The Philosophy Behind RERF®
Facial ageing is not a single process. It involves volume loss from multiple fat compartments, descent of soft tissue from its anatomical position, thinning of skin, and bony remodelling. Procedures that address only one of these elements — fat transfer alone, or lifting alone — produce incomplete results that often look artificial.
RERF® integrates customized autologous microfat/nanofat grafting with endoscopic structural lifting — addressing depletion and descent as a unified problem. Fat is harvested from the patient, prepared with a low-trauma protocol, and transferred in precise micro-aliquots to the facial zones where contour, convexity, and tissue quality need support.
The result is a face that looks like itself — restored, not reconstructed.
The RERF® Surgical Series
Upper-face structural lifting around the forehead, brow, upper eyelids, and upper orbital frame, with autologous fat transfer focused around the central and temporal forehead, infrabrow, subbrow, and upper OFA-Bleph™ plan.
RERF-U plus coordinated lower-lid cheek junction, cheek, and midface planning, with autologous fat used to support the lower OFA-Bleph™ and soften the transition into the cheek.
The complete RERF® plan, incorporating RERF-M and extending through the lower face and neck when appropriate, with full-face autologous fat transfer considered when it fits the anatomy and safety plan.
The most comprehensive RERF® surgical pathway currently offered at EyeFACE.
The appropriate RERF® pathway is determined at consultation based on anatomy. Not every patient needs a complete approach — and over-treating is as problematic as under-treating.
When We Consider RERF®
The question is not “Which procedure do I want?” It is “What is actually aging?”
RERF® is most relevant when facial descent and volume change are happening together. In those cases, filler or eyelid surgery alone may create a partial result because the support structure around the eye and cheek has changed.
Lower eyelid hollows with cheek descent
A brow or upper face that makes the eyelids look heavy
Midface flattening or a harsh lid-cheek transition
Lower facial descent, jowling, or neck laxity that makes isolated eye surgery feel incomplete
FAQs
What makes RERF® different from standard fat transfer?+
RERF® integrates customized autologous microfat or nanofat planning with endoscopic structural lifting when anatomy and safety support it, addressing both volume depletion and anatomical descent. Fat transfer is not treated as a casual add-on; it is considered within the full surgical plan.
Where does the fat come from?+
Fat is harvested using gentle technique, usually from the abdomen or thighs. Dr. Gill uses a customized low-trauma preparation protocol and does not routinely centrifuge the fat. No synthetic fillers. No foreign material. The patient's own tissue.
How long do results last?+
Some transferred fat that survives the grafting process can remain long term, but longevity varies by anatomy, healing, aging, and maintenance. The structural component of RERF® is planned for durability, and Dr. Gill will discuss realistic expectations and possible future refinement during consultation.
Is RERF® suitable for me?+
RERF® is suited to patients with facial descent, hollowing around the eyes and cheeks, upper-face aging, or full-face imbalance. The appropriate plan is determined at consultation: RERF-U, RERF-M, or RERF-C. There is no standard protocol.