When I was young, I disliked my face for being “baby fat” and “pancake face” and hated every grain of fat that existed on my face. However, as time goes by, with wrinkles creeping to the end of the eyes, once to rely on makeup to play shadows, hairstyles to cover the place, now increasingly sunken. You must not have thought that the flesh that has been with you for half your life, has disappeared; what you didn’t expect is that your face looks so old and so unlucky. However, since 1893 when Neuber used fat grafting not only for filling but also for reconstructing facial scars, plastic surgeons all over the world have been pushing step by step the development of full facial autologous fat grafting to date, while also providing solutions for the lack of facial volume. The procedure of full facial autologous fat grafting: Plastic surgeons use the Coleman technique to aspirate excess fat tissue from the inner thighs, buttocks or abdomen using a 10ml syringe and then centrifuge it at 1286g or 3000rpm for 3min to remove the oil from the upper layer and the swelling fluid, water and fibrous connective tissue from the bottom layer to obtain a purified structure The fat is injected into the forehead, temporal area, infraorbital area, nasolabial folds, cheeks, chin, mandibular rim, nose and other areas of the face that lack fat tissue capacity in a layered three-dimensional shape, and the injection level is located in the subcutaneous layer and the muscular tissue layer, thus achieving the purpose of turning waste into treasure. The advantages of this procedure are: 1. autologous fat tissue is abundant and widely taken, and it can also achieve the effect of local slimming; 2. autologous fat tissue is a natural filling material because it comes from the same source as oneself and has no rejection; 3. autologous fat facial transplantation is widely applicable to a wide range of people, and there are no other special contraindications except for local infection; 4. autologous fat filling of the face It can not only shape the contour of the face, but also make the skin texture smoother and more elastic after the surgery by its internal fat-derived stem cells. Complications of surgery: 1) unevenness of the donor area; 2) unevenness, unevenness and nodularity of the facial fat grafting site; 3) infection of the facial grafting site, liquefaction and necrosis of the fat tissue; 4) blindness after injection and death during temporal temple augmentation have been reported. Case 1 is a 44-year-old woman. This case shows that the injected area remains relatively full after 11 years and the skin texture of the candidate has been improved. Case 2 is a 45-year-old woman. This case shows that the effect of facial fat grafting to improve forehead lines is also quite obvious. Case 3 is a 53-year-old woman. To address the hyperpigmentation and hollowness of her eyelids, fat grafting was performed on her lower eyelids, cheeks, temples, nose root and between her eyebrows, and some of the sagging skin of her upper eyelids was removed. One year after surgery, not only the color, texture and texture of the skin under the eyes improved, but also the skin texture of the face improved significantly, and there was some fullness in the cheeks, temples, and the root of the nose and between the eyebrows. In order to achieve a better graft retention rate and avoid surgical complications, the following should be noted during the operation: 1. Fat graft anesthesia is often performed by intravenous sedation combined with local nerve block and local anesthesia for facial soft tissue infiltration (1% lidocaine and 1:100,000 epinephrine); while liposuction is performed by semi-swollen local infiltration anesthesia in the donor area (50 ml of 1% lidocaine, 1 ml of 1:100. 000 epinephrine, 12.5 ml sodium bicarbonate and 1 ml lactated Ringer’s solution). 2.Strictly follow the Coleman technique to handle the operation to avoid damage to the adipose tissue to the maximum extent possible, enrich the tissue tissue and obtain purified structural fat for injection. 3.Before injection, we first use 18G needle to punch holes at appropriate locations and tape the needle opening for 24 hours after surgery, which usually leaves no scars after healing. When injecting, use a stub needle, a small syringe to reduce the injection pressure, such as 0.5 or 1 ml syringe, and a cannula of appropriate diameter, such as 0.9 mm or 1.2-mm cannula (Tulip, USA). 4.Pay attention to the smooth transition between the central part and the edge part when injecting, and focus on strengthening the overall shaping and enhancing the three-dimensional sense of the face. 5, a clear understanding of the level and depth of injection, before injection, pay attention to pumping back while retreating the needle to avoid injecting blood vessels. Pay attention to multi-point injection in small amounts at different levels, no more than 0.1 ml each time, so that the fat tissue is seeded to the injection site in points. 6.Inject slowly and evenly, move gently, and avoid injecting in previously traumatized areas as much as possible. 7.Controlling the level of injection, the depth of different fat injection brings the desired cosmetic effect. 8, the general injection volume is controlled around the following amount: 3ml/each side of the lower lid, 0.1-0.5ml/lateral corner of the eye, 1-2ml/brow/upper eyelid complex, 1-2ml/front of the cheek, 1-2ml/sidal part of the cheek, 0-5ml/cheek, 2-3ml/front of the jaw, 2-4ml/front of the chin. 9. In case of any special discomfort during the injection process, the injection should be stopped in time and treated symptomatically. Facial fat grafting may seem simple, but there are many operational matters to pay attention to, and the maximum retention rate of the grafts is closely related to the precise technique of the doctor. The maximum retention rate of the grafts is closely related to the precise technique of the doctor, and the candidate should be careful when choosing a doctor.