Fat injection, also known as fat transfer or fat grafting, is a procedure that improves the body’s contours and proportion by removing fat from one or more areas and injecting the fat into another area to add volume and reshape specific areas of the body. Common areas treated with fat injection are the face, buttocks, breasts and to reconstruct contour problems in any area of the body after weight loss, accidents or previous surgery.
Fat injection is invasive surgery that aims to improve the body’s contours by adding volume and reshaping specific areas of the body. Fat is removed by liposuction from one area of the body and injected into another area to add volume and reshape that area. Depending on the amount required and number of areas that require treatment, repeated treatments may be necessary.
Fat injection is an individualised procedure and may not be suitable for everyone. Always talk to your Specialist Plastic Surgeon before making a decision. Your Specialist Plastic Surgeon will assess your condition and general health, and plan the treatment that is best suited to you.
Fat injection may be suitable for you if:
Fat injection is most likely to be successful for healthy weight people with firm, elastic skin who have pockets of excess fat in certain areas and hollowing in other areas. Although age is not a significant concern, older people may have less skin elasticity and may not achieve the same results as a younger person with tighter skin.
Before opting for fat transfer, you must keep in mind that:
Depending on the procedure and the amount of fat removed, fat injection can take place under either local or general anaesthesia. If only a small amount of fat and a limited number of body sites are involved, fat injection can be performed under local anaesthesia, which numbs only the affected areas. For large volumes of fat injected, general anaesthesia is commonly used.
Modern anaesthesia is safe and effective, but does have some risks. Ask your Specialist Plastic Surgeon and anaesthetist for more information. Your surgeon and/or anaesthetist will ask you about all the medications you are taking or have taken, and any allergies you may have. Make sure you have an up to date list before the surgery.
Modern surgery is generally safe but does have the potential for risks and complications to occur. The risks of fat injection increase if a large number of body areas are treated at the same time or if the areas operated on are large in size.
Some of the possible complications and risks associated with fat injection may include:
Small amounts of fat injection can be performed under local anaesthetic in your Specialist Plastic Surgeon’s rooms. Larger amounts of fat injection can be performed in either an accredited day surgery or a hospital, depending on your general health and the extent of the procedure. A short hospital stay may be required in some instances. Your Specialist Plastic Surgeon will advise on the best option for you.
Before undergoing surgery, it is important that you:
You will also be asked to provide a complete medical history for your Specialist Plastic Surgeon including any health problems you have had, any medication you are taking or have taken, and any allergies you may have.
You may be advised to stop taking certain medicines such as non-steroidal anti-inflammatory drugs (NSAIDs), aspirin, and medicines that contain aspirin. You may also be asked to stop taking naturopathic substances such as garlic, ginkgo, ginseng and St John’s Wort as they may affect clotting and anaesthesia. Always tell your surgeon EVERYTHING you are taking.
You may be given medicines to take before the surgery, such as antibiotics.
Your surgeon will also advise you if any other tests are required, such as blood tests, X-ray examinations or an Electrocardiograph (ECG) to assess your heart.
Prepare a “recovery area” in your home. This may include pillows, ice packs, a thermometer and a telephone within easy reach. Make sure you arrange for a relative or friend to drive you to and from the hospital or clinic. Someone should also stay with you for at least 24 hours after you return home.
Your surgeon should give detailed preoperative instructions. Follow them carefully.
Following your surgery, dressings or bandages may be applied to your incisions. You may be wrapped in an elastic bandage or a compression garment to minimize swelling and to support your operation site as it heals. A small, thin tube may also be temporarily placed under the skin to drain any excess blood or fluid that may collect.
Depending on the extent of your procedure, you may need to take a few days off work to rest. Avoid heavy lifting, strenuous exercise, swimming and strenuous sports until advised by your surgeon.
If you experience any of the following symptoms, notify your surgeon immediate:
Your surgeon will give you specific instructions on post-operative care. These instructions may include:
Be sure to ask your surgeon specific questions about what you can expect during your individual recovery period, such as:
Scars are an inevitable part of any invasive surgery. Your Specialist Plastic Surgeon will endeavour to minimise scarring and to keep your scars as inconspicuous as possible by locating the incisions in easily hidden sites. That way, scars will be along natural skin lines and creases. Scars may fade with time and become barely noticeable over time.
Depending on the area fat injection may need to be repeated. However, as with all surgical procedures, revisional surgery may be necessary to correct minor irregularities.
Cost is always a consideration in elective surgery. Prices for individual procedures can vary widely between Specialist Plastic Surgeons. Some factors that may influence the cost include the surgeon’s experience, the type of procedure used and the geographic location of the office.
Costs associated with the procedure may include:
Your surgeon should welcome any questions you may have regarding fees.
General anaesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness
Intravenous sedation: Sedatives administered by injection into a vein to achieve relaxation
Local anaesthesia: A drug injected directly to the site of an incision during an operation to relieve pain
Hematoma: Blood pooling beneath the skin
Sutures: Stitches used by surgeons to hold skin and tissue together
Visit the Plastic Surgery Glossary for more medical terms.