Liposuction is the most commonly performed cosmetic procedure in the world. People liposuck their tummies, thighs, arms, necks and almost every part of their body.
This has given rise to a new problem called – Post Liposuction deformities . Commonly they are an outcome of overdone or under done liposuction procedure. Sometimes it is the unpredictability of the skin redraping that can upset you even if the procedure was done well.
Broadly speaking , the deformities that annoy people are :
Best thing is to avoid them by attention to detail while performing liposuction and following the post operative advice stringently.
The beauty of fat transfer lies in the abundance of donor tissue which is free. Any fat grafting procedure undertaken for correcting deformities is done at least 3-6 months after the original Liposuction procedure. This allows tissues to heal and estimates of volumes to be added becomes more accurate.
Ideally a different donor site than the initial surgery is chosen for fat harvest. The amount depends on the area to be filled in and the contour to be achieved.
A standardised 4 step fat grafting procedure is then followed to correct the deformity .
Fat grafting for hand rejuvenation is relatively new . Thin and arthritic hands can make you look older than you are. The fullness of the hand is lost with advancing age.
Layered fat grafts laid on the back of the hand fill in the hollowed spaces to give it a youthful look and feel.
Fat is injected through 6-8 entry points to give a uniform fatty layer to hide the tendons and joints only partially. With time, the skin quality and texture gets better.
Autologous fat improves the quality of skin which is thinned and atrophic due to
As Dr. Coleman discussed in his paper published in the September, 2006 issue of the Journal of Plastic & Reconstructive Surgery, grafted fat affects the tissue into which it is placed in many ways for the duration of a patient’s life.
At least in part, fat heals damaged or scarred skin because fat tissue has the highest concentration in the body of adult stem “repair” cells. These special cells may be working by helping to create a new blood supply in the tissue, thus providing oxygen and nutrients. There is now evidence that fat grafted using the Coleman method can prevent and even reverse the body’s natural pathways that create and maintain scarring, both in the skin and deeper tissues. Additionally, fat tissue can also release growth factors and hormones, affecting tissues in many other ways.
Old injuries leave scars and indentations on the legs or body. Traumatic defects from accidents, burn injuries , animal bites and debilitating healed infections leave ugly scars and deformed areas on the body.
Fat grafting finds an answer to most of these problems. It fills in the dents to correct the contours. The fat also brings in blood supply to improve the skin quality. Scars become supple and tethering gets better.
Fat grafting can be very valuable to fill in deformities from birth defects. In hemifacial microsomia, unequal development of facial bones makes the face look abnormal. Hypoplastic mandible and other growth deformities can be corrected partly by fat grafting