Alexander Rivkin, MD on Instagram: "When we talk about facial fat transfer vs. dermal fillers, it’s important to understand one key difference: fat grafting is surgery. Surgical facial fat transfer can create beautiful results in the right hands and in the right patient, but it is also inherently less predictable. Swelling can last longer than expected, volume can settle unevenly, and once fat survives, it is not easily reversible. That lack of control can sometimes lead to a persistently puffy