Jupiter Fat Transfer doctors
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David Bogue, MD
Boca Raton Plastic Surgeon
660 Glades Road Suite 380, Boca Raton |
4 answers | |
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Jacob D. Steiger, MD
Boca Raton Facial Plastic Surgeon
4800 Linton Blvd. Suite D502B, Delray Beach |
3 answers | |
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David Shuter, MD
Jupiter Plastic Surgeon
730 Indiantown Road. Jupiter Florida 33458 Entire building, Jupiter |
Recent Answers
I have a 29" waist and love handles that are 38" at the fullest part. When the love handle curve ends, the line goes in and then goes out for 42.5" hips. It looks like a triple curve on my body. 1) Is there a way I can just get fat injected into the line that goes back in so that way the love handle curve extends into my hips, making it look like an hourglass shape? 2) Does the fat need to be injected just at the sides or around the whole body? What is the procedure called, if it does exist?
Fat transfer is possible for all types of body contouring. However, given your description it sounds as though liposuction (rather than fat transfer) maybe more appropriate to smooth the transition from you waist to your thighs. Prior to any procedure however, be sure that the surgeon you are seeing is Board Certified by the American Board of Plastic Surgery. You can find a surgeon in your area by going to the ASPS website.
I had my first fat transfer to the breasts 2 weeks ago. Is it normal for the breasts to feel tight and lumpy at this point. Do the breasts eventually feel softer and move more natural? I am also wearing the brava bra postoperatively for increased circulation to the new fat.
Based on the fact you are using the Brava system, I'm assuming you underwent a large volume of fat transfer for breast augmentation. In small volume scenarios, lumpiness is rare because the fat is distributed in very small channels and eveness is the goal. In larger volumes, lumpiness is almost unavoidable. Although the Brava bra can stimulate (according to it's proponents) increased blood flow, this flow increase would be limited to areas of existing blood vessels. Lumpiness is usually due to an uneven distribution of the fat within an area of the breast. This can be concerning due to fat necrosis, oil cysts, or persitent firmness in the breast over time. Careful follow up is necessary to identify these issues and caution is advised when seeking out these types of surgeries. Multiple grafting procedures over a long period of time are typically necessary to limit complications by not trying to transfer as much fat as possible in 1 surgery. Although "settling down" of lumpy areas occurs, this is probably more likely due to the fat in that area lysing and being absorbed than it revascularizing and flattening out.
I've been told that a 50% take can be expected, so I'm sure fat necrosis could be a complication. From what I've read, fat necrosis can sometimes resolve on its own. Are there any other possible complications that I should be aware of? Is fat grafting in a radiated breast generally effective and is it oncologically sound? How long do you have to wait to know how much of the fat survived? Thank you in advance for your response.
Fat transfer or grafting is a well established reconstructive tool for the correction of contour deformities in the breast. There is some encouraging data to show that the grafted fat may improve the vascularity in radiated patients to a small degree. Complications from fat grafting include infections, fat necrosis, cysts, and irregularities. The fat can be processed in several ways to optimize the "take" rate (how much fat survives). Essentially, careful treatment of the fat cells to prevent injury during harvest and injection is the goal. Limiting the transfer to viable fat cells and eliminating the non-essential products (oil, blood, etc.) is the goal of the processing. This can be done with centrifuges, washing, or simply decanting the fat. Injection focuses on creating tunnels within the area to be grafted and small aliquots of fat administered within these tunnels. This allows for maximum vascularity to the grafted fat and improved take rates. Grafted fat will need revascularization early on or else necrosis occurs. When grafted fat dies, it can form oil cysts or firm lumps that may take months to resolve. Revisions are common, particularly in areas of dense scar.