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Mytien Goldberg, MD, FACS

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Fat Grafting to the Face: The New Era in Facial Rejuvenation

Posted May 05, 2014 in Blog, Facial Fillers, Fat Grafting, In Office Treatment, Natural Fillers

In recent years, plastic surgeons have come to understand that facial aging is not attributable to gravity induced droopiness alone, but it is also a consequence of volume loss caused by soft tissue and bony atrophy. Over the past 10 years, fat grafting or fat transfer to the face has become popular technique in facial rejuvenation. Fat grafting is a popular method for facial rejuvenation because it is an ideal filler. The following qualities make fat an ideal filler: It is your own tissue and naturally biocompatible. It is available sufficient quantities in most patient. It is naturally integrated into your own tissue and can potentially become permanent. It could be removed if necessary.

Fat grafting to the face is an art that requires meticulous technique and expertise. Good retention of the harvested fat requires proper harvesting technique and atraumatic handling of the fat during the purification process. Lastly, the technique of transferring the fat requires small layering of fat into different tissue planes in a refine fashion. All three steps of harvesting, fat purification, and transfer technique lead to good retention of the transferred fat and aesthetic result.

Therefore, fat grafting is a technique in the correction of aging deformity of the 21st century. It is used to correct hollow eyes, sunken cheeks, deepening nasolabial folds, and marrionnette lines. Fat grafting has been shown to improve the quality of the skin where the fat was injected. The wrinkles seems to soften, the pore size decreases, and the pigmentation also improves with time. The best part of the fat grafting is that it could be done as an in office procedure under local anesthesia.

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