Plastic surgery restores form and function through reconstructive procedures, cosmetic enhancements, and body contouring.
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Facial fat grafting is the gold standard for addressing the global volume loss associated with aging. As we age, the deep fat compartments in the temples, cheeks, and around the eyes atrophy. This procedure replenishes those deep reservoirs to lift and support the overlying skin.
Surgeons use microfat to fill the hollows of the temples, restore the curve of the cheekbones, and soften the transition between the lower eyelid and the cheek. By restoring volume deep near the bone, the face regains its youthful architectural support without looking pulled or tight.
The Brazilian Butt Lift (BBL) is the most well-known body contouring procedure using fat transfer. It involves harvesting fat from the abdomen, flanks, and back to narrow the waist, then injecting it into the buttocks to improve shape and projection.
The procedure is not just about size; it is about reshaping. Surgeons can fill the “hip dips” to create a rounder silhouette or project the upper pole for a perkier look. It utilizes the patient’s own tissue to create an hourglass figure that looks and feels completely natural.
Fat transfer to the breast offers a modest size increase and shape improvement without the use of implants. It is ideal for patients seeking a subtle enhancement (typically one cup size) or for those seeking to restore volume lost after pregnancy or weight loss.
This procedure allows precise breast contouring, filling the upper pole, or correcting asymmetry. It also avoids the risks associated with implants, such as rupture or capsular contracture. The result is a breast that feels completely soft and natural.
The hands are often a telltale sign of aging, as the skin thins and veins and tendons become prominent. Fat grafting to the dorsal surface of the hands restores the subcutaneous cushion, masking these underlying structures.
The transplanted fat plumps the skin, reducing the skeletal appearance. The stem cells within the fat also help to improve the quality of the thin, sun-damaged skin on the hands. The result is hands that look smoother and younger, in harmony with the face’s rejuvenated appearance.
Fat grafting is an excellent tool for correcting contour deformities caused by trauma, previous liposuction, or congenital conditions. Dents or depressions in the thighs, buttocks, or abdomen can be filled to create a smooth surface.
This is often a reconstructive application of the technique. The fat fills the defect and breaks up scar tissue, improving both the appearance and the feel of the area. It provides a permanent solution to irregularities that are difficult to treat with other methods.
Nanofat grafting is specifically used to treat the delicate skin of the tear troughs and dark circles under the eyes. The emulsified fat is injected superficially to thicken the dermis and provide a veil of coverage over the underlying dark vascular network.
Unlike fillers, which can sometimes cause a bluish tint (Tyndall effect) in this area, nanofat improves the actual health and thickness of the eyelid skin. It addresses crepey texture and pigmentation issues, providing a refreshed, rested appearance.
Composite breast augmentation combines the use of a smaller breast implant with fat grafting. The implant provides the core projection and volume, while the fat is used to soften the edges of the implant and increase cleavage.
This hybrid approach allows for a very natural look, even in fragile patients who might otherwise see the rippling of an implant. It provides the best of both worlds: the reliable volume of an implant and the soft, natural coverage of fat.
“Hip dips” or trochanteric depressions are the indentations on the side of the hips between the iliac crest and the thigh bone. While natural, many patients desire a rounder, more continuous hip curve. Fat grafting is the only effective way to fill this specific area.
By injecting fat into these depressions, surgeons can create a smooth, curved line from the waist to the thigh. This contributes to the hourglass figure and is a frequent component of the Brazilian Butt Lift procedure.
Fat grafting is used in genital rejuvenation for both men and women. In women, it can be used to restore volume to the labia majora, which can deflate with age or weight loss. This restores a youthful, fuller appearance to the external genitalia.
In men, fat grafting can enhance penile girth. The fat is carefully injected along the shaft to increase thickness. These procedures are specialized applications that address specific aesthetic and functional concerns regarding intimate areas.
Fat grafting plays a crucial role in breast reconstruction after mastectomy. It can be used to refine the shape of a reconstructed breast, fill defects left by lumpectomies, or improve the skin’s thickness after radiation therapy.
It is often used in stages to build a soft, natural breast mound gradually. The regenerative effects are particularly beneficial for radiated tissue, improving its elasticity and health, and preparing it for implant placement or serving as the primary reconstruction method.
Facial deflation is a primary marker of biological aging. The loss of fat pads in the midface leads to the formation of nasolabial folds and marionette lines. The loss of buccal fat can make the face look gaunt.
Fat grafting addresses these root causes by re-inflating the specific compartments that have lost volume. It is a structural repair that lifts the face by refilling the balloon, rather than just pulling the skin tight.
Body asymmetry is common, whether congenital (like Poland syndrome or hemifacial microsomia) or acquired. Fat grafting is a versatile tool for correcting these imbalances. The surgeon can inject different amounts of fat into each side to achieve symmetry.
Because fat can be placed precisely in small increments, it allows for fine-tuning that implants cannot. It provides a customized solution for balancing breasts, buttocks, calves, or facial features.
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Yes, but it depends on the goal. Even thin individuals usually have some harvestable fat in the lower abdomen or thighs for facial procedures. For extensive volume procedures like a BBL, fragile patients might need to gain some weight first or accept a more modest result.
The BBL has risks if fat is injected into the deep muscle where large veins are located. However, when performed by a board-certified surgeon using modern techniques (subcutaneous injection only), the safety profile is significantly improved. Safety protocols are paramount.
Yes, fat grafting is often used to correct tuberous breasts. The fat helps expand the constricted lower pole of the breast and reshape the tissue, often in combination with releasing the tight internal bands.
Yes, the fat acts as a physical layer of cushion between the skin and the veins/tendons. It makes the veins less visible, and the hands look softer and younger, though the veins remain functional and visible.
No, when done correctly. The goal is to restore lost structural volume, not to add bulk to the surface. Surgeons place the fat deep near the bone to lift and support, avoiding the “chipmunk” look associated with overfilling.
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