Facial Surgery

Lipofilling face
and nanofat

(fat autograft)

This procedure was first described in 1893 by described in 1893 by Gustav NEUBER. This technique was protocolized by Dr. COLEMAN in 1987 and since each year we observe improvements of the technique to allow a better better fat grafting. It allows to restore volume to the face without external biomaterial.

Surgical indications

This procedure is intended for patients who wish to to regain the volumes of the face (lipofilling) and to obtain an improvement in skin trophicity (nanofat). The combination of these 2 techniques allows to have a rejuvenating effect over the long term.

Aesthetic indications

     The areas of the face concerned are :

  • Front - Tempe - Glabella
  • Upper and lower eyelids
  • Cheekbones - Chin - Jaw line
  • Nasolabial fold - Bitter folds

Restorative indications

     The repairing indications are : 

  • Lipodystrophy (congenital, infectious)
  • Trauma
  • Burns
*The repair indications are covered by social security, a request for prior agreement will be written if necessary and depending on the act, in consultation with Dr. Alexandre G. LELLOUCH. More information on the Ameli website
Course of the intervention

The preoperative consultation

It takes place at the medical office. You will discuss with Dr. Alexandre G. LELLOUCH in order to specify your expectations and he will determine with you the best possible option.

From additional examinations will be prescribed (adapted according to each patient) as well as preoperative photos will be taken.

At the end of the consultation, the plastic surgeon will give you an estimate and an operating consent.

Dr. Alexandre G. LELLOUCH will perform a thorough examination of your nose in order to use the best technique corresponding to your anatomy and your wishes.

Course of the intervention

of the intervention

Dr. Alexandre G. LELLOUCH will identify the fat donor areas in agreement with the in agreement with the patient (thigh, abdomen, love handles, other). Dr. Alexandre G. LELLOUCH will prepare the fat in the operating room or in his office under sterile conditions and reinject it into the face using a specific reinjection cannula. Depending on the patient, there may be 20-40% fat loss after 1 month.

The lipofilling material is very specific and Dr. Alexandre G. LELLOUCH works in close collaboration with the distributors to have the latest possible innovations in terms of :

  • Centrifuge
  • Collection and reinjection cannula. 

It is updated with the latest protocols to limit the risks of resorption.

Type of anesthesia

Local or general anesthesia

Duration of the intervention

Between 1 and 2 hours

Type of hospitalization

Outpatient or office


After the intervention


Not very painful  

Control visit

Postoperative consultation with the surgeon at D-7 and 1 month. Dr. Alexandre G. LELLOUCH can be reached in case of additional needs

Nursing care

Daily shower and dressing until complete healing and nurse at home if needed (dressing and stitch care on D-10 if the sutures are not already resorbed)

Duration of convalescence and care

5-10 days on average until swelling and bruising subside

Resumption of sports activities



Possibility to work from D-1 according to the work (telecommuting) because bruises are present a few days to a few weeks post-op. Possibility of applying make-up after the removal of the threads

The results are immediate.

The scars have their final appearance around 12-18 months.

Practical Information
(for everyone

  • Do a blood test prescribed by the surgeon
  • Well Fill out your clinic file before your consultation with the anesthesiologist.
  • Take appointment with an anesthesiologist at the clinic and schedule a consultation between 1 month and 1 week before your surgery date.
  • Stop smoking 3 weeks before and 3 weeks after for optimal results.
  • Buy postoperative medication/medical equipment before the procedure so that you have as little stress as possible after the procedure

Surgical technical reference of the surgeon

For more information on the intervention


Sensitive but not very painful...

For any specific or additional questions, please contact us directly by mail...or on the contact form here.

Doctor Alexandre G. LELLOUCH

The Dr. Alexandre G. LELLOUCH is a surgeon specialized in Plastic Reconstructive Aesthetic Surgery, registered with the Order of Physicians of the city of Paris 16 under the number 75/89697.

The Dr. Alexandre G. LELLOUCH is a specialist in cosmetic surgery, reconstructive surgery, and aesthetic medicine injections, which he practices at the MAISON ABEILLE in Paris 16.