It is the procedure where excess fat is removed from areas such as the abdomen, flanks, hips or thighs and, after special preparation, injected into areas of the body that need filling. Dr. Goins specializes in the use of the microfat grafting technique. The fat transfer process requires gentle fat removal using low-vacuum liposuction and the use of thin, delicate, non-traumatic cannulas to protect the survival of each harvested living fat cell. The fat cells are then purified and slowly injected through tiny skin incisions into the tissue of the recipient site utilizing a small syringe and cannula. Tiny droplets are placed throughout the tissues assuring that each transferred fat cell will have an adequate blood supply to achieve the permanent survival of the injected fat cells.
Fat injections safely and effectively correct the small or undeveloped chin avoiding the need to undergo a surgical procedure to place an expensive synthetic chin implant. A chin augmentation will strengthen the face profile, bringing better balance to the facial features. A small chin undermines the face, making the nose appear larger and an overbite more pronounced.
Your own fat can be used for lip augmentation, achieving a permanent natural look. It can also be used for correction of the lines around the mouth. Lip augmentation can increase the fullness and definition of the upper lip, lower lip or both. After 2-5 days the swelling is gone and the lips have a natural fullness. There may be some bruising which can be covered with make-up. Over the first few months some of the fat may be absorbed by the body. For permanent results, 2 injections over a six month period is recommended.
Fat injections to the hands achieve the effect of fuller, more contoured hands as those of younger hands.
Microfat grafting can add fullness to any part of, or the entire, buttocks to create the desired look. The fat is first gently liposuctioned from the abdomen, flanks, hips or thighs and then processed using a sterile decanting technique. The purified fat is then injected into the buttocks with special cannulas. Postoperative recovery is mild and easily controlled by medication. This office procedure is performed at our office totally under local tumescent anesthesia. The surgical fee depends on the amount of fat which must be obtained and the number of donor areas which must undergo liposuction to obtain enough fat. Microfat grafting assures lasting results and gives a very natural shape and feel to the buttocks. Once the swelling is down, there is a return to normal sensation, the grafted areas look and feel natural and there are no physical restrictions after the first 2 weeks.
Facial lines, depressions, folds and depressed scars on the body and face can be successfully treated with injectable fat. However, many deep folds, wrinkles, lines, and scars are resistant to the injected fat or fillers (synthetic and natural) because of the severe attachment of the depression to the underlying deeper tissue. To overcome this problem, Dr. Goins uses a novel wire scalpel method that doesn’t require skin incisions to release the attachments. Following the release of the skin, fat injection is performed to correct the defect and to act as a spacer to prevent reattachment of the released area.
There are many commercial injectable fillers such as Radiesse, Restylane, Captique, Sculptra, Cosmoderm, Cosmoplast, Hylaform, etc, that are available for facial rejuvenation. Each of these products has its own unique set of advantages and disadvantages. Using fine needles, the fillers are injected into the skin under each depression or wrinkle. The filler pushes the depressed wrinkle forward and makes it less visible, much like a liquid face lift. There is temporary discomfort associated with the injection. The use of ice or an anesthetic cream can be used to numb the area, making the injections painless.
Three important factors should be considered when selecting a filler:
As an example, Restylane (a cosmetic filler) lasts 6-12 months, costs $440-$750 per syringe, is easy to administer, and feels natural. Fat injection is a more involved procedure that requires first harvesting the fat using liposuction and disposable harvest devices. Second, the fat must be processed and purified prior to injection. Fat injections may be associated with more bruising and swelling then commercial fillers. The advantages of fat injections include its long acting effects (the fat that does survive is there permanently); the fat is your own tissue so there is no chance of an allergic reaction; and, unlike commercial fillers, the availability of one’s own body fat enables its use in larger volumes to fill larger defects.
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