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cosmetic_surgery by Edward Latimer-Sayer
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list of operations > fat transfer camera before and after

Autologous Fat Transfer



What does it try to accomplish?

This is the injecting of the patient's own fat into the hollow of the cheeks or other areas of the body to replace the lost volume due to aging. It is also effective in correcting minor discrepancies in the shape and size of the two cheeks, etc. It is also generally very effective when placed in the upper lip.


How is it done?

Fat is removed with a syringe from an area where it won’t be missed and injected into the donor site using a wide needle. Most surgeons will aim slightly on the side of caution to avoid producing an unnatural bump and be prepared to add a little more later should there be any need. To obtain full correction very much more fat must be implanted than the patient needs.


How long does the operation take?

A few minutes, but this procedure is often combined with other operations, such as a facelift. It works very well when combined with dermabrasion on the upper lip.


How long is the stay in the clinic?

Day case, when done on its own.


What type of stitches are used?

None usually.


What type of dressing is used?

None usually.


Is there any bruising?

Can be quite marked.


Is there any swelling?

Only a proportion (about one third) of the fat that is implanted actually takes as a graft, so considerably more than the volume required needs to be injected. This means that to gain a full correction, the immediate swelling after the operation can be very considerable.


What pain will there be?

It is not usually painful.


Where are the scars and how bad are they?

Visible scars are unlikely.


How long does it take to recover?

It is only a minor operation when done on its own and recovery is just a matter of a few days.


When is the final result seen?

The swelling has gone by about 6 weeks. Many patients like the result best while it is still slightly swollen and then later request another go.


How long does it last?

Likely to last for several years, but the fat is often implanted in areas that are themselves slowly diminishing in volume so it is likely that the procedure will need to be repeated.




Common Complications
Early: If the fat implant is put too near the skin and in too great a quantity, an uneven puckering can result. This is a reason for the surgeon not to be too ambitious with this technique. If too large an implant is attempted in one go the fat may become infected and it does not increase the amount that stays as a graft.
Late: None, if the amount of fat injected is not too large. No guarantees can be given regarding the proportion of fat that will stay in the long-term.
   
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