RefinedMD
800 Pollard Road, Building A
Los Gatos, CA 95032
Phone: (408) 688-2082
Office Hours:
Monday–Friday: 9 a.m.–6 p.m.
Saturday: Please call for availability
Closed Sundays & Holidays
RefinedMD takes a holistic approach to anti-aging, combining world-class facial plastic surgery performed by the renowned double board-certified Dr. Sudeep Roy with the best in nonsurgical dermatological treatments. Patients enjoy the benefits of a “one-stop” experience where they can have access to top cosmetic surgeons and aesthetician practitioners. A comprehensive, personalized approach is what ensures you look and feel your best for life.
Keep in mind that each patient is unique and your results may vary.
There are a few ways to lift facial tissue, including dermal fillers and facelifts. However, some patients prefer to avoid invasive surgeries and opt for a permanent solution that dermal fillers cannot provide. Facial fat transfer can be an effective way to restore your face to a more youthful appearance, or a fantastic complement to surgical results.
For many years, facial implants were the only way to achieve the results that facial fat transfer offers. However, they can be costly and limiting. Implants can move, extrude, and there is an increased risk of infection with this more invasive procedure. A facial fat transfer is Dr. Roy’s recommended approach for anyone looking for natural, stunning results or to boost the effect of surgical results.
Fat is manually harvested from the donor site with liposuction tools, then processed in a filtration system that purifies it. Once the fat is optimized, it’s injected into the target sites. The injection sites are very small to ensure no scarring and minimal recovery time.
Dr. Roy is a pioneer of fat grafting in the periocular region, having developed and refined modern microfat processing and injection techniques that overcome the lumpiness concerns that have historically made the lower eyelid off-limits for other surgeons. The success in this area is one of the defining technical elements of the Lower Blepharoplasty Trifecta.
The procedure is relatively quick. Depending on the amount of fat transfer, local anaesthetic, and either oral or IV sedation is required. Since the injection sites are minimally invasive, there is no need for stitches, staples, or even any dressings post-surgery.
Most patients fully return to their daily lives between 10 – 14 days after the procedure. There is typically some swelling and bruising during this period. Light activity can be resumed at two weeks, and high-impact activities at three weeks. Patients see full results at three months but can enjoy a fantastic preview about two weeks after the surgery.
However, since every procedure is customized (and every person is unique), there can be some variation in recovery times. Avoid touching the injection site or vigorous activity that may involve the injection site (such as immediately continuing your career as a professional flutist after fat transfer to the lips) to allow safe, quick healing. Your exact recovery plan will be carefully detailed during your consultation and appointment with Dr. Roy. However, compared to many other facial plastic surgeries, fat transfer requires a relatively quick recovery.
Dr. Roy’s personable bedside manner inspires the confidence and trust of our facial plastic surgery patients. A graduate of Stanford University, Dr. Roy completed a rigorous 5-year residency focused exclusively on facial plastic surgery and fellowship training with the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).
Meet Dr. Sudeep RoyMost people lose volume with age, or simply due to genetics. Some of the most popular places for fat transfers are the forehead, brows, temples, cheeks, and around the jawline, although some patients benefit from fat transfer in less common areas. The ideal candidate for a fat transfer is someone with excess fat in some areas and who are looking for a permanent solution. If you’re uncertain whether a fat transfer is right for you and would rather “test out” volume restoration, you might want to consider a dermal filler first.
Dermal fillers are a fantastic alternative or “starter” to a fat transfer for those who aren’t certain they want permanent volume restoration just yet. However, if you do know you want the immediate and permanent results a fat transfer provides, you can enhance your results with complementary surgical procedures. Many patients pair a fat transfer with a facelift for a more dramatic, yet still natural, youthful effect. Tightening of the mid and lower face, as well as the neck, can make you look years and even decades younger. However, it can also further highlight volume loss. A fat transfer with a facelift is a very natural pairing. More targeted lifts, such as an eyelid lift (blepharoplasty) or brow lift, can also complement fat transfers.
A fat transfer is already a relatively minor surgery, and a lot of patients prefer to avoid more invasive surgeries. When this is the case, RefinedMD offers a variety of non-invasive treatments that complement a fat transfer. A chemical peel can serve as an alternative to a facelift, making clients look years younger.
Dr. Roy typically performs facial fat transfer surgery under IV sedation at an accredited outpatient surgical center, although partial fat transfers may be done in the office under local anaesthetic and minimal oral sedation. General anesthesia is not required.
After anesthesia is induced and the donor site cleaned, fat is harvested from an area of the body that naturally contains more fat, often the abdomen or upper thigh. Having performed microfat grafting for over a decade, Dr. Roy uses the Dermapose™ Autologous Fat Processing System to maximize the quality and viability of harvested fat before transfer. This system also optimizes every element of the procedure from harvest through injection rather than relying on standard processing methods. He uses a very fine blunt cannula (hollow tube) to transfer fat to specific areas. It is usually necessary to slightly overfill the treated areas to compensate for some fat being naturally absorbed. This may cause the face to appear slightly puffier during recovery.
The only incisions are at the harvest site (one on the abdomen, two if using each thigh), and these are generally less than half a centimeter and heal inconspicuously. The small poke holes used to introduce the blunt injecting cannulas for the transfer itself generally heal very quickly and are undetectable a few days after surgery.
Pain or discomfort is typically very mild after facial fat transfer procedures. Due to anesthesia used, the patient does not feel any discomfort during the procedure itself.
No post-operative dressings or drains are used after facial fat transfer procedures. Overfilling, however, is often necessary and for this reason the face may temporarily appear puffy or swollen for a period of 10-14 days. Minor bruising or redness may also occur for this period.
While there are no facial incisions involved in fat transfer, swelling does limit return to social activities to 10-14 days. Most patients will take 1-2 weeks off work depending on desire to conceal the procedure from co-workers.
Light walking can be resumed after about 1 week after facial fat transfer surgery. Low impact activities (such as elliptical, weight lifting, exercise bike etc) can begin after 2 weeks while high impact activities need to be restricted for 3 weeks.
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Curious about peptides and how they may fit into your wellness plan? Join us virtually on September 22nd at 6:00pm for an educational event on medically supervised peptide therapy. Learn what peptides are, how they are administered, and how our providers determine which options may be appropriate based on your individual goals and health history.
Refresh, replenish, and give your wellness routine a boost with RefinedMD’s physician-developed IV Therapy. Designed to deliver hydration, vitamins, minerals, amino acids, and antioxidants directly into the bloodstream for rapid and efficient absorption, our IV treatments make it easy to choose support aligned with how you want to feel. Whether your goals include hydration and recovery, immune support, antioxidant support, or energy and metabolism, there’s an IV designed with your needs in mind. And now is the perfect time to experience IV Therapy at RefinedMD: choose from five of our most popular IVs and receive 20% off when you book your treatment on a Thursday or Friday with Nurse Denise. Want to personalize your drip even further? Ask about available add-ons, including glutathione, NAD+, and vitamin D3, for an additional wellness boost.
Reviewed for clinical accuracy by a RefinedMD Medical Editor on September 8th, 2026.
