Alfredo V. Callanta M.D.

28/08/2026

Framing the Eyes

Periorbital rejuvenation is not simply about treating the upper eyelid or filling the tear trough. It is about restoring the structural frame around the eye.

With FAMI™ facial fat grafting, We restore volume in key anatomical areas—the supraorbital region, temples, under-eye area, and medial midface—using the patient’s own fat.

In this patient, notice not only the smoother lid–cheek junction and reduced under-eye shadowing, but also the subtle elevation of the lateral upper eyelid and a more open appearance of the eye.

We did not surgically lift the eyelid. By restoring the surrounding framework, we changed how the eye is supported, contoured, and ultimately perceived.

Restore the frame. Change the appearance.

FAMI™ Fat Autograft Muscle Injection
Real Patient • Real Results • Real Time

25/08/2026

Looking forward to being back in Rome this December for the Regenerative Plastic Surgery International Conference. 🇮🇹

I’ll be joining colleagues from different parts of the world to share our experiences in regenerative aesthetic surgery.

This year, I’ll be talking about something very close to my practice—the philosophy behind the FAMI™ technique, and how I use facial fat grafting not simply to add volume, but to restore facial structure and achieve a more natural rejuvenation.

See you in Rome. 🇮🇹
December 3–5, 2026

17/08/2026

A moment I will always remember. ISPRES2026

Before his lecture at the 2026 ISPRES Annual Congress in Shanghai, 🇨🇳 my mentor, Dr. Roger Amar 🇫🇷 , acknowledged me as one of his former students and asked me to stand before our colleagues.

More than 20 years ago, he taught me the FAMI™ technique—a foundation that continues to shape my approach to facial fat grafting today.

Thank you, Dr. Amar, for the knowledge, mentorship, and trust throughout the years.🇵🇭

Forever grateful to be your student.❤️

13/08/2026

She came back—not because it failed, but because it worked.

Almost a year ago, our patient traveled from Texas, USA 🇺🇸to the Philippines 🇵🇭 for her first FAMI™ facial fat grafting.

At the time, she specifically asked us to be conservative. Her thinking was simple: “We can always add more later.”

And I agreed. With facial fat grafting, we don’t need to chase maximum volume in one session. The goal is to restore what has been lost while preserving the patient’s natural facial identity.

Almost a year later, she returned—even after losing 2 kg of body weight. The improvement from her first FAMI™ was still evident.

This time, she told us she wanted more—and left the decision of how much fat to place and where to us.

That, for me, is one of the strongest endorsements of a procedure.

She didn’t come back because the first FAMI™ failed.
She came back because it worked—and now she was ready for more.

FAMI™ is not about making a face look “filled.” It is about anatomically directed restoration of facial volume, structure, and proportion using the patient’s own fat.

Restore, don’t overfill.

And most importantly, we would like to thank our patient for generously allowing us to share her journey and her experience traveling all the way from Texas to the Philippines for her treatment. Patient stories like hers help others better understand not only the procedure, but the recovery, the evolution of the results, and what the experience is really like.

We are grateful for her trust—and for allowing others to learn from her journey. ❤️ 🇺🇸🇵🇭

Plastic Regenerative Surgery
Fat Grafting since 2005.
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11/08/2026

Remember JT? ✨ Link on the comment below.

Proof of concept for one of the most misunderstood truths about fat grafting: it’s not just volume, it’s regeneration.

Her story started with too much, too fast — multiple energy-based device sessions (think ulthera, HIFU, jaw tox) done all at once, without regard for how much facial fat she’d lose in the process. The result: sunken, haggard, prematurely aged.

She looked for a better technique of facial fat grafting — and that search led her to FAMI® (Fat Autograft Muscle Injection), and to us.

In her own words: “You saved me from my depression, doc. One really has to choose a doctor talaga.”

What these photos show, 4 years and 5 months later, is more than restored fullness. We performed the procedure once — no special skincare regimen after. By her own account, her acne breakouts improved by more than 90%, and she seldom breaks out anymore. Her skin felt more moisturized and appeared brighter, and she noticed some improvement in hyperpigmentation as well.

This reflects what we often see with the regenerative property of autologous fat: living tissue that integrates, matures, and may continue to benefit the skin long after healing.

Choosing the right doctor isn’t just about safety — it’s about outcomes that hold up years later. Real regeneration takes patience, and results can continue to improve over time.

06/08/2026

The Art of Fat Grafting

This patient’s volume loss came from Parry-Romberg syndrome, also known as progressive hemifacial atrophy — a rare condition, and rarer still in male patients, that progressively breaks down facial fat, and sometimes muscle and bone, often continuing to advance over time. It’s a far less forgiving canvas than ordinary age-related volume loss.

Over the course of 7 years and 9 months, FAMI™ was performed six times to address the progression of the disease. These photos were taken 6 months after the final session.

Fat grafting did two things here: it restored the volume the disease had taken, and — over time — visibly improved the skin’s texture and pigmentation. No further correction has been needed since.

Results in Parry-Romberg syndrome vary by patient, largely depending on how far the disease has progressed and how active it remains at the time of treatment.

If a result can hold against a disease actively working against it, it says something about what’s possible when volume loss is simply age, not pathology.

Posted with consent.

04/08/2026

Patient is 63 years old. No facelift. Volume was restored first with FAMI™ — anatomically placed fat grafting — then optimized over time with additional grafting and Dermapen 4 with nanofat.

No stacking of procedures. No complicated skincare routine. Just volume, restored where it was lost, and skin quality treated at the source.

We keep hearing that surgery is inevitable past a certain age. It isn’t. Solve volume and skin quality first — surgery becomes the exception, not the default.

Foundation before facelift. Even at 63.

Posted with patient consent.

03/08/2026

What if we’ve been building the pyramid upside down?

Most facial rejuvenation talks start the same way: combination treatments — facelift, fat grafting, peels, lasers— recommended as early as 40, stacked together as “comprehensive rejuvenation.”

But stack enough procedures on a face and you’re not treating the problem. You’re compensating for what each individual step doesn’t fix.

Because most aging faces have two problems, not one: volume loss, and skin quality loss. A facelift repositions tissue — it doesn’t replace volume, and it doesn’t rebuild skin.

So why does surgery come first?

The reconstructive ladder taught us to start with the least invasive option that solves the actual deficit. Somewhere in facial rejuvenation, we stopped applying that logic.

Base of the pyramid: restore volume where it’s missing — FAMI fat grafting, anatomically placed. Then treat the skin itself — nanofat delivered via Dermapen 4. Regenerative signal, no incision.

Solve volume and skin quality first. Surgery becomes the exception, not the default — reserved for true excess skin or ptosis that grafting alone won’t resolve.

Technique over technology. Foundation before facelift.

27/07/2026

Thank you, Guggles, for trusting us with your story and letting us share it with the world. 🙏

Full-face fat grafting using the FAMI technique — 3 years and 2 months after a single session. No repeat treatments, no fillers to maintain. Just his own tissue, restored.

What we didn’t expect when we started documenting this case: alongside the facial rejuvenation, his long-standing psoriasis cleared — and has stayed clear ever since. That observation was presented at the 9th ICPAS & ISPRES 2026 Congress in Shanghai, shared with the medical community as a case worth investigating further.

These photos represent years of consistent follow-up — because real results, and real questions, take time to answer honestly.

To be clear: this is one patient’s documented experience, not a claim that fat grafting treats psoriasis. If you’re living with psoriasis, please continue working with your dermatologist.

Posted with consent.

24/07/2026

Busy moms don’t have time for monthly maintenance.

One year ago, we performed FAMI™ facial fat grafting to restore the volume she had gradually lost with aging.

Today, she returned—not because the fat graft had disappeared, but for her first-ever Dermapen4® with Nanofat treatment to further enhance her skin quality and glow.

Over the past year, she has enjoyed a naturally refreshed appearance with minimal maintenance. She rarely wears makeup now, and her skincare routine is refreshingly simple: just a moisturizer and sunscreen.

The transformation isn’t simply about smoother skin. It’s about restoring the facial framework—fuller temples, improved under-eye support, softer contours, and a face that looks naturally well-rested.

FAMI™ restores the foundation.
Nanofat helps enhance the skin.

Different goals. Complementary treatments. Natural, regenerative results.

Thank you, Divine, for trusting us with your care and for allowing us to share your story. We hope it helps others understand the value of natural, long-lasting facial rejuvenation.

Shared with the patient’s permission.