Lipoplasty is the technique of transporting fat from one part of the body to another. After the first liposuction, plastic surgeons thought that this fat could be used as a filler in wrinkles and scars. At first, the data was discouraging because a very large percentage of this fat tended to be absorbed and the results were not desirable.
The plastic surgeons did not lose hope and step by step managed to understand why liposuction did not work. In 1995, liposuction became a reliable method. The principle lies in the fact that surgeons have to receive fat from the liposuction process and, with small injections, inject it into another part of the body. This technique can be used to fill cavities, natural or post-traumatic.
It should be noted that fat transport is a surgical technique, (a surgical procedure) that must be performed exclusively by a well-trained plastic surgeon in a surgical environment where all the antiseptic rules are adhered to.
After the Plastic Surgeon has a full history of the patient, he / she should inform the patient about all the risks and side effects of the procedure and then take some photos of the area that is going to be treated. If it is a lipoplastic face, photographs of the patient at a younger age are necessary to make a comparison with the present situation.
The above procedure can be done with local anesthesia and drunkenness for small fat transplants, but also with general anesthesia for bigger ones. This decision will be taken jointly after consultation with the plastic surgeon and the anesthetist concerned. No hospitalization is required after the surgery.
Each surgeon adopts a way of applying lipoplasty. But there are some general rules. The plastic surgeon marks the areas in the body that he is going to operate in an upright position. At this point, he/she will mark the areas that he/she would like to correct by liposuction. Note that the best areas to take fat are the belly and the inside of the knees. The surgeon also marks the fat injection areas.
The fat collection should be done admirably with a special small cannula, through small incisions of 2 millimeters, which are well hidden in our body, such as in the navel, in physical aspects such as the femoral areas, but also preexisting sections. This fat is then subjected to special treatment and placed in special syringes to be infused.
The reinsertion of fat is done using a small cannula and by very small incisions, about one millimeter. The fat should be distributed evenly in the tissues in a such way that each small adipocyte comes in contact with the bloodstream around the tissues so that it can live and not be absorbed. This is a very important element that greatly increases the amount of fat that will remain in the body. With this condition, as many of these cells, as we need to survive, they live as long as their neighboring cells are still alive. In other words, the technique of lipoplasty has permanent results.
The patient will return to his / her daily activities quickly, as with this technique, there are almost no incisions. The person should avoid exposure to the sun because there is a risk of permanent skin coloration because of the bruises.
The end result of the surgery is estimated 6 months post-operatively.
It should be noted that perhaps a second fat injection may be needed in cases where the desired volume is not satisfactory. The surgeon is not allowed to inject large amounts of fat into the marked area, because each adipocyte should essentially come into contact with blood tissues.
Injecting large amounts of fat increases the likelihood of greater absorption. In some cases, it is desirable to make the infusion in two doses in order to have as much fat as possible that will survive and remain in the tissues.
It should be made clear that you should not underestimate the dangers of a lipoplasty. It’s a relatively simple surgery, but it can also have complications.
Complications in plastic surgery operations are not common but it is necessary to be aware of them at the first appointment.
This text may give rise to new questions. We are at your disposal for any other information.