Introduction

Fat grafting to the breast consists of two procedures performed on the same day: first harvesting the fat and then placement into the breasts. To begin, a substantial amount of fat is removed with a fine harvesting cannula connected to a small syringe. Then, the harvested fat is injected meticulously through four tiny 2-4 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 four hours for this procedure. The fragile fatty tissue must be harvested slowly and gently. The fat is then placed into the breast, buttock or 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.

The most common, but infrequent, complications of fat transfers include uneven skin texture, infection, abscess, or scarring. If fat is injected into two or more areas, patients may have asymmetry whereby the fat appears uneven in different areas. Treatment for complications can range from oral medications to surgical intervention, depending upon the extent of the complication.

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 following may occur : If too much fat is injected , large sacs of dead tissue (necrotic cysts or abcess) can form which must be removed by reoperation and a saline or other prosthetic implant may be needed to restore the original shape of the breast.

 

Breasts

“Fatty Thighs and big lovehandles to Give Breasts Uplift or Enlargement”

Women have always wanted to move fat from their waist or thighs to their breasts. Now it is possible!

 

This is used as an alternative to

    • implants for augmentations

     

    • fine tune  breast reconstruction

     

    • disguise  the edges or rippling of existing silicone gel and saline implants.

     

Major advantages over implants

    • Fat is completely natural substance that comes from your own body

     

    • Harvesting of the fat can be used to enhance your shape

     

    • The breast can be sculpted and shaped

     

    • There are minimal incisions with this procedure, which reduces the possibility of scarring

     

There have been concerns about breast cancer detection

    • Fat transfer to the breasts may leave microcalcifications , which may interfere with mammograms.
      • As with any breast procedure, calcifications and lumps can occur. Breast studies including physical examination and mammograms, should be used to monitor every patient diligently. However, there is no evidence that fat transfer to the breast is less safe than any breast surgery. Large studies have begun over the last few years to study fat grafting to the breast. Calcification (calcium build-up in tissues) of fat droplets is the most common complication (1.4–15% of cases). This may give false positives for breast cancer under mammography, leading to more biopsies. The masking of breast cancer due to calcification of fat droplets is of major concern, but implants can also affect mammography by blocking breast tissue from imaging.

     

What to expect in one session

    Typically, an “A” cup can be transformed into a “B” cup, but that’s the most one can expect in one session. Usually the increase will be less than one cup size.

    • Only a small increase in breast size is theoretically possible using this technique (no more than one bra cup size). From 30 to 400ml of liposuctioned fat has been injected in stages into the female breast, sometimes over a period of months. If injected fat is reabsorbed by the tissues, however, it no longer acts to enlarge the breast. Rates of fat reabsorption ranged in different case series from less than 20% after 1 year with breast enlargement maintained by fibrous tissue, to 100% reabsorption (and hence no increase in breast size) after 12 months.

     

    • The same applies to all other areas in the body where fat transfer is taking place.

     

    • There is too little data available to decide whether autologous fat transfer for enlargement of the breast is as safe or effective as the conventional techniques of saline and cohesive silicone gel implants; certainly larger increases in breast size could only be achieved with prosthetic implants.

     

Who is a Candidate for Breast Augmentation with Fat Transfer?

    • A woman who has enough body fat to have the procedure done

     

    • Reconstruction candidates

     

    • A woman who is considering saline or silicone implants with only a small increase of cup size

     

    • Alternative for Macrolane

     

    • Has a normal mammogram

     

Fat Grafting to the hands

Aging of the hand occurs in several ways, one of them is a subtle loss of fullness under the skin (atrophy) and another involves deterioration of the skin itself. This is due to the fact that we loose fat and muscle in our hands , and also the skin itself becomes thinner and less elastic (like crêpe paper) when aging. This loss of fullness of the hand and fingers makes the joints appear enlarged and arthritic.

Technique : this is done through 4 -6 injection sites of 2 mm’s. These incisions are inconpicous. After an initial episode of swelling of 2-3 weeks, the hand will have a more rejuvenated , youthful look. This may be combined while doing a tummy tuck , liposuction or other procedures.

 

Fat Transfer to the Face

    Common indications are :

    • Lip enlargement

     

    • Nasolabial Folds

     

    • Hollow Cheeks

     

    • Tear trough of the lower eyelid

     

    • Hollow upper eyelids

     

    • Chin enlargement

     

    • 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.

     

Fat Transfer to the Buttocks , Brazilian Butt lift, Gluteal augmentation

Augmenting your derriere with your own body fat is very appealing – the results can look very natural and, because fat is your own body substance, there is little chance for rejection

How do you know if you are a candidate for butt augmentation through fat transfer? Usually, if a patient is overweight or wears an eight to 12 dress size, she is probably best suited for transfer and perhaps some liposuction. Thin patients who wear size two to four dresses are usually not good candidates for fat transfer because they do not have any fat to spare.

For butt augmentation, the layering method will create a smooth, more rounded buttock with no irregular places showing through the skin.

One note: just after the procedure, the buttocks will swell somewhat and then subside. Thus, most patients think all the transferred fat has gone away but actually, it was the swelling that went down. That’s why it requires three months before we can get a final resolution on how much fat actually remains.

The most common donor sites are the upper and lower tummy , flanks, the outer and inner thighs.. Planting fat cells from those areas will cause your rear end to look like it has been lifted up and reshaped to be more curvaceous.

Of course, every Brazilian Butt Lift case is different, but the amount of fat required for each buttock is an average of about 200 to 350 cubic centimeters (cc or ml ) of pure fat . So, for both sides, that equals about 700 cc which is about ½ to about ¾ of a pound of fat. Most people are very pleased to have that amount of fat removed from their bodies; however, if you are very thin and carry very little body fat, then this kind of procedure is not suitable for you. A buttock implant is an alternative, but because of the long term problems with this procedure, we chose not to peform any buttock implants.

Almost all rear ends look better with some added volume. I just about always suggest some form of gluteal augmentation with fat to most patients who are interested in having their buttocks shaped and contoured.

You may find some myths about fat while you are researching the procedure. One of the most widespread is that fat transfer will result in a lumpy or bumpy surface. Another myth is that fat transfer will create cellulite. Just the opposite is true—fat is frequently used to correct irregularities and deformities in the skin. So after fat transfer into your buttocks, your skin and rear will feel very natural and appear like it is your own – which it is because the fat has incorporated into your body.

 

Who is a good candidate for a brazilian butt lift?

    • Overall healthy

     

    • Sufficient amount of fat in other locations

     

    • Buttocks are not too saggy (in that case a concomitant surgical buttock lift needs to be done)

     

    • A desire for fuller buttocks

     

Is it possible to combine Fat transfer with other procedures?

Yes, this is often combined with tummy tucks, facelifting, breast uplift, etc…