FAT TRANSFER (FAT GRAFTING)
日本語はこちら
Fat Transfer (Fat Grafting)
Fat Transfer or Grafting was introduced to the world over a century
ago, but has only been practised seriously after the 2000s. Improvement
in skills and diligent studies have made this possible, however, there
are still some issues that have to be dealt with.
While fat grafting has many advantages, a list of disadvantages also does exist. Let's see first some of its ADVANTAGES:
・not artificial, self-derived autologous fats are safe
・more natural in shape and touch
・permanently remain in the tissue
・liposuction can be performed together
There might be some more, but these 4 are the main factors in the list.
Next are the DISADVANTAGES:
・most injected fats are resorbed, survival rate as bad as 20％ up to 50％
・need treatments to achieve desired volume
・every session needs liposuction procedure
・non-surviving dead fat mass may turn into calcification or infection if not resorbed
About same number of cons as pros is the reality of this method, however, tactics have been developed to cope with these issues. Firstly, injected fats must be rich in fat stem cells(adipose stem cells ASC). Harvested fats is purified to highten ASC's density inside the graft, anticipating stem cells to grow and multiply into mature fat cells inorder to compensate for the resorbed portion of the graft.
Then, actual injection must be done in scattering manner by injecting fats in smaller strips along a layer and the same way at the other levels of the subcutis tussues, fat layers, and muscles, if necessary, to avoid creating a bulk.
Tissue layer condition also affects survival rate of the fats. Specifically, loose spacious layers embrace more of the graft than the dense and firm ones. Body parts with loose layers and saggy excessive skin that has more room usually adopt well to the injected fats about 2 or 3 times of its desired capacity, which is necessary to gain the desired goal. Injecting further more than these might cause low survival rate and undesirable side effects. Only body parts that have extra room for fats can tolerate the adequate enormous graft volume.
Fat graft is purified by the following process:
Liposuction or Mini Lipo by Syringe Method is used for harvesting fats.
Then syringes are centrifuged.
Impurities are separated from purified fats.
Directly inject fats or subdivide them to smaller syringes.
Fat transfer with harvesting through mini lipo can be done usually with local anesthesia. Injection of fats is performed with lidocaine blockage which numb parts during the procedure. The patient is able to go home by oneself under this method like what is normally done in dental clinics. Of course, general anesthesia also is available.
Sunken cheeks, forehead, or breast, parts that need certain volume of fats, are the ones that are good candidates for fat transfer. Small areas such as nasolabial folds or lips only need few cc's of fats, and they might not be desirable for this procedure which needs liposuctioning in every session. Usually they are good with hyalunic acid filler such as Juvederm or Restylane, which is the main method done in the clinic. Hyaluronic acid might be absorbed later but lasts longer compared to fat graft that reduces into half within months.
Body parts that are good with fat grafting:
cheek
cheek fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Sunken cheeks might look cool in your teens or twenties, but after that, they only define your oldness.
Cheek fat graft is not only for sunken ones, but also to enhance cheek bones to gain younger face contour, a procedure which is very popular in the West while somewhat rejected in the Orient where smaller face contour is the trend.
cheekbone part fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
HA filler(Juvederm, Restylane) injection is also done a lot in this part that usually needs around 6 cc for both sides. Fat graft is usually injected around 20 cc, 2 to 3 times more than the desired volume inorder to compensate for the later absorption of the fats. Extented size of the cheek might be noticeable for a month or two but is worth the waiting to minimize treatment sessions into one more or maybe none. Immediate natural look is also possible with fat grafting but injection smaller volume of 6 cc, meaning that you need more sessions, once in every 3 months.
20㏄ of fats can be harvested by minimal liposuction we call Mini Lipo.
A palm-sized small area around the belly button or thighs is good enough
to acquire the fats. Refer to Mini Lipo page for details of recovery.
The procedure requires about an hour.
A blunt cannula needle used can prevent severe swelling and bruises. Finer cannula needle points are usually unnoticeable and can be hidden along hairlines of sideburns. They can be washed beginning the next day.
forehead
Forehead is a part that has to be bulgy to look adorable. Especially with the new generation who only aware about the digital era, seeing ownselves through instagram or other video shots make everyone more conscious how face contour should be, and forehead is not an exemption.
forehead fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Protruding forehead is adorable because it makes lower face part look smaller or shorter, which is a trend in the Orient. And also it gives you thighter texture that is good for wrinkle lines without doing any brow lift.
Forehead fat injection requires same amount as cheek injection, around 20 cc. If a right size just after injection is the desire, around 6cc is the adequate amount. Unnoticeable cannula point is at the hairline. The procedure takes about an hour.
Recovery is similar to cheek fat graft, usually no noticeable swelling or bruises. But if swelling is observed, which is rare, eye surrounding might be affected.
temples
Sunken temples add more years to your age.
sunken temple fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Fat transfer to temples needs half amount of the forehead procedure, around 10cc on both sides. Fat graft on these parts is usually done together with the forehead. Blunt cannula is introduced along temple hairline. Takes about an hour to complete.
breasts
Breast fat transfer is a method that requires certain amount of fats which are usually harvested with the full tummy or thigh liposuction, not mini lipo.
breast fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Volume of graft transfered is around 200cc on a side, 400cc on both sides. Of course, there might be some exemption, but for regular body sizes, around 400cc is a safe amount for breast fat transfer. Fat survival rate really depends on condition of the breast tissue and skin. Loose tissue and excess skin that have plenty of room for fats can see better survival of graft while tighter breast might absorb most of the injected fats.
More than 600cc transfer is often peformed at other facilities, but more is not mostly better. This makes the breast tighter leading to a surrounding where fat graft won't survive that much and sometimes might show unnatural touch from calcification, and , for the worst, infection might occur.
Survival rate of the graft certainly differs in every individual, speaking from long experience, from 20 up to 50%. In American bra sizes, 200cc is a 1-cup upgrade. So 200cc of fats might turn out to be half-cup bigger. More treatments are needed if bigger size is desired. Surviving fats remain permanently.
hands
Hands sometimes show more ages than your face because they are not that well maintained when compared to facial skin and often exposed to rough daily job deeds and house chores.
hand fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Hyaluronic acid fillers such as Juvederm and Restylane injection are often injected into this area, but fat graft is also a good choice for the same purpose.
The same purified fat amount as cheek's is needed, around 20cc for both sides. Hands obviously look expanded for a while but can easily be hidden by just not showing them when in public. So these parts are easier to treat with fat transfer compared to facial parts.
Parts mentioned above are the ones that require a lot of fat amount, so fat grafting is the choice. Especially with breast augmentation, a procedure that needs more, fat grafting should be considered first rather than filler injection. But implants still are more effective than the others.
Smaller areas as stated below that require only 1 to few more cc's, are good candidates for hyaluronic acid fillers(Juvederm or Restylane). Performing liposuction for just few amount of fats is kind of inconvenient, and moreover, fillers last longer and economical if compared to fat graft. Fat's persistence is its only advantage, but gaining the desired effect is another story.
So the smart way to undergo fat transfer with the following smaller portions is to do it with the other smaller or bigger parts, or just add it when doing liposuction as the main procedure.
upper eyelids
Sunken upper eyelids need about ２㏄ of fat graft.
upper eyelids fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
lower eyelids
lower eyelids fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Lower eyelid dark circles also go with 2㏄ fat injection. If baggy eyelid is the concern, refer to Lower Blepharoplasty(Hamra Method) as the bast remedy.
nasolabial folds
Nasolabial folds, or parentheses-look-alike lines from nose sides to lips, are treated routinely with Juvederm or Restylane, HA fillers, because they are fine enough to enhance also the skin structure itself, while fat graft only works for enhancing subcutis fat layers. Of course, shallower lines sometimes are treatable with fats with the amount around 4cc.(HA filler details here)
marionette lines
Marionette lines, or wrinkle lines that drops from lips corner down to chin sides, are similar to nasolabial fold mentined above, in a way that fillers work better than fat graft. Marionette lines require accurate injection along the line, avoiding unnecessary spreading to the surrounding tissue, meaning larger particles of fat graft is not as good as finer HA filler to enhance skin tissue. Still if fat grafting is desired, minute amount of 2cc both sides are the best shots to do.
lips
Lips enhancement can sometimes be done with fat injection. This procedure was performed a lot before the advent of HA fillers. But since HA is convenient and lasts longer, it captured more popularity than traditional fat injection.
lips fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Below half of the injected fat volume might permanently stay in the lips, and a few sessions are needed to gain the desired lip volume. Fat injection is done in 3-to-6-month interval and every injection should enhanced lips more than the desired volume in speculation of its rapid decrease within months.
Another disadvantage of fat injection is the inconvenience of doing liposuction in every session. Lower ab or thighs are the best donor of fats needed in the treatment.
Lips need on few cc's, so HA filler is the method that fits such tiny volume, instead of harvesting it everytime from abs and thighs. HA might go away 100% but lasts longer than 1 fat injection.
Lip fat injection requires around 3cc.
chin
Chin part also is where HA filler play a better role than fat grafting, because chin skin is not that loose enough to provide satisfactory environment for fat graft to survive. Another reason is that the area is not that large enough to be treated with larger particles of fats. Injected substance must stay in the tip tissue to enhance it slimly pointing which finer fillers can achieve if injected shallowly near or in deeper skin tissue.
If masculine type of chin enhancement is desired, meaning not so pointy but enlarged, fat grafting might be a good choice, around 4㏄ is the best shot.
mandible(jawline)
Fat grafting at the mandible is not that popular in Japan and other Asian countries where tiny face contour is favored. While in western countries, detailed jawline is an appealing element cosmetically.
jawline fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Jawline fat graft needs purified fats of the amount around 20cc.
Pricing
Pricing is only for 1 treatment session.
2nd fat injection and beyond are 50% OFF.
Liposuction fee is required in every session. Refer to Liposuction page for pricing details.
buttocks
Eventhough buttocks fat graft is quite a trend in western countries, fatal incidence occur in quite high rate, leading most medical facilities to decide not to perform this procedure. Cause of these mortalities is reportedly mainly from fat embolism which occur when fats accidentaly are injected into blood vessels. Our clinic uses blunt cannula in fat grafting inorder to prevent this unwanted occurence, but still we cannot ignore this unfortunate report, so we decided not to perform this procedure here.
.
Fat Transfer (Fat Grafting)
cheek forehead temple
breast hand
upper eyelid lower eyelid(dark circle) nasolabial fold
marionette line lip
chin mandible(jawline)
buttock
Fat Transfer(Fat Grafting)
Fat Transfer or Grafting was introduced to the world over a century
ago, but has only been practised seriously after the 2000s. Improvement
in skills and diligent studies have made this possible, however, there
are still some issues that have to be dealt with.While fat grafting has many advantages, a list of disadvantages also does exist. Let's see first some of its ADVANTAGES:
・not artificial, self-derived autologous fats are safe
・more natural in shape and touch
・permanently remain in the tissue
・liposuction can be performed together
There might be some more, but these 4 are the main factors in the list.
Next are the DISADVANTAGES:
・most injected fats are resorbed, survival rate as bad as 20％ up to 50％
・need treatments to achieve desired volume
・every session needs liposuction procedure
・non-surviving dead fat mass may turn into calcification or infection if not resorbed
About same number of cons as pros is the reality of this method, however, tactics have been developed to cope with these issues. Firstly, injected fats must be rich in fat stem cells(adipose stem cells ASC). Harvested fats is purified to highten ASC's density inside the graft, anticipating stem cells to grow and multiply into mature fat cells inorder to compensate for the resorbed portion of the graft.
Then, actual injection must be done in scattering manner by injecting fats in smaller strips along a layer and the same way at the other levels of the subcutis tussues, fat layers, and muscles, if necessary, to avoid creating a bulk.
Tissue layer condition also affects survival rate of the fats. Specifically, loose spacious layers embrace more of the graft than the dense and firm ones. Body parts with loose layers and saggy excessive skin that has more room usually adopt well to the injected fats about 2 or 3 times of its desired capacity, which is necessary to gain the desired goal. Injecting further more than these might cause low survival rate and undesirable side effects. Only body parts that have extra room for fats can tolerate the adequate enormous graft volume.
Fat graft is purified by the following process:
Liposuction or Mini Lipo by Syringe Method is used for harvesting fats.
Then syringes are centrifuged.
Impurities are separated from purified fats.
Directly inject fats or subdivide them to smaller syringes.
Fat transfer with harvesting through mini lipo can be done usually with local anesthesia. Injection of fats is performed with lidocaine blockage which numb parts during the procedure. The patient is able to go home by oneself under this method like what is normally done in dental clinics. Of course, general anesthesia also is available.
Sunken cheeks, forehead, or breast, parts that need certain volume of fats, are the ones that are good candidates for fat transfer. Small areas such as nasolabial folds or lips only need few cc's of fats, and they might not be desirable for this procedure which needs liposuctioning in every session. Usually they are good with hyalunic acid filler such as Juvederm or Restylane, which is the main method done in the clinic. Hyaluronic acid might be absorbed later but lasts longer compared to fat graft that reduces into half within months.
Body parts that are good with fat grafting:
cheek
cheek fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Sunken cheeks might look cool in your teens or twenties, but after that, they only define your oldness.
Cheek fat graft is not only for sunken ones, but also to enhance cheek bones to gain younger face contour, a procedure which is very popular in the West while somewhat rejected in the Orient where smaller face contour is the trend.
cheekbone part fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
HA filler(Juvederm, Restylane) injection is also done a lot in this part that usually needs around 6 cc for both sides. Fat graft is usually injected around 20 cc, 2 to 3 times more than the desired volume inorder to compensate for the later absorption of the fats. Extented size of the cheek might be noticeable for a month or two but is worth the waiting to minimize treatment sessions into one more or maybe none. Immediate natural look is also possible with fat grafting but injection smaller volume of 6 cc, meaning that you need more sessions, once in every 3 months.
20㏄ of fats can be harvested by minimal liposuction we call Mini Lipo.
A palm-sized small area around the belly button or thighs is good enough
to acquire the fats. Refer to Mini Lipo page for details of recovery.The procedure requires about an hour.
A blunt cannula needle used can prevent severe swelling and bruises. Finer cannula needle points are usually unnoticeable and can be hidden along hairlines of sideburns. They can be washed beginning the next day.
forehead
Forehead is a part that has to be bulgy to look adorable. Especially with the new generation who only aware about the digital era, seeing ownselves through instagram or other video shots make everyone more conscious how face contour should be, and forehead is not an exemption.
forehead fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Protruding forehead is adorable because it makes lower face part look smaller or shorter, which is a trend in the Orient. And also it gives you thighter texture that is good for wrinkle lines without doing any brow lift.
Forehead fat injection requires same amount as cheek injection, around 20 cc. If a right size just after injection is the desire, around 6cc is the adequate amount. Unnoticeable cannula point is at the hairline. The procedure takes about an hour.
Recovery is similar to cheek fat graft, usually no noticeable swelling or bruises. But if swelling is observed, which is rare, eye surrounding might be affected.
temples
Sunken temples add more years to your age.
sunken temple fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Fat transfer to temples needs half amount of the forehead procedure, around 10cc on both sides. Fat graft on these parts is usually done together with the forehead. Blunt cannula is introduced along temple hairline. Takes about an hour to complete.
breasts
Breast fat transfer is a method that requires certain amount of fats which are usually harvested with the full tummy or thigh liposuction, not mini lipo.
breast fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Volume of graft transfered is around 200cc on a side, 400cc on both sides. Of course, there might be some exemption, but for regular body sizes, around 400cc is a safe amount for breast fat transfer. Fat survival rate really depends on condition of the breast tissue and skin. Loose tissue and excess skin that have plenty of room for fats can see better survival of graft while tighter breast might absorb most of the injected fats.
More than 600cc transfer is often peformed at other facilities, but more is not mostly better. This makes the breast tighter leading to a surrounding where fat graft won't survive that much and sometimes might show unnatural touch from calcification, and , for the worst, infection might occur.
Survival rate of the graft certainly differs in every individual, speaking from long experience, from 20 up to 50%. In American bra sizes, 200cc is a 1-cup upgrade. So 200cc of fats might turn out to be half-cup bigger. More treatments are needed if bigger size is desired. Surviving fats remain permanently.
hands
Hands sometimes show more ages than your face because they are not that well maintained when compared to facial skin and often exposed to rough daily job deeds and house chores.
hand fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Hyaluronic acid fillers such as Juvederm and Restylane injection are often injected into this area, but fat graft is also a good choice for the same purpose.
The same purified fat amount as cheek's is needed, around 20cc for both sides. Hands obviously look expanded for a while but can easily be hidden by just not showing them when in public. So these parts are easier to treat with fat transfer compared to facial parts.
Parts mentioned above are the ones that require a lot of fat amount, so fat grafting is the choice. Especially with breast augmentation, a procedure that needs more, fat grafting should be considered first rather than filler injection. But implants still are more effective than the others.
Smaller areas as stated below that require only 1 to few more cc's, are good candidates for hyaluronic acid fillers(Juvederm or Restylane). Performing liposuction for just few amount of fats is kind of inconvenient, and moreover, fillers last longer and economical if compared to fat graft. Fat's persistence is its only advantage, but gaining the desired effect is another story.
So the smart way to undergo fat transfer with the following smaller portions is to do it with the other smaller or bigger parts, or just add it when doing liposuction as the main procedure.
upper eyelids
Sunken upper eyelids need about ２㏄ of fat graft.
upper eyelids fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
lower eyelids
lower eyelids fat transfer before/afterdowntime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Lower eyelid dark circles also go with 2㏄ fat injection. If baggy eyelid is the concern, refer to Lower Blepharoplasty(Hamra Method) as the bast remedy.
nasolabial folds
Nasolabial folds, or parentheses-look-alike lines from nose sides to lips, are treated routinely with Juvederm or Restylane, HA fillers, because they are fine enough to enhance also the skin structure itself, while fat graft only works for enhancing subcutis fat layers. Of course, shallower lines sometimes are treatable with fats with the amount around 4cc.(HA filler details here)
marionette lines
Marionette lines, or wrinkle lines that drops from lips corner down to chin sides, are similar to nasolabial fold mentined above, in a way that fillers work better than fat graft. Marionette lines require accurate injection along the line, avoiding unnecessary spreading to the surrounding tissue, meaning larger particles of fat graft is not as good as finer HA filler to enhance skin tissue. Still if fat grafting is desired, minute amount of 2cc both sides are the best shots to do.
lips
Lips enhancement can sometimes be done with fat injection. This procedure was performed a lot before the advent of HA fillers. But since HA is convenient and lasts longer, it captured more popularity than traditional fat injection.
lips fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Below half of the injected fat volume might permanently stay in the lips, and a few sessions are needed to gain the desired lip volume. Fat injection is done in 3-to-6-month interval and every injection should enhanced lips more than the desired volume in speculation of its rapid decrease within months.
Another disadvantage of fat injection is the inconvenience of doing liposuction in every session. Lower ab or thighs are the best donor of fats needed in the treatment.
Lips need on few cc's, so HA filler is the method that fits such tiny volume, instead of harvesting it everytime from abs and thighs. HA might go away 100% but lasts longer than 1 fat injection.
Lip fat injection requires around 3cc.
chin
Chin part also is where HA filler play a better role than fat grafting, because chin skin is not that loose enough to provide satisfactory environment for fat graft to survive. Another reason is that the area is not that large enough to be treated with larger particles of fats. Injected substance must stay in the tip tissue to enhance it slimly pointing which finer fillers can achieve if injected shallowly near or in deeper skin tissue.
If masculine type of chin enhancement is desired, meaning not so pointy but enlarged, fat grafting might be a good choice, around 4㏄ is the best shot.
mandible(jawline)
Fat grafting at the mandible is not that popular in Japan and other Asian countries where tiny face contour is favored. While in western countries, detailed jawline is an appealing element cosmetically.
jawline fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise is observed, takes 1to2 wks. to subside
Jawline fat graft needs purified fats of the amount around 20cc.
Pricing
| without tax | with tax | ||
| Fat Transfer | cheeks | \150000円＋mini lipo fee | \165000+mini lipo fee |
| forehead | \150000円＋mini lipo fee | \165000+mini lipo fee | |
| temples | \120000円＋mini lipo fee | \120000+mini lipo fee | |
| breasts | \200000円＋full liposuction fee | \220000+mini lipo fee | |
| hands | \150000円＋mini lipo fee | \165000+mini lipo fee | |
| upper eyelids | \100000円＋mini lipo fee | \110000+mini lipo fee | |
| lower eyelids | \100000円＋mini lipo fee | \110000+mini lipo fee | |
| nasolabial folds | \100000円＋mini lipo fee | \110000+mini lipo fee | |
| marionette lines | \100000円＋mini lipo fee | \110000+mini lipo fee | |
| lips | \100000円＋mini lipo fee | \110000+mini lipo fee | |
| chin | \100000円＋mini lipo fee | \110000+mini lipo fee | |
| mandibles | \130000円＋mini lipo fee | \143000+mini lipo fee |
2nd fat injection and beyond are 50% OFF.
Liposuction fee is required in every session. Refer to Liposuction page for pricing details.
buttocks
Eventhough buttocks fat graft is quite a trend in western countries, fatal incidence occur in quite high rate, leading most medical facilities to decide not to perform this procedure. Cause of these mortalities is reportedly mainly from fat embolism which occur when fats accidentaly are injected into blood vessels. Our clinic uses blunt cannula in fat grafting inorder to prevent this unwanted occurence, but still we cannot ignore this unfortunate report, so we decided not to perform this procedure here.
.
Miyagi Cosmetic Surgery宮城美容外科クリニック
〒900-0016
沖縄県那覇市前島２－２－１（３F)
2-2-1-3F Maejima, Naha City
Okinawa, Japan 900-0016
TEL 098-860-9120
FAX 098-860-9176
※電話が混み合っている場合、ウェブやメールでの予約も受けております。オンライン予約はこちら
In case line is busy, please make reservations through our website or e-mail.
For online booking click here
e-mail info@miyagi-clinic.info
日本語English
