Fat Transfer (Autologous Fat Grafting) Wave Plastic Surgery & Aesthetic Laser Center


Fat Transfer, also referred to as autologous fat transfer, fat augmentation or fat injection, is a procedure which involves the use of a patient’s own natural fat to treat unwanted wrinkles and creases or to provide additional volume and shape to the face. Areas commonly treated with fat transfer include the upper and lower eyelids, cheeks, nasolabial folds and forehead. There is minimal swelling and rarely any significant bruising. Most patients can return to normal daily activities within a short period of time following the procedure.

Fat transfer to the hand

A wrinkled, bony hand with large veins, sun spots and deep grooves can reveal an advanced age even though the patient’s face, breasts or body have been surgically rejuvenated. Consequently, plastic, dermatological and cosmetic surgeons have developed techniques to make hands also look younger. A few practitioners use dermal fillers like Restylane and Juvederm but the longer lasting method seems to be fat transfer via injection which is reported to last for years.

Facial fat transfer

A liposuction technique is used to harvest the fat and prepare it for transfer. The fat is then injected into the desired portion of the face. When using a micro injection technique, extremely small parcels of fat are placed into multiple layers of the face. The procedure is most commonly performed under local anesthesia with a light oral sedation.
The most common facial locations for fat transfer include:

  • Filling in sunken areas beneath the eyes
  • Fleshing out the folds of skin that physicians know as nasolabial folds, the deep wrinkles next to the mouth often referred to as “laugh lines.
  • Filling in forehead creases
  • Cheek Augmentation

  • Generally, 40-60% of the transferred fat persists permanently. However, the long-term efficacy of transferred fat has been documented in numerous studies results are extremely technique dependent.

    Lip augmentation

    Tiny, punch-like incisions are made at one corner of the patient’s mouth. The surgeon then takes one- to two-millimeter-thick strips of fat from the donor site and gently works them into the upper and lower lips for a plumping effect that is reported to be safer, softer and more natural than lip augmentation with popular injectable facial fillers like Restylane or filler materials like medical Gore-Tex or, e-PTFE (polytetrafluorethylene) as the material is known to doctors.

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    +There are numerous details & techniques in performing a meticulous Fat Transfer to ensure beautiful result:

    Fat transfer (medically, platelet injection fat transfer, also called fat injection or fat grafting) is a medical procedure that uses the patient`s own fat tissue to increase the volume of fat in the subcutaneous area of the body.

    When the liposuction procedure became more widely available, fat also became much more easily withdrawn from the body. The development allowed more plastic, dermatological and cosmetic surgeons to offer their patients fat transfer for cosmetic reasons. Some contend that an advantage of fat transfer is that it is the patient’s own tissue and, hence, not subject to rejection by the body. Another advantage pointed to is that most other dermal fillers are absorbed by the body within three to nine months, making regular injections a continuing expense.

    Essentially, the fat transfer procedure harvests fat from one part of the body where an excess exists and then places it in another part of the body where the additional bulk is used for cosmetic and aesthetic purposes. Fat transfer—which is also known as fat grafting, fat autographs, autologous fat transplantation, fat injecting or microlipoinjections to physicians—is being used in cosmetic plastic surgery to:

  • Acne scars
  • Dark circles under eyes
  • Eye Bags
  • Forehead
  • Upper Eyelid
  • Temple
  • Nasolabial folds (smile lines)
  • Sunken eyes
  • Thinning lips
  • Wrinkles
  • Smooth and repair aged hands
  • Fill wrinkled, creased faces
  • Create more shapely, curvaceous buttocks
  • Enlarge breasts
  • Nose reshaping

  • Fat is withdrawn from the patient in one of three ways: with a syringe that has a large-bore needle or with a liposuction cannula. The fat is prepared according to the practitioner’s preferred method and then injected into the patient’s recipient site. The preparation process clears the donor fat of blood, pain killers and other unwanted ingredients that could cause infections or other undesirable side effects.

    Other uses and applications continue to develop as surgeons work with, and learn more about, fat transfer. Some of the most current and developing applications include:

  • Cheek and chin implants
  • Repair of inverted nipples

  • Depending on the surgeon, the patient and several other factors, the body is reported to reabsorb anywhere from 20 to 95 percent of transferred fat.

    Due to the varying rates of absorption and the different lengths of time fat is reported remaining in the body, many physicians and other researchers worldwide since the 1980s have tracked success, safety and failure rates of fat transfer.

    In most applications, fat injections are laid down through several different layers of skin and muscle to provide a better chance for the fat cells to find a nearby blood supply. Because some fat is always absorbed, most physicians inject somewhere around 30 percent too much. Physicians have learned the best donor areas are found in:

  • The lower stomach
  • The inner thighs
  • The inner knees

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    +More from American Society of Plastic Surgeons

    What is Fat Transfer?

    Fat transfer (medically, platelet injection fat transfer, also called fat injection or fat grafting) is a medical procedure that uses the patient`s own fat tissue to increase the volume of fat in the subcutaneous area of the body.

    Is it right for me?

  • Acne scars
  • Dark circles under eyes
  • Eye Bags
  • Forehead
  • Upper Eyelid
  • Temple
  • Nasolabial folds (smile lines)
  • Sunken eyes
  • Thinning lips
  • Wrinkles
  • Smooth and repair aged hands
  • Fill wrinkled, creased faces
  • Create more shapely, curvaceous buttocks
  • Enlarge breasts
  • Nose reshaping

  • How long does it last:

    As the weeks go on, the treated area will begin to deflate as the fat continues to be reabsorbed into the body. Over the course of the three to 2 months, a percentage of the original volume will have disappeared. Some say about half will stay. The remaining fat will stay permanently.

    Fat Transfer surgery is a good option for you if:

  • You are physically healthy
  • You do not smoke
  • You have a positive outlook and specific, but realistic goals in mind for the improvement of your appearance

  • Choose a surgeon you can trust

    Plastic surgery involves many choices. The first and most important is selecting a surgeon you can trust.

    Choosing an ensures that you have selected a physician who:

  • Has completed at least five years of surgical training with a minimum of two years in plastic surgery.
  • Is trained and experienced in all plastic surgery procedures, including breast, body, face and reconstruction.
  • Operates only in accredited medical facilities.
  • Adheres to a strict code of ethics.
  • Fulfills continuing medical education requirements, including standards and innovations in patient safety.
  • Is board certified by The American Board of Plastic Surgery or in Canada by the Royal College of Physicians and Surgeons of Canada®.

  • ASPS Member Surgeons are your partners in cosmetic and reconstructive plastic surgery.


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