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A fat grafting procedure transfers fat from areas in which you have excess fat, such as the outer thighs, and injects it into areas that may be lacking in volume, such as your face, hands, breasts or buttocks.
Autologous fat (from your own body), as opposed to dermal fillers, replaces “like with like,” reducing the chance of allergic reactions to foreign substances. It is time consuming to prepare fat tissue before transferring it, compared to dermal fillers, which are prepackaged.
For augmentation, you may require multiple sessions to achieve your desired breast or buttock size. Facial fat transfer: If you have facial creases, such as laugh lines, smile lines, and crow’s-feet, fat can be removed from your abdomen, thighs, or other areas and be injected into your face.
Breast augmentation: If you desire a modest increase in breast size, you are a good candidate for fat grafting to the breast, but your breasts should already have a nice shape and good skin tone.
Breast implants plus fat grafting: If your breast shape needs optimizing during a breast implant procedure, fat grafting can be useful. Breast reconstruction with fat grafting: If you have breast defects following lumpectomy for breast cancer, fat grafting is an effective method for filling in these defects.
Buttock augmentation with fat grafting: Many people who desire a fuller, more rounded buttock will opt for a “Brazilian butt lift,” which uses fat transfer to provide a more curvaceous buttock without the use of an implant. Hand rejuvenation with fat grafting: Fat grafting into your hands is effective for adding volume, “plumping up” wrinkled areas, covering underlying vessels and tendons and improving the quality of your skin over time. If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure. Fat is harvested from one part of your body, washed and purified, and then carefully reinjected with specially designed needles into the areas that need augmentation. Harvesting: You and your surgeon will select a site for fat removal and will inject it with a local anesthetic. Purification and transfer: Once enough fat is obtained from the donor area, your surgeon will process it to prepare the fat cells for transfer to small syringes that will be used for fat injection. The goal of your aesthetic plastic surgeon and the entire staff is to help you achieve the most beautiful and natural-looking results, as well as to make your surgical experience as easy and comfortable as possible.What are my options? Your own fat may be used to alter your body contour, revise scars, fill depressions created by liposuction or cancer surgery and rejuvenate your hands and face. Your only scars may result from liposuction, which is used to remove fat from the donor site. Because liposuction incisions are small, the scars are also small and are placed in hidden areas. The amount or degree of scarring depends on the surgeon’s technique and your genetic tendencies. Members of the American Society for Aesthetic Plastic Surgery are experienced and qualified to perform your aesthetic procedure.
After finding a board-certified plastic surgeon in your area who is experienced in performing fat transfer, you will need to make an office appointment for your consultation.
During your initial consultation, you will have the opportunity to discuss what you want to achieve. Take photos for your medical record, measure your face and use computer imaging to show you improvements you can expect. An approach to your procedure, including the type of procedure or combination of procedures.
It is important for you to take an active role in your surgery, so please use this list of questions as a starting point for your initial consultation. What are my options if the cosmetic outcome of my fat grafting procedure does not meet the goals we agreed on? Your surgeon will provide thorough preoperative instructions, answer any questions you may have, take a detailed medical history, and perform a physical exam to determine your fitness for this procedure.
Regardless of the type of surgery to be performed, hydration is very important before and after surgery for safe recovery and the best outcomes. Stop smoking at least six weeks before the procedure to avoid poor wound healing and scarring. Regardless of the type of procedure to be performed, hydration is very important before and after for safe recovery.
Arrange for someone to drive you home after surgery and stay with you for at least the first twenty-four hours unless you and your surgeon have decided on other postoperative recovery options. Your fat grafting procedure may be performed in an accredited hospital, a free-standing ambulatory facility, or an office-based surgical suite. The length of your procedure depends on how much fat is removed and the number of liposuction sites.
For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood. Your plastic surgeon will follow the surgical plan discussed with you before your fat grafting procedure. After your procedure, you will be taken into a recovery area, where you will continue to be closely monitored.
You will probably be permitted to go home after a short observation period unless you and your plastic surgeon have made other plans for your immediate postoperative recovery.
Ask your doctor how long it will be before you can return to your normal level of activity and work following this procedure. See options for short-term recovery locations in Aftercare and Recovery (Planning Toolkit). Your plastic surgeon will advise you how to care for the sites from which fat was extracted.
The swelling and bruising during the first week are significant, and you will not be ready to see others socially or professionally.
There is great improvement in most cases between the seventh and tenth days, but you may still not be ready to go out in public. Once the swelling recedes, you will be able to appreciate the changes, but subtle swelling may persist for weeks.
You can expect the areas to which the fat was transferred to appear softer and fuller, giving you a refreshed and rejuvenated appearance. The survival of the fat and longevity of the results depend on the surgeon’s skills, how the fat was harvested and purified, and how and where it was injected. A process called microfat grafting, although labor intensive, is the best way to ensure that the highest percentage of grafted fat will take.
When done successfully, the injected fat establishes a new blood supply from your body and receives the nourishment it needs for survival.


For safety, as well as the most beautiful and healthy outcome, it’s important to return to your plastic surgeon’s office for follow-up evaluation at prescribed times and whenever you have any questions about your fat transfer healing and results.
The cost of a fat grafting procedure varies from doctor to doctor, from one geographic area to another and with the fat grafting technique that is performed.
See why ASAPS members are widely recognized for upholding the highest standards in the area of aesthetic plastic surgery by viewing their basic credentials, training, and certifications. Risks and potential complications of surgery is a subject you should discuss during your consultation.
You can help minimize certain risks by following the advice and instructions of your board-certified plastic surgeon, both before and after your fat transfer. Its human nature: We all want what we want when we want it, which for most of us is instantly. Nonsurgical facial aging treatments are not substitutes for a facelift, they can be performed in conjunction with a surgical treatment explains board-certified plastic surgeon, Dr. Even those among us who aren’t dummies can get confused about when one should use a neurotoxin, (Botox, Dysport and Xeomin) versus fillers, (Radiesse, Juvederm et al) in the nasolabial folds AKA marionette lines. If you wish to focus on what is unique to you, please consult with your aesthetic plastic surgeon. Commonly grafted, or injected, areas include the hands, face (including the lips), depressions in the skin (following liposuction and scarring) and the breast and buttock (for augmentation). If you have poor skin, sagging breasts, or want a significant increase in breast size, breast augmentation with fat transfer is not for you. If you have residual breast irregularities after undergoing breast augmentation with implants, the irregularities can be filled in with fat to produce a smooth contour and an optimal shape. Fat grafting is also an option for total breast reconstruction following mastectomy; however, to achieve sufficient breast volume, this is usually a multistage process that requires at least two to four sequential fat grafting procedures.
Liposuction is commonly used to both sculpt the surrounding area and collect the autologous fat to be injected. It may be necessary to repeat the fat grafting procedure several times to achieve the desired result.
Your surgeon will then create a small incision in the area for fat removal and, using a sterile technique, insert a cannula connected to a syringe to carefully extract fat (liposuction). Purification may require the use of a centrifuge to spin the fat or a filtration process to remove impurities. Your surgeon will insert a needle or cannula into the incision point of the site being augmented. Common sites for obtaining fat include the abdomen and the flanks (love handles), posterior arms and the hips and thighs. Sometimes depending on the location of fat deposits on your body, the incisions cannot be hidden. Visible scars are more likely when large liposuction cannulas are used and in patients who have darkly pigmented skin. One is a true scar, and the other is known as dyschromia, a dark (hyperpigmented) or light (hypopigmented) spot on the skin.
Your surgeon will evaluate you as a candidate for fat grafting and clarify what fat grafting can do for you. Obviously, you will need much less fat for facial filler than to augment your breasts or buttocks.
Frequently, local anesthesia and intravenous sedation are used for patients undergoing fat transfer, although general anesthesia is sometimes desirable.
Once the procedure has begun, he or she may decide to combine various techniques or change a technique to ensure the best result.
You may be wearing a compression garment at your liposuction site to help “shrink” the skin.
Recovery from fat injections is variable and perception of that recovery is even more highly variable. Most people who have very little time off from work take one week off, including two flanking weekends.
Careful application of makeup can be helpful in camouflaging any residual signs of swelling or bruising. To be performed successfully, fat grafting requires a surgeon with highly developed skills based on experience and knowledge of the technique. When this happens, results can and often are permanent; however, there may be a percentage of fat that does not take, which is why touchup procedures are sometimes necessary. I would get a second opinion by other plastic surgeon who is specializing in oeriorbital surgery.
When I think about a person’s beauty I am immediately struck by their eyes and the skin surrounding them. Every year, thousands of people undergo successful fat grafting and are pleased with the results. Your plastic surgeon can even use grafted fat to minimize lines between your nose and mouth, correct skin depressions or indentations and minimize forehead wrinkles. Fat grafting can be explained as a three-stage process: (1) harvesting (2) purification and transfer and (3) placement. The injection needle is usually passed in and out of the areas to be augmented multiple times. Once the surgeon understands your goals, he or she may suggest additional or related procedures.
Unfortunately nothing causes a person to show their age like wrinkles and dark circles in the eye area. It is important that you do not have any circulation problems, either from a medical condition or smoking.
Each time the needle or cannula is withdrawn, a line of fatty tissue parcels is carefully deposited in natural tissue planes. And while quick results are sometimes possible, few are ever as instant as rumor or cute and catchy procedural references would have you believe. This process is repeated until the desired correction has been achieved, creating a grid of grafted fat. Bring several photos of yourself at an earlier age; they may serve as a good point of reference for discussing your goals.



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