Fat Grafting and Transfer (also called Autologous Fat Transplantation or Micro-lipo-injection) is a safe and natural process that uses your own fat cells.

This can be used to help restore volume loss in your face, improve sun-damaged skin on your hands, or to complement breast implant surgery.  For women who have thin skin and tissues, fat harvesting and transfer to the skin of the chest can compliment Breast Augmentation.

Fat transfer to the face is a safe, non-allergenic procedure designed to improve volume loss and rejuvenate the tissues in all areas of your face.

Dr Konrat also uses the process to improve thinned and sun-damaged skin on your hands, where the tendons and veins have become overly prominent because of loss of fatty tissue.

Since fat grafting uses your own fat cells, you can never have an allergic reaction: it is, after all, your own body fat.

Fat Grafting / Harvesting in Detail

Patient Journey

Pre-Operation

  • Prior to fat grafting surgery, a complete medical history is taken and a thorough examination is conducted in order to evaluate your general health. Dr Konrat will describe the procedure and answer any questions you may have.
  • You should avoid Asprin, Nsaid, Brufen, Vitamin E Capsules and any Anti-Inflammatory medication for two weeks before and after your procedure.
  • Avoid alcohol for two weeks before and after your procedure.
  • You must stop smoking two weeks before and a month after your fat harvesting procedure. Smoking decreases the blood flow to the skin and can delay healing.
  • You will need to make arrangements for someone to accompany you home and care for you as the sedation during the procedure may make you drowsy for up to 24 hours.
  • You must notify Dr Konrat if you have any medical problems or allergies to any tablets, drugs, dressings or any medication.
  • Photographs and measurements are taken before and after surgery in order to evaluate the final results.

The Operation

  • Fat Grafting and Transfer is performed as day surgery in the minor operations room at Brisbane Cosmetic Clinic under sedation with long-acting local anaesthetic, (similar to “twilight” anaesthetic).
  • Using a microcannula, fat is suctioned from the tummy area, hips or buttocks and carefully prepared, then implanted into the desired areas.
  • Up to three separate injection sessions may be required at intervals of approximately 6 – 8 weeks. At the first treatment session, enough fat is harvested, then held in frozen storage for any future treatments that may be required. Not all the fat injected at each treatment session finds its own blood supply and survives. A percentage of the fat from the first and second treatments is absorbed.

Post-Operation

  • You may experience some oozing from the area where the fat has been removed.
  • Leaving the clinic: You will not be able to drive, and must arrange for transport to your home or accommodation. You should not take public transport.

Care of the treated area:

  • Stay completely out of the sun until the redness and bruising subsides (usually 48 – 72 hours).
  • Avoid exposing scars to the sun for at least 12 months.
  • Always use a strong sun-block if sun exposure is unavoidable (SPF30+).
  • Keep steri-strips or surgical tapes on and replace them if they become loose or drop off.
  • Inspect daily for signs of infection.
  • You may shower, but do not bath or swim or otherwise submerge yourself in water while sutures or drains are in place.
  • You may wear makeup with sun block protection.

Final Result

  • Improved volume and contours in the areas treated with facial fat transfer.
  • Improved skin texture.
  • Firmer and smoother skin.
  • With regular follow-up treatments, as outlined in the Fat Transfer Program Plan which will be designed for you, you can easily maintain your new look.
  • Repeated treatments may be necessary to achieve the final desired result. Results are permanent, or until weight loss or the normal ageing process of volume loss occurs.

Possible Risks & Complications

Possible risks and complications

Temporary

  • You may experience some temporary oozing from the area from which the fat has been taken.
  • You may experience temporary stinging, throbbing, burning sensation, redness, swelling or bruising and excess fullness in both the ‘donor’ and ‘recipient’ sites.
  • Swelling and ‘puffiness’ may last for several weeks.
  • Redness and bruising usually lasts for about 48 hours.

GENERAL RISKS OF SURGERY

Because surgery is such a vital part of modern medicine, there is a tendency to forget that there are risks associated with every type of surgery. While these risks are small, every person undergoing surgery should be aware of the risks.

Wounds

All internal and external wounds need time to heal after surgery. Sutures and other material are used to hold wounds closed while they heal.

Infections

Despite taking precautions, infections can occur during and just after surgery. These may be general, such as pneumonia, or specific to Fat Grafting and Transfer surgery. Because of their generally good health, Fat Transfer patients usually have a lower risk of developing general infections such as pneumonia.

Pulmonary Risks

Patients have a risk of forming a blood clot in the leg (deep vein thrombosis) that breaks off and gets stuck in the lung circulation (pulmonary embolism). This is minimised by the wearing of surgical ‘stockings’ during the surgery, and by getting the patient out of bed as soon as possible. You will also be encouraged to breathe deeply when you wake up from the anaesthetic as this expands your lungs and helps ensure your blood oxygen levels are good.

Risks of Anesthesias

Local Anaesthetic is always used for this surgery and carries the lowest level of risk of any anesthesias.

Mental Health Disorders and Elective Surgery

  • It is important that all patients seeking to undergo elective surgery have realistic expectations that focus on improvement rather than perfection.
  • Complications or less than satisfactory results are sometimes unavoidable, may require additional surgery and can be stressful.
  • Please discuss openly with Dr Konrat in your consultation prior to surgery, any history of emotional depression or mental health disorders. If you are unsure whether a matter is relevant, please mention it anyway. Although many individuals may benefit psychologically from the results of elective cosmetic surgery, the effects on mental health can never be predicted and could possibly have a negative influence on emotional stability.