Fat transfer technology has evolved exponentially in the last two decades, enabling surgeons to take fat from one area where we have plenty and place it into another area where we have too little. This fat is natural and stays in the new area long term. Fat transfer at our Los Angeles practice accomplishes many goals, whether it be providing a youthful appearance, replacing removed or hollowed areas on the breast, or enhancing areas where we want more curve. With our advanced transfer techniques, fat grafting can provide numerous cosmetic benefits with low risk and fast recovery.
To start the fat transfer process, excess fat is removed from areas where there may be excess—typically the hips, arms, love handles, or abdomen—using a specialized low trauma liposuction technique. Patients may be under local or general anesthesia. Skill and experience are particularly important, since only live fat cells can be used for fat transfer, and the fat is placed in a manner that distributes it evenly and allows high survival rate and blood supply.
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Fat transfer breast augmentation is a great alternative to surgery for women who want larger, natural breasts without implants. Dr. Lisa Cassileth and Dr. Kelly Killeen have perfected fat grafting and perform this procedure for a steady stream of patients. They are highly skilled in helping women who want fuller breasts using their own natural fat cells, rather than an implant.
Natural augmentation with fat grafting can increase the breasts up to one full cup size, making it ideal for women who want to give their silhouette a boost or restore lost upper breast volume and shape after weight loss, or pregnancy and breastfeeding.
The natural augmentation technique allows patients to avoid implants, along with their potential complications and long term maintenance. Fat transfer can also be used in conjunction with implant surgery to "soften" the end result and create incredibly natural-looking contours.
Whether it is performed as part of the original cancer surgery or in a subsequent procedure, fat grafting after breast reconstruction enhances the breast shape by adding fullness and creating a natural look and feel.
During a second surgery, fat can be injected around the implant to give patients a fuller, more natural look. This layer of fat will cover ripples, mask the edges of the implant, and make the breast warmer and more "life-like." Fat is also injected into any divots that resulted from the oncological surgeon removing breast tissue. These depressed areas are often directly under scars and above and around the implants.
Fat transfer is also an excellent resource for radiated tissue, since the fat can improve the look of radiated fields, helping to restore the tissue. For breast reconstruction patients who would like to remove their implants, cells injected via fat transfer can serve as replacement volume. Two or more fat grafting surgeries may be required to achieve the desired result.
As we age, the structure of our skin starts to diminish, which leads to wrinkles, sagging, and hollows. At Cassileth Plastic Surgery, Dr. Sarmela Sunder and Dr. Catherine S. Chang specialize in facial nano fat grafting to restore youthful contours and plumpness. This procedure can replace lost volume, reduce the appearance of fine lines, and improve the skin's overall texture. Facial fat transfer can be used as a minimally invasive procedure on its own, or combined with a facelift, neck lift, or brow lift.
The fat for facial nano fat grafting is typically taken from the thighs, flanks, or abdomen. After processing, it is injected in tiny droplets with either the same type of needle used for dermal fillers or a tiny, blunt needle known as a micro-cannula. This specialized, meticulous injection technique allows for precision control, delivering a more customized youthful shape and contour. This facial fat transfer addresses fine lines, wrinkles, even and dark under-eye circles by replacing volume in the temples, tear troughs, and cheeks.
With all fat transfer procedures, results are typically visible right away, but will continue to improve over time. Expect some bruising and tenderness in the area where fat was collected, as well as where fat was injected. Specific recovery times and other details depend on the area benefiting from fat grafting, degree of augmentation or refinement, and more.
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