Getting a facelift with lipofilling

Written by: Dr. Federico Pérez de la Romana
Edited by: Top Doctors®

What is a lipofilling?

Among the new techniques of cosmetic surgery is lipofilling, which involves removing fat from people's bodies and injecting it into certain areas that are needed. It can be on the face or on the body.

How is the technique performed?

The technique is very important since this operation was done for a long time, about 10 years, but it was done with a different technique. Before fat was extracted by liposuction and injected directly. It is for that reason that they did not light many of the fatty grafts because they were large quantities. But now micrografts are made. The process consists of the extraction of the fat with low temperature and low pressure, especially so that the fatty grafts are not damaged. Once it has been extracted, it goes through different processes: centrifugation, decantation and separation of pure fat cells from liquid. That's when we get fat cells and stem cells. This point is very important to clarify because these are the cells that will give the regeneration. Then, in the third part of the technique, which is the infiltration of fat, is done with tiny cannulae, less than two mm, and syringes of one cubic centimeter, one milliliter. These syringes can not leave large grafts, but micrografts, which are the ones that will ignite 100%. Therefore, the fat graft that we have introduced will ignite, it will give us security and the result will be permanent.


It consists of extracting fat from people's bodies and injecting it in certain areas that are needed


What uses does lipofilling have?

The lipofilling technique is one of the most used and most modern techniques within plastic surgery due to its versatility and its naturalness as a result. It consists of extracting fat where on the patients , therefore it is necessary that on the abdomen or hips, which are the areas where the fat is most frequently taken, and inject it in the areas that are needed, both in the face like in the rest of the body. Specifically on the face we use it to fill areas that have been depressed, either by the passage of time, by some disease or by aging that has been shown to always carry a fat atrophy factor. The areas most commonly used on the face are the cheekbones, the nasolabial eyes, around the mouth and around the eyelids. It has the great advantage that, in addition to the volumetric filling, the action of the stem cells gives us a greater revitalization and regeneration of the tissues, giving a much more lustrous and rejuvenated skin.

In the body, the area of ​​the breast is very interesting, since all areas lost after pregnancy or thinning can be rebuilt either with silicone prosthesis or with fat. It is not that it removes the place of the prosthesis but that it can help giving more naturalness when injecting outside the prosthesis. They can also be completely filled with grease, especially in people who overshoot them sufficiently in the areas mentioned above.

And finally, in the gluteus, it is very interesting, since syringe can be injected syringe to get the desired result and not depend on the limits of a prosthesis. You can always use only the fat or with prosthesis, adding the fat outside the prosthesis thus eliminating the circles left by the prosthesis and thus leaving a more natural result.

It is evident that it has a double advantage that is to eliminate the fat from the areas where it is over, and to add it in the areas where it is missing, is therefore a great technique that we have today in plastic surgery.

Are there any contraindications, complications or any previous precautions that should be taken into account?

The most important concern is that there is enough fat in the patient. We must do a thorough analysis of the patient to locate the areas where we will take the fat. It is also very important the technique with which the micrografting is performed, so that it is correctly done and that it is sufficiently pledged. Finally, it is very important that this technique must be done by good professionals who have experience in this field.

*Translated with Google translator. We apologize for any imperfection
Dr. Federico Pérez de la Romana

By Dr. Federico Pérez de la Romana
Plastic surgery

His expertise and realization of a doctoral thesis about breast reconstruction after mastectomy post cancer led him to be a pioneer in reconstructive breast surgery and all techniques of breast cosmetic surgery. The career of Dr. Pérez de la Romana has been marked by innovation and the application of the most revolutionary techniques. His qualities as a surgeon led him to collaborate with the most renowned specialists from USA, home of plastic surgery.

*Translated with Google translator. We apologize for any imperfection

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