Fat injections to the face

Fat injetions to the face

Today plastic surgery offers a wide array of methods to restore a smooth and youthful appearance to the face.
Injectable treatments are one of the most popular methods, and fat is one one of the most widely used for facial rejuvenation.

Aging

The face ages in three categories: surface aging of the skin, sagging of the skin and deeper facial tissues, and atrophy or loss of facial fat. A facelift only corrects the sagging component.
Fat injections or fat grafting (lipostructure) addresses the fullness and volume of the fhe face, which is one of the main component of a youthful face.

Procedure

Using a person’s own fat to fill in irregularities and grooves is a well-established technique.
Aesthetic indications for undergoing fat injections or lipofilling include the whole face especially in combination with facelifts. Sometime only some parts of the face are included for
fat injections i.e. lip shaping, lower or upper eyelids or cheek augmentation.
The fat is obtained by a limited liposculpture and suction through one or several 2-5 mm incisions. It is normally taken from the flanks, abdomen or inner thigh. The aspirated fat is
processed by centrifuging, filtering or rinsing.
The fat is then injected where needed. The fat is evenly distributed into the area by injecting minute amounts in the tissues so that the injected fat is well surrounded by healthy
tissue. This ensures that the transplanted fat remains in contact with the surrounding tissues which must supply it with oxygen and nutrients.

Length

Fat injections or-time lasts from half up to two hours depending on the size of the areas to be treated.

Anesthesia

General anesthesia is recommanded for the whole face fat injections. Local infiltration anaesthesia can be used for smaller lipostructure, which can be combined with iv-sedation.

Inpatient / Outpatient

Usually the outpatient procedure is possible. In big area fat injections with combined parallel procedures the patient stay in the hospital overnight.

Possible Side Effects

Most people expect some bruising, swelling or tenderness for the first 24 to 48.
The areas that have been treated will be rather swollen immediately after the operation, especially the lips if they have been treated.
The swelling could increase until about the third day, but will then gradually subside. After about a week to ten days patients feel confident about going out and resuming a normal social life. If any bruises have developed, they might remain visible for a little longer but can be hidden reasonably well with makeup. By then most of the swelling will have subsided, but the correction may still look rather exaggerated. Surgeons usually over-correct, which means injecting more fat than is actually needed because 25 to 50% of the transplanted fat cells do not survive. The final result is assessed after three months. A second session may be scheduled to top up any shortfall in volume.

Risks

Risks are rare, but sometimes there is a risk of asymmetry, irregularities, overcorrection and very rare infection.

Recovery

 Recovery time will depend on the extend of the procedure. Swelling usually diminishes from the third day on, and social activities can be restarted after about one week, sometimes with the help of some make-up.

Results

Volume augmentation of the treated areas such as cheekbone, cheek, chin. Improved quality of the overlying skin can be a positive side-effect. After initial resorption of a percentage of the fat (between 20 and 50%) the correction can be considered permanent. Some moderate correction of deep wrinkles andfolds.