FAT INJECTION

Breast augmentation or enlargement is typically done through silicone breast implants or fat injection Breast implant surgery is tailored to meet a woman's individual needs. The filling type, shape, profile, and size of the implants are discussed thoroughly in the pre-operative consultation. A breast implant will be inserted into a pocket either under or directly over the muscle. Modern breast augmentation is about volume distribution, not just volume addition. The excellent shape should prevail over volume. The technique of autologous fat-graft injection to the breast is applied for the correction of breast asymmetry; breast deformities; congenital disability correction" micromastia, and tuberous breast deformity, breast reconstruction: for post-mastectomy breast reconstruction (as a primary and as an adjunct technique; trauma-damaged tissues (blunt, penetrating), disease (breast cancer), explanation deformity (empty breast-implant socket).); for the improvement of soft-tissue coverage of breast implants and the aesthetic enhancement of the bust.

Fat transfer has become an increasingly important method of facial rejuvenation both as a standalone procedure and in combination with traditional rejuvenation methods, like face-lifting, brow lifting, and Blepharoplasty. A variety knows fat transfer names, of which the most commonly used are fat transfer, fat injection, and autologous fat grafts. The word autologous means material (fat) is harvested from one area and donated to another in the same individual. Fat transfer is particularly suited for restructuring the proportion of the face. Typical facial structures can also be aided by adding constructive elements to correct a broad range of perceived facial deficiencies. For example, a stronger jawline creates a youthful, more powerful-looking face; eliminating the hollowness of lower lids helps reduce that tired, sad appearance; and fuller lips create a more youthful, attractive appearance. Other indications include congenital, traumatic defects, or surgical defects and scars. Nano fat is applicable in a wide range of indications to improve skin quality; trophic skin changes caused by age and sun damage, pigmentary skin conditions, and scarring non-facial areas such as the neck, the décolleté area, and the hands can also greatly benefit from the use of nano fat grafting, sometimes in combination with micro fat.

Mouth and lips or perioral region fat injection rejuvenation results depend on understanding perioral anatomy and perceived signs of aging. The principal areas of the lower face that benefit from fat augmentation are the pre-jowl sulcus, labio-mandibular recess, labio-mental sulcus, lateral jawline, and anterior central mentum. The perioral region is amended for improvement with millifat, microfat, and nanofat. Besides, pyriform augmentation with millifat will affect the lifting of the upper lip. Buccal atrophy is consistently seen in the fourth decade of life and beyond, as is buccal hollowing caused by previous overzealous excision of buccal fat or human immunodeficiency virus-associated facial wasting. Asymmetrical fat placement is often required on the right and left sides because of the frequent buccal asymmetry seen preoperatively in many patients. Fat transfer can correct age-associated loss of chin volume, loss of chin projection, and loss of vertical chin height, and in some cases, can rival the kind of improvements obtained when small chin implants are placed. Fat transfer of the chin can also correct an atrophic and feeble appearance. When indicated, the button shrinks with age by broadening and strengthening it and filling the labio-mental and submental creases. Fat transfer along the mandible can also correct an atrophic and feeble appearance as the mandibular border shrinks with age by broadening and strengthening it. Treatment of the jawline typically must be undertaken in conjunction with the pre-jowl groove, and the two areas overlap in most cases. However, patients seeking a quick recovery, a specific lip size or shape, or subtle changes are not optimal candidates for the procedure. Patients should also be advised that it is impossible to create the highly stylized cover-girl lip appearance seen in fashion magazines when using fat.

Fat Injection results in satisfactory rejuvenation around the eyes or periorbital region with little recovering time. Fat transfer to the forehead is an excellent method to lift the eyebrows without raising the brow to an unnaturally high position. Micro-fat or nano fat grafting can fill the skeletonized upper lid sulcus. Fat injected into the lower eyelid region will shift the cheek up and build the convexity of the youthful eye. Lower-lid volume replacement is also helpful in treating dark circles under the eyes by reducing shadows and the appearance of blood vessels under the skin. Microfat Injection is also an excellent choice for correcting static wrinkles that it cannot treat with BoNT alone. In most patients, I must undertake the treatment of the infraorbital, cheek, and tear trough areas together. I must combine fat Injection with a skin-only eyelid lift to achieve desirable rejuvenation.

Around the eyes or periorbital region filler vs fat injections results in depend on understanding both perioral anatomy and perceived sign of aging. Volume augmentation can be beneficial for treating deep nasojugal lines (often referred to as "tear trough" defects), the elevation of the temporal brow, and even smoothing fine eyelid wrinkling. It is also an excellent choice for correcting static wrinkles that it cannot treat with BoNT alone and re-contour. Which filler substance is considered "best" or "preferred" for you depends on the doctor's technique, skill, experience, training, facial needs, and risk tolerance? It has nothing to do with headlines in the media; these are often a result of its marketing. While synthetic fillers can smooth out wrinkles and folds, they cannot restore fullness that is naturally lost as fat and bone diminish, and it is not for everyone. Some individuals are allergic to synthetic materials and may develop an allergic reaction. Nevertheless, its use stays limited compared to commercial fillers. It appears that surgically trained and oriented cosmetic practitioners are far more likely to use fat. In large numbers, less surgically dermatologists, non-surgically trained "cosmetic practitioners," and non-physician "extenders" such as physician assistants, nurse practitioners, and even simple registered nurses favor synthetic fillers over autologous permanent fat filling injections.

Fat injection in the hands and feet is a simple, rewarding procedure for rejuvenation. It covers unsightly veins. Nanofat is injected intradermally to improve skin quality. The average patient will require 10-15 cc of macrofat. Another 10cc nanofat. Rarely does the patient require a second session? It is very cost-effective when compared with non-autologous synthetic soft tissue fillers

Brazilian Buttocks fat injection is the safest procedure for buttocks augmentation. Several advantages to buttocks fat transfer compared with implant surgery. A Brazilian Buttocks lift is a specialized fat transfer procedure that augments the size and shape of the buttocks without implants. Excess fat is removed from the hips, abdomen, lower back, or thighs with liposuction, and a portion of this fat is then strategically injected into the buttocks. A skilled cosmetic surgeon can improve the proportions of the entire lower body with Brazilian Buttocks lift surgery, helping a patient lose fat in common “problem areas” and enhance the buttocks, with results lasting many years. Autologous fat grafting is associated with the lowest rate of complications. It is ideal for correcting finite asymmetries and volume deficiencies. Principles of buttocks augmentation with autologous fat transfer have evolved from buttock augmentation to global, whole-body, 360° contouring and shaping, thereby producing an optimal, highly defined body/ buttocks balance without implant-related complications. Moreover, I can combine it with liposuction of the waist, lower back, and lateral thigh. Prof Moawad calls it “horseshoe liposuction” to create the universal perfect proportions of the female torso and meet the specific ethnic ideals of beautiful buttocks in one operation.

Around the eyes, (periorbital) fat injection demands a thorough understanding of the complex anatomy. Complex periorbital consists of the upper brow, upper eyelid, lateral canthus, lower eyelid, and infraorbital rim—begins to show signs of aging in the mid to late 30s. Aging skin is characterized by the appearance of fine and coarse rhytides (wrinkles), rough and uneven texture, dryness, and changes in pigmentation. Fat atrophy occurs in the upper and lower periorbital region leading to progressive skeletonization of the orbit. Fat atrophy in the lower periorbital complex leads to a more prominent infraorbital rim, increasing the height of the lower eyelid and the overall soft tissue vertical dimension of the orbit. With new advancements in cosmetic medicine, nonsurgical and minimally invasive procedures have become first-line treatment options. Treatments commonly used today include topical therapies, mechanical and chemical skin resurfacing techniques, lasers and radiofrequency devices, fillers, and neuromodulation by use of botulinum toxin (Botox). A conservative trans-conjunctival blepharoplasty or skin-only upper blepharoplasty combined with fat grafting can provide reliable rejuvenation and limit morbidity associated with higher volumes of fat grafting that would otherwise be necessary without concomitant excisional-based surgery.

Fat transfer or fat injection is known by various names, of which the commonly used are fat transfer, fat injection, and autologous fat graft. The word autologous means material (fat) is harvested from one area and donated to another in the same individual. Fat transfer has become essential in cosmetic facial surgery. Fat transfer is particularly suited for restructuring the proportion of the face. Typical facial structures can also be aided by adding constructive elements to correct a broad range of perceived facial deficiencies. For example, a stronger jawline creates a youthful, more powerful-looking face; eliminating the hollowness of lower lids helps reduce that tired, sad appearance; and fuller lips create a more youthful, attractive appearance. Fat transfer is also used for augmenting body contours, such as the breasts or buttocks.   A simple analogy to understand the benefits of fat injection is looking at a whole and a ripe grape that becomes prune-like (wrinkled, puckered) over a period like a convex, youthful face that undergoes contraction and involution with age. Rather than remove what appears to be excess tissue and transform that raisin into a pea, perhaps it would be better to re-inflate that tiny raisin back into a grape. The minimally invasive technique using Fat transfer has become a standard procedure in facial rejuvenation. Fat injection is simple, inexpensive, permanent, and permanent. Other indications include congenital, traumatic defects, or surgical defects and scars. Fat injection meets all the fundamental criteria of ideal augmentation materials: availability, low antigenicity, minimal donor morbidity, reproducible, predictable results, avoids non-auto graft disease transmission or incompatibility, not likely to elicit an immune response, last reported complications, and longer survivability. Fat transfer provides a very appealing resource for soft tissue volume augmentation in small and large volumes. Other areas where fat injection techniques are considered superior to synthetic fillers in terms of the total amount required to perform more substantial aesthetic corrections include the buttocks and breasts. Prof. Moawad and many others insist on the dynamic, unique quality of fat as it will age as we age. This exceptional fat quality is perfect for soft tissue augmentation since facial structure changes as we age, and a permanent filler will be out of proportion if used. The Disputes about longevity and the technique variation have postponed the announcement of fat as the perfect filler, added Prof. Moawad. Furthermore, fashion and trends change, and what is accepted now as beautiful maybe not be accepted later. Best of all, fat injections are forgivable, while the mistake of permanent filler is permanent!!! ” Prof Moawad says. The only relative drawback of fat injection has been the resorption of some of the fat transfer. However, with proper technique, approximately 30–70% of the fat is retained, Prof Moawad says.