Fat Transfer

Overview Fat Transfer

Fat transfer, also known as fat grafting or fat filling, is a cosmetic procedure that involves transferring fat from one part of the body to another to enhance volume and contour. This technique can be used on the face to address aging-related volume loss, wrinkles, and hollow areas, or on the body to augment areas like the breasts, buttocks, or hands. Fat transfer offers a natural solution using the patient’s own fat cells, reducing the risk of allergic reactions or rejection.

Procedure Details:

The procedure begins with liposuction, where fat is harvested from donor areas such as the abdomen, thighs, or flanks. The collected fat is then processed and purified to remove impurities and excess fluids. Once purified, the fat is carefully injected into the target areas in small amounts to ensure smooth and natural-looking results. The process may require multiple injections and meticulous layering to achieve the desired outcome.

Duration

The duration of a fat transfer procedure varies based on the areas being treated and the amount of fat being transferred. Typically, the procedure takes about 1 to 4 hours. Facial fat transfers usually take less time compared to body contouring procedures.

Anaesthesia:

Fat transfer procedures can be performed under local anesthesia with sedation or general anesthesia, depending on the extent of the surgery and the patient’s preference. Local anesthesia with sedation is often sufficient for smaller areas like the face, while general anesthesia may be preferred for larger body areas.

In/Out Patient

Fat transfer is usually an outpatient procedure, allowing patients to return home the same day. In some cases, an overnight stay might be recommended if a large volume of fat is transferred or if the patient undergoes additional procedures simultaneously.

Post Operative

Post-operative care involves managing swelling, bruising, and discomfort, which are common after fat transfer. Patients are advised to avoid pressure on the treated areas and to follow the surgeon’s aftercare instructions, including wearing compression garments if recommended. Pain can be managed with prescribed medications, and most discomfort subsides within a few days to a week.

Recovery:

Initial recovery from fat transfer procedures typically takes about 1 to 2 weeks, during which swelling and bruising subside. Most patients can resume normal activities within a week, but should avoid strenuous activities and exercise for at least 3 to 4 weeks. Full recovery and final results may take several months as the transferred fat cells settle and integrate with the surrounding tissues.

Results

The results of fat transfer are long-lasting and can provide a more youthful and natural appearance. However, not all transferred fat cells will survive, and some resorption is normal. To achieve optimal results, a follow-up procedure might be necessary. When successful, the enhanced volume and contour
provided by fat transfer can last for several years, contributing to improved facial and body aesthetics.

Expectations

Patients should have realistic expectations about the outcomes of fat transfer. While the procedure can significantly enhance volume and contour, it is important to understand that some fat resorption is normal, and multiple sessions might be needed to achieve the desired results. A thorough consultation with the surgeon will help set realistic goals and ensure that the patient understands the potential outcomes and limitations.

Frequently Asked Questions:

Am I a good candidate for fat transfer?

Good candidates are individuals with sufficient fat stores in donor areas and who desire a more natural augmentation or contouring. They should be in good health, non-smokers, and have realistic expectations about the results.

How long will the results last?

The results are long-lasting, but some fat resorption is normal. Typically, 50-70% of the transferred fat survives permanently. Additional sessions may be needed to maintain or enhance results.

Will there be visible scars?

Common areas include the face (cheeks, lips, under-eye area), breasts, buttocks, hands, and hips. It can also be used to improve the appearance of scars or contour irregularities.

Will there be visible scars?

Incisions for both fat harvesting and injection are very small, typically 1-2 mm, and are strategically placed to minimize visibility. Any scars usually fade over time.

Can fat transfer be combined with other procedures?

Yes, it can be combined with other procedures such as facelifts, liposuction, breast augmentation, or tummy tucks for more comprehensive results.

What are the risks associated with fat transfer?

Risks include infection, fat embolism, cyst formation, calcification, and uneven results. These are generally rare and manageable with proper technique and prompt medical care.

How soon can I resume normal activities?

Most patients can return to normal activities within a week, but should avoid strenuous activities for at least 3-4 weeks to ensure proper healing.

How much fat is needed for a fat transfer?

The amount of fat needed depends on the treatment area and desired outcome. During the consultation, the surgeon will determine the appropriate amount based on individual goals.

What happens if I gain or lose weight after the procedure?

Significant weight fluctuations can affect the results of a fat transfer. Gaining weight can increase the size of the treated areas, while losing weight can reduce the volume of the transferred fat.

Is fat transfer covered by insurance?

Fat transfer is typically considered a cosmetic procedure and is not covered by insurance. However, if the procedure is performed to correct deformities or after trauma, some costs may be covered.

How long does the procedure take?

Fat transfer is typically considered a cosmetic procedure and is not covered by insurance. However, if the procedure is performed to correct deformities or after trauma, some costs may be covered.

Can fat transfer be used for breast reconstruction?

Yes, fat transfer is commonly used for breast reconstruction following mastectomy or lumpectomy, as well as for correcting implant irregularities or asymmetry.