Abstract:Objective To observe the clinical efficacy of autologous fat plus adipose derived stem cells filling in the treatment of facial aging. Methods 96 cases of facial aging admitted in our hospital were selected and divided into control group and observation group. Patients in the control group (n?=?60) received conventional autologous fat granule transplantation. Patients in the observation group (n?=?36) received modified fat transplantation treatment which contains more adipose stem cells. After 12 months of follow-up, the survival rate, patient satisfaction, complications and sequelae of the two groups were observed. Results 6 months after transplantation, survival rate in observation group was higher than that of the control group [(71.04?±?5.42)% vs (59.78?±?7.26)%, P?0.05]. 12 months after transplantation, total satisfaction rate in observation group was higher than that of the control group (91.67% vs 81.67%, P?0.05). 6 cases of induration and 2 cases of fibrous cyst in the control group and 1 case of induration in the observation group were reported within one year of follow-up. There were no other complications in two groups. conclusion Improved autologous fat transplantation enhances the survival rate and patient satisfaction of transplanted fat.