Fat is removed using liposuction with a 5mm incision. The fat is then separated in the operating room to remove all blood and oil. The fat is then transferred into small syringes to be reinjected into the target area. This is done through small 1mm portals. This technique is typically used for patients to correct small defects such as from lumpectomies or from previous liposuction. It can also be used for breast reconstruction to reduce the signs of “rippling” or wrinkling often seen in thin skinned patients with implant reconstructions.
The length of surgery depends on the amount and location of the fat grafting to be performed. This is typically a day surgery and the patient returns home the same day. This is always performed under general anesthetic.
After the procedure
Post-operatively there will be bruising that will last for 2 weeks and swelling that will last anywhere from 6 weeks to 3 months. Most patients return to work within 2 weeks. 20-50% of the fat transferred can resorb over the following months after surgery; therefore patient may require a second or third surgery to achieve the desired result.
Possible complications include skin irregularities, fat resorption, hematoma, and infection.