Fat graft is most frequently performed by Plastic Surgeons since liposuction is the primary component of the operation. Plastic Surgery residents undergo extensive instruction in the quality of treatment for the liposuction procedure and are fluent in the management of complications.
Fat grafting should be done in an approved outpatient surgery center (AAAASF, JCAHO) or a hospital. Accreditation of the facility is critical as it ensures that the facility is inspected at regular intervals to ensure patient safety and best practice.
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The fat grafting process involves three steps:
In the first step, fat is removed from the donor region by liposuction techniques.
This is best done by manual procedures using thin liposuction cannulas with tiny holes. Laser or ultrasonic liposuction is not used for extraction, because fat cells may be destroyed.
The fat is then extracted by decanting and centrifuging to remove debris, excess fluid, and dead cells from viable fatty adipose cells. The alternative is to wash the fat with a normal saline solution. The fat that is removed is the fat cells that are unable to succeed in the grafting and can also cause problems for the healthy cells.
In the last step, the fat is re-injected via the subcutaneous tissue of the recipient region in tiny droplets. This is to ensure that every fat droplet has a sufficient blood supply so that the fat grafting can survive.
The amount of fat extracted is measured in cc’s and eventually varies depending on the particular case of the patient and the region of the body where the processed fat is injected.
The treatment normally lasts a few hours. You may be able to go home shortly after the operation has been done, or you may need to stay overnight in the hospital.
If a wide area is being treated, the care can need to be done over 2 or more sessions.
You may not experience a lot of discomfort during the operation, but you might have a few days or weeks afterward. You will be given painkillers if you really need them.
Fat grafting is done with a wide range of anesthetics. The choice of anesthesia typically depends on the amount of fat extracted from the donor region by liposuction. The extraction of small amounts of fat can easily be tolerated using local anesthetics. However, greater volumes (> 500cc) almost always require the patient to be sedated with IV anesthesia or general anesthesia.
A description of typical applications for fat grafting and the related volumes of fat injected is as follows:
Preserves a youthful appearance by applying volume to hollowed-out or wrinkled areas, such as the area under the eye and the nasolabial folds.
Whether you have facial creases, such as humor lines, smile lines, and crow’s feet, fat could be removed from your belly, thighs, and other areas and inserted into your face. Acne marks and regions of the forehead, lips, and buttocks can also be filled in. Your plastic surgeon can also use greased fat to eliminate lines across your nose and mouth, fix skin depressions or indentations, and eliminate wrinkles in your forehead.
Adds volume to the cheeks to give the impression of higher cheekbones.
Enhances the texture and shape of the skin;