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Using fat to fill tissues and augment volume is not a new concept and has been even done at the beginning of the last century. Because of the progressive resorption and disappearance of the fat injected, this technique has not been very popular.

But during the last decade, Dr Sidney Coleman from New York has greatly modified the procedure and has contributed to popularize it. The basis of his technique is to transfer fat from one area to another and make it survive in its new place. This is done by aspirating the fat with an atraumatic technique using a special cannula, purifying it, and carefully re-injecting it with specially designed needles into the areas requiring augmentation. The procedure may need to be repeated several times to obtain the desired result.

If you are considering a liposuction, the information provided will give you a basic understanding of the procedure but it can’t answer all of your questions, since a lot depends on your individual circumstances.

Frequently Asked Questions

Am I a good candidate for the surgery?

Patients who benefit from fat grafting are men and women who are looking for improvement not perfection and have realistic expectations. The most commonly grafted areas are the face including the lips, and depressions in the skin contour such as those developed following liposuction and scarring. Each patient anatomy and proportions vary, and the decision to utilize fat injection technique depends on the goals of the patient as well as the surgeon.

What should I expect from my consultation?

During your consultation you will learn about the surgery, its limitations and risks, and discuss your specific needs and concerns. This will help Dr Larocque to understand your expectations and determine whether they realistically can be achieved. He will examine the area to be corrected and photograph will be taken.

Your medical history will be discussed with particular attention to any medical conditions that can influence the results. Finally you will meet with the patient coordinator to discuss surgery fees and scheduling dates.

How is the surgery performed?

The procedure is usually done under local anesthesia. Fat is harvested using a special suction cannula using sterile technique. Once enough fat is obtained from the donor area, the fat is then purified using a centrifuge which spins the fat and removes impurities. The fat is then injected in the areas requiring augmentation using a fine injection needle that is passed in and out creating small tunnels retaining the fat which is nourished by the surrounding tissues.

How is the recovery like?

Swelling is the most common post-operative side effect and will settles down within several weeks.

What should I know about my results?

We expect a variable amount of disappearance of the fat that has not survived the transfer during the weeks after the procedure. Usually the result that we observe at 3 months is similar to the result that we see at one year. Several treatments can be necessary to obtain the desired result. It may vary from patient to patient.