Fat cells are very delicate and require a good healthy host for better survival of the graft- healthy patient, no associated diseases- no smoking- reasonable amount of fat grafted to the surface area of the grafted region- depositing fat in small pearls, to remain in contact with healthy tissue- avoid trauma, shearing and pressure on the graft- eat healthy, hydrate, move around after surgery- compression garment should be comfortable and not strangulating- follow post operative instructions, ask your doctor to be available to you during the healing and recovery. If not available, office, cell phone and home phone find someone else- surgical technique is paramount in importance for graft survival- removing all the fluid and oil - gentle treatment of the graft- remove as much of the blood as possible- washing is in controversy , what fluid to wash with, saline, ringers lactate or other?.??- use of stem cells is junk medicine, - use of PRP is not based on research or good medicine ( increases the price and time)- injecting the fat very slow and at different levels- injecting into the muscle not necessary. Can be very vascular and fat injected into the vessels is very dangerous and can cause major disasters- vessels in the injected areas can be constricted by medication to decrease the risk of injecting into the vessels.- reasonable volume of fat graft to avoid and decrease fat necrosis. And fat loss and volume lossso you and your physician as a partnership can optimize the survival of fat and success of surgery. Remember any one can call himself the expert, only the expert do it right.
