If you are loosing fat in select areas of your face or body, Fat grafting may work for you. It is the most abundant and easily available natural filler. Fat is the largest source of stem cells in the body. Fat injection or grafting is akin to Fat Derived Stem Cell grafting and has broad applications in cosmetic surgery.
Fat injected into areas requiring volume-enhancement produces safe, long-lasting, and natural-appearing results as volume is replaced to tissues where fat is diminished. Fat grafting usually involves harvesting fat from one part of the body, processing it, and then carefully re-injecting it with specially designed needles into the areas requiring augmentation. The procedure may need to be done more than once to achieve the desired result. Please read FAQ's for more information.
Where do I begin?
A consultation with your Aesthetic Plastic surgeon at Aesthetics Medispa is the first step to learn how fat grafting surgery can help you. This consultation will fully educate you in a non-pressured environment and will include a discussion of your goals, options available for fat grafting, likely outcomes, potential risks and complications.
Who is an ideal Candidate?
An ideal candidate is one who is well, without any preexisting medical problems and must have realistic objectives of the result of this procedure.
Who will benefit most?
Patients who benefit from fat grafting are people who desire augmentation or filling of volume- deficient areas. The most commonly grafted areas include the hands (rejuvenation of hands), face (rejuvenation), lip augmentation ( to make fuller lips)and depressions in the skin contour such as those that have developed following liposuction and scarring. Breast and Buttock augmentation with Fat can give very realistic improvement. There is a decrease of fat from our face as we age. Either fat grafting as a stand alone procedure or with Face lift have shown remarkable rejuvenation.
Where can fat grafting be used?
Fat grafting can been used for repairing or improving:
Facial skin damage, e.g. Acne scars.
Facial ailments such as hemi-facial atrophy.
Face growing older such as low cheekbones, wrinkles and folds etc.
Fat grafting can also be used to rejuvenate hands and fingers.
Where the natural fat cells are decrease between the bones due to ageing.
Where does one get the fat from?
We remove fat from the areas with surplus fat such as tummy, thighs, love handles etc. using liposuction. Once, it is extracted, it is then purified and prepared for injection.
How long does it take for the procedure?
It may take around two to three hours but this varies greatly depending on how soon the desired amount of fat is extracted and the area to be injected.
Can you explain the procedure?
A thorough pre-procedure evaluation. This may require several visits to your surgeon before the procedure. A full history and physical examination will be performed prior to the procedure. Your surgeon may take pre-procedure photographs, an informed consent will be obtained, and your skin may be marked. Either local ('twilight') or general anesthesia may be used, depending on your surgeon's preference.
Fat is harvested using a special suction cannula using sterile technique from various access points on the abdomen, hips or thighs that are not more than a few millimeters in size. Once enough fat is obtained from the donor area, it is then purified. This often requires the use of a centrifuge which spins the fat and removes impurities. The fat is then placed in small syringes and injected into the areas requiring augmentation through small access points in the skin.. A multitude of passes are done as the fat is placed in a three-dimensional latticework that maximizes the in-growth of blood vessels and fat survival.The areas that were injected may then be massaged by the surgeon to create a satisfactory contour. The access points in the skin heal without the need for sutures. The harvest site access points are simply covered with steristrips.
What is the recovery time?
Although the access points heal in a couple of days, and you can start taking a shower in a couple of days, you may have bruising swelling and restriction of movement of treated areas for approximately one week. Again depending on the areas treated, you may be able to go back to work in a week after surgery.
What is the post operative care?
Dressings may be placed on the injected areas. These dressings may include the use of tapes or compressive-type dressings. Your surgeon may request that you don't sit or lie on injected areas for a prescribed period. Your surgeon may also instruct you regarding a massage program after the procedure. Swelling and bruising usually resolve approximately three weeks.
Little or no downtime?
You should be able to return to normal activities within a few days. one to three days (isolated fat grafts, mild), seven to fourteen days (moderate or substantial fat grafts, or fat grafts combined with other cosmetic surgery procedures).
Return to Exercise:
four to seven days (light cardio), two to three weeks (more strenuous exercise).
In any case, the recovery process is variable and is based on how much fat was required for transfer and also based on one's own personal perception of one's healing.
Fat injection advantages / benefits
Fat injection or grafting is a technique that is growing in popularity. Fat is one of most well- tolerated fillers available to aesthetic surgeons, and thus has broad applications. It is natural- appearing, lasts a long time, and is safe. It is an effective filler used for changing body contour, revising scars, filling depressions created by liposuction, and rejuvenating the hands and face. Perhaps most importantly, it spares the patient the inherent risks associated with fillers derived from animals or cadavers.
Swelling is the most common post-operative side effect. Most of the swelling settles down within several weeks.
Bruising in both the donor and recipient areas are as a result of thin layer of blood under the skin. This resolves on its own in two to three weeks. It is unusual to require a transfusion.
There is numbness of the skin overlying the donor and injected areas. This is usually temporary. You may experience slight asymmetry or contour irregularity. This usually improves as the swelling resolves. Under or over correction of the defect is possible as it is difficult to predict how much fat will survive and how much will get resorbed. Infection.
If you put on weight due to dietary excesses or lack of exercise, then the fat grafted areas may fill out more. So it is important that you maintain your weight after the procedure.
"I am 36 years of age and it seemed that with each year passing, the fat under my chin was sagging my face more and more. I am a slim guy and to get rid of this fat, is a very hard task. So I decided to do something about this. I went to the Body Beautiful Show in London. That is where I met Ash. Out of all the people I talked to that day (probably over 40 people), Ash was the only one there that didn't treat me as a ticket item, he spent time understanding what I wanted, then he explained what could be achieved. He treated me with respect and cared about what I wanted. To me that is important. I thought this is the person I want to do the surgery by, someone who really cares about his patients.
Well I did what any person would do, I went home and looked up Ash's credentials, his before and after work and then sent an email saying I would like to proceed forward. To be honest I was a little apprehensive about going to India for treatment, because I thought of India as over populated dirty streets and grimey hospitals. The great news is that I was wrong and the handouts Ash gave me are real! The hospital is a brand new hospital, you are on the 6th floor, I call the 'celebrity floor' as there aren't many people on the floor at all, as it's private. The room I stayed in make the NHS hospital rooms look like rat's nests. The room was so clean you could eat off the floor. [Not recommended but you could.
Well, I also decided to get my face treated for some scarring at the same time, this made the lipo of my chin into a face lift.
When it comes to surgery, cheaper is not necessarily better, it all starts with having a good surgeon. Well, with Ash at the helm, I knew I was going to get less expensive surgery with a very capable surgeon - best of both worlds.
I decided to have some of my acne scars treated as well. So when I arrived, Ash and his colleague talked about different procedures to treat my scaring. In my case (will of course vary between different people) a full face lift would be needed to get the results I was after. As you could understand a a full face lift is a lot more surgery than a chin lipo, so I paid the extra and awaited surgery the next day.
The surgery went very well.
The nursing and hospital staffs were exceptional. They treated me so well; it made me feel like I was on holidays. Even a dietician came each day to help me choose my food menu for the day. After the surgery I had my own private nurse in the room for a day. So, no need to push a button and wait. That was handy. After the first day I was fine, and just relaxed in the hospital bed, letting my face heal, watching the cricket and bollywood films. The hard part after the surgery was sleeping on my back instead of the side. This took me about a week to get used to. You only need to do this for two weeks after leaving the hospital.
The room I stayed in was a deluxe room, with my own bathroom, sofa, bed, TV (was great, the cricket was on) and very clean. In fact a guy comes around twice a day and makes sure the room is clean. One day a nurse said to me that I wasn't neat enough with my own bags of clothes, she said 'I was making my room unattractive'. We both laughed. The nurses comprehension of English is varied, however, there is always a nurse that understands English well and if the nurse can't understand you, she will bring back a nurse who will understand you.
The Results: Ash didn't meet my expectations, he far exceeded them. I was expecting about a 60% improvement on my jaw line and a 20-30% improvement on my face. Well the jaw line has to be 2 times what I was expecting and my face about 5 times more than what I was expecting. In comparison my face looks so much better proportioned, and acne scars blended into the face, so I look a lot better than I did before. I am coming back in Feb to have my face polished and peeled just to make it that 100%. Remember to set expectations to realistic goals and you will always be happy. I didn't go into surgery saying my skin will look like a calvin Klien model after the operation.
Ash also organised a spa day for me, which was excellent, shopping trip which there were lots of bargains to be had and visits to temples, Gandhi memorial camp and such. It felt like I had a holiday.
I would absolutely, unequivocally recommend surgery in India with Ash."
So lets go through the facts again
Expert attentive staff
Very clean hospital
East and West treatments while in hospital
Cheaper price then london for same surgery
Possible to have a holiday and surgery at the same time.
Hiya - my name is Corrie - at the age of 47 (nearly 48) I made a life changing decision that now my children were old enough I would pack my bags and do some travelling. I decided to go on a six month solo journey around South East Asia and India. Upon my return to England it was too my delight that I had lost quite a lot of weight almost effortlessly on my travels. However it was also to my shock that a lot of the weight had come off my face and neck - leaving me with a saggy neck and jowls and lines and wrinkles which were much more noticeable. Having had such an amazing journey and feeling as though my world was just opening up - it was incredibly difficult for me to accept this droopy, sad looking face when I felt so young and energised and it felt like there was so much joy and fun still left inside me. I began to look into having some cosmetic surgery in the UK and went to a couple of consultations. One of the consultants (an Indian) mentioned that India had a busy cosmetic surgery industry and that it was considerably cheaper. I made the decision to research further on the internet.
I made contact with a number of agencies one of them being Surgigo - whose representative said that their hospital - Ruby Hall Clinic was in Pune ( a place I have a very positive connection to and was planning to visit again in the January 2007). The representative gave me Dr Ashish Davalbhakta's email address so that I could make direct contact with him. My initial intention was to visit the various hospitals on my travels around India and speak to the Consultants and then have my surgery at the end of my travelling when and if I had found the Consultant I would be happy to put my trust with. However life sometimes has different plans for you. Whilst in Pune 2 weeks after arriving in India - I called Dr Davalbhakta (or Ashish as he prefers to be called). His superb English and patient, caring and sincere responses resulted in my wanting to meet with him sooner rather than later. My first consultation with him at the Ruby Hall Clinic was excellent. Not only was I very impressed with how modern, clean and busy the hospital was with all the rich tapestry and colour that is India and its people, I was further impressed with Ashish and felt almost immediately that he was someone I could trust. He is absolutely dedicated to his profession, of which he is deeply knowledgable without being overwhelming. He sat patiently and listened and then explained in great detail how he would like to rejuvenate my face. He explained with much clarity how getting one thing done say my lower face region and not, say doing something about the lines around my eyes and on my upper lip, might affect the overall effect - he explained the operation and the healing process. His patience, knowledge and kindness were such that I found my trust towards him deepening.
After my first consultation, without any pressure whatsoever from Ashish, I found myself thinking more and more about the operation and felt that this needed to take precedent over my travels. I felt absolutely sure that I had found the person that I wanted to operate on me and so I went for a second consultation and the operation was booked for a week later. Ashish explained and laid out all the costs involved and it was at least a third cheaper than in the UK.
My admission into Ruby Hall was absolutely thorough, professional and was carried out with such care and compassion.. In fact during my whole stay (one week - it was actually hard to leave!) I have never been treated with such care and compassion before. The standards of professionalism, care and hygiene were exceptionally high - my room was large, very tastefully decorated and spotlessly clean. I cannot think of one complaint or grumble about the hospital or any of its staff - from the consultants to the cleaners.
Although I came to India and the hospital alone - I never felt lonely or alone - there were always nurses or others to talk to - I had a tv with satellite and plenty of books to read - so recovery from the op was a lovely peaceful time - like I said it was very hard for me to leave. Ashish, who is always a busy man came to see me every night just to check on my progress. He has remained throughout exceptionally patient, kind and reassuring of any anxieties, I may have had about the healing.
It is now nearly six weeks since my operation and laser treatment and I can honestly say that I am absolutely delighted with the results - I look a good 10 if not more years younger - no jowels, loose neck or lines above my top lip. I have never for a moment regretted having the operation done and for trusting completely Ashish's expert guidance and advice. My main priority is to massage my face several times a day and feel it coming back to normal and of course keep my face out of the sun (no easy thing in India) whilst the laser marks disappear (they are virtually gone now).
When I arrived in India for the first time in Jan 2006 I did so with a closed heart and mind - but the beauty of India and its people is that they seem to open you up to yourself in the most amazing and non-judgmental way.
I will finish by repeating my heartfelt gratitude to Dr Dhavalbhakta and all the medical, domestic staff at Ruby Hall Clinic."
Thank you all so very much.
"After having undergone a drastic loss in weight a couple of months ago, I was very happy that I was within my healthy weight limit again. However, the only thing I felt uncomfortable with was that my cheeks had become too thin. I was still shapely and wanted my cheeks to be full and attractive. I consulted the doctors at Aesthetics Medispa who told me about the best alternative for cheek augmentation. So, rather than go with something artificial like Botox, I decided to go for the natural fat grafting technique. The expert cosmetic surgeons at Aesthetics Medispa did a perfect job and I now look as perfect as I could imagine now. All thanks to the innovative fat grafting method used by Aesthetics Medispa"