Facial Fat Graft
What is it and how does it work ?
Fat can be used as a filler to enhance the face shape. Fat is the safest filler as its natural and your own so there is no rejection. Fat also contains stem cells and these cells provide growth factors and lead to additional improvement of the skin. If your face is v empty, we can graft 20-30 mls of fat at one time, it is more economical then using commercially available Hyaluronic fillers since these are charged per ml.
Which areas can be treated & results can I expect ?
- Mid face cheeks > apple cheeks, 3D effect.
- Forehead, temple area > a rounded and full forehead
- Laugh lines (nasolabial lines) > less deep
Usually from the love handles or outer thigh, done under local anaesthesia. This is not like a typical liposuction as the amount removed is much lesser, only 10-20% of what we would usually remove in a typical liposuction. Therefore, the trauma from such a fat harvesting is also much lesser then liposuction so the expected downtime and risk from the donor site is much lesser.
What is the procedure like ?
It done all under local anaesthesia. It takes about 45 mins to complete the whole procedure : Fat Harvesting >Treatment of Fat > Grafting of Fat. Post op, after resting another 1hr, you will be able to go back on your own, you may also be able to drive since no sedation is given.
How long do the results last ?
About 50-70% of the fat grafted will survive long term.
Am I a suitable candidate ?
Most patients without any medical conditions are suitable.
What happens immediately after the procedure, is there any downtime ?
The 1st 1 week, the face will be more swollen, usually not much bruising. The face will settle down a lot in the 1st 1 week. Most patients go back to work after 2-3 days.
Is it safe ?
Yes, it is generally a safe procedure. Side effects are rare and include infection, bleeding, hematoma, uneven results, skin necrosis, blindness. Fat Transplantation Dilemma The main problem associated with fat filler is that not all the fat injected will survive. Usually about 50 70% of the face transplanted will survive. These survivor fat cells will last. The main difficulty with the procedure is deciding whether to transplant more then required in view of the 30-40% reduction or transplant just sufficiently. It takes about 1 –2 months for fat cells to settle, so if we transplant more, the patient will surely complaint of a swollen face for that period. But if we inject just sufficient, then they would be happy after 1 week when initial swelling of operation has settled but often complaint of insufficient amount after 2 months. In such cases, we advise that best thing to do is to do a repeat transplant after 2-3 months so that the patient does not have to bear with swollen face for 1-2 months, but there is an additional charge.
For some patients, this is a better option.