Pubic Area Fat for Fat Grafting?

I use a composite fat graft--that is, a whole piece of intact fat to use for grafting into the eyelids to correct hollow eyes and hollowness of the eyes after a failed blepharoplasty . I do not use fat injection or fat transfer because when the fat is aspirated into a syringe, many fat cells die, and failure requiring repeat fat injections is very common. I also do not like using needles for injection around the eye as the eye muscles and other structures can be injured by blindly passing a... more

Dear Virgo Micro fat grafting is an excellent procedure for facial contouring. Secondary work such as the area you mentioned can be tricky and may need more than one attempt no matter the technique or area from which the fat is harvested and how it is placed. The upper lid/brow area requires a soft touch and care as not to create another problem. With Warm Regards, Trevor M Born MD

Fat Transfer requires several key things to happen to avoid resorption of the fat; 1. Harvested under low pressure - no liposuction machines. Hand aspiration with a special device designed to minimize pressure. 2. Concentrate and purify the fat with a gentle centrifuge, not the one typically used today which has been shown to kill many of the cells. 3. Use cannulas to take and inject the fat that are match in size. A large cannula to take the fat, will leave larger granules of fat that... more

Fat is difficult. There is always speculation about what fat works the best for injection. The reality is since there are so many answers by so many different surgeons to this questions there's no good answer. Your surgeon is going to get the fat from the easiest area that provides for the best incision. Fat is unpredictable and the absorption rate ranges form 30-70+%. So often it has to be done more than once. Good luck.

Lid hollows after Asian blepharoplasty are an uncommon problem as the patients are younger and the key to the procedure is properly setting the lid fold to shape the lid. Fat reduction is not often indicated. The hollow in the upper lid can also be caused by lower lid blepharoplasty in an Asian patient with fat removal from the lower lid, the hollow appearing as the eye "sets back" from the loss of the fat below. Fat grafting can be used to correct or soften the problem. The... more