Transferring one’s own fat from one site to another is not a new technique at all. Neuber was the first one to publish the report on autogenous fat transplantation in 1893.
Ever since the popularity of transplantation of fat has swayed from absolute enthusiasm to total demonization.
With Coleman in 1995 the new era of fat transition with new instruments, new understanding of the problem and new great achievements began. Nevertheless, there have always been serious issues and problems in certain cases, e.g. visible and tangible skin anomalies and bumps, long-term swellings and long sick leaves. Necrosis and extensive resorption of transmitted fat were quite frequent.
In 2011, Yoshimura in his research showed that central necrosis would always be present, if the fat particles were bigger than two millimetres. As long as there is no revascularisation the survival of the transmitted fat depends on the diffusion of nutritive particles from its surrounding, the instance increases if the fat particles are of minimal size. With smaller perimeters of the specific particle, the contact surface grows accordingly.
Today small perimeter cannulas, with one millimetre-size holes are used to withdraw fat. To transfer thus obtained fat into the facial sites only the 0.7-0.9 mm cannulas are used. It represents a great step forward in understanding and techniques of withdrawing and transferring fat, which ensures greater survival rate and consequently less necrosis, inflammations, prolonged swellings and extended sick leaves. There is less need for additional corrections. Using the right technique, visual or tangible anomalies and skin bumps are virtually unknown.
Fat transition technique: fat is taken from the lower belly area, love handles, inner tights or knees. Fat is then rinsed, drained and sucked into the syringe without centrifugation. Thus, prepared fat is then injected into cheeks, tear trough, chin, nasolabial lines, puppet lines, upper eyelids, temples, lips.
We always start with deep infiltration of fat and move towards the more shallow ones. In case the patient thinks the results are not satisfactory after the first treatment, the second treatment is performed after four months, when the process is already stabilised.
Side effects: one has to take into account that the face will look unnatural and will be quite sensitive during the first two-three weeks after the treatment. However, the patient should be well aware that these side effects are just temporary and that some amount of patience is needed.
Nothing can compare to the beauty of the face after own fat has been injected. It is a tissue full of stem cells and growth factors. As the fat used is the patient’s own fat it virtually does not decompose, therefore the effect is much longer when compared to intradermal fillers (usually 3-6 months). It is definitely a superior technique for facial rejuvenation.