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Surgical Procedures

Fat Transfer

Fat transfer (medically, platelet injection fat transfer, also called fat injection or fat grafting) is a medical procedure that uses the patient`s own fat tissue to increase the volume of fat in the subcutaneous area of the body. Autologous adipose tissue transplantation has been used for breast augmentation for cosmetic reasons and after breast cancer surgery. It is a minimally invasive procedure an alternative to breast augmentation using breast implants.[1]

In 2007 doctors from the UCLA Division of Plastic and Reconstructive Surgery found in a study of autologous fat transfer found that "the literature fails to provide definitive evidence of fat survival."[2] However, a recently published study shows results on the quantification of volume gain after Liposuction and subsequent autologous fat transfer to the breast. The prospective clinical study including 85 patients evaluated the method of water-jet assisted Liposuction and autologous fat transfer for breast augmentation. The study verified a permanent take rate (volume gain) of 76±11% of the grafted fat after a time period of 6 months. The assessment of volume gain was done by preoperative and postoperative MRI spectroscopy

Fat Transfer Surgery Information

Fat is withdrawn from the patient in one of three ways: with a syringe that has a large-bore needle or with a Liposuction cannula. The fat is prepared according to the practitioner's preferred method and then injected into the patient's recipient site. The preparation process clears the donor fat of blood, pain killers and other unwanted ingredients that could cause infections or other undesirable side effects. Moreover, some physicians have found that human fat outside the body is incredibly delicate. One researcher (Mendieta) found that, to obtain viable fat, the needle withdrawing the fat can't be too narrow, the Liposuction cannula can't have too strong a vacuum pressure and the centrifuge used to clear debris from the donated tissue can't spin too rapidly. Another researcher found that vacuum pressure on the Liposuction machine could not be higher than 700 mmHg.[7]

Fat transfer to the hand A wrinkled, bony hand with large veins, sun spots and deep grooves can reveal an advanced age even though the patient's face, breasts or body have been surgically rejuvenated. Consequently, plastic, dermatological and cosmetic surgeons have developed techniques to make hands also look younger. A few practitioners use dermal fillers like Restylane and Juvederm but the longer lasting method seems to be fat transfer via injection which is reported to last for years.

Facial fat transfer A Liposuction technique is used to harvest the fat and prepare it for transfer. The fat is then injected into the desired portion of the face. When using a micro injection technique, extremely small parcels of fat are placed into multiple layers of the face. The procedure is most commonly performed under local anesthesia with a light oral sedation.

The most common facial locations for fat transfer include:

  • Filling in sunken areas beneath the eyes
  • Fleshing out the folds of skin that physicians know as nasolabial folds, the deep wrinkles next to the mouth often referred to as "laugh lines."
  • Filling in forehead creases
  • Cheek Augmentation
  • Generally, 40-60% of the transferred fat persists permanently. Although, the long-term efficacy of transferred fat has been documented in numerous studies results are extremely technique dependent.

    Lip augmentation Tiny, punch-like incisions are made at one corner of the patient's mouth. The surgeon then takes one- to two-millimeter-thick strips of fat from the donor site and gently works them into the upper and lower lips for a plumping effect that is reported to be safer, softer and more natural than lip augmentation with popular injectable facial fillers like Restylane or filler materials like medical Gore-Tex or, e-PTFE (polytetrafluorethylene) as the material is known to doctors.

    Buttocks augmentation via fat injections

    Lipoinjection to buttock with upper And lower abdomen, upper back, bilateral hips, mons pubis, and bilateral inner thighs. Many women, including transwomen, and a growing number of men want a curvier, rounder and shapelier rear end. While thin patients must opt for insertion of special buttocks implants to fill out their derrière, patients who can spare the fat can undergo fat injection in a surgical procedure known as gluteoplasty or Brazilian butt lift. Working through small incisions in each gluteal cheek, the surgeon places fat cells at dozens of levels through the patient's rear. It's an exacting procedure; one practitioner (Roberts) reports that a placement of fat cells the size of teaspoon will perish because that many fat cells can't find a blood supply. Most surgeons who perform the task say the perfect deposit of fat cells is about the size of a single pearl or a pea; the drops are placed in long rows. After the procedure, the patient must wear a compression garment for about six weeks and sleep on the stomach for about a week. In most cases, non-athletic activities and driving can be resumed in about five days.

    Breast augmentation via fat grafting Fat grafting to enlarge female breasts can be performed for cosmetic reasons, to correct breast asymmetry, tuberous breast, a condition in which the adult breasts fail to develop in puberty and result in extremely small, narrow and sagging breasts, or to correct Polands Syndrome, a rare birth defect characterized by underdevelopment or absence of the chest muscle (pectoralis) on one side of the body. It is used to reconstruct breast deformities due to mastectomy, a lumpectomy, a breast implant collapse.

    Correcting asymmetrical breasts Up to 25% of women's breasts display a persistent, visible breast asymmetry,[11] which is defined as differing in size by at least one cup size.[12][13] Ten percent are severely different, with the left breast being larger in 62% of cases.[14] Few surgeons will agree to an augmentation procedure unless there is a difference of at least one cup size.[1] Model Katie Green, who was chosen from among 4,000 other girls as the new face for Wonderbra in 2011, had severely asymmetrical breasts. Her right breast was a B cup and 2 inches (51 mm) and two cup sizes smaller than her left breast, a D cup. In January 2001, she underwent platelet injection fat transfer which transferred fat cells from her thighs to her left breast.[1]

    Procedures Plastic Surgery...

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