Introduction: Autologous fat grafting has for cosmetic reasons shown great interest among operators and has been the procedure of choice in certain scenarios as well as gaining popularity with patients. The current study, reports the fat grafting experience in various patients presentations either [1] with limited donor sites for fat or [2] not willing to have comorbidities in various body sites in patients undergoing dermolipectomy. In addition detailed procedures concerning effectiveness and safe results of grafting where evaluated. Methods: harvesting was performed using A 20-ml syringe connected to a 3- hole blunt cannula with a diameter of 3 mm or less from the excised dermolipectomy flaps. After cleaning with the harverst USING cool physiological saline solution to wash off blood cells , the fat was then processed using the open method for concentration and to separate the fat globules from the fluids, oil, and debris. A single hole 14-gauge blunt cannula was utilized for placement of the haevested graft via a 3-mm incision in the recipient area. The fat was there after injected into the recipient area infiltrating from the deep and MOVING towards the superficial tissue planes. Results: Twenty female patients have been included in the current study utilizing this procedure. Most patients were those who had suffering from fluctuations of weight resulting in abdominal apron. Ages ranged from 18 to 45 years, with a mean of 31.3 years. The volumes grafted ranged between 120-250 mL [average, 205 mL] per side in both breast and buttocks injection and about 40cc in the face and in addressing post liposuction depressions. Most cases had mild to moderate improvement in their recipient area regarding volume and shape in addition to the suppleness and natural appearance of the RESULTs. Conclusions: Excised dermolipectomy flaps have shown to be an alternative overlooked source of fat harvesting in cases that require an autologous augmentation. This approach for soft tissue augmentation can be suitable in various patients requiring mild to moderate volumes and requiring a dermolipectomy. While still peserving the fat of the excised flaps and minimizing the patient co- morbidities of liposuction from alternative sites in the body. Excess skin redundancy acts as a good source for fat harvesting during body excisional procedures especially dermolipectomy flaps in [1] thin patients with limited donar area, [2] average built patients not willing to undergo liposuction in available donar sites in an attempt to avoid more morbidities [ecchymosis,seroma…etc] in these areas. Otherwise, alloplastic material used alone or following early first stage 1fat transfer is advised if significant volume is required. Key Words: autologous fat transfer, thin patients, dermolipectomy flaps, limited donor areas.