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Facial Rejuvenation in NYC - Dr Leonard Grossman Plastic Surgeon http://drgrossman.com/fat-grafting-fa... I can talk forever about facial rejuvenation. Many if not most of the things you have learned from your plastic surgeon are utterly false, and its not your surgeons fault, he was taught that way. Everyone always talks about aging of the face through the effect of gravity, loose ligaments and muscles. The truth is that muscles don’t stretch anywhere as we gel older, they only get stiffer and tighter (try doing a split or touch your toes). So the theory of tightening muscles of the face should go out the window. What happens in the aging face is loss of fat and in some instances loss of bone as well, as a results the outer coat of skin and fat starts to hang. The solution is proper evaluation of photographs of the younger you and fat grafting to the key elements of the face in an attempt to recreate the face you once had or even improve on it. The procedure that I have mastered over the last 21 years allows the patients go out in the public just two days later without the usual bruising and trauma typically associated with the facelift. The complications of fat grafting are nearly nonexistent as compared to face lifting.