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Patients considering fat transfer surgery in Chicago, IL often start with a simple question: how does moving fat from one part of the body to another actually work? At Evolve Your Life, fat transfer surgery is performed by Dr. Amir Dorafshar, MD, FACS at the practice’s Chicago, Peoria, and Oak Brook, IL locations, including the downtown Chicago office in the Gold Coast near the Magnificent Mile. The technique itself is a three-stage process, and understanding each stage helps set realistic expectations before surgery.

The Three Stages of Fat Transfer

Stage one is harvesting: fat is removed from a donor area, most commonly the abdomen, flanks, or thighs, using a gentle liposuction technique designed to preserve the health of the fat cells rather than simply remove volume. Stage two is purification, where the harvested fat is processed, typically with a centrifuge or filtration system, to separate viable fat cells from fluid, blood, and damaged cells. Stage three is reinjection, where the purified fat is placed in small amounts through multiple passes of a cannula, layering volume gradually rather than depositing it in one large pocket. The American Society of Plastic Surgeons notes the face, breasts, hands, and buttocks are among the most common treatment areas for this technique.

That layering approach in stage three matters clinically: small, distributed deposits give each graft of fat better access to a blood supply, which is what allows a meaningful percentage of the transferred cells to survive long-term. Cleveland Clinic’s overview of fat transfer procedures points out that because the material is the patient’s own tissue, there’s no risk of implant rejection, and the liposuction used to harvest it offers the added benefit of contouring the donor site at the same time.

Where Fat Transfer Fits Alongside Other Procedures

Because the harvesting step already involves liposuction, fat transfer is frequently combined with other procedures rather than performed in isolation. Patients having a mommy makeover, for example, may have fat harvested from the abdomen during the same operation and used to refine results elsewhere. Facial fat transfer is often paired with lower-face or neck procedures to restore volume that surgery alone doesn’t address. The ASPS guide to fat transfer breast augmentation covers candidacy considerations specific to breast-area fat grafting in more detail.

Patients frequently want to know how fat transfer compares with other volumizing options. Our articles Is Facial Fat Transfer Permanent and How Natural Does It Look? and What Is the Difference Between Fat Transfer and Dermal Fillers? cover those comparisons directly, so this overview focuses instead on the mechanics of the surgery itself.

Recovery from fat transfer tends to be milder than recovery from implant-based procedures, since there’s no foreign material involved and incisions at both the donor and injection sites are minimal. Most bruising and swelling resolve within one to two weeks, with final results becoming apparent over the following months as the transferred fat settles into its new location.

At Evolve Your Life, Dr. Dorafshar evaluates each patient’s available donor fat, treatment goals, and anatomy before recommending fat transfer surgery over other volumizing options. Chicago-area patients interested in this natural, staged approach can schedule a consultation at any of our three Illinois locations to see whether it’s the right fit.

Amir Dorafshar, MD, FACS is a globally recognized, board-certified plastic, aesthetic, and reconstructive surgeon specializing in aesthetic surgery, craniofacial reconstruction, microsurgery, and facial gender-affirming procedures.

He earned his medical degree from the University of Manchester, UK, and trained at UCLA, the University of Chicago, and Johns Hopkins Hospital. He previously held the Endowed Chair, Professorship, and Residency & Fellowship Program Director role at Rush University Medical Center.

A facial transplantation pioneer, he has co-authored 230+ peer-reviewed articles and co-edited major surgical textbooks. He is currently Chief of Plastic Surgery at OSF St. Francis Hospital and President & CEO of Evolve Your Life, Chicago.