Any Doctors Doing Fat Grafting by Individual Strands?

I read the following on a website: "Rather than inject fat cells, some surgeons implant individual strands of fat cells one by one. This procedure takes more time, but is said to last the longest. The down side is that you may have several extremely small incisions where the strands are inserted." Are there any doctors in the US practicing this technique. Is the recovery is longer? Is overfilling still required with this technique? Thank you!

Doctor Answers 4

Grafting fat strands

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There is nothing unique or novel about the technique you are describing - as stated by other it is likely just a marketing technique of 're-inventing the wheel'

Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Placing strands of fat cells

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Placing fat grafts in very small linear droplets is fairly common. To say that the fat is placed one cell at a time may a bit of an overstatement, though.

Using readily available injection cannulas this can normally be done through very few access incision lines. This technique helps to maximize fat cell graft take, but even with this the take is not 100%.


Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

Fat grafting With Individual Strands

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We have injected micro-droplets of fat to maximize survival for 25 years. This is not a new concept, but a marketing technique. Multiple extra incisions are not necessary; the tiny needle is repeatedly moved after being placed under the skin.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Fat Grafting by Individual Strands

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For fat grafting to survive and "take" in its new location the blood supply must be VERY close to each fat cell. To allow this fat cannot be squirted in but must be placed in many very thin threads. This is a basic princiople of fat transfer and is not a new breakthrough technique. Injecting 1cc and less strands does take a lot longer but the results are vastly superior to those when the fat is placed in larger depots which result in the majority of the inner fat dying or creating oil cysts.

Peter A. Aldea, MD
Memphis Plastic Surgeon

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