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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, buttocks 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 to augment saggy and deflated cheeks. A plumper and more youthful appearance is achieved with facial fat grafting. [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.
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Generally, recovery will take between ONE to TWO weeks. However, each patient is unique and so the period may vary. The doctor will be in a better position to advise in regard.
Yes, you can expect natural-looking results with smooth contours.
There is no limit to the number of times the procedure can be done, and the sessions are usually between 6 to 12 weeks from each other. This is because not all the fat that has been transferred will survive and as such, additional sessions may be needed for optimal results.
Fat grafting adds volume to areas where it's needed. As we age, our skin will start to sag, and for some, a hollowed cheek appearance may materialise. Adding fat to this area and others plumps up the appearance for a healthier and more youthful appearance.
Incisions will be made strategically to avoid obvious scarring when the wound heals.
Weight gain can cause the transferred fat cells to expand. This may affect the result that has been achieved. A patient is advised to adopt a healthier lifestyle and eating habits post-procedure for longer-lasting results.
Generally, 65 to 75 percent of the transferred fat will survive. The ones that don't will be naturally metabolised by the body.
Ideally, a suitable candidate for the procedure should be healthy and have enough fat source for extraction. The doctor will advise accordingly during clinical assessment.
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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.
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.
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.
German plastic surgeon
Performed the first 'fat grafting' from arms to eye region for scar correction.
German surgeon 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].
American Plastic Surgeon
Published 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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[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
