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The Secret to Turning Back Time—Naturally

As we age, our faces gradually lose the soft, full contours that define youth. Hollow cheeks, sunken temples, and deepening folds can leave us looking tired or older than we feel. At Cheng Plastic Surgery in San Mateo, we offer fat transfer as a natural and lasting alternative to dermal fillers—using your body’s own fat to restore facial fullness, smooth wrinkles, and rejuvenate your appearance from the inside out.

Under the expert care of double board-certified facial plastic surgeons Dr. Elbert Cheng and Dr. Jacqueline Cheng—recognized as the Best Plastic Surgeons in the Bay Area by Mercury News readers—our fat transfer procedures are thoughtfully crafted to restore soft, smooth, and natural-looking volume that enhances your beauty while staying true to you.

What Is Facial Fat Transfer?

Facial fat transfer—also known as autologous fat grafting—involves harvesting excess fat from one area of the body (typically the abdomen, thighs, or flanks), processing it, and then strategically injecting it into the face or neck to restore lost volume.

Benefits of fat transfer:

  • Naturally fills hollow areas (cheeks, temples, under-eyes)
  • Softens nasolabial folds and marionette lines
  • Enhances lip volume and definition
  • Improves facial symmetry and contour
  • Offers long-term, often permanent results
  • Uses your own fat—no synthetic substances

Unlike dermal fillers, which are temporary and must be repeated, fat transfer offers lasting results with a soft, natural feel.

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Is Fat Transfer Right for You?

You may be a good candidate if you:

  • Have facial volume loss from aging or weight loss.
  • Want a more natural alternative to fillers.
  • Have donor fat available for harvesting.
  • Are in good health and do not smoke.
  • Desire long-term facial rejuvenation with minimal scarring.

During your consultation, we’ll evaluate your facial anatomy, discuss your goals, and create a personalized plan for fat grafting tailored to your needs.

Fat Transfer Before & After

Your Fat Transfer Procedure at Cheng Plastic Surgery

Our approach to fat transfer is grounded in precision, artistry, and safety. Every procedure is performed in our state-of-the-art private surgical center in San Mateo.

Step 1: Fat Harvesting

Using gentle liposuction, fat is removed from a donor area (such as the abdomen, flanks, or thighs) under local anesthesia or IV sedation. The fat is then carefully processed to isolate only the healthiest, most viable fat cells.

Step 2: Fat Purification

The harvested fat is purified using a meticulous technique that removes excess fluid, oils, and damaged cells, leaving behind only pure, transplantable fat.

Step 3: Injection

Using micro-cannulas, the fat is injected into areas of volume loss. Each droplet is placed with precision to create a smooth, sculpted result that integrates seamlessly into your natural tissue.

Note: Surgical procedures occur at our Saratoga location, where we maintain a fully accredited in-office surgical suite designed for safety, comfort, and exceptional outcomes.

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“I couldn’t imagine going anywhere else for any procedure.”

Thank you Dr. J and Dr. E and everyone at the practice!!

SUCH a great experience with Dr. Elbert Cheng and Dr. Jackie Cheng. Everyone at the practice is so nice to work with, helpful, friendly, and accommodating. I was well informed p...

SUCH a great experience with Dr. Elbert Cheng and Dr. Jackie Cheng. Everyone at the practice is so nice to work with, helpful, friendly, and accommodating. I was well informed prior to the procedures received. There were no surprises and everyone at the practice ensured I had everything I needed. Healing was such a smooth experience because of all the prep provided. I could not be happier with the results. Thank you Dr. J and Dr. E and everyone at the practice!!

by S.T.

HIGHLY RECOMMEND!!!

Teresa did an absolutely amazing job on my eyebrow tattoo removal! I flew all the way from Vegas to see her and it was the best decision ever! From the consultation, to the actu...

Teresa did an absolutely amazing job on my eyebrow tattoo removal! I flew all the way from Vegas to see her and it was the best decision ever! From the consultation, to the actual procedure, she was super thorough and walked me through each step of the process! HIGHLY RECOMMEND!!!

by M.V.

The result looks very natural

I had a double eyelid revision on one eye with Dr. Elbert Cheng to correct asymmetry from previous surgeries performed by other surgeons. The consultation with Dr. Cheng felt th...

I had a double eyelid revision on one eye with Dr. Elbert Cheng to correct asymmetry from previous surgeries performed by other surgeons. The consultation with Dr. Cheng felt thorough and reassuring, and I appreciated that the entire process from pre-op to post-op was clearly explained, accompanied by scheduled appointments. I also received post-op care instructions, which I believe helped speed up the recovery process. What truly amazed me was that I experienced no bruising at all, which is something I’ve never had with any of my previous surgeries. In the past, I always bruised, so I was impressed by Dr. Cheng’s skill. It’s been 6 months since the surgery and the fold height is now much closer to my other eye. The result looks very natural. Highly recommend Dr. Cheng to anyone considering eyelid surgery!

by E.O.

Great experience with staff and procedure

Great experience with staff and procedure. I got upper blepharoplasty done in Sept with Dr. Elbert Cheng. From day one the staff was kind and very helpful. During my consu...

Great experience with staff and procedure. I got upper blepharoplasty done in Sept with Dr. Elbert Cheng. From day one the staff was kind and very helpful. During my consultation with Dr. Cheng he was so informative and kind, great bed side manner. He was honest when I asked about other surgeries stating that I didn’t need them at this time, and gave great feedback as to why I didn’t need it and why I should wait. I love my results and healed very quickly. All in all a great doctor who is experienced and very knowledgeable in his field.

by K.S.

One of the best decisions in my life

Long overdue review. Back in November 2023 I got chin lipo from Elbert Cheng - one of the best decisions in my life.

I was 34 at the time. I had the most stubborn double ...

Long overdue review. Back in November 2023 I got chin lipo from Elbert Cheng - one of the best decisions in my life.

I was 34 at the time. I had the most stubborn double chin that would not go away. I had lost about 20 pounds through diet and exercise yet it was still there (I’m about 160 lbs, avid weightlifter). I blame genetics. I would see the double chin in photos and on screen while I was in my Zoom meetings - it became such a sore sight for me. I finally bit the bullet to get it removed with lipo.

The staff at Cheng Plastic Surgery were all absolutely amazing. The staff and Dr. Cheng gave me all the information about the procedure and answered all my questions. They were not pushy at all and let me take the time to decide if this was something I wanted to pursue. The day of the procedure, Dr. Cheng and staff were great and made sure I was comfortable and not nervous. The procedure itself was rather quick (less than an hour) and painless. Recovery was surprisingly not bad. There were quick check-in visits post-surgery for Dr. Cheng to monitor healing. I followed all of the post-procedure instructions and healed with no complications and I’m pleased to say the double chin is gone. It’s such a relief to not see it show up in photos anymore. I’m so thankful to Dr. Cheng and his staff - highly recommend.

by A.K.

I've had a fantastic experience with Teresa over the last year

I've had a fantastic experience with Teresa over the last year. She has been cautious, transparent, informative, and empathetic throughout our laser treatment sessions!
Ind...

I've had a fantastic experience with Teresa over the last year. She has been cautious, transparent, informative, and empathetic throughout our laser treatment sessions!
Indeed every member of the Cheng Plastic Surgery team that has helped me has been wonderful :)

by J.T.

I highly recommend Dr. Cheng

I had an amazing experience getting Botox with Dr. Cheng! Dr. Cheng and the staff are incredibly personable, taking the time to listen to my concerns and explain everything in d...

I had an amazing experience getting Botox with Dr. Cheng! Dr. Cheng and the staff are incredibly personable, taking the time to listen to my concerns and explain everything in detail. I never feel rushed, and the whole process is smooth. The results are exactly what I want—natural and refreshed without looking overdone. If you're looking for a skilled and caring provider, I highly recommend Dr. Cheng.

by K.C.

Theresa is the best at what she does!

Theresa is the best at what she does! I live in Fresno and make the drive because there is no one like her. She really takes her time to perfect her work! Will always keep comin...

Theresa is the best at what she does! I live in Fresno and make the drive because there is no one like her. She really takes her time to perfect her work! Will always keep coming back.

by E.A.

Her calm and reassuring demeanor is truly appreciated

The clinic itself is always clean and the staff are very welcoming, making me feel comfortable as soon as I walk in. Teresa is not only professional but also incredibly friendly...

The clinic itself is always clean and the staff are very welcoming, making me feel comfortable as soon as I walk in. Teresa is not only professional but also incredibly friendly. She has such a soothing aura that instantly puts me at ease, and I never feel nervous or anxious during the treatments. Her calm and reassuring demeanor is truly appreciated. I highly recommend Teresa for anyone considering laser treatments — she makes the entire process smooth and stress-free!

by H.D.

Recommend Teresa 10/10

Teresa is great!!!! I love my lips and she was super helpful during the process to make me feel comfortable. Talked me through the whole process it didn't even feel like I was g...

Teresa is great!!!! I love my lips and she was super helpful during the process to make me feel comfortable. Talked me through the whole process it didn't even feel like I was getting my lips done. Recommend Teresa 10/10 experience.

by J.S.

I highly recommend to all

A few years ago I was referred to Cheng plastic Surgery, Best referral ever! I have been fortunate to have Theresa RN, administer all my botox/dysport, she does such amazing wor...

A few years ago I was referred to Cheng plastic Surgery, Best referral ever! I have been fortunate to have Theresa RN, administer all my botox/dysport, she does such amazing work! I highly recommend to all.

by E.T.

Looking forward to coming back!

I visited to get chin filler done and it was such a great experience. Nurse Teresa was so helpful and walked me through everything she was doing. Looking forward to coming back!...

I visited to get chin filler done and it was such a great experience. Nurse Teresa was so helpful and walked me through everything she was doing. Looking forward to coming back!

by S.H.

Will definitely be coming back for next touch-up!

First time getting Botox at this location and my experience has been wonderful. Teresa was my nurse injector who made the process smooth and painless. Also, the follow up appoin...

First time getting Botox at this location and my experience has been wonderful. Teresa was my nurse injector who made the process smooth and painless. Also, the follow up appointment really showed the improvement in my wrinkles, which Teresa did an amazing job. Will definitely be coming back for next touch-up!

by M.M.

I would come back if I ever needed anything

Kevin was very nice and comforting! Came here for neck line treatment (hyaluronic acid fillers). Overall, was a pleasant experience, and I would come back if I ever needed anyth...

Kevin was very nice and comforting! Came here for neck line treatment (hyaluronic acid fillers). Overall, was a pleasant experience, and I would come back if I ever needed anything

by L.

The clinic itself is always clean and the staff are very welcoming, making me feel comfortable as soon as I walk in. Teresa is not only professional but also incredibly friendly...

The clinic itself is always clean and the staff are very welcoming, making me feel comfortable as soon as I walk in. Teresa is not only professional but also incredibly friendly. She has such a soothing aura that instantly puts me at ease, and I never feel nervous or anxious during the treatments. Her calm and reassuring demeanor is truly appreciated. I highly recommend Teresa for anyone considering laser treatments — she makes the entire process smooth and stress-free!

by H.D.

I saw the finishing product I started to cry

Huge Shout out to Teresa for The super marvelous job she did on my lips. Honestly I was really nervous about doing lip filler and making sure that they came out looking plump an...

Huge Shout out to Teresa for The super marvelous job she did on my lips. Honestly I was really nervous about doing lip filler and making sure that they came out looking plump and full but natural. That's exactly the result I got. Teresa knew exactly how to give me a nice border around my lips and gave me the prettiest cupids bow and pout. looks really pretty with lip liner and gloss now. I actually was so excited when I saw the finishing product I started to cry. I 100% recommend Dr. Cheng & his team for all your aesthetic needs ❤️

by N.E.

I would thoroughly recommend this practice

I saw Dr. Jacqueline Cheng for microblading removal using Pico laser. The entire experience from start to finish, was professional, comfortable, and efficient. I had microbladin...

I saw Dr. Jacqueline Cheng for microblading removal using Pico laser. The entire experience from start to finish, was professional, comfortable, and efficient. I had microblading done 5-6 years ago that never faded, and the lines had blurred. I have been to this practice 3 times; the first for a free consultation, again for a spot test, and the third for the actual laser treatment.

For the day of the actual treatment, I was in and out in under 30 minutes. They numbed my eyebrow with an ice cube to make sure that I was comfortable during the treatment, and talked me through what they were doing during the entire process. The results after one session were already very good and apparent, with the tattoo fading a lot (picture attached). I made a follow-up appointment for 3 months out, but the doctor mentioned that it should fade even more before then as my skin will naturally fade the ink. I would thoroughly recommend this practice for your tattoo/microblading removal.

by D.Z.

I always feel well taken care of here

Dr. Jackie recommended I get the CO2 laser to help lessen the appearance of my acne scars. The procedure itself took less than 20 minutes and was not painful. I love how friendl...

Dr. Jackie recommended I get the CO2 laser to help lessen the appearance of my acne scars. The procedure itself took less than 20 minutes and was not painful. I love how friendly the nurses are in the office too. I always feel well taken care of here and of course, appreciate how friendly and professional Dr. Jackie is.

by E.P.

I’ve honestly tried other places and they just do not compare

I’ve gone to Cheng’s to see Alex for Botox and/or Dysport now a few times and it is always a pleasure. I’ve honestly tried other places and they just do not co...

I’ve gone to Cheng’s to see Alex for Botox and/or Dysport now a few times and it is always a pleasure. I’ve honestly tried other places and they just do not compare. 10/10 I will always come back & recommend Botox/Dysport here at Cheng’s. Technique and knowledge goes a long way with these type of things, and cheaper doesn’t always mean better yall! Trust me I’ve learned along the way! Not to mention the office is always so clean and the staff is very welcoming.

by C.W.

As soon as you enter you feel welcomed

Great experience here!!! The lovely person who attended me at Cheng Plastic Surgery was Teresa. She is so amazing and I left so happy. The service I came in for was lip filler, ...

Great experience here!!! The lovely person who attended me at Cheng Plastic Surgery was Teresa. She is so amazing and I left so happy. The service I came in for was lip filler, I wanted plumper lips that would look natural and she did just that! It was my first time so I can't lie and say I didn't feel nervous at first. But after the consultation and her talking me through it, it was easy to give her my full trust. She made me feel so at ease and explained everything so well. She is very experienced/professional and well informed, told her my goals and she worked her magic. Don't regret it one bit. And Teresa's energy is beautiful, feels genuine and warm-- I feel that is important in these types of services!

Location is great. Aesthetics are on point. Super clean. Everyone who I interacted in the office with was very kind, so many smiles. As soon as you enter you feel welcomed and inside rooms I always felt well attended.

by R.C.

Thanks Teresa, Dr. Cheng, & team!

I had a problem with a frown line & Teresa at Cheng Plastic Surgery has done a great job resolving my issue with botox/dysport therapy. Thanks Teresa, Dr. Cheng, & team!...

I had a problem with a frown line & Teresa at Cheng Plastic Surgery has done a great job resolving my issue with botox/dysport therapy. Thanks Teresa, Dr. Cheng, & team!

by N.S.

He is truly the best and most knowledgeable doctor

My family has been coming to Dr. Cheng for all of our beauty needs. He is truly the best and most knowledgeable doctor. His team is also so kind and they will go above and beyon...

My family has been coming to Dr. Cheng for all of our beauty needs. He is truly the best and most knowledgeable doctor. His team is also so kind and they will go above and beyond to make sure you’re satisfied and comfortable.

by C.

Amazing session with Kevin!

Amazing session with Kevin! Super thoughtful in explaining the journey and provided guidance on how to approach my skin. Appreciate the team of how to apply the treatments. Sche...

Amazing session with Kevin! Super thoughtful in explaining the journey and provided guidance on how to approach my skin. Appreciate the team of how to apply the treatments. Scheduling was easy and getting to the office was also easy

by R.K.

Types of Fat Grafting We Offer

Macrofat Grafting

Used for significant volume restoration in areas like the cheeks or jawline. Ideal for patients seeking structure and lift.

Nanofat Grafting / Stem Cell Injections

Used in delicate areas, such as under the eyes or in fine lines, or for scar rejuvenation. This more refined fat is rich in regenerative stem cells for improved skin quality.

Fat Transfer Recovery & Results

Fat transfer involves minimal downtime and a relatively easy recovery. You’ll return home the same day under the care of a friend or family member.

Recovery Timeline:

  • Mild swelling, bruising, and tenderness for 1–2 weeks
  • A compression garment is worn over the donor area for support
  • Return to work in about 7–10 days
  • Resume light exercise in 2–3 weeks
  • Avoid facial massage or pressure on treated areas during early healing

Some fat will naturally be absorbed by the body, but most of what remains after 4–6 months is permanent.

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When Will I See Results?

You’ll see early improvement as swelling subsides within the first week, but final results take shape over 3–4 months. Once the fat has established a blood supply, it becomes a permanent part of your facial structure, lasting for years, or even a lifetime.

In some cases, a second treatment may be recommended to fine-tune your result or replace absorbed fat. We’ll guide you through this decision during follow-up care.

Why Choose Cheng Plastic Surgery for Fat Transfer?

Facial fat transfer requires more than technical skill—it demands a deep understanding of facial anatomy, aesthetics, and volume balance. What sets us apart:

  • Double board-certified facial plastic surgeons focused exclusively on the face
  • Bringing together more than five decades of plastic surgery expertise
  • Voted Bay Area’s Best Plastic Surgeons in a Mercury News readers’ poll
  • Artistic, precision-based approach to fat grafting
  • Extensive experience in both macrofat and nanofat techniques
  • A luxurious, private surgical center in San Mateo
  • Culturally sensitive care with expertise in Asian and ethnic facial structures
  • High-touch, individualized treatment plans for long-lasting beauty

At Cheng Plastic Surgery, we don’t just restore volume—we help restore confidence, radiance, and self-expression.

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FAQ Fat Transfer

Is fat transfer painful?

Most patients experience minimal discomfort. The procedure is performed under local anesthesia or light sedation, and any post-op soreness is easily managed with medication.

How many sessions will I need?

Most facial fat transfers require just one session. Some patients may benefit from a second session, depending on their goals and how much fat survives.

How much fat is retained long term?

About 40–60% of the injected fat typically survives. We often inject slightly more to account for expected absorption.

Can fat transfer be combined with other procedures?

Yes. Fat transfer is often paired with facelift, eyelid surgery, or laser resurfacing for comprehensive rejuvenation.

How long will my results last?

If the fat successfully integrates, results can last many years or even permanently—making this one of the most enduring facial rejuvenation options available.

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Begin Your Natural Rejuvenation Journey

If you're looking for a subtle, lasting way to restore fullness and vibrancy to your face, fat transfer at Cheng Plastic Surgery in San Mateo may be the perfect solution. With gentle technique, surgical artistry, and thoughtful care, we help you look naturally refreshed, never overdone.

Schedule your private consultation today and discover the timeless beauty of your own renewal.

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