Thanks for your question. The surgeon must both know his anatomy and use proper surgical techniques to guide his injection cannula keeping away from the muscle especially in the medial areas. The risk for fat emboli is markedly reduced when injecting the fat solely in the subcutaneous plane.Dr T
Thanks for your question. The issue is a real problem because the risk of going into muscle or below it has been the proposed cause of death in this procedure. If you proceed be sure that your surgeon uses larger cannulae to inject and that he stays well lateral as well as superficial with his grafts. This will reduce the total volume injected but safety is the main goal. There are techniques for helping fat survive better as well. You should discuss these options with your plastic surgeon as well.