Fat is a GREAT filler IF it survives the operation.
Fat can be injured and die when
- it is harvested (That is why we prefer to use low suction to reduce barotrauma and cell death)
- when it is without blood (and oxygen) supply (which is why it after it is washed and purified it is kept on ice to reduce its need for oxygen)
- it is exposed to air and drying
- it is injected / grafted by forceful injections (again - high pressures can kill fat cells)
- if it is not kept alive by the blood vessels in the area it was placed it.
It sounds like the method you had was the current technique for fat transfer.
Peter A Aldea, MD



