Cosmetic Dermatology

Cosmetic Dermatology

Fat Harvest & Transfers

What is liposculpture and fat transfer?

One of the most natural ways of restoring the fullness and curvaceousness of our cheeks and lips is through the use of liposculpture and autologous fat transfer. This simply means removing areas of excessive fat (such as in the jowls or neck) and adding fat to where it has been lost (such as the cheekbone areas, the mid-face and the lips). Advanced Dermatology, Inc. has been performing this procedure successfully for several years; using natural fat from the body instead of chemicals or animal fat to restore the natural shape of the patient’s lips and cheeks.

What does the procedure involve?

We usually remove a small quantity of fat from the abdomen or hip area, process it and gently implant it into the areas where volume is needed to give better support to the overlying skin. The reinsertion of the fat is done most often through the mouth, with no visible scars seen from the outside. There are usually one or two small scars at the sites of fat removal from the donor areas.  These areas will heal well over time and leave very small, light colored blemishes. The fat is reinjected in the facial areas using small quantities to achieve the desired result. Most patients undergo several transplantation sessions.  The first being the most lengthy, as it involves the harvesting of the fat. Subsequent sessions will require thawing out of the desired amount of fat, numbing the area, and then reinjecting into the specific area.

Excess fat may then be stored in a deep freeze for up to two years and may be reused to add more volume as necessary or to achieve the desired look over time for an almost imperceptible improvement to the face.

How long will the effects of the transfer last?

Because the fat is reintroduced in small quantities and in a highly vascular site (the face) the cells continue to live and stay permanently. This has been demonstrated in various animal studies where the fat has survived for years following autologous transfer. Our experience has shown that cheek fat can last for years after reinjection. However, the fat around areas of high mobility, such as around the eyes and mouth may degrade to a greater extent. Years after the procedure 20-30% of the fat will still be evident.

Down time is usually related to the inevitable swelling and occasional bruising that can occur during this procedure. This usually resolves in 3-7 days and is highly dependant on the particular patient.  Dr. Sharata will be happy to discuss the risks and benefits of the various augmentation procedures offered at our clinic.

Fat Harvest/Transfers Pre-Op:

  • Avoid blood thinners (such as: aspirin, alcohol, Vitamin E and herbal supplements one week prior to procedure) 
  • Note: you must not have this procedure if you are pregnant

Fat Harvest/Transfers Post-Op:

  • Avoid heavy lifting and bending
  • Use ice packs to help reduce swelling, pain, and bruising 
  • It is best to sleep with your head elevated.  
  • Sleep in a recliner chair and use pillows to elevate your head above your heart, and to reduce the swelling.