Fat Transfer Surgery (Lipofilling)

By Elena Prousskaia MD, FRCS (Plast), FEBOPRAS

For those who would like to decrease unwanted fat in specific body areas while restoring or adding volume to other areas of the face or body, a fat transfer can improve contours and revitalize overall appearance.

In this page, we look at:
• What is Fat Transfer Surgery
• How Fat Transfer Surgery Works

What is Fat Transfer Surgery

For those who would like to decrease unwanted fat in specific body areas while restoring or adding volume to other areas, a fat transfer can improve contours and revitalize overall appearance. This animation will highlight the fat transfer procedure including how fat is removed from certain areas of the body using liposuction, the process of transferring fat into a targeted location, and what to expect after this cosmetic surgery.

How Fat Transfer Surgery Works

Over time, the contours of the body and face change due to the effects of aging, gravity, and weight and hormonal fluctuations. Additionally, unwanted fat may accumulate in areas such as the abdomen, back, buttocks, and thighs.

A fat transfer procedure works by removing unwanted, excess fat through liposuction and injecting it into areas where rejuvenation is desired. The face is a very common areas that can be revitalized using fat injections.

Signs of aging in the face and neck occur for many reasons, such as heredity, skin type, sun exposure, and lifestyle choices. Several areas of the face can be treated with a fat transfer including the cheeks, forehead, nose, chin, under-eye area, jawline, temples, and lips. A fat transfer, sometimes performed in combination with a face lift, can reduce the appearance of wrinkles, frown lines, or depressions while revitalizing the contours of the face.

Weight loss, aging, and heredity may cause you to be unhappy with the size and shape of your buttocks. A buttock augmentation using fat transfer can help add volume and create a more youthful, shapelier appearance.

Frequently Asked Questions

How Is Fat Transfer Performed?

Fat transfer may be performed under local anaesthesia where only the surrounding area is numb. Alternatively, for procedures involving large or multiple areas of the body, you may be asleep under general anaesthesia. A special medicated fluid called tumescent fluid is injected into the areas that will be treated with liposuction. This fluid expands the tissues, to make it easier to remove fat cells, numbs the treatment area, and minimizes bleeding. Once a large volume of tumescent fluid is injected into the treatment area, you will rest for several minutes while the area becomes completely numb.

What Is The Recovery For Fat Transfer?

Depending on how your Fat transfer procedure is performed, most of time you should be ready to go home the same day. You may also be prescribed medication to manage your pain for the first few days and as needed as you heal. It is normal to feel swollen and bruised for about one -two weeks following fat transfer. You should avoid any strenuous activities for the first few weeks but you are encouraged to walk to prevent blood clots.

What Are The Risks For Fat Transfer?

Any surgical treatment involves certain risks. It is important that you understand all the risks associated with the fat transfer procedure. Your decision to have this operation should be based on your careful evaluation of all the possible risks and the potential benefits. Most patients undergoing this surgery do not experience complications. However, you should discuss all possible risks and your tolerance of complications with your consultant plastic surgeon, Miss Prousskaia, in order to make sure that you fully understand the implications and consequences of having fat transfer. Excessive resorption of fat is infrequent but you should be aware that fat graft does have 30-50% volume loss due natural fat resorption which normally happens during 6-9 months after surgery, it has to be expected when you decide to undertake this surgery. Elena will provide you with further information with the risks and provide you with a detailed consent form during your consultations. This will help you to minimise the risks.

What Are The Results Of Fat Transfer Surgery?

Elena prides herself on taking the time to truly understand a patient’s aims and discussing what result will work best given the patient’s individual characteristics. Although good results are expected, the body and face  are not symmetric and almost everyone has some degree of unevenness, which may not be recognized in advance. The more realistic your expectations as to results, the better your results will be in your eye. You will have at least two consultations with Elena where she ensures that she meets your expectations and she will always try to achieve your desired results. You also may need to discuss options for future fat transfers as it may take more than one procedure to achieve your desired look. While you will most likely notice an improvement immediately after the procedure, final results will not be apparent until one year after surgery. With realistic expectations and proper maintenance, you may enjoy the results of your fat transfer procedure for several years.

What Is The Cost For This Procedure?

Please scroll down for more information on pricing.

What Areas Can You Have Transferred To And From?

As your grow older some areas of your body may flatten or lose volume. Fat grafting is a viable method to enhance most facial and body areas. The Only area that Elena does not offer Fat Transfer for is Breast(s).

Can I smoke or vape before my surgery?

Elena does not operate on patients that regularly smoke or vape. To be considered for this procedure you must refrain from smoking or vaping for 3 months before and after your surgery.

Treatment Cost

The total cost of the surgery will be confirmed after the first consultation.

The cost includes the hospital, surgeon and anaesthetic fees. It also covers all post-operative visits. The initial consultation fee will be invoiced separately. The prices apply only at the time of publication and are subject to changes without notification.

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Treatment At A Glance

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Final Result Dependant on treatment
Follow Up Dependant on treatment

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WHAT DO ELENA'S PATIENTS SAY...

Elena was recommended to me and as soon as I met her I felt entirely comfortable. Her explanations made sense in terms of expectations. Having made the big decision I did feel nervous but had absolute trust and confidence in Elena. I knew I was in the best hands. Elena's team is so supportive, my questions were answered with patience and understanding. My care at the McIndoe Centre was excellent. I am five weeks post op for abdominoplasty and liposuction and last week. Quite amazing to see the before and after pictures! I am so pleased that I was fortunate enough to meet Elena and have no hesitation in recommending her.

SM – Abdominoplasty & Liposuction

I have been both physically and mentally uncomfortable in my body since I was 12. I was born with ‘breast mutation’ and I first had surgery to correct this through the NHS at 16 years old. The surgery I have had with Elena, 17 years later, has removed the NHS implants, one of which had ruptured, and completely altered the shape of my chest. By doing this she has made me look and feel like a woman for the first time in my life. She is at all times quietly kind and fiercely adept. A true artist. She has surrounded herself with the most wonderful team and I cannot thank them all enough for the new lease of life that I have been given.

EG – Removal & Replacement of Implants

I have been self conscious for the whole of my adult life and I cannot express how much this surgery  has changed things for me. Both mentally and physically. I highly recommend Elena. She supported me throughout my journey from start to finish. Elena is very particular which for me is really important. Elena really took care of me from initial consultation right through to surgery and aftercare.My scaring is minimal and I am absolutely over the moon with my results. Thank you Elena!

JB – Breast Reduction

Elena is an OUTSTANDING surgeon. I had PIP implants and was looking to have them changed. I knew Elena was the surgeon to help, she put me at ease and explained my options. The lovely ladies in her office were helpful, I wanted to get sorted asap, when an alternative date was available contacted me straight away. I received outstanding care from start to finish from Elena, her team and the hospital. The aftercare is amazing, nothing is too much trouble, can call any time. I was so relaxed, I knew I was in great hands. The final results are fantastic. Elena has worked magic and I couldn’t be happier. I’m so glad I found her. I can’t thank her and her team enough.

LMS – implant Removal & Replacement

Had surgery with Elena in September, I was extremely anxious about the whole thing, but Elena and her whole team, from admin to the hospital staff were amazing with me and reassured me throughout my journey. I can not recommend Elena enough, and she has changed my life for the better! Already saving for my next operation with her!

SM – Abdominoplasty & Arm Lift

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