Fat Transfer and Fat Grafting 

Traditionally, fat transfer procedures have been used to correct lack of facial volume. Recently, however, many cosmetic surgeons have begun performing large-scale fat transfer treatments to augment other areas of the body, including the breasts and buttocks.
Fat transfer procedures can be performed for facial or body volume restoration. A fat transfer involves the extraction and re-injection of the patient’s own fat cells, which eliminates various risks associated with implants and synthetic fillers, including implant rejection and allergic reactions. Today's better fat purifying techniques safely remove free lipids and debris from the fat grafts, which has lead to fat retention rates of 70%, delivering more promising results.

What to expect

Depending on the extent of the procedure, fat transfer can be performed in the office, at an outpatient facility or, if combined with other aesthetic treatments, a hospital setting. The procedure can take from one to two hours, under local or general anaesthesia.. Immediately after fat transfer, patients can go home to recover for at least three to five days before returning to work. It takes three to four days for the blood vessels (capillaries) to reach the newly transplanted fat cells with blood supply. Dr. Evdokimow will provide each patient with a detailed list of postoperative instructions. Although aesthetic improvements are evident shortly after the procedure, the final outcome is usually achieved within a few months.

Dr. Evdokimow offers advanced fat transfer treatments to enhance and restore volume, reduce scarring and reduce healing wounds on the following parts of the body:

Face

  • Restoration of facial volume of the entire face
  • Nasal reshaping
  • Treatment of the nasolabial fold
  • Restoration of lip volume
  • Treatment of jawline
  • Volume loss associated with cleft lip and cleft pallet procedures
  • Facial scars – micro-fat grafts

Breast

Made possible in the US after refinement of digital mammography, which can now distinguish between micro-calcifications caused by breast grafting from micro-calcifications associated with fat necrosis after fat grafting.

  • Breast augmentation with fat grafts alone
  • In combination with breast implants, especially for upper breast pool
  • For reconstruction of breast deformity after lumpectomy

Body 

  • Correction of deformities caused by surgery and liposuction
  • Augmentation of the pectoral area in men
  • Buttock contouring or Brazilian butt lift
  • Scar treatment – micro-fat grafts

Hands and lower extremity

  • Restoration of volume to the back of the hands
  • Biceps augmentation
  • Correction of deformities caused by surgery or liposuction
  • Calf augmentation
  • Scar treatments – micro-fat grafts
  • Wound care

Wound healing

No other specialty is more strongly related to wound healing than plastic surgery. The wound healing process is intimately related to the complex cascade of inflammation, immune defense and cancer development and is mediated by signal substances called growth and inflammatory factors. Profound understanding of wound healing is the basis for solving complex problems in plastic surgery.
Recent methods to influence wound healing include PRP (platelet-rich plasma) and multiple growth factors, fat grafts and laid-on or sprayed-on tissue to accelerate the wound healing process. PRP is known to slow the cartilage degeneration in large and medium arthritic joints.

PRP (platelet-rich plasma ) is sometimes  use in the end of  facelift procedures to decerase bruising and swelling after the procedure. PRP  can also be used to treat tendonitis in the upper extremities.

Adipose-derived stem cells (fat is the largest source of stem cells in the human body) are an antilogous form of fat grafting. Stem cells can differentiate themselves as muscle, fat, bone, blood vessels and more.

AlloDerm is an acellular human dermis product used in breast reconstruction, hernia repair, nasal reconstruction, cosmetic nasal surgery and lip augmentation.

Strattis-Strattice™ Reconstructive Tissue Matrix allows for tissue regeneration by supporting rapid revascularization, white cell migration and cell repopulation, all of which may lead to increased resistance to infection at the surgical site. Strattice™ Tissue Matrix ultimately transitions into host tissue for a strong, natural repair. We use this in breast reconstruction, treatment of synmastia “uniboob” as a complication for breast augmentation, hernia repairs, nasal reconstruction and cosmetic nasal surgery.

Permacol™ surgical implant is a collagen implant from which cells, cell debris, DNA and RNA are removed in a gentle process that is not damaging to the 3D collagen matrix. The resulting acellular collagen matrix is used for hernia repair, breast reconstruction, treatment of synmastia (a complication after breast augmentation), nasal reconstruction, correction of saddle nose, nasal cosmetic surgery and Asian rhinoplasty alone or combined with cartilage grafts.

Acell is an acellular product to promote growth of blood vessels, recruit cells which can differentiate into cells specific for the local tissue, decrease scarring and treat difficult wounds. 

During your one-on-one consultation with Dr. Evdokimow, you will have the opportunity to learn more about fat transfer, explain your aesthetic goals and determine whether this procedure is the best treatment option for you.

Please visit our Galleries section to view plastic surgery before and after photos.

To learn more about fat graft transfer procedures or to schedule an appointment, please call our practice at 908.221.1136. For your convenience, you can arrange your one-on-one consultation with Dr. Evdokimow by filling out our online Request an Appointment form. Our fat-transfer patients come to us from Milburn, Chestertown, Far Hills, Madison and Summit.

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