[vc_single_image image=”32987″ img_size=”full”][gem_icon_with_title icon_pack=”material” level=”h2″ icon_material=”f526″ icon_color=”#a51532″ title=”Fat Grafting” title_color=”#a51532″]Fat grafting, also referred to as fat transfer or fat injections, is the surgical process by which fat is transferred from one area of the body to another area. The surgical goal is to improve or augment the area where the fat is injected. The technique involves extracting adipose fat by liposuction, processing the fat, and then reinjecting purified fat into the area needing improvement.

Since the 1990’s Plastic Surgeons have reliably used fat grafting as a way to improve and enhance the cosmetic appearance of the face, breast, hands, feet, hips, and buttocks. However, more recently, clinicians have documented the therapeutic benefits of fat grafting in the healing of wounds and scars, as well as fat’s ability to repair damage to breast tissue following radiation treatment.[gem_icon_with_title icon_pack=”material” level=”h3″ icon_material=”f526″ icon_color=”#a51532″ title=”History of fat grafting” title_color=”#a51532″]The first ‘fat grafting’ procedure dates back to the late 19th century, 1893, when a German Plastic Surgeon, Gustav Neuber (1850-1932) transferred fat from the arm to the orbital (eye) region to correct scars formed from osteomyelitis (bone infection).

However, fat grafting had trouble gaining acceptance during the next 100 years due to the many complications that routinely accompanied the procedure. Modern liposuction techniques had not yet been developed or standardized and the extracted fat was generally of inconsistent quality, which yielded poor results.

In the 1990’s, Dr. Sydney Coleman, a New York City Plastic Surgeon, began publishing papers describing standardized techniques for fat extraction, processing, and injection. Since that point in time, the procedure’s popularity has only increased along with a wider variety of clinical applications.[gem_icon_with_title icon_pack=”material” level=”h3″ icon_material=”f526″ icon_color=”#a51532″ title=”Who performs fat grafting and where?” title_color=”#a51532″]Fat grafting is most commonly performed by Plastic Surgeons, as liposuction is a primary component of the procedure. Plastic Surgery residents get comprehensive training in the standards of care for the liposuction procedure and are fluent in managing complications.

Fat grafting should be performed in an accredited outpatient surgery center or hospital. Facility accreditation is important as it guarantees that the facility is inspected at regular intervals to ensure patient safety and best practices.[gem_icon_with_title icon_pack=”material” level=”h3″ icon_material=”f526″ icon_color=”#a51532″ title=”Fat grafting process” title_color=”#a51532″][gem_list type=”snowflake-style-1″ color=”2″]The process of fat grafting involves three steps:

  1. extraction of the fat from the donor area with liposuction
  2. decanting, centrifugation, and processing of the fat
  3. reinjection of the purified fat into the area needing improvement

In the first step, fat is extracted from a donor area using liposuction techniques. This is best accomplished by manual methods using thin liposuction cannulas with small holes. Laser or ultrasonic liposuction should not be used for the extraction as it may destroy the fat cells.

The fat is then processed with decanting and centrifugation to separate debris, excess fluid, and dead cells from the viable adipose fat cells. An alternate method is to wash the fat with a sterile saline solution. The fat that is discarded are the fat cells which will likely not survive in the graft and they can even create problems for the good cells.

In the final step, the fat is reinjected in small droplets throughout the subcutaneous tissue of the recipient area. This is to ensure good blood supply to every fat droplet so that the fat graft can survive.

The amount of fat injected is measured in cc’s and ultimately varies according to patient case specifics and the area of the body where the processed fat is being injected.[gem_icon_with_title icon_pack=”material” level=”h3″ icon_material=”f526″ icon_color=”#a51532″ title=”Types of anesthesia used” title_color=”#a51532″]Fat grafting is performed with a wide variety of anesthetics. The choice of anesthesia usually depends of the volume of fat that is extracted from the donor area via liposuction. Extraction of small volumes of fat can easily be tolerated using a local anesthetic. However, larger volumes (>500cc) almost always require that the patient be sedated with IV anesthesia or General Anesthesia.[gem_icon_with_title icon_pack=”material” level=”h4″ icon_material=”f526″ icon_color=”#a51532″ title=”Common areas of fat grafting” title_color=”#a51532″][gem_list type=”snowflake-style-1″ color=”2″]

Face (10cc – 100cc, total)

Breast (25cc-400cc, each breast)

Hips (100cc-300cc, each side)

Buttocks (200cc-1300cc+, each cheek)

Hands and Feet (5-10cc, per extremity)

Fat grafts have increasingly captivated the attention of Plastic Surgeons not only due to their aesthetic capabilities, but also because of their regenerative properties. The regenerative properties are due to the high concentration of mesenchymal stem cells (MSCs) resident in the fat tissue.

Clinically, we are currently using fat grafts to rejuvenate skin, help reverse radiation tissue damage, and treat autoimmune skin disorders. But there is potential to use adipose derived MSC’s in all areas of the body if we process adipose tissue further.[gem_icon_with_title icon_pack=”material” level=”h3″ icon_material=”f526″ icon_color=”#a51532″ title=”Fat Grafting as Part of Facelift Surgery ” title_color=”#a51532″]In this technique, the surgeon performs liposuction to obtain fat cells from another part of the body-such as the abdomen or thighs-and carefully injects them to provide additional volume in selected areas of the face.

One of main sites of fat injection was the cheek (malar) area, where fat grafts are used to counteract age-related deflation to provide a fuller, more rounded appearance of the cheeks. The area below the lower eyelids and the nasolabial folds between the nose and the corners of the mouth were other common sites for fat grafting.

While some of the injected fat is reabsorbed over time, the plastic surgeons believed that most of the transferred fat was still present at up to one year after facelifting. If necessary, follow-up procedures were performed to refine the results after four to six months. Patient and surgeon satisfaction rates with the results of fat grafting were good.

[vc_single_image image=”32930″ img_size=”full” alignment=”center”][gem_icon_with_title icon_pack=”material” level=”h3″ icon_material=”f526″ icon_color=”#a51532″ title=”Fat transfer breast augmentation” title_color=”#a51532″]Fat transfer breast augmentation essentially uses liposuction to take fat from other parts of your body and inject it into your breasts. This is a breast augmentation option for women who are looking for a relatively small increase in breast size and would prefer natural results.

Fat transfer breast augmentation risks include:

You may have to have touch-up injections to retain your improved shape if you choose this surgery.[gem_icon_with_title icon_pack=”material” level=”h3″ icon_material=”f526″ icon_color=”#a51532″ title=” Fat Injection Appears Safe for Reconstruction after Breast Cancer Surgery ” title_color=”#a51532″]using fat from elsewhere in the patient’s body for contouring of the breasts – is a safe procedure for women who have undergone breast cancer surgery

The technique-which includes using a special suction-pump bra device for a few weeks before surgery to “pre-expand” the breasts-provides greater augmentation than fat transfer alone, according to the new report

One year after surgery, breast volume was increased by an average of about 230 cc (about eight fluid ounces) in women undergoing the Brava procedure. That was significantly greater than the 130 cc average reported by previous studies using fat transplantation alone without pre-expansion.[gem_icon_with_title icon_pack=”material” level=”h3″ icon_material=”f526″ icon_color=”#a51532″ title=”Fat transfer to hands” title_color=”#a51532″]A refined fat transfer technique provides good cosmetic outcomes for patients who want a more youthful appearance of their hands,

Fat transfer techniques—taking a small amount of fat from one area of the body and transferring it elsewhere—have found a wide range of uses in plastic surgery, including cosmetic breast and facial procedures. Techniques using fat grafting for hand rejuvenation have been reported, with long-lasting results.

Through a few small incisions on the back (dorsum) of the hand, the surgeon gently makes room under the skin, then injects the harvested fat cells. The injected fat is gently massaged to create a smooth contour, filling in the “deflated” appearance and prominent bones and veins of the back of the hand.

fat transfer technique provides an improved, natural appearance through at least six months after the procedure. Recovery is quick, with no complications or safety issues over a five-year experience.

[vc_single_image image=”32928″ img_size=”full” alignment=”center”][gem_icon_with_title icon_pack=”material” level=”h3″ icon_material=”f526″ icon_color=”#a51532″ title=”Fat Grafting for Butt Augmentation” title_color=”#a51532″]we can take excess areas like the muffin top and the lateral thigh and place that fat into the under-projected gluteal areas. This creates the idealized hourglass shape of the lower back while framing the buttock from hipbone to the upper lateral thigh and provides volume enhancement to the gluteal region, which also provides a lifting effect.

During this procedure, a surgeon removes fat from an area where it’s not wanted—such as the abdomen or thighs—and places it into the buttocks. By removing fat from certain areas such as the abdomen and placing it into the buttocks, a surgeon can restore harmony to a patient’s body, accentuate the waist, and re-contour the entire torso.

The results can be quite spectacular with limited downtime.

Of course, you need to find a plastic surgeon with extensive experience in large volume fat grafting. Often times each cheek of the buttocks will receive as much as a liter of fat per side which is significantly more than what is put into the face, hands, or even breasts. Careful techniques of fat harvesting, fat isolation and reinjection are required to maximize the fat grafting take and the avoidance of nodules and fluid cysts.

After approximately four months, any fat cell that remains should be a long survivor. Of course smoking can be a cause of less fat retention and should be avoided.

The art of fat grafting and the clinical success of fat transfer for body reshaping have outpaced the basic science of the procedure.[gem_icon_with_title icon_pack=”material” level=”h3″ icon_material=”f526″ icon_color=”#a51532″ title=”Fat Grafting for Chin Augmentation ” title_color=”#a51532″]Chin augmentation (enlargement) is a common cosmetic procedure.

Fat grafting procedures-obtaining fat from one area of the body and transferring it to another-are finding a growing range of uses in both cosmetic and aesthetic plastic surgery.

The 3D measurements showed a similar pattern of improvement in chin projection, with an average increase of about 9 millimeters at four weeks and 7 millimeters at six months. Complications were uncommon and mild. Three patients returned for additional injections to gain a further increase in chin projection.

Fat grating for chin augmentation provides “consistent and predictable results.”Source: https://www.plasticsurgery.org/news/blog/the-bottom-line-on-fat-grafting-for-buttock-augmentation

Source: https://www.plasticsurgery.org/news/press-releases/fat-grafting-for-butt-augmentation%E2%80%94combined-technique-gives-good-results

Source: https://www.plasticsurgery.org/news/press-releases/fat-grafting-a-reliable-technique-for-chin-augmentation

Source: https://www.plasticsurgery.org/news/press-releases/fat-injection-appears-safe-for-reconstruction-after-breast-cancer-surgery

 

Source: https://www.plasticsurgery.org/news/blog/fat-grafting-history-and-applications

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