Prof. Fabio Santanelli di Pompeo

Fat Transfer

Lipofilling

About Lipofilling

Lipofilling is a surgical procedure consisting of the transfer of fat tissue from donor areas showing an over-deposit, through liposuction technique, to recipient areas requiring a restore. This happens by means of 2mm scars, and allow to augment the reconstructed or the contralateral breast volume. In details is possible to restore localized soft tissue defect to the reconstructed breast, improving the cosmetic result. In selected cases, it allows correction of post-quadrantectomy defects or total breast reconstruction following skin-nipple sparing mastectomies.

Surgical Procedure

It is usually performed on a one night stay base, it last 1 or 2 hours, depending on corrections requirements, it is done in a surgical theatre under deep sedation or general anesthesia. Shorter procedures, inferior to one hour, can be also performed under pure local anesthesia as an outpatient.

Once harvest, fat tissue is centrifuged to separate adipocytes from fluids and implanted only the former. Finally, concentrated adipose tissue is reinjected with a fanned direction in the area to be restored, by a finer cannula then before. Small surgical accesses to the cannula are sutured with a single stitch and dressed, if necessary a compressive garment is applied in the theatre.

As for the liposuction, fat tissue necessary to adequate volume or to fill a defect is usually harvest by suction with a siringe connected to a fine cannula, which is inserted in the subcutaneous tissue through small incisions close to the donor areas presenting fat deposit (belly or thighs) needing contemporary correction.

Results

A certain number of capillaries are damaged during the fat suction/injection procedure, and before closing under the action of the compressive garment, they deliver a small amount of blood in the surrounding tissues, which is responsive for the ecchymosis. Following surgery these will progressively change color until disappear within 15 days. The recipient area is usually overcorrected because not all the grafted fat will take, this will end up in an excessive filling also due to postoperative edema that will recede in few months to the final aspect. Due to the same reason, depending on the size and type of defect to restore, it might be possible to further integrate the correction.

About Lipofilling

Lipofilling is a surgical procedure consisting of the transfer of fat tissue from donor areas showing an over-deposit, through liposuction technique, to recipient areas requiring a restore. This happens by means of 2mm scars, and allow to augment the reconstructed or the contralateral breast volume. In details is possible to restore localized soft tissue defect to the reconstructed breast, improving the cosmetic result. In selected cases, it allows correction of post-quadrantectomy defects or total breast reconstruction following skin-nipple sparing mastectomies.

Surgical Procedure

It is usually performed on a one night stay base, it last 1 or 2 hours, depending on corrections requirements, it is done in a surgical theatre under deep sedation or general anesthesia. Shorter procedures, inferior to one hour, can be also performed under pure local anesthesia as an outpatient.

Once harvest, fat tissue is centrifuged to separate adipocytes from fluids and implanted only the former. Finally, concentrated adipose tissue is reinjected with a fanned direction in the area to be restored, by a finer cannula then before. Small surgical accesses to the cannula are sutured with a single stitch and dressed, if necessary a compressive garment is applied in the theatre.

As for the liposuction, fat tissue necessary to adequate volume or to fill a defect is usually harvest by suction with a siringe connected to a fine cannula, which is inserted in the subcutaneous tissue through small incisions close to the donor areas presenting fat deposit (belly or thighs) needing contemporary correction.

Results

A certain number of capillaries are damaged during the fat suction/injection procedure, and before closing under the action of the compressive garment, they deliver a small amount of blood in the surrounding tissues, which is responsive for the ecchymosis. Following surgery these will progressively change color until disappear within 15 days. The recipient area is usually overcorrected because not all the grafted fat will take, this will end up in an excessive filling also due to postoperative edema that will recede in few months to the final aspect. Due to the same reason, depending on the size and type of defect to restore, it might be possible to further integrate the correction.

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