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How Fat Grafting Improves your Facial Feature, Aging, Acne Scar, Breast, and butt?

Author
Celebrity Cosmetic Surgeon Dr Milan Doshi
Dr Milan Doshi, Celebrity Cosmetic Surgeon in MumbaiIndian Board Certified Plastic Surgeon
M.CH, MS
MUHS -faculty aesthetic surgery
ISAPS Mentor
11000+ Cosmetic Surgery
1400+ Fat Injection

Fat Is Future

Synonyms of Fat Injections:

Fat grafting, Lipofilling, Autologous fat transfer, Adipose tissue injection, Liposculpture injections, Stem cell fat transfer

Fat graft surgery, also referred to as fat transfer or fat injection surgery, is the surgical process by which fat is transferred from one area of the body to another area. The surgical goal is to improve or augment the area where the fat is injected. The technique involves extracting adipose fat by fat injection surgery, processing the fat, and then reinjecting purified fat into the area needing improvement.

Fat transfer had been used since the first decades of the twentieth century for body contouring and reconstruction. Since the 1990’s Plastic Surgeons have reliably used fat grafting as a way to improve and enhance the cosmetic appearance of the face, breasts, hands, feet, hips, and buttocks. However, more recently, clinicians have documented therapeutic benefits of fat grafting in the healing of wounds and scars, as well as fat’s ability to repair damage to breast tissue following radiation treatment.

Fat Injection Benefits and Advantages

  • Less allergic reactions.
  • Long-lasting, natural results.
  • A minimally-invasive way to rejuvenate.

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Fat Injection Facts: surgery time, diet, travelling, cost
Quick facts on Fat Injection
Time Required 1-3 Hours
Anesthesia Mostly Local Anesthesia or General anesthesia if large area or patient preference
Pain Level Mild well managed with medications
Result Major result visible immediately, Final result 6 to 8 months
Diet No restriction
Hospital Stay Day Care surgery
Flyback 2-3 Days
Satisfaction Rate More than 95%
Complication Rate Less than 1 to 2%
Cost(Laser/Vaser Liposuction) 50000 to 80000 INR per area

Depending on the fat lobular size

  • Macro fat grafting: the largest lobular size. Macro fat grafting is best indicated in areas that need large volume transfers like buttocks and breasts. It is also used in face for volume. In addition, Macro fat graft contains both viable adipocytes and adipocyte derived stem cells (ADSCs).
  • Micro fat grafting:. The fat particles need to be sufficiently small in order to provide a smooth injection through these fine cannulas. Micro fat-grafts were best used to fill the face, hands and delicate areas as tear troughs. Micro fat contains both viable adipocytes and adipocyte derived stem cells.
  • SNIF (sharp needle intradermal fat injection), a type of micro fat grafting in which a 1 ml syringe is injected to the superficial dermal plane with a 23-gauge needle. SNIF is a cheaper and more effective filler for wrinkles in patients willing to have long-term results .
  • Nano fat grafting- it is a liquid fat emulsion, which is called Nano fat. Nano fat grafts are rich in ADSCs that are capable of skin rejuvenation as in areas like perioral skin, nasolabial folds, marionette linessun-damaged skin at the breast cleavage, dark eye hollows and scars to restore a youthful oval face.

Facial rejuvenation

  1. Macrofat grafting: Localise Volumization, in cheek, jaw line, temporal area, 
  2. Microfat grafting: Below skin uniform filling for full face fullness.
  3. Nano fat: Fine wrinkle and pigmentation reduction.

Hand rejuvenation:

to reduce fine wrinkles and reduce veins visibility

Breast augmentation

  1.  It is an alternative  with its own limitations to  breast  implant surgery
  2. Fat injection could be used for masking apparent edges of breast implant , wrinkles;  and to correct visible rippling.
  3. Breast reconstruction cases that had resultant defects after lumpectomy or skin sparing mastectomy or breast reduction asymmetry could benefit from localized fat injection to correct contour of breast or recreate the whole breast.

Butt augmentation/ Brazilian butt lift

A Brazilian butt lift means fat grafting in butt to get more natural-looking roundness in your backside. It can also address issues, like sagging and shapelessness of butt..

4-D body sculpting

4D body contouring combines liposuction and grafting of the sucked fat in the muscle to reveal the muscle tone beneath.

Post-surgery deformity correction

Contour irregularities are common problems associated with breast reconstruction and can lead to suboptimal cosmetic results, which can be solved by fat injections.

You are a right candidate for fat injection surgery if you are:

  • Above the age of 18 years
  • Good health.
  • A Clear goal of the surgery
  • Realistic expectations for result
  • You know the recovery, risk and result and limitations of the surgery
  • Emotionally Stable mindset

  • Cosmetic Improvement is limited.
  • Only a part of the grafted fat will survive. You may require a touch up procedure.

You would come to know about: –

  • Is fat injection surgery for you or not?
  • What is there specifically for you in terms of fat grafting surgery, time of performing the surgery, and the actual cost?
  • What can be realistically achieved for you?
  • Fat injection surgery risk & recovery
  • The required measures before & after the fat injection surgery.
  • What is your comfort level with the fat injection surgery?

It is good to make a list of important questions before proceeding for the consultation step, so you won’t miss addressing any of your concerns. The patient care coordinator is always there to help.

Your fat injection surgeon will evaluate the following:

  • From where the fat can be harvested
  • Area of your concern,
  • How much fat can be grafted, type of fat grafting

Real time Online consultation at Allure Medspa, Mumbai, India:

Now you can have consultation from the comfort of your home. Take your photographs as advised and mail to us. We create your 3 D image. We can share screen with you and you can see the real time edited changes. It gives you a realistic idea, what look can be achieved by the fat injection surgery.

Fat injection surgery is the minimally invasive solution of all types of body sculpting requirements. Our Online consultation helps you to see how you might look after getting your surgery. It’s better to see your expected results and modify it then, rather than going for corrective surgeries.

  • Traditional suction-assisted lipectomy

Blunt-tip cannula is attached to a suction-generating device for suctioning out fat cells. Small access incisions are made in the skin, and the blunt cannula was introduced through these incisions to aspirate fat in the deep subcutaneous layer.

  • Ultrasound- assisted lipectomy

It employs an oscillating ultrasound wave that produces a negative pressure vector that overcomes molecular forces selectively within adipose tissue leading to tissue lipolysis. Third-generation UAL devices such as VASER™ (available at Allure Medspa), allow for greater fragmentation of adipocytes at a lower energy setting, using pulsed rather than continuous energy.

  • Power assisted lipectomy

It is a rapidly vibrating cannula, in which the device is powered by medical-grade nitrogen (N2) or by compressed air. Subsequent generations became powered by a quieter electric source instead of medical-grade compressed air.

  • Laser assisted lipectomy

LAL utilizes the principles of selective photothermolysis to preferentially lyse adipocytes while leaving surrounding structures unaffected.

  • Water assisted lipectomy

The concept behind Water-assisted fat injection surgery (WAL) utilizes a thin, targeted, fan-shaped jet, called Body-Jet™ (Human Med, Schwerin, Germany), to inject fluid during fat injection surgery which loosens fat cells while minimizing surrounding soft tissue collateral damage.

  • Aspirator devices:

These are equipment responsible for generating one atmosphere of negative pressure necessary to adequately perform fat injection surgery.

  • Pre-operative preparations

In advance of your procedure, your surgeon will ask you to:

  • Stop smoking at least six weeks before the procedure to avoid poor wound healing and scarring.
  • Avoid taking aspirin, nonsteroidal anti-inflammatory medications and vitamins/homeopathic regimens that can increase bleeding.
  • Arrange for someone to drive you home after surgery and stay with you for at least the first twenty-four hours unless you and your surgeon have decided on other postoperative recovery options.

2. On admission at the cosmetic surgery centre

Your surgeon may take pre-procedure photos

A detailed medical and physical exam is done

You will receive medications to make you as comfortable as possible

 

3. Anaesthesia: commonly local anaesthesia, few times general anaesthesia

Fat grafting can be explained as a three-stage process:

  • Harvesting: On the selected site for fat removal, your surgeon will inject a local anaesthetic and then create a small incision in the area for fat removal and, using a sterile technique, insert a cannula connected to a syringe to carefully extract fat (fat injection surgery).
  • Purification/ PROCESSING: After harvesting purification is done by the use of a centrifuge to spin the fat or a filtration process to MAKE MACRO FAT, MICRO FAT OR NANO FAT as per requirement.
  • Placement: Your surgeon will insert a needle or cannula at the site being augmented. Each time the needle or cannula is withdrawn, a line of fatty tissue parcels is carefully deposited in natural tissue planes. This process is repeated until the desired correction has been achieved, creating a grid of grafted fat
  •  4. Fat grafting surgery: Recovery and discharge
  • It is an OPD or a day care surgery.
  • After your procedure, you will be taken into a recovery area, where you will continue to be closely monitored.

  • When fat injection is done as a volumization, little over injection is done, gradually part of the fat will get absorbed, one can see the final result after 4 to 6 months.
  • When fat grafting is done for skin rejuvenation collagen synthesis goes on 4 to 6 months, skin quality improves for 6 to 8 months.

  1. TAKE MEDICINE AS ADVISED
  2. DIET
    Take as much liquid as possible once you are comfortable. As there is no dietary restriction
  3. POSITION
    Propped up position for 2 to 3 days. Keep in sitting position or you can walk  avoid straight sleeping
  4. PHYSICAL ACTIVITY
    Initial 4 to 5 days lighter activity, once  edema reduces there is no restriction. No local treatment or massage is necessary.
  5. RECOVERY
    When fat injection done one may develop swelling and bruise marks will go in 2 to 3 weeks.
    One will have numbness till the late evening on the day of surgery. Pain is easily managed by pain killers, one will feel like something is done. One will feel stretching and pain like stretching, you will have soreness on pressing the operative site, fat donor side.
  6. LOCAL CARE
    AT FAT INJECTION SITE
    Ice pack also helps to reduce edema
    Application of antibiotic ointment on face at puncture site
    AT DONAR SITE
    Usually we follow the open drainage technique. Injected tumescent fluid, residual fat, broken tissue will come out from the tiny punctures and it will be blood stained. So tissue reaction, swelling bruising and pain will be less, and recovery will be faster. . Normally it stops in a day or two. If there is excessive bleeding or swelling or pain unrelieved by medication, please call the doctor immediately.
  7. BATHING
    You can wash face after 2 days with mild soap. Take bath after discharge is stopped in running water i.e. Shower bath (No bath in Bath tub).Make area dry and cover the donor area  wound with bandage.
  8. RESULT
    Initially there is over-correction. as fat get absorbed you look better. and final result of fat  volume is about 3 to 4 month. Approximately 50%-75% of the total fat grafted remains in the long term. Improvement in shape and skin tightening goes on for 6 to 8 month.
  9. FOLLOW UP VISIT
    After the discharge ,you have to do postoperative visit  at 3 days , 7 days ,15 days and then after 1 month.
  10. LONG TERM INSTRUCTIONS
    It is advisable to visit the clinic at 3 and 6months after the operation. Inform doctor,if swelling, redness pain, hardness, any lumpy feeling in breasts.

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  • There is MILD swelling and bruising for the initial week.
  • It will resolve in 2 to 3 weeks.
  • Propped-up position and  ice pack application help to recover faster.

Complications from fat grafting are RARE. Some of the complications of FAT GRAFT surgery are:

  • Adverse reaction to anesthesia
  • Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
  • Infection
  • Changes in sensation
  • Scarring
  • Allergic reactions
  • Damage to underlying structures
  • Unsatisfactory results that may necessitate additional procedures

You can help minimize certain risks by following the advice and instructions of your board-certified plastic surgeon, both before and after your fat transfer.

Safe fat injection surgery cost in India is one third of the developed countries. Not only the celebrities but common people from all walks of life can afford fat injection surgery body contouring and have a full confident life.

Here is a small guideline so you can choose the best value for or money while selecting best fat injection surgery surgeon or cosmetic surgery centre at India.

Know Your Investment for Safe Fat injection surgery

The cost of Fat injection surgery in India is INR 50,000 to 110,000.

It depends on the number of area to be fat injected and type of fat grafting.

  1. Associated liposuction surgery cost will be extra.
  2. EMI facilities are also Available at Allure Medspa.

Additional 18% GST by Govt of India On All Cosmetic Surgery

Fat injection surgery Cost Includes:

  • Dr. Milan Doshi’s Fee
  • Anaesthesiologist fees
  • Medicines/consumables during fat injection surgery
  • Technology used
  • Immediate post-operative follow-ups.

Fat injection surgery Cost Does Not Include:

  • Preoperative fitness test
  • Post-operative medications (to be taken at home)
  • Cost arising due to any associated medical condition
  • Rare and unforeseen health circumstances experienced by the patients

NOTE: Insurance doesn’t cover cosmetic surgery or a body contouring surgery cost.

Dr. Milan Doshi

  • Dr. Milan Doshi is an Indian board-certified plastic cosmetic surgeon with more than 25 years of experience
  • Cosmetic surgeon Dr. Milan Doshi has credit for performing more than 1000 fat injection surgery surgeries in his career.
  • He regularly performs MACRO FAT, MICRO FAT AND NANO FAT GRAFTING SURGERY. He recommends a particular technique as per your body type and goal of the surgery.
  • He has done VASER-assisted high-definition (VAHDL) fat injection surgery or 4D fat injection surgery for many celebrity clients.
  • Doshi’s artistic hand combines Nano fat graft and structural fat graft with fat injection surgery and gives you a rejuvenated facial look; breast augmentation and Brazilian butt lift (BBL) to enhance your beauty.
  • He has done many advanced procedures for many celebrity clients.
  • Milan Doshi has been recognized as the safest and trusted surgeon in Mumbai, India.
  • He is high on the demand, especially for the celebrity Cosmetic surgeonfrom the Bollywood fraternity because of consistently delivering unmatched results.

To know more about Dr. Milan Doshi, kindly click the link : best cosmetic surgeon in mumbai

  • NABH (National Accreditation Board for Hospitals & Healthcare Providers) certification for Goregaon centre assures you about the best medical practice, safety, and comfortable recovery. We follow a stringent medical protocol for your safety.
  • It is owned by Dr. Milan Doshi himself so it is specially designed for cosmetic surgery patients
  • We provide real-time 3d virtual consultation. You can have the best possible consultation sitting at your home.
  • Hospital is equipped with an advanced lifesaving
  • The staff at the cosmetic surgery centre is well-experienced to take all the post-operative care. They patiently guide you taking post-operative care of yourself before discharging to make your journey of fine to fabulous as well as a pleasant experience.
  • Allure Medspa clinic is at the heart of the Bollywood, which is easy to commute for pre- and post-operative visits. Whilst away from the glittering world, Goregaon centre assures you about the utmost privacy.
  • If you are coming from an outstation, you can request a pick-up facility to make your journey safe.
  • The patient care coordinator is there to address any concerns immediately and coordinate with the medical team to make your recovery smooth and safer.
  • The patient care coordinator is there to guide you for your visa, travel, or vacation plan during your visit to Mumbai.

We Are Committed to Make Your Fine to Fabulous Journey Memorable and comfortable

Get Real Fat Injection Surgery Cost for you at Allure Medspa Mumbai, India.

Send us your photographs of the area of concern and your medical history. With the help of CRISALIX, we can create your 3-D image in virtual reality. We can have a virtual meeting where the doctor will show you possible modifications and achievable results, in recovery. He can give you the most transparent cost of your fat injection surgery.

We, at Allure Medspa, are committed to transparency. A transparent cost is the first step to build trust for a long term relation Our patient’s testimonials are real proof of our result, service, and transparency.

Fat injection surgery cost at Allure Medspa, Mumbai, India gives you the best value for your money.

CPT Code and Description about Fat injections Surgery:

CPT Code CPT Description ICD -10 Procedure
15820 Injection of autologous fat into face. Z41.1
15821 Tissue grafts, other (e.g., fat) (used for fat grafting in various areas of the body). Z41.1

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