Introduction

Nasolabial folds, often referred to as "smile lines," are a common sign of aging that many people seek to address. Autologous fat removal and injection is a popular and effective method for reducing the appearance of nasolabial folds. In New York City, there are several top - notch hospitals and clinics known for their expertise in this procedure. This article will explore the top 5 selected hospitals for autologous fat removal of nasolabial folds in New York City in 2025, and provide in - depth information about the procedure, benefits, and what to expect.

Understanding Autologous Fat Removal for Nasolabial Folds

What is Autologous Fat Removal?

Autologous fat removal, also known as facial fat transfer or fat grafting, involves harvesting fat from one area of the patient's body (such as the abdomen, thighs, or buttocks) using liposuction. The harvested fat is then purified and prepared for injection. This fat is then carefully injected into the nasolabial folds to add volume and smooth out the lines. This procedure has several advantages. Firstly, since the fat is from the patient's own body, there is a very low risk of allergic reactions or rejection. Secondly, it can provide long - lasting results compared to some other filler substances.

How it Works

1. Harvesting: A small tube called a cannula is used to extract fat from the donor site. Specialized and gentle techniques are employed to ensure that the healthy fat cells are not damaged. For example, according to some studies, the deep layer of subcutaneous fat is often the best place to harvest fat as it has the most mature fat cells and the least amount of unwanted material.
2. Purification: The harvested fat is then processed to remove any impurities, such as blood, fluids, and debris. This results in a concentrated sample of healthy fat cells ready for injection.
3. Injection: The purified fat is injected into the nasolabial folds using a small needle. Surgeons must have an artistic eye to place the fat in the right spots to achieve optimal results. The fat cells gradually integrate with the surrounding tissue, adding volume and smoothing the folds.

Top 5 Selected Hospitals in New York City

1. Natural Look Institute

The Natural Look Institute, conveniently located on Park Avenue in New York City, is well - known for its fat injection procedures. Dr. Yoel Shahar has been performing fat injections for over 15 years and has done thousands of these procedures. The clinic has received a 5 - star rating on Google, indicating high patient satisfaction.

Procedure Details

• The procedure is usually done under local anesthesia, allowing patients to return to work the next day.
• Dr. Shahar selects only the best products and will discuss different filler options, including autologous fat and other substances like Restylane, Perlane, and Radiesse, with patients to determine the most suitable choice.

Benefits

• As an autologous procedure, the risk of allergic reactions is extremely rare.
• The results can last for years in certain areas of the face, including the nasolabial folds. It can correct facial disproportion and bring balance and harmony to the face.

Patient Testimonials

One patient who came to Dr. Shahar to fix the under - eye area said, "Dr. Shahar thoughtfully recommended a fat transfer procedure and thoroughly explained to me why fat from my own body creates more desirable results in this delicate area (not to mention it lasts longer and is more cost - effective over time). After the procedure, I literally had no bruising and very minimal swelling. Within days, I looked completely refreshed. I looked younger, and everyone noticed it."

2. Dr. Darrick Antell's Practice

Dr. Darrick Antell is one of the world's most respected and sought - after plastic surgeons. He was trained at Stanford and Cornell University and has been named a "top plastic surgeon" by Harper's Bazaar, Town and Country, Vogue, and New York Magazine.

Procedure Details

• Facial fat transfer involves harvesting healthy fat cells from an appropriate donor site, such as the buttocks or thighs. The fat is harvested using specialized, gentle techniques to avoid cell damage.
• The procedure is typically performed with local anesthesia and intravenous sedation or "twilight" sedation. A board - certified anesthesiologist monitors the patient during the surgery to ensure safety.

Benefits

• The results are more natural compared to using manufactured fillers or implants, as the body recognizes its own cells, and there is no risk of rejection.
• It can restore lost volume to areas such as the nasolabial folds, sunken cheeks, under - eye hollows, and smile or frown lines.

Recovery

Most patients can return home the same day after the procedure. Swelling and bruising are common but usually subside within the first two weeks. Applying ice to the area can help reduce swelling. Many patients experience minimal downtime and can return to their daily activities within a day.

3. Dr. Adam Kolker's Practice

Dr. Adam Kolker offers facial fat transfer and fat grafting procedures. He carefully assesses each patient's desires and expectations during the initial consultation and conducts a thorough examination of the skin and soft tissue relationships.

Procedure Details

• Fat cells are gently removed from the abdomen, thighs, or buttocks using a very small cannula. The fat is then prepared as fat grafts and transferred to the nasolabial folds and other problem areas of the face using a small needle.
• The procedure can be performed under local anesthesia if done as an isolated procedure. More often, it is combined with other cosmetic surgery procedures and performed under light sedation or general anesthesia.

Benefits

• Since the fat grafts are from the patient's own body, they are the most natural filler choice and are not rejected by the body. Although some resorption is possible, fat grafts last considerably longer than most fillers.
• Fat transfer can be combined with other procedures, such as liposuction, facelift, and blepharoplasty, to achieve a more comprehensive rejuvenation effect.

Recovery

Patients can go home on the same day with a friend or family member. If the fat grafts are performed as an isolated procedure under local anesthesia, Dr. Kolker suggests taking two or three days before returning to work, but many are able to return the next day. Swelling is common and usually resolves after two weeks, but it may take up to 12 weeks for the final results to be evident.

4. Dr. Steven Wallach's Practice

Board - certified plastic surgeon Dr. Steven Wallach offers customized fat transfer treatment plans to address each patient's unique needs and goals. He has extensive experience and uses the latest techniques and technology.

Procedure Details

• Dr. Wallach determines the ideal donor site during the consultation, with common sites including the belly, butt, and back of the thigh. The fat is removed using a specialized suction device, processed, and purified.
• For the face, local anesthesia is used to numb the area before making small incisions around the targeted nasolabial folds. The purified fat is carefully injected using a small needle, paying close attention to the patient's natural facial contours.

Benefits

• Fat transfer is a natural option that reduces the risk of allergic reactions or rejection. It can provide long - lasting results as the transferred fat cells that survive can remain in the target area for many years.
• It can also have a slimming effect on the donor area, creating a more balanced appearance.

Recovery

Patients generally expect swelling, bruising, and discomfort in the treated area for the first few days. It is important to avoid strenuous activities and exercise for at least two to three weeks. A follow - up appointment is scheduled to monitor the progress.

5. Dr. Neal Goldberg's Practice

Dr. Neal Goldberg is an extensively trained plastic surgeon who performs autologous fat injections. He focuses on achieving natural - looking, long - lasting results with less downtime compared to other volume enhancement methods.

Procedure Details

• Dr. Goldberg listens to the patient's cosmetic goals during the initial consultation and examines the areas of concern. He may recommend fat injections alone or in combination with other procedures.
• Liposuction is used to harvest fatty tissue from the flanks and abdomen, the most common regions. Either local or general anesthetic is provided depending on the extent of liposuction required.
• Dr. Goldberg uses a micro - droplet technique to administer small quantities of fat underneath the skin to create a natural - looking infusion of volume.

Benefits

• The procedure can replace lost volume under the eyes and on the face, minimize common signs of facial aging, and provide comprehensive aesthetic enhancement when combined with other procedures.
• Fat grafting is designed to be a permanent procedure, although some patients may require a touch - up if more fat than expected is reabsorbed.

Recovery

Patients may feel swollen and tender, particularly in the areas from which the fatty tissue was derived. Bruising is common and usually lasts for one to two weeks. Swelling in the operated areas can take several months to fade, but the benefits of the facial injections should be apparent within a couple of weeks.

Comparing the Hospitals

Benefits of Autologous Fat Removal for Nasolabial Folds

Natural Results

Using the patient's own fat ensures that the results look and feel natural. The injected fat integrates with the surrounding tissue, and the appearance of the nasolabial folds is gradually smoothed out without an artificial look.

Low Risk of Complications

Since the fat is from the patient's own body, the risk of allergic reactions or rejection is extremely low. This makes it a safer option compared to some other filler substances.

Long - Lasting Effects

The results of autologous fat removal can last for several years. Although some of the transferred fat may be reabsorbed during the first few months, a significant portion will remain, providing long - term volume enhancement to the nasolabial folds.

Additional Body Contouring

The harvesting of fat from areas such as the abdomen or thighs can also lead to a slimming and contouring effect in those areas, providing a dual benefit for the patient.

Potential Risks and Considerations

Fat Reabsorption

Some of the injected fat may be reabsorbed by the body over time. To account for this, surgeons may inject a slightly larger amount of fat initially. However, in some cases, a touch - up procedure may be required to achieve the desired long - term results.

Swelling and Bruising

Swelling and bruising are common after the procedure and can last for a few days to a couple of weeks. This may cause some discomfort and may require patients to take time off from work or social activities.

Infection

Although rare, there is a small risk of infection at the donor or injection site. Patients should follow the post - operative instructions carefully, including keeping the sites clean and taking prescribed antibiotics if necessary.

Asymmetry

In some cases, there may be slight asymmetry in the appearance of the nasolabial folds after the procedure. This can be due to uneven fat distribution or differences in fat reabsorption. Surgeons will do their best to achieve a symmetrical result, but it is important for patients to have realistic expectations.

Preparing for the Procedure

Consultation

During the initial consultation, patients should discuss their goals, medical history, and any concerns with the surgeon. The surgeon will evaluate the patient's suitability for the procedure and develop a personalized treatment plan.

Medical Tests

Patients may be required to undergo certain medical tests, such as blood tests, to ensure they are in good health for the procedure.

Lifestyle Changes

Patients are usually advised to avoid smoking and certain medications that can increase the risk of bleeding, such as aspirin, for a few weeks before the procedure. They should also maintain a healthy diet and lifestyle to promote optimal healing.

Recovery and Aftercare

Immediate Post - Operative Period

After the procedure, patients may experience swelling, bruising, and mild discomfort. They will be given pain medication if needed. Cold compresses can be applied to the treated area to reduce swelling.

Rest and Activity Restrictions

Patients should rest for the first few days after the procedure and avoid strenuous activities. They may need to take time off from work depending on the extent of the procedure and their personal recovery rate.

Follow - up Appointments

Regular follow - up appointments with the surgeon are essential to monitor the healing process and ensure that the results are satisfactory. The surgeon may also provide additional instructions for aftercare during these appointments.

Conclusion

Autologous fat removal for nasolabial folds is a popular and effective procedure