We know through experience that the decision to have lipofilling is generally preceded by a long decision making process. With this information we would like to help you with this process, by advising you about the procedure itself and the possibilities and risks involved in this operation. This advice, does not however, replace the need for an extensive personal consultation with your surgeon who will thoroughly address your specific questions.
When is lipofilling useful?
What is the aim of lipofilling?
What do I have to consider before lipofilling (pre-operative phase)?
What do I have to consider after lipofilling?
What are the possible risks with lipofilling?
Which result can I expect after lipofilling and what are the chances of success?
This is a way to fill a variety of contour irregularities, such as indentations and where to an extent, only limited recovery has previously occurred. On one hand, it could be an age related volume loss in the face, where the skin loosens and wrinkles develop, and on the other hand, for example, caused by tissue defects from previous injuries or operations. Quite often though, lipofilling is used to compensate for irregularities of the skin surface after a previous liposuction procedure.
The aim of lipofilling is the extraction of the body’s own filling material and subsequent volume replenishment.
Procedure. For lipofilling, the fat has to be removed from a part of the body with a strong layer of fat, such as the abdomen, thighs or buttocks, using specialised cannulas. The fat cells are first cleaned with infusion solutions, then centrifuged and are implanted into the required area using very fine needles. For the survival of the fat cells it is important that there is an in-growth of blood vessels, as it is only living cells that can cause a permanent change in the contours. As some of the fat cells will die off and others will not be absorbed by the body it cannot be exactly predicted just how many cells will remain. The number of remaining cells can range anywhere between 30% and 70%, so this procedure must be performed 2 to 3 times in order to reach the desired volumes.
Type of anaesthesia. Smaller lipofilling sessions can be performed under local anaesthetic, but we recommend general anaesthetic when lipofilling larger areas.
On the day of the operation please do not use any oily shower or bathing products but normal soap or shower gel and your skin should not be moisturised. After the procedure a support garment has to be worn, which can, prior to the operation be measured and fitted by us and then ordered for you.
nformation on general measures and the necessary preliminary examinations will be put together for you personally in a pamphlet which you will receive at your consultation.
Immediately after the injections the treated areas are generally swollen and inflamed. This can usually last from a few hours to a few days and in some cases, even longer. In the area of fat removal point, swelling and bruising will also be present. These areas are usually compressed by the wearing of the compression garment for 2 to 3 weeks.
No procedure is without risk. The general risks of surgery include the possibility of bleeding, thrombosis and infection. Specifically with lipofilling is a risk that surface irregularities may occur due to internal scarring.
Through the injection of the body’s own fat cells the volume in the treated areas depends on the rate of ingrowth of the fat cells and therefore it may take between 1 and 3 procedures to reach the desired volume effect.