microfat grafting

MICRO FAT GRAFTING

Fat transfer has been used successfully for soft tissue augmentation since 1893. Fat transfer (also known as fat grafting/micro fat grafting) is a process that involves harvesting fat cells from other parts of the body, purifying them, and them injecting them into the treatment site. This is done to increase the volume in areas such as the cheeks, lips and breasts. Fat transfer can also help reduce the appearance of pitted acne scars. Fat transfer is a popular, safe and effective alternative to other wrinkle treatments designed to re-contour the face and provide definition to the cheeks and chin. It can also be used to correct facial deformities. One particular advantage to this treatment is the fact that fat transfer involves one’s own fat cell, so the patient can never have an allergic reaction

MICRO FAT GRAFTING PROCEDURE

FAT HARVEST TECHNIQUE:

  • Infiltrate approximately 1mL solution for every 1 mL fat to be harvested
  • Use 10cc cannula with mild manual suction pressure
  • Small bore suction cannula should be used (approx. 2mm holes)
  • Never use high suction (e.g. plunger locking devices)
  • The fat is transferred to 20cc or 50cc syringes and stored vertical.
  • Supernatant fat is transferred to 3cc or 1cc Luer-lok syringes.

FAT PLACEMENT:

  • Usually under local anaesthesia
  • The transplanted fat must have access to a blood supply
  • Placement from at least two directions into each area grafted
  • Coleman type cannula
  • Place on withdrawal of cannula only
  • Fundamental to this technique is the placement of fat in tiny aliquots

POST OPERATIVE CARE:

  • Tape area – 3-4 days
  • Cool packs to reduce swelling – 72 h
  • Liquid diet for 1 week
  • Sleep with head up
  • Light massage only
  • Swelling for 2-6 weeks

WHO IS CANDIDATE?

  • Facial areas that appear creased and sunken
  • Facial asymmetry ( Romberg disease, hemi facial microstmia)
  • Permanent correction  rather than temporary fillers
  • To improve body contour, revise scars and rejuvenate hands and face
  • Asymmetry in breast shape and/or volume;
  • Breast reconstruction ( post mastectomy, congenital hypo plastic breast )

COMPLICATION

  • Soreness
  • Swelling
  • Bruising
  • Resorbtion
  • Fat necrosis

PROCEDURE SUMMARY:

  • Duration: 1 to 2
  • Anesthesia: local/general
  • Hospital stay: daycare procedure
  • Back to work: after 2 to 3 days
  • Post-operative care: for 2 to 3 days
  • Result: permanent (but resorbtion 30 to 40 percent)

Choosing a Qualified plastic Surgeon Microfat grafting is a simple procedure, but excellent results require a skilled approach that can only come from specialized training and experience. You need to choose a trained and licensed plastic surgeon that can perform the procedure safely and achieve the results you desire

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