Fat Transfer (Fat Grafting)

Have you ever wished you had more “plumpness” in certain areas of your body and less in others? If so, you’ll be happy to know that is possible with Fat Grafting.

 

Fat grafting also referred to as fat transfer or fat injections, is the surgical process of transferring fat from one area of the body to another area. The surgical goal is to improve or augment the area where the fat is injected. 

 

Since the 1990s, surgeons have reliably used fat grafting as a way to improve and enhance the cosmetic appearance of the face, breast, hands, feet, hips, and buttocks.

Fat Transfer

How Does Fat Grafting Work?

The process of fat grafting involves three steps:

1. Extraction of the fat from the donor area with liposuction

2. Decanting, centrifugation, and processing of the fat

3. Reinjection of the purified fat into the area needing improvement.

In the first step, fat is extracted from a donor area using liposuction techniques. This is best accomplished by manual or powered methods using thin liposuction cannulas with small holes. 

The fat is then processed with decanting and centrifugation to separate debris, excess fluid, and dead cells from the viable adipose fat cells. An alternate method is to wash the fat with a sterile saline solution. The fat that is discarded is the fat cells which will likely not survive in the graft.

In the final step, the fat is reinjected in small 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 can survive.

The amount of fat injected is measured in cc's and ultimately varies according to patient case specifics and the area of the body where the processed fat is being injected.

In the first step, fat is extracted from a donor area using liposuction techniques. This is best accomplished by manual or powered methods using thin liposuction cannulas with small holes. 

The fat is then processed with decanting and centrifugation to separate debris, excess fluid, and dead cells from the viable adipose fat cells. An alternate method is to wash the fat with a sterile saline solution. The fat that is discarded is the fat cells which will likely not survive in the graft.

In the final step, the fat is reinjected in small 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 can survive.

The amount of fat injected is measured in cc's and ultimately varies according to patient case specifics and the area of the body where the processed fat is being injected.

Types of anesthesia used

Fat grafting is performed with a wide variety of anesthetics. The choice of anesthesia usually depends on the volume of fat that is extracted from the donor area via liposuction. Extraction of small volumes of fat can easily be tolerated using a local anesthetic. However, most will be done with tumescent anesthesia.

Common areas of fat grafting

The following are common fat grafting applications patient’s desire:

Hips - Adds volume to achieve a more feminine profile and better waist-hip ratio

Buttocks - Makes buttocks appear fuller and perkier. This type of fat grafting is called BBL.

The procedure of a Brazilian Butt Lift (BBL)

 

Anesthesia: Local or Tumescent

Liposuction: Dr. D will remove fat from various areas of your body, like your thighs, stomach, and hips via liposuction.

Purification: fat after removal and before the injection is purified.

reinjection: once the fat is ready it will be injected into your buttocks. A few small sutures will apply.

 

Recovery from BBL

  • Mild tenderness

  • You cannot lie or sit directly on your buttocks for at least two weeks.

  • Light activity only within a week of surgery.

  • No cardio exercises for one month

 

Risks:

  • Lumps beneath the areas affected by either suctioning or injections

  • Infection

  • Scarring

  • Pain

  • Fat embolism in either lung or heart (extremely rare)

Have a Question?

Thanks for submitting!