Can fat be transferred to previously liposuctioned areas?

Question

Two years ago I had liposuction to my buttocks, but would like to transfer some fat back in to fill in areas that are overly ”empty”, but am not sure if the fat would take.

Semih Yildiz, MD, FEPOBRAS · Answer

Fat can sometimes be grafted into an area that has been liposuctioned before, but the result is less predictable than grafting untreated tissue. Prior liposuction can leave scar tissue, thinner soft tissue, and altered blood supply; because transferred fat needs healthy blood supply to survive, some of the fat may not take and more than one session may be needed.

For buttock revision, an exam determines whether the problem is a true volume deficit, tethered scar tissue, contour irregularity, or too little remaining soft tissue. If there is tethering, scar release plus cautious fat grafting may be required. Safety matters especially in buttock fat grafting: the fat should be placed in the subcutaneous layer, not deep in the muscle, and the surgeon should be experienced with revision BBL techniques.

Kadir Berat Oyur, MD · Answer

Thank you for your question.
As a thinner person, you may have some limitations in the amount of fat available for transfer in a BBL, but it is often still possible to achieve beautiful, natural-looking results with careful planning and technique.
A detailed evaluation would help determine the best approach tailored to your body and goals.
I hope this helps.

Daniel Barrett, MD · Answer

Dear Edina123,

it is possible to transfer fat to liposuctioned areas. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

Fat grafts are very good contouring material and can be used in different areas of the body including those that were treated with liposuction. Small overcorrection is always needed to achieve symmetric result. You should consult an experienced board certified plastic surgeon to discuss this issue in person. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

You can try to restore some fat from areas over treated with Liposuction, but the success rate is often low.
The reason for this is the area that needs volume. The most has very little tissue to support the grafted fat.
In order for fat grafting to be successful there has to be a life viable tissue to support the grafted fat until it establishes its own blood supply.
I referred to this tissue as host tissue.
The host tissue supports the grafted fat until it’s able to survive on its own.
The more an area was overt treated the less likely fat grafting is to work.
Sometimes it’s pointless to try to graft fat in overt treated areas, and sometimes reasonable improvements can be achieved.
Almost always it requires multiple rounds of fat transfer sometimes 3-6 sessions.
Rarely is one round of fat transfer going to fix the problem.
Correcting poorly dumb Liposuction is inherently very difficult and any attempt at improving the outcome it can easily make things worse.
By far the most important variable is provider selection.
In the hands of the right provider You’ll get a quality assessment with a good understanding if improvement is possible and to what degree.
Finding the right plastic surgeon to work with turns out to be very difficult as well.
To start with get copies of all before and after pictures and copies of your previous operative reports from your previous surgeon.
They’re part of your medical record that you can request.
Always bring a complete set of proper before and after pictures and a copy of your operative report When having second opinion consultations. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar procedures.
When reviewing before, and after pictures for fat transfer procedures, it’s very important to recognize that early results can look very good, but they do not represent final results.
Three weeks after the procedure the results may look perfect but six months after it may look like nothing changed at all.
 When reviewing before, and after pictures, so you need to always understand, the timeframe of when pictures were taken.
Results should be considered final by around 3 to 6 months.
Without pictures we can’t begin to make an assessment.
Best,
Mats Hagstrom MD

Can fat be transferred to previously liposuctioned areas?

Answers (5)

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