Fat Transfer – Lipogems

Fat (MicroLipoTransfer)

Microlipotransfer involves the transfer of one’s own fat from areas of excess to areas of need. At Shire Cosmetic Medicine Dr Alan Evans, a facial plastic surgeon, has a special interest in this method of facial rejuvenation. Microlipotransfer to the face has undergone dramatic changes and advances over the last decade and results can be impressive, often more superior to that attainable by surgical lifting.

Why is this treatment becoming so successful?

There has always been the assumption that gravity is the principle cause for aging and that the descent of tissues is the main underlying process. Historically, this has resulted in a plethora of surgical techniques aimed at excising and elevating the excess tissues. While helpful and often necessary, this may lead to a surgical look and the risk of visible scars.

Over recent years, we have realised that atrophy (or loss of tissue) plays a much more important role than descent. Atrophy involves all tissues including skin, fat, muscle and bone. Over the last decade there has been an explosive popularity of rejuvenation procedures involving VOLUME REPLACEMENT.

Why is fat microlipotransfer becoming so popular?

The reason is that your own fat is freely available and less likely to reject or infect. Using modern instrumentation and techniques, we are now able to sculpt the face more accurately and achieve permanent results using as much volume as is needed. As such, microlipotransfer has become cost effective, relatively safe and able to achieve an impressive and natural appearance. The grafted fat is often mixed with the patient’s own platelet-rich-precipitate to help increase the take rate and thus the longevity of the procedure.

Which facial areas can be treated?

  • Nasolabial lines
  • Marionette lines
  • Periorbital (eyes) and Brows
  • Cheeks and temples
  • Lips, chin and jaw
  • Neck
  • Scars

Microlipotransfer can be performed alone or in combination with other facial cosmetic procedures and facial plastic surgery. It has become an integral part of modern facial rejuvenation and is likely to continue to grow in popularity as more aesthetic surgeons gain expertise in microlipocontouring and thus begin to appreciate the power that judicious volume replacement can provide.

The Procedure

A. Contact rooms for information and queries.B. CONSULTATIONOn average expect 1-2 pre-treatment consultations. The first is for Dr Evans to take a full medical history, undertake an examination, undergo photography and discuss concerns. A second consultation is usually necessary to discuss details of the procedure, expectations, risks and postoperative care. Surgical and financial consents are finalised.C. RE-OPERATIVE PREPARATIONThis requires elimination of all medications and preparations that induce bleeding, advice on skin care, arranging time off work and help at home, obtaining dressing and medications necessary for the procedure.PROCEDUREThis is undertaken under local or twilight anaesthesia, usually at Shire Cosmetic Medicine. The procedure requires local anaesthetic infiltration into donor and recipient sites. Fat is harvested by means of liposuction from the abdomen, hips, buttocks, inner and outer thighs or knee areas. The fat is then centrifuged, processed and decanted into small syringes for facial micro-injections. Often Platelet-Rich-Precipitate is added. The entire process can take from 1 – 2 hours, depending on the volumes and sites to be filled.E. POSTOPERATIVE CAREAntibiotics and pain medications may be prescribed. Usually the face is uncovered whilst healing, you can gently shower with warm water the next day and use a basic cleanser and moisturiser whilst the face is healing such as Cetaphil. Bruising and swelling can always be expected and is extremely variable. It is important to rest and ice the face as much as possible during the first 24 -48 hrs following the procedure. Swelling can take a few weeks to resolve and it may take up to 6 -8 weeks to see your final result, depending on volume and sites injected. Small areas settle quickly and downtime may only be a week. You may experience bruising and discomfort in the area from where the fat cells were taken, usually the abdomen or thighs.

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