look

Pointed chin

Softens the look of a fierce appearance from a pointed chin

Nasolabial folds

Reduces the deep line  between the nose and the lips for anti-ageing

Marionette lines

Corrects the lines between the lips and chin for a more youthful look

Sagging jaws

Tightens loose skin and saggy jowls due to loss of elasticity

How long do results last? Any downtime? What factors will impact the results?

ADR-C Facial Enhancement (Facial Fat Grafting) is a long-term solution that will last for a couple of years, with a 50% to 70% of fat retention rate.

After the procedure, you may require a couple of rest days to allow the post-surgery swelling to settle. There is minimal disruption to your daily life besides no strenuous workouts and water activities for 2 weeks. You must follow the aftercare instructions provided. Failure to comply may impact the results and delay your healing process.

ADR-C Facial Enhancement

Factors that will impact your results include:

The skill of the doctor

How the fat is harvested, purified, how and where it is injected. The more skilful and experienced your doctor is, the more he understands the technique.

How well your body adapts

Fat survives the best when it is put into areas with abundant blood supply. In general, the face is well vascularised; hence results can and often are long-lasting.

Lifestyle factors

Smoking and drinking alcohol will impact your fat grafting results.

What are the benefits of ADR-C Facial Enhancement (Facial fat grafting)?

Fat grafting results may be enhanced by adding complementary procedures such as Pico Fractional Laser, Ultherapy, or Anti-wrinkle Injection (BoNTA) for good skin health and a younger and rejuvenated appearance.

Benefits of ADR-C Facial Enhancement (Facial fat grafting) include:

  • Biocompatible, non-allergic, non-toxic

  • Easy to harvest via liposuction

  • No risks of rejection

  • Long-lasting results

  • Rejuvenative properties due to the high concentration of mesenchymal cells present

Do all areas respond to fat grafting equally well?

It is worth considering this procedure if you have already undergone liposuction, so rather than disposing of the extracted fat, that fat can be repurposed for facial enhancement if you like.

Areas such as the lips and laugh lines, which see frequent motion, generally require more than one session for efficacy. Results can be achieved after just one session when done in other areas of the face and body.

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Besides a more youthful face shape, what else can it do?

Shapes and contours facial features

ADR-C Facial Enhancement also enhances facial features, the shape and contours of the jawlines, cheeks, and around the eyes, and their texture.

Treats deep pitted acne scars

It can also treat deep pitted acne scars to fill in uneven textures and create a smoother appearance.

Improves scarring from injuries or birth defects

ADR-C Facial Enhancement  can also improve facial scarring due to injuries, accidents, or birth defects.

More lasting & natural looking results

Due to the nature of fat (the patient's own fat source), fat grafting or transfer to the face is more organic so it is more lasting and natural-looking.

How long does the procedure take? What type of anaesthesia is used?

The surgery is carried out under local anaesthesia, typically taking 1 to 1.5 hours, in an accredited Day Surgery Center. Our anaesthesiologist and OT-trained personnel will take care of you during the procedure.

When will I see the final result?

Most of the patients will appreciate the changes almost immediately following fat grafting. Final results are seen a few weeks after with ongoing improvements.

Our doctor will advise you further during the consultation.


You are suitable for this procedure if you are:

  • Realistic about the results (of what can be or cannot be achieved)

  • Looking for longer-lasting results than that of dermal fillers

  • Looking to rejuvenate your appearance, smooth out fine lines, and improve the contours of your face

Does Amaris B. provide aftercare treatments?

At Amaris B. Clinic, aftercare significantly assists you with faster recovery and ensures optimum results. We have curated a bespoke aftercare program designed to help you with the healing process, such as MLD Therapy, skin firming, and many others.

What kind of qualifications should a fat grafting doctor in Singapore have?

Fat grafting should be performed by qualified doctors with appropriate training in the procedure. It is a requirement for doctors who want to offer fat grafting procedures in Singapore to be liposuction accredited by the Ministry Of Health Singapore.

Who will perform ADR-C Facial Enhancement (Facial Fat Grafting)?

If you are considering a fat grafting procedure, your choice of doctor will definitely affect your surgery's success. The technical and surgical approach undertaken by the doctor will determine your end results.

Dr Ivan Puah

Dr Ivan Puah has over 17 years of liposuction experience and is the Lipo Peer Review Committee Chairman. He was one of the few doctors in Singapore to carry out autologous fat grafting procedures back in 2008.

He has received surgical training and guidance in syringe liposculpture, fat grafting and thread lift by French plastic surgeon, Dr Pierre François Fournier.

Dr Ivan Puah during a liposuction and fat grafting surgery in Singapore


Do you freeze the extracted fat, store it and re-use it later?

No. Fat storage service is not available in Singapore.

Apart from the face, can fat be used in other body parts?

Yes. Fat can be grafted to the hands for hand rejuvenation, breasts for breast enhancement, and buttocks for buttock enhancement.

What if I want more fat-filling later?

We listen to your needs and ensure that your final result looks natural. As such, most patients are satisfied after the first procedure. After about 8 to 12 months from the initial procedure, some may feel that they would like to further enhance the results with additional fat grafting sessions, which would entail a separate fee.

Will ADR-C Facial Enhancement be painful?

A local anaesthetic will be administered to the treated areas during treatment to minimise pain and discomfort. Post-treatment, the patient may experience some soreness, bruising and fullness of the face. Most patients can manage post-op pain and discomfort well with the medications prescribed.

What causes facial volume loss?

As we age, fat mass in the face naturally depletes. This causes the cheekbones and midface to lose their volume, and together with collagen loss, parentheses lines will start to appear. These are lines, also known as nasolabial folds, in the shape of parentheses that form from the nose to the mouth. Fat loss in the face causes the skin to appear thinner, drier and dull.

I'm not ready for facial fat grafting. Any other options to revolumise my facial features?

There are skincare products that can help reduce the appearance of unsightly lines, but they will not eliminate them.

A more effective treatment method is hyaluronic acid fillers. Fillers can correct age-related facial volume loss by plumping up the nasolabial folds for a smoother skin appearance.


[1] Shauly, Orr BS*; Gould, Daniel J. MD, PhD†; Ghavami, Ashkan MD‡. Fat Grafting: Basic Science, Techniques, And Patient Management. Plastic And Reconstructive Surgery - Global Open 10(3):p e3987, March 2022. | DOI: 10.1097/GOX.0000000000003987

[2] Gornitsky, J., Viezel-Mathieu, A., Alnaif, N., Azzi, A. J., & Gilardino, M. S. (2019). A Systematic Review Of The Effectiveness And Complications Of Fat Grafting In The Facial Region. JPRAS Open, 19, 87-97. https://doi.org/10.1016/j.jpra.2018.12.004

[3] Marten, T. Discussion Of Shue Et Al. "Fat Injection: A Systemic Review Of Injection Volumes By Facial Subunit". Aesth Plast Surg 42, 1271–1276 (2018). https://doi.org/10.1007/s00266-018-1168-0

[4] Glogau Rg. Microlipoinjection: Autologous Fat Grafting. Arch Dermatol. 1988;124(9):1340–1343. DOI: 10.1001/archderm.1988.01670090010002

[5] Furlani Eat, Saboia Db. Facial Rejuvenation With Fat Grafting: Systematization And Study Of 151 Consecutive Cases. Rev. Bras. Cir. Plást.2018;33(4):439-445


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