Fat Transfer (Fat Grafting, Lipofilling)

The essence of Fat Transfer (also called Fat Grafting, or Lipofilling) is to harvest fat tissues from a certain body area to inject it back to another site after a special processing procedure for volume enhancement or regenerative purposes.

The method has been applied around the world since the 1990s for the face, breasts, hands, feet, legs, and buttocks, but it can even be used for penis enlargement. During the application, it was discovered that stem cells and growth factors found in the body’s own fat tissues contribute to the improvement of scars, or even to the restoration of the breast tissue after radiotherapy. Thus, Fat Transfer (Fat Grafting, Lipofilling) has not only aesthetic advantages, but it can actually accelerate the process of healing – which is true for any plastic surgery procedure that results in harmony between the body and the soul.

History of Fat Transplantation

The first Autologous Fat Transfer took place in the 19th century. In 1893, Gustav Neuber, a German plastic surgeon, used fatty tissue in the eyelid region to correct scars due to a bone disease called osteomyelitis. Two years later, Dr. Viktor Czerny transferred a lipoma (fat tumor) for breast symmetrization after partial breast removal.

Although these surgeries were successful, there was still a long way to make this technique perfect. The main reason for the century of developmental phase was that modern techniques of liposuction did not exist at that time, which would have ensured the long-term fat tissue survival and adhesion, so the outcome could not be predicted precisely.

In the 1990s, Dr. Sydney Coleman plastic surgeon began publishing studies on extracting, processing and injecting fat tissues and expanding the clinical use of the method in New York. These foundations were developed further by plastic surgeons worldwide. The development is continuous – just as in all areas of medicine – but today we are talking about a mature technology that is proven to be safe in expert hands.

It Is Important Who Performs It and Where!

Autologous Fat Transfer (Fat Grafting, Lipofilling) belongs to the field of plastic surgery, just as all body shaping interventions. For Fat Transfer, great experience in liposuction is required, as well as skillfulness and artistic planning ability, since the plastic surgeon must assess precisely how much fat is needed and where for desired results. Of course, sterile clinical conditions are mandatory for the surgery, just like the most up-to-date equipment: it really matters, for example, what kind of cannula is used for liposuction, since titanium-coated tissue-friendly varieties guarantee optimal adherence of the transplanted fat.

The process of fat transplantation consists of three main steps:

1.Liposuction from the donor area. This usually involves the abdomen, the thighs or the hips, according to the personal consultation.

2.Processing and centrifugation of the extracted fat with a special procedure to make it suitable for implantation. It is important to do this properly, as the centrifugation will separate dead cells that are not suitable for implantation from those that are still viable. If dead fat cells are implanted, they can hinder the survival of the nearest viable ones.

3.Injecting the harvested and processed fat droplets with a needle to the part where the volume-boosting and/or regenerating effect is required. Accurate dosing is not only aesthetically crucial but also because every drop of fat needs to get into an environment that ensures its adherence and survival.

Local or General Anesthesia?

Professional perfectionism requires that, for example, Fat Transfer Breast Augmentation or other extensive body re-shaping should be performed under general anesthesia, as they are taking more hours, which is why the patient’s full relaxation is indispensable. However, if just a small amount of fat is needed, for example, for scar treatment or penis enlargement, then it may also be performed under local anesthesia.

The Most Frequent Uses of Fat Transfer

Breast Augmentation

Usually, 25-400 cc of fat is injected into each breast for one or two cups size increase. Breast asymmetry can also be corrected with Autologous Fat Transfer (Fat Grafting, Lipofilling), and this method supports the healing process after capsular contracture. Fat Transfer can be performed together with Breast Augmentation with Implants in patients requiring its regenerative effect.

Facial Rejuvenation

Thanks to the volume-boosting effect of the injected 10-100 cc fat, wrinkles smooth out right away, especially in the under-eye region and nasolabial folds (laughing lines). It is also ideal for the treatment of scars, and to make the cheeks fuller.

Hip Re-shaping

To improve the ratio of waist and hip, we can inject 100-300 cc of your own fat tissues per side to create a very nice hourglass shape.

Buttocks Shaping

Though the breasts are in the focus of interest in European culture, Buttock Augmentation is also increasingly popular around the world. This also can be done with Fat Transfer (Fat Grafting, Lipofilling), by injecting 200-1300 cm3 per side for a full and shapely bottom.

Hand and Foot Rejuvenation

On hands and feet show the physical strain and the passage of time mercilessly. Ultimately, 5-10 cc of fat can make the hands and feet more aesthetic, and it can even support the base of the sole.

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