Fat transfer, also known as fat grafting or lipofilling, is a minimally invasive aesthetic procedure which enhances volume in certain parts of the body, which were full and well roundedbefore the aging process or weight changes. The main goal is to relocate the fat from undesired locations (e.g. arms, abdomen, thighs or other) and inject it into areas that lack definition (e.g. breasts, face, buttocks). This procedure enhances contour-lacking body parts while reducing the fat in an undesired area.
This procedure is comprised of a few steps.
– Firstly, fat cells need to be extracted from the fat tissue of the donor body part. A few small incisions are made and a thin cannula is used to remove the fat.
– Later, the fat is prepared by using special equipment which purifies and prepares the fat for injecting.
– After preparing the fat, it is strategically administered into a desired area. The fat is injected through small incisions in the skin which are later stitched for recovery.
Why Fat Injection Is Reguired?
The purpose of fat grafting is to augment or fill in volume-deficient areas. Commonly grafted, or injected, areas include the hands, face , depressions in the skin (following liposuction and scarring) and the breast and buttock (for augmentation). Of course, you must have donor sites from which fat can be taken.
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. Acne scars and sunken areas of the face, lips, and cheeks can also be filled in. 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.
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. If you have poor skin, sagging breasts, or want a significant increase in breast size, breast augmentation with fat transfer is not for you. The problem with only using fat for breast enhancement lies in getting large volumes of fat to predictably “take.”
Breast implants plus fat grafting: If your breast shape needs optimizing during a breast implant procedure, fat grafting can be useful. 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.
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. 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.
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. Liposuction is commonly used to both sculpt the surrounding area and collect the autologous fat to be injected.
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.
Why Iran Is Suitable For Fat Injection?
Patient eligibility \ who can have Fat Injection?
– To begin with, a fat transfer patient should possess enough body fat for the harvest.
– Good physical and mental health is crucial to the procedure and recovery after it.
– The ideal candidate should not smoke or should be prepared to cease smoking at least 6 weeks before and after the surgery.
– The patient should be able to acknowledge both the advantages and disadvantages of the procedure and evaluate the risks. Having realistic expectations for the outcome is key when opting for any surgery, including fat transfer.
– It should be noted that women who are pregnant or are currently breastfeeding are not eligible for a fat grafting procedure.
– Patients with certain health issues, like cardiovascular or autoimmune diseases, are evaluate and consulted individually.
How Is Fat Injection Done? (Procedures)
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. It may be necessary to repeat the fat grafting procedure several times to achieve the desired result. Fat grafting can be explained as a three-stage process: (1) harvesting (2) purification and transfer and (3) placement.
Harvesting: You and your surgeon will select a site for fat removal and will inject it with a local anesthetic. 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 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. Purification may require the use of a centrifuge to spin the fat or a filtration process to remove impurities prior to injection.
Placement: The area designated to receive the graft will then be prepared. Your surgeon will insert a needle or cannula into the incision point of the site being augmented. The injection needle is usually passed in and out of the areas to be augmented multiple times. Each time the needle or cannula is withdrawn, a line of fatty tissue parcels is carefully deposited in natural tissue planes. This process is repeated until the desired correction has been achieved, creating a grid of grafted fat. Some surgeons recommend massaging the grafted areas to create a satisfactory contour. Others prefer to rely on the placement technique to create the appropriate contour. The surgeon may also place a dressing or bandage over the grafted area.
Preparation & Recovery
In advance of your procedure, your surgeon will ask you to:
-Stop smoking at least six weeks before the procedure to avoid poor wound healing and scarring.
– Avoid taking aspirin, nonsteroidal anti-inflammatory medications (NSAIDs: Advil, Motrin, Aleve) and vitamins/homeopathic regimens that can increase bleeding.
-Regardless of the type of procedure to be performed, hydration is very important before and after for safe recovery.
How will I look and feel immediately following a fat transfer?
Surgical sites will swell and you may experience moderate pain which can be controlled by taking anti-inflammatory drugs. Allowing yourself some downtime is crucial, therefore, take time off work and social events for at least the first 2 weeks. On the second week, bruising should subside, however, many patients will still experience some swelling later on. By the third week, you will be able to wear make-up to touch up any discoloration or bruising which can still be present at this time. Once bruising and swelling have fully receded, you will be able to appreciate the look you were going for.
Bear in mind that fat transfer success highly depends on one’s weight. Meaning that if you start losing weight after receiving a fat transplant, a fat cell will not be able to survive and will lead to an unsuccessful fat transplant. It is crucial to maintain the body weight you were at the time of surgery so that the best results can be achieved.
Risks & Complication
Fortunately, significant complications from fat grafting are infrequent. This procedure is usually performed without any major problems.
Risks and potential complications of surgery is a subject you should discuss during your consultation. The risks in most surgeries are similar. Some of the potential complications of all surgeries are:
– Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
– Changes in sensation
– Allergic reactions
– Damage to underlying structures
– Unsatisfactory results that may necessitate additional procedures
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.