Cheek fillers: hyaluronic acid vs. fat grafts

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In this article, we will discuss the existing solutions for cheek fillers, an aesthetic procedure that can enhance your facial beauty and restore the confidence lost over time. We will provide a comparative analysis between Hyaluronic Acid Fillers and Fat Grafts (lipofilling) to help you choose the treatment best suited to your needs and personal preferences.


What is Cheek Filler?

Cheek filler, also known as cheek augmentation, is an aesthetic procedure aimed at increasing the volume of this area, thereby providing facial harmonization, a more defined contour, and a younger appearance.

As we age, it is quite common to lose subcutaneous fat in the face, leading to a more saggy and tired appearance. Cheek fillers are an effective solution to combat these signs of aging.


Cheek Filler with Hyaluronic Acid

Hyaluronic acid is a natural component of our body, mainly found in the skin, joints, and eyes. It is known for its ability to retain water, which contributes to skin hydration and elasticity.

Cheek filler with hyaluronic acid is a non-surgical procedure in which this substance is injected directly into the cheeks to restore lost volume and provide an immediate lifting effect.

This procedure not only improves the appearance of the cheeks but also contributes to a more defined and youthful facial contour.

Characteristics of cheek filler with hyaluronic acid:

  • Provides immediate results;
  • It is reversible, with results lasting up to approximately one year.


Cheek Filler with Fat Grafts (Lipofilling)

Fat grafting, also commonly referred to as lipofilling, is a surgical procedure that can be used to fill grooves, wrinkles, expression lines, and to add volume to the lips and cheeks.

For cheek filler, the technique involves transferring fat from one part of the body to the cheeks.

Characteristics of cheek filler with fat grafts:

  • Offers long-lasting and permanent results, provided there are no weight fluctuations;
  • Utilizes autologous material (from the patient);
  • Can improve not only the cheeks but also the fat donor area.


Hyaluronic Acid vs. Fat Grafts

While Hyaluronic Acid is known for its hydrating ability and immediate results, Fat Grafts stand out for their durability and the use of the patient’s own fat. Below is a comparative table.


 Hyaluronic AcidFat Grafts
Recovery TimeShortModerate


The choice between the two depends on various factors, including the preference for a less invasive procedure or the goal of more permanent results.

However, it is always necessary to seek medical advice to choose the best treatment suited to your needs.

Responsible for the treatments

Dr. Francisco Martins de Carvalho
Dr. Francisco Martins de Carvalho

Dr. Francisco Martins de Carvalho is a specialist in Plastic, Reconstructive and Aesthetic Surgery. He completed his degree in Medicine at the School of Medicine of the University of Oporto and the Internship in Specific Training in Plastic, Reconstructive and Aesthetic Surgery took place at Hospital de São José (Lisbon) and Hospital de São João (Oporto).

Currently, he is also a plastic surgeon at the Hospital de São João – Oporto, and an Invited Lecturer at the School of Medicine of the University of Oporto.

In the field of cosmetic surgery, he has a special interest in cosmetic surgery of the face, cosmetic surgery of the breast, body contouring surgery and vaginal cosmetic surgery.

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