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Fat from the patient’s body is extracted via liposuction. Common areas where the fat is extracted from are the thighs and abdomen.
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The concentrated fat is separated from the non-fat cells and excess fluid. This is done by placing the extracted fat in a centrifuge. After which, the concentrated fat is filled into syringes.
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The concentrated fat is then slowly and carefully injected into areas of the body where it’s needed via small needles or cannulas. This creates a volumising effect on those areas.
LEARN MOREAutologous fat injections (facial fat grafting) - autologous means cells and tissues that are harvested from the same person. In essence, that is what fat grafting is. Fat grafting using one's own fat is a safe method that produces desired results for individuals who are seeking to improve their facial appearance. The fat is often injected into areas where it is needed to add volume for a more youthful and healthier appearance.
Fat grafting for the forehead is a popular procedure among Asians. It lends a softer and feminine appearance [1].
Dark eye circles are often caused by fat loss around the eyes and sagginess in the upper cheeks. Fat grafting is able to plump the affected area for a healthier and more youthful appearance [2].
Fat grafting is also used in face lifts such as for the cheeks. It adds volume to the area for a youthful appearance [3].
Breast enhancement via fat grafting is a less risky option compared to implants. The fat used is the patient’s own and this reduces the risk of tissue rejection [4].
Hand rejuvenation treatment has seen quite a rise recently. This is not surprising as the hands can be a tell-tale sign of aging. Fat grafting can restore a more youthful appearance to the hands [5].
As with breast enhancement, fat grafting for buttocks reduces the risk of complications. It is used in combination with liposuction to lend desired results [6].
Breast implantation procedure image for educational purpose.
Breast-enhancement via Fat Grafting uses fat from other parts of the body. This way, excess fat is removed from one part resulting in fat loss in that area and transferred to the breast resulting in an enhancement. It can be considered a 2-in-1 procedure that gives double the results.
Silicone and saline may be considered safe but they are not as safe as fat from one's own body.
Fat grafting, unlike implants, results in a more natural appearance and also to the touch.
Implants carry the risk of rupture and leakage. They would need to be changed over a patient’s lifespan and are not a permanent solution. Fat grafting eliminates these risks and the fat used is the patient’s own.
Implants, particularly if they are too big, carry the risk of visibility and rippling.
In breast implants there is a risk of the scar tissue hardening and this can result in implant hardening and distortion.
Stretch marks are also a concern when it comes to implants. This is because the skin needs to be stretched to accommodate them.
Dr. Viktor Czerny transferred a lipoma to the breast to establish symmetry following a unilateral partial mastectomy [7].
Fat grafting had trouble gaining acceptance during the next 100 years due to the many complications that routinely accompanied the procedure [8].
Dr. Sydney Coleman began publishing papers describing standardised techniques for fat extraction, processing, and injection [9].
Research showed adipose tissue is a much more prolific source of mesenchymal stem cells than bone marrow [10].
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Fat is first extracted from other parts of the body after which, concentrated fat is then separated before being filled into syringes. These are then injected into the area where it is needed.
Depending on the body and how well it responds to the procedure, results can last for years. Some patients require only a one-time treatment. This will be discussed with the doctor during consultation.
Common areas where the fat is extracted from are the thighs and buttcoks. These areas are known to have a high density of fat.
The injections are done through tiny incisions that have been strategically placed on areas to be treated. One this is done, these will be stitched up. Take note that in facial fat grafting, no stitching is needed.
Fat grafting is suitable for most parts of the body and they respond well in terms of immediate results. The lips and laugh lines may require more than one session for results to show.
Fat grafting uses a patient’s own fat. Aside from reducing complications, it is also able to aid in better recovery as the chance of tissue rejection is lower. Fat cells are delicate in nature but when they are injected into the body, their chances of survival are high as new blood supply is able to grow back into them.
The amount of fat that will be needed is dependent on the area being treated. It is also dependent on the amount of fat that a person’s body has. If your body does not have enough, the doctor may suggest other alternative solutions.
Fat grafting procedure lasts between ONE to TWO hours depending on the area where fat is being extracted from and grafted into.
Recovery is expected to take between TWO days to TWO weeks. This is dependent on the area being treated and responsiveness of the body to the treatment.
During consultation, you will be given a list of instructions and you are advised to follow them. For those who smoke, it is advised that they cease to do so at least SIX weeks before the procedure. This will reduce risk of complications and it will also help promote quicker recovery and less scarring. It is also advisable to stop taking aspirins and medications that can increase bleeding. Do also remember to arrange for transport to and from the clinic on the day of the procedure.
Whatever your reasons are to seek face, body, skin and health improvements, we get it. Because we believe Health is Beauty and Beauty is Health. We are here with you at every step of the way from the start of your treatment till recovery.
No one body is the same. You are unique, and so are your concerns, needs and desires. This is why every treatment plan varies for each different patient. We listen to what you want before designing your personalised plan to meet your goals.
Our patients' safety means everything to us. We uphold our accreditation from the Ministry Of Health Singapore. Cases are performed in an accredited Operating Theatre, with a team of anaesthesiologists and surgically-trained staff nurses and clinical team.
Our yearly-audited MOH-approved OT is equipped with modern surgical equipment and European monitoring systems with private suites and 12-bed recovery units. It has direct hospital access and blood transfusion facilities.
Performing surgeries at an accredited facility with our panel of anaesthesiologists and offering comfortable twilight sedation (no GA) allows the best possible care, safety and monitoring for you during surgery.
Integrity, ethical, and commitment, that's our pledge to you. Dr Ivan Puah is known to patients as a pragmatic gentleman - managing realistic expectations, not overpromising and under delivering results.
[1] Metzinger, S., Parrish, J., Guerra, A., & Zeph, R. (2012). Autologous fat grafting to the lower one-third of the face. Facial plastic surgery, 28(01), 21-33. doi: 10.1055/s-0032-1305787. ISSN 0736-6825.
[2] Hyung Su Kim, Chong Won Choi, Bo Ri Kim, and Sang Woong Youn.JAMA Facial Plastic Surgery. Mar 2019.118-124. doi:10.1001/jamafacial.2018.1307
[3] Kim, H. S., Choi, C. W., Kim, B. R., & Youn, S. W. (2019). Effectiveness of transconjunctival fat removal and resected fat grafting for lower eye bag and tear trough deformity. JAMA facial plastic surgery, 21(2), 118-124. doi: 10.1001/jamafacial.2018.1307
[4] Hoang, D., Orgel, M. I., & Kulber, D. A. (2016). Hand rejuvenation: a comprehensive review of fat grafting. The Journal of hand surgery, 41(5), 639-644. doi: 10.1016/j.jhsa.2016.03.006
[5] Hoang, D., Orgel, M. I., & Kulber, D. A. (2016). Hand rejuvenation: a comprehensive review of fat grafting. The Journal of hand surgery, 41(5), 639-644. doi: 10.1016/j.cps.2006.05.001
[6] Uroskie, T. W., & Colen, L. B. (2004, May). History of breast reconstruction. In Seminars in plastic surgery (Vol. 18, No. 02, pp. 65-69). Copyright© 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA. doi:10.1055/s-2004-829040
[7] Branford, O. (2018). Fat transfer in aesthetic plastic surgery. Journal of Aesthetic Nursing, 7(1), 24-27. doi: 10.12968/joan.2018.7.1.24
[8] Bellini, E., Grieco, M. P., & Raposio, E. (2017). The science behind autologous fat grafting. Annals of medicine and surgery, 24, 65-73. doi: 10.1016/j.amsu.2017.11.001
[9] Han, Y., Li, X., Zhang, Y., Han, Y., Chang, F., & Ding, J. (2019). Mesenchymal stem cells for regenerative medicine. Cells, 8(8), 886. doi: 10.3390/cells8080886
[10] Coleman, S. R. (2006). Structural fat grafting: more than a permanent filler. Plastic and reconstructive surgery, 118(3S), 108S-120S. doi: 10.1097/01.prs.0000234610.81672.e7
[11] Coleman, Sydney R. M.D.. Structural Fat Grafting: More Than a Permanent Filler. Plastic and Reconstructive Surgery: September 1, 2006 - Volume 118 - Issue 3S - p 108S-120S doi: 10.1097/01.prs.0000234610.81672.e7
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