Raleigh-Durham Fat Transfer doctors

Michael Law, MD Michael Law, MD
Raleigh-Durham Plastic Surgeon
10941 Raven Ridge Rd Suite 103, Raleigh
68 answers
Edward J. Bednar, MD Edward J. Bednar, MD
Charlotte Plastic Surgeon
439 N. Wendover Rd., Charlotte
1 answer
Sue Ellen Cox, MD Sue Ellen Cox, MD
Raleigh-Durham Dermatologist
5821 Farrington Rd Suite 101, Chapel Hill
J. Charles Finn, MD J. Charles Finn, MD
Raleigh-Durham Facial Plastic Surgeon
1390 Environ Way , Chapel Hill
William Lambeth, MD William Lambeth, MD
Raleigh-Durham Plastic Surgeon
4201 Lake Boone Trail Suite 103, Raleigh

Recent Answers

Breast Fat Transfer

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.

A: Fat TRansfer to Breast

what you are experiencing to this point sounds normal -just keep your foillow-up appts to make sure you are on the right track

Edward J. Bednar, MD
Charlotte Plastic Surgeon
Fat Transfer for Under Eye Circles

is fat transfer good for under eye hollows and small lines ? If anyone has done this procedure let me know how are the results. Thanks

A: Fat Grafting Under Eyes

it is very important to preserve (or restore) soft tissue volume in the lower lid. When I review with eyelid surgery patients some photographs from their twenties, in most cases we find that years ago there was no visible demarcation between lid and cheek, but instead a smooth, gently convex curve extending downward from the lower lid margin.

In patients who have developed deep 'tear troughs' at the junction of the lower lid and cheek, adjacent to the side of the nose, the meticulous grafting of fat harvested from the patient's abdomen, hips or thighs can build this area back up and nicely restore a more youthful contour. In some blepharoplasty patients this depression or 'hollow' extends horizontally across the entire junction of the lower lid and cheek, and this must be corrected to obtain the ideal postoperative result.

In select patients, lower lid rejuvenation may consist of conservative reduction (not removal) of the lower lid fat pads or 'bags', in combination with structural fat grafting of the 'tear trough' hollow immediately below. As with all aesthetic surgical procedures, it is absolutely essential to customize the surgical plan to the specific needs of every patient.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
I Am 7 Weeks After my Full Face Fatgrafting and the Fat is Almost All Gone is This Normal?

I Am 7 Weeks After my Full Face Fatgrafting and the Fat is Almost All Gone is This Normal?

A: Fat Grafting

For fat grafting to truly represent 'grafting', the grafted tissue must gain a blood supply in its new location which provides a source of oxygen and nutrients and allows the tissue to persist indefinitely. If the grafted fat does not acquire a blood supply in the first few weeks after surgery, the body will gradually break it down and dissolve it, and no long-term benefit will be achieved in terms of soft tissue augmentation. Successful fat grafting surgery therefore requires a great deal of focus and attention to detail, to ensure that the fat which is harvested is viable tissue (i.e. not damaged by the harvesting process), and that the fat is delivered in such a way that the potential for ingrowth of blood vessels is maximal. If this process of blood vessel ingrowth (neovascularization) does not occur, then the injected tissue cannot truly be considered a 'graft' and is instead just another 'soft tissue filler' of limited duration.

 

Michael Law, MD
Raleigh-Durham Plastic Surgeon
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