Thanks for your question regarding fat transfer. In short, no a fat transfer will absolutely not make your face look fat. Depending upon your age, the fat in your face undergoes progressive loss or atrophy. In younger patients this may be limited to just the lower eyelid, as you age it becomes apparent in the other areas of the face. We tailor the fat grafting procedure to each patient based upon where they need the volume replacement. In all patients however we avoid putting fat in the areas of the face in quantities that would give the appearance of being over-weight vs. having a youthful face with good contour. The upper cheek, similar to a cheek implant, and the area under the eye is where the majority of the fat is targeted. This changes the relationship between the cheek and the lower eyelid to give the appearance of a youthful high cheek-bone without augmenting the lower cheek, which is associated with excess weight.
There is a more complete description of fat transfer on this website with many before and after photos. I encourage you to review this section and give us a call to schedule your personal consultation.