Fat Transfer / Grafting , Lipostructure, Lipofilling to the Face

 

Introduction

Fat grafting consists of two procedures performed on the same day: first harvesting the fat and then placement into the face. To begin, a small amount of fat is removed with a fine harvesting cannula connected to a small syringe. Then, the harvested fat is injected meticulously through a few tiny 1 mm incisions using blunt infiltration cannulas. This is also called Lipostructure, Fat Transfer, Fat Grafting , Lipofilling, or Structural Fat Grafting.

This technique is able to create a long-lasting and natural result anywhere in the body.

However, a second method of rejuvenation has just recently become apparent. Fat has the highest concentration of repair (stem) cells of any tissue in the body. Placing fat full of stem cells under a damaged skin where there is little fat may have a repair effect on the skin. Such a repair effect can reverse the damage to the skin caused by aging and sun exposure.

This typically takes 1 hour for this procedure. The fragile fatty tissue must be harvested slowly and gently. The fat is then placed into the face not only so that it will create as aesthetic, natural appearance, but also so that the newly transplanted fat has a chance to survive. This is by injecting the fat into many different layers, so that each layer has its own blood supply.

The results of this particular procedure may be unpredictable. The reason is that much of the injected fat is absorbed, leaving an average of about 40 percent in place. Patients may require more than one treatment to achieve the best results. Each time the procedure is repeated, more fat is accumulated in the treated area. This tends to offer longer-lasting results, even lifetime results.

Only small quantities are transplanted at a time because the fat cells need to develop their own blood supply or they will die. If larger quantities are transplanted , the fat will not survive.

 

Fat Transfer to the Face

    Common indications are:

     

    • Lip enlargement

     

    • Nasolabial Folds (often together with facelift)

     

    • Hollow Cheeks

     

    • Tear trough of the lower eyeld

     

    • Hollow upper eyelids

     

    • Chin enlargement (but a sliding genioplasty is a far better and permanent solution)

     

    • Nose : bridge of the nose smoothening after rhinoplasty.

     

    Each indication has alternatives , which have to be discussed with your surgeon.
    However, fat transfer does not replace a facelift , chin or cheek implant , or a sliding genioplasty.