Fat Grafting

A fat grafting procedure (also known as fat transfer or fat injection) transfers fat from areas in which you have excess fat, such as the outer thighs, and injects it into areas that may be lacking in volume, such as your face, hands, breasts or buttocks. This safe, long-lasting, well-tolerated procedure produces natural-looking results. Every year, thousands of people undergo successful fat grafting and are pleased with the results.

What are the Advantages of Fat Grafting?

  • Autologous fat (from your own body), as opposed to dermal fillers, replaces “like with like,” reducing the chance of allergic reactions to foreign substances.
  • Fat transfer results are natural, long lasting and safe.
  • Fat transfer is a noninvasive method for achieving facial rejuvenation.

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Is Fat Grafting Right for Me?

The purpose of fat grafting is to augment or fill in volume-deficient areas. If you are considering fat grafting, it is important that you do not have any circulation problems, either from a medical condition or smoking. Below are details concerning the most common areas suitable for fat grafting:

  • Facial fat transfer

If you have facial creases, such as laugh lines, smile lines, and crow’s-feet, fat can be removed from your abdomen, thighs, or other areas and be injected into your face. Acne scars and sunken areas of the face, lips, and cheeks can also be filled in. Dr. Bhoot can even use grafted fat to minimize lines between your nose and mouth, correct skin depressions or indentations and minimize forehead wrinkles.

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  • Breast augmentation

If you desire a modest increase in breast size, you are a good candidate for fat grafting to the breast, but your breasts should already have a nice shape and good skin tone. If you have poor skin, sagging breasts, or want a significant increase in breast size, breast augmentation with fat transfer is not for you. The problem with only using fat for breast enhancement lies in getting large volumes of fat to predictably “take.”

  • Breast implants plus fat grafting

If your breast shape needs optimizing during a breast implant procedure, fat grafting can be useful. If you have residual breast irregularities after undergoing breast augmentation with implants, the irregularities can be filled in with fat to produce a smooth contour and an optimal shape.

  • Breast reconstruction with fat grafting

If you have breast defects following lumpectomy for breast cancer, fat grafting is an effective method for filling in these defects. Fat grafting is also an option for total breast reconstruction following mastectomy; however, to achieve sufficient breast volume, this is usually a multistage process that requires at least two to four sequential fat grafting procedures.

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  • Buttock augmentation with fat grafting

Many people who desire a fuller, more rounded buttock will opt for a “Brazilian butt lift,” which uses fat transfer to provide a more curvaceous buttock without the use of an implant. Liposuction is commonly used to both sculpt the surrounding area and collect the autologous fat to be injected.

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

 

How is the Procedure Performed?

Fat is harvested from one part of your body, washed and purified, and then carefully re-injected with specially designed needles into the areas that need augmentation. It may be necessary to repeat the fat grafting procedure several times to achieve the desired result. Fat grafting can be explained as a three-stage process: (1) harvesting (2) purification and transfer and (3) placement.

  1. Harvesting

 You and Dr. Bhoot will select a site for fat removal and will inject it with a local anesthetic. Dr. Bhoot will then create a small incision in the area for fat removal and, using a sterile technique, insert a cannula connected to a syringe to carefully extract fat (liposuction).

  1. Purification and transfer

 Once enough fat is obtained from the donor area, Dr. Bhoot will process it to prepare the fat cells for transfer to small syringes that will be used for fat injection. Purification may require the use of a centrifuge to spin the fat or a filtration process to remove impurities.

  1. Placement:

The area designated to receive the graft will then be prepared. Dr. Bhoot will insert a needle or cannula into the incision point of the site being augmented. The injection needle is usually passed in and out of the areas to be augmented multiple times. Each time the needle or cannula is withdrawn, a line of fatty tissue parcels is carefully deposited in natural tissue planes. This process is repeated until the desired correction has been achieved, creating a grid of grafted fat. Dr. Bhoot may recommend massaging the grafted areas to create a satisfactory contour. Or, he may prefer to rely on the placement technique to create the appropriate contour. Dr. Bhoot may also place a dressing or bandage over the grafted area.

The goal of Dr. Bhoot and his entire staff is to help you achieve the most beautiful and natural-looking results, as well as to make your surgical experience as easy and comfortable as possible.

 

After the Procedure and Recovery

During your consultation, Dr. Bhoot will discuss with you how long it will be before you can return to your normal level of activity and work following this procedure. After surgery, you and your caregiver will receive detailed instructions about your postsurgical care, including information about:

  • Drains, if they have been placed
  • Normal symptoms you will experience
  • Any potential signs of complications

Are There any Risks Involved with This Procedure?

Fortunately, significant complications from fat grafting are infrequent. This procedure is usually performed without any major problems.

Risks and potential complications of surgery is a subject you should discuss with Dr. Bhoot during your consultation. The risks in most surgeries are similar. Some of the potential complications of all surgeries are:

  • Adverse reaction to anesthesia
  • Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
  • Infection
  • Changes in sensation
  • Scarring
  • Allergic reactions
  • Damage to underlying structures
  • Unsatisfactory results that may necessitate additional procedures

You can help minimize certain risks by following the advice and instructions provided by Dr. Bhoot, both before and after your fat transfer.

 

 

Meet the Doctor:

Nilesh H Bhoot, MD

Dr. Nilesh Bhoot has over 28 years of experience. He is Board-Certified by the American Board of Surgery; Fellowship trained minimally invasive and Bariatric surgeon and fellow of American College of Surgeons. Most recently, Pasadena Magazine ranked as a Top Doctor in 2012 and 2013 and 2014.

Patient Testimonials:

5 stars doesn't do Dr. Bhoot and his staff any justice. I was lucky enough to come across Dr. Bhoots profile , when searching for a doctor. Intelligent, professional, excellent communication skills and very good patient / doctor interaction. Totally recommend his service. - Anahit B.

Address and Contact:

Address: 2520 Honolulu Ave., Ste 160
Montrose, CA 91020

Phone: (818) 495-2441

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