Fat Grafting

The fat grafting process involves three steps:

• removal of the fat from the donor site with liposuction
• processing of the fat by centrifugation and decanting
• reinjection of the processed, purified fat into the areas needing improvement

In the first step, liposuction removes fat from a donor area. This is best done by manual methods using thin liposuction cannulas with small holes. Laser or ultrasonic liposuction is not to be used as it may damage the fat cells.

The fat is then processed with centrifugation and decanting to separate the viable adipose fat cells from debris, excess fluid, and dead cells. Another way is to wash the fat with a sterile saline solution. The discarded fat contains fat cells, which will likely not survive in the graft, which may create problems for the good cells.

The final step involves fat reinjection in tiny droplets throughout the subcutaneous tissue of the recipient area. This is to ensure a good blood supply to every fat droplet so that the fat graft has the best chance to survive.

The amount of fat reinjected is measured in mls or cc’s and ultimately changes depending on the specific patient case and the body area where the processed fat is injected.

Typical areas of fat grafting include:

• Face
• Breast
• Hips
• Buttocks
• Hand and Feet

Someone needs to drive you home after the procedure. You can start driving again when you can do so without experiencing any discomfort.

The treated areas will probably be bruised and swollen for a few weeks, and you will be given a special garment to reduce swelling. Vigorous exercise or strenuous exertion such as lifting or straining must be avoided for a minimum of 3 weeks after surgery. Take it easy. Do not massage, rub or place any tension on the incisions for a minimum of 4 weeks after your surgery.

It can take up to 6 to eight months for a surgical fat transfer to settle fully, as some of the injected fat may be reabsorbed by your body during the first few months after the operation.