Fat Transfer

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The idea of utilising fat to improve the aesthetics of an area of concern is a very appealing idea to most people. Removing fat in the form of liposuction and transferring the fat is a very elegant solution to many problems that plastic surgeons face. The concept is used widely in reconstructive surgery, where it acts as a very useful adjunct in cancer reconstruction. The techniques have crossed over to aesthetics, and are now a fundamental part of most plastic surgeons practice.

The benefits of fat are two-fold:

  1. It adds volume to the areas to which it is added
  2. It contains stem cells and has regenerative products, which strengthen the cells in its surroundings. This typically helps to improve the quality of the skin to the area it is added

Unfortunately not all the fat transferred survives, so any transfer is typically overcorrected by 30-40% to compensate for the anticipated loss

What is a Fat Transfer Procedure?

The procedure is performed as a general anaesthetic

It typically does not involve an overnight stay  unless it is combined with another procedure

The areas for liposuction are marked preoperatively. The donor sites can be anywhere, however, they are typically the flanks, abdomen, back, and thighs

The fat is processed and fat cells separated from the blood

The fat is then injected into the area of concern. Care is taken to inject the fat into thin layers and multiple levels. For fat to survive and give the best possible outcome, it has to pick up the blood supply in whichever bed it is injected. This gives it the best chance of success

Facial Fat Transfer

After the fat is collected, it is processed and further refined into micro and nanoparticles.

It is then injected into the temple, tear trough, cheek, nasolabial area, lips, and chin using tiny cannulas.

Typically 20 ccs of fat are injected, of which 12 ccs will remain

Breast Fat Transfer

The fat is processed and can be injected in isolation or as part of an implant-based breast augmentation

Fat transfer acts as an excellent adjunct to breast augmentation. If the preoperative 3D scan shows a wide cleavage, then the fat transfer can be utilised to improve it. If the skin is very thin, particularly in a revision procedure, then the fat transfer can be used to thicken the interface between the skin and the implant

Fat can be used in isolation to improve the shape of a breast or to match one to the other in the case of asymmetry

Very rarely is Fat used to perform complete breast augmentation by itself. The reabsorption of fat means that being able to confidently predict the size is difficult and as such means that it is not a first-line choice in breast augmentation

Fat is injected through the nipple-areola area, in the breast fold, and through the armpit. The fat is injected as small aliquots and in multiple layers, so it has the best chance of retention

Brazilian Butt lift

Fat is injected into the hips and buttocks. These are the areas that patients want addressing because you can create a curve to an otherwise square frame

Care is taken to keep the fat in the plane just beneath the skin. Injecting fat too deeply can cause it to enter the muscles and blood vessels, which has led to severe complications

Intimate areas

Fat transfer is becoming increasingly popular for rejuvenating the labia majora and increasing the circumference of the penis. The surgery is quick and has very little pain

Fat Transfer to Hands

Aging in the hands is a telltale sign of old age. The skin becomes thin and wrinkly, and the loss of fat leads to the guttering in the back of the hand. 

The addition of fat volumises the hand, giving them a youthful shape and tightens the skin. It complements other anti-aging procedures

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What is the Recovery for Fat Transfer

The procedure is typically a day procedure. The exception to this is a Brazilian Butt lift in which a one overnight stay is required

If a large amount of liposuction is performed then there will be some pain and swelling. Pain killers and antibiotics are given on discharge. The pain typically resolves 5-7 days. The swelling will take up to 3 months to fully resolve

The Brazilain butt lift requires most care in the post-operative period. For a period of 4 weeks, you have to minimise any pressure on the buttock region and this has a real impact on your ability to drive and going to the gym. You will need to purchase a special cushion to sit on and sleep on your front

For the other fat transfers, driving can resume within the first week and a return to the gym is possible  after 2 weeks

For all the procedures a return to work is possible at 2 weeks

Dr. Faisal will review you at 1 week, 2 weeks, 6 weeks and 3 months

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How Can I Prepare For Fat Transfer

Smoking has a harmful effect on surgery and significantly reduces fat survival. This should be stopped 3 weeks before surgery

Blood-thinning medications such as aspirin, Plavix, and warfarin need to be stopped 1 week before surgery

Dr. Faisal's team will help you purchase the cushion necessary for the Brazilian butt lift

Dr. Faisal recommends taking 2 weeks vacation for the Brazilian butt lift, but 1 week is sufficient for the other fat transfers

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Dr Imran Tahir Aestheticare

Villa - 929B Al Wasl Rd - Dubai

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