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Lipofilling

(Autologous fat transfer, lipotransfer, lipostructure)

Summary

  • Sedation and local anaesthetic or general anaesthetic
  • Operating time about 1 hour
  • Daycase surgery
  • Back to work in 1-2 weeks

Lipofilling (lipotransfer, fat transfer) in Kenya

Lipotransfer, or fat transfer, is a procedure that involves transferring fat from one area of the body (usually the abdomen) to another. The fat is placed in small beadlike amounts throughout areas of the body or face that have lost fullness. During the consultation, we will ask you about the results you would like to achieve from the lipotransfer. This will help us to understand your expectations and determine whether they can be realistically achieved.

Lipofilling in the Face

The aging process can cause facial fullness and volume to diminish. Because fullness of the face is a sign of youthfulness, fat can be transferred to the face to achieve a more youthful look. This can be done alone or in combination with a facelift. In the facelift procedure, deeper compartments of fat and muscle are repositioned; the laxity of the face and neck are tightened; and fat is used in the brow area, mid-face, and lower face to restore fullness where it is lacking.

When performed alone, fat transfer can correct areas of atrophy due to aging, illness, or medication, improve the colour, tone and elasticity of your face, and reduce wrinkles visibly. Most commonly the fat (lipoaspirate) is placed in the nasolabial folds, the cheeks, and the lower corners of the mouth, or “marionette lines”, as well as the tear troughs.

Is fatgrafting to the face permanent?

There is much discussion about the permanence of fat grafting. When fat is transferred from the abdomen to the face, it becomes a free graft. A free graft is similar to a skin graft; however, because the free graft is hidden from view, assessing its degree of permanence is more difficult. The transferred fat must develop a blood supply before it becomes viable tissue in its new home.

If done by inexperienced practitioners and large cylinders (or clumps) of fat are transferred, then blood vessels may not reach the core of the fatcells and most, if not all, of the fat will dissolve.

Therefore, we use a technique in which fat is very carefully harvested in an atraumatic fashion. The fat is separated in one step from fluids such as the anesthetic solution, and it is transferred to small syringes. Then the fat is injected into the desired area in multiple layers and directions, achieving a very precise sculpting effect.

Utilizing this technique, we can say that most patients have a large degree of permanence in the areas treated. However, factors such as each patient’s skin type, healing abilities, and other variables like smoking and changing body weight contribute to the degree of permanence. We inform patients that usually one treatment is effective. When touch-up procedures are performed one or two years after the original procedure, the fee is 50 percent of the first procedure.

The Lipotransfer Procedure – under local anaesthetic as daycase surgery

If lipotransfer is done as the only procedure, it can be performed as a daycase procedure with light sedation and under local anesthesia. It is not painful because buffered anesthetic solutions and nerve blocks are used. Patients may notice substantial swelling at the treated area, accompanied by minimal bruising, for a couple of weeks following the procedure. The majority of swelling subsides in the first week, but it may take two weeks for the treatment area to look presentable. A few additional months are then necessary for the healing process to

After the lipotransfer

We will keep a close eye on you after your surgery and would normally see you for your follow-up appointments at regular dressing clinics every 2-3 days and then 6 weeks following surgery, at which point your post-operative photographs will be taken.

For further information about what is involved in this type of procedure, please contact Valentis Clinic on +254 725 045 705 or contact Dr Tilman Stasch at info@valentisclinic.com if you have any questions regarding your forthcoming surgery.