Changes in skin elasticity are only
one part of the facial aging process.
The loss of soft tissue volume and the downward migration of facial fat pads also play a substantial role in altering facial features. Over time, these changes usually result in drooping brows, sunken cheeks, and a tired or sad expression. You may also notice that your face looks gaunt or rectangular in shape, rather than oval.
While injectable fillers have been rising in popularity, they are not permanent and fill only smaller areas. If you desire larger volume replacement or are interested in longer lasting results, then fat transfer may be the right procedure for you. As a board-certified plastic surgeon and leading expert in the field of otolaryngology (head and neck surgery), Dr. David Gerth has the experience needed to perform this delicate procedure effectively. Facial fat transfer patients at his Coral Gables clinic enjoy flattering results that are indistinguishable from natural facial volume.
During your fat transfer procedure, the area you’ve chosen will be anesthetized to ensure your complete comfort. Then, Dr. Gerth will carefully remove excess fat through a small tube called a cannula (using minimally invasive liposuction techniques). After removal, this fat is processed in a centrifuge, which spins fat cells at very high velocity to remove liquid and blood vessels. This purified fat can be injected around the cheeks and orbital region to improve your facial contours, eliminate deep wrinkles, and fill in distracting hollows.
Facial fat transfer can be performed while the patient is under local anesthesia in the office or under sedation in the operating room. You’ll be able to return home on the same day you have this procedure, but you should arrange to have someone drive you home from the hospital.

Because the amount of fat taken from the donor area during facial fat transfer is much smaller than it is in traditional liposuction, recovery is minimal. A compression garment is usually worn to help with swelling for about a week and no drains are used. Your face may look red and swollen and feel tight initially, but most of these symptoms will wear off within a week and you’ll be able to return to work. Dr. Gerth will provide you with pain medication to ensure your comfort, but soreness following a fat transfer is typically minimal.
For a few weeks after having this procedure, you should avoid rubbing or scrubbing your face. These actions may interfere with the integration of transferred fat cells.
Though JUVÉDERM® and Restylane® are a great choice for some patients, facial fat transfer has unique advantages that make it an appealing alternative to injectable fillers:
Dermal fillers remain the best option
for patients who prioritize convenience
and those who want to avoid surgery.
Dermal fillers also tend to produce more precise, consistent results than facial fat transfer, eliminating the potential need for touch-ups. Dr. Gerth will help you review the pros and cons of each option before you proceed with treatment.

If you think you may be a candidate for a facelift, contact Dr. Gerth in Miami, Florida, by calling (305) 600-5041.

Professionalism and Talent.
“Thank you so much, Doctor, for your professionalism and talent. You changed my life… The best hands, without a doubt.”
a.f.
Google Review
Highly Recommend.
“Dr. Gerth, thank you for your incredible work. With each passing day, I love my results more and more. I would recommend you a thousand times; you and your team are the best!”
a.p.
Google Review
Care, Comfort and Support.
“Dr. Gerth and the entire staff were so amazing. They truly care and will make you feel at ease. Dr. Gerth really listened to me and made sure I was comfortable at all times… I’m so glad I was in your care.”
j.m.
Google Review
Natural Results.
“My dream was (to) have nice high profile round boobs with natural look. And he delivered. I will recommend him anytime to anyone. And looking forward for my next procedure with him.”
r.
RealSelf Review
A Surgeon You Can Trust.
“I have had two experiences with Dr. David Gerth. For me, he is the best surgeon you can trust. He has excellent hands and an excellent ability to help make many women happy… Great surgeon…”
m.e.c.c
Google Review
Simply perfect.
“Dr. Gerth is incredibly detailed and patient. He took the time to explain every aspect of the procedure, addressing all my questions and concerns thoroughly. His calm and confident demeanor immediately put me at ease, and I felt I was in the best hands possible.”
y.v.
Google Review
We welcome out-of-town patients! It’s our goal to make Dr. Gerth’s exceptional skill and service accessible to anyone looking for the best cosmetic surgery experience. Long distance or local, our patients can all expect the highest caliber of attentive care.
We offer virtual consultations to accommodate traveling patients. We also have connections with experts in post-surgical lymphatic massage so you can enjoy the optimal recovery experience and get the most out of your trip.
David Gerth, MD, Plastic Surgery
2903 Salzedo Street,
Coral Gables, FL, 33134