Lifestyle Choices

Has it ever occurred to you that you have too much fat on your body and too little fat on your face? However, today surgeons are actually taking fat from the stomach or thighs and moving it to the face. The transplantation of fat, or lipotransplantation, is an old and until recently neglected method of treating deep wrinkles, which was revived about ten years ago by the French plastic surgeon, Dr Pierre Fournier.

The actual process In fat implantation, the body’s fat is extracted from the abdomen or thigh under local anesthesia, through a small tube used in liposuction surgery. These fat cells, after processing to remove blood and excess fluid, can then be injected into deep wrinkles of the face. The procedure is especially useful for “scowl lines” between the eyebrows, and for deep “smile lines” or folds around the mouth. With lipotransplantation, much more material is implanted than with the other soft tissue implants. For example, only 1 to 2m1 of bovine collagen is usually effective for treatment of whole areas of the face, whereas up to 10m1 of transplanted fat cells may be required for just two deep wrinkles! Some doctors have also used fat transplantation effectively for treatment of wrinkles of the hands.

Research is currently underway to evaluate the survival of the fat cells transplanted to the face. Some studies suggest that the transplanted fat cells remain in place after one year. Other research indicates that transplanted fat induces the synthesis of collagen over the implant, eventually replacing the implant as in the case of Zyderm and Zyplast collagen.

What are the disadvantages of Fat implantation?

There are disadvantages to fat implantation: the patient is usually anesthetized or given heavy sedation to undergo the procedure. For this reason lipotransplantation is best carried out with another surgical procedure such as liposuction or a facelift. Also, because of the relatively large volume of fat implanted, the treated areas of the face can appear red and remain quite lumpy for weeks to months after the treatment. Finally, this procedure is usually more expensive than the other methods of soft tissue implantation.

The great advantage of fat transplantation is that tissue from the patient’s own body is used to treat the offending wrinkles. The possibility of allergic reaction is therefore eliminated. If someone wishes to correct deep wrinkles and is allergic to collagen, this method is well worth considering.

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