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Plastic Surgery Credentials

Fat Grafting Raleigh

before and after photo of patient who underwent a fat graft
View more before and after
photos here

If You Have a Fat Grafting Surgery, Will You Need a Second or Even a Third Fat Grafting Procedure?

Well the answer is: possibly. It depends on a number of factors. Most importantly, it depends on how deeply hollow the area is that’s being treated. Area’s that are mildly hollow are easier to graft because the soft tissue structure there acts as a scaffold that holds living fat cells. If there’s not much of a scaffolding, it’s harder to get fat to survive. So deeply hollow areas sometimes require a second or even a third treatment. The other thing to know about fat grafting is that no surgeon can completely predict the degree of fat graft survival you’ll have with each procedure. For the fat to survive long-term, it has to gain a blood supply. So in the days and weeks after the surgery, microcirculation grows in to provide a blood supply to the grafted fatty tissue. The fatty tissue that is revascularized, will persist indefinitely as living tissue. Fat that does not get vascularized is broken down in your body, just like a temporary filler such as Juvederm. So there are multiple factors that influence fat survival and the number of procedures that you may require.

What Should You Look For in a Fat Grafting Surgeon?

Well, a lot of the information that you need should be available to you online. Take a look at the surgeons training, and also try to get a sense of their degree of experience and their level of expertise of fat grafting. They should provide some description of the surgical instrumentation and equipment that they use, and also a specific description of the surgical technique. Plastic surgeons who have a specific interest in fat grafting make all of this information available to patients online. When you research online, you will widely varying opinions about fat grafting itself. There are surgeons, myself included, who think that fat grafting is safe, effective, and a critically important part of natural appearing facial rejuvenation surgery. There are other surgeons who think that it’s unnecessary, and there are even surgeons who think that it doesn’t work. The reality of fat grafting surgery is this: It requires, on the part of the surgeon, a significant investment of time and effort to become proficient at the technique. Once you are proficient, you as a surgeon find that 1) It is safe, 2) It is a scientifically sound and reproducible surgical technique, and most of all 3) Fat survives. Structural fat grafting creates a permanent enhancement of facial soft tissue volume. We understand now that the primary process of facial aging is atrophy. As we age, facial soft tissue atrophies. The facial skeleton even atrophies as we age. So, if you are facial rejuvenation surgeon, and you don’t perform structural fat grafting you are failing to treat the primary cause of facial aging, and I think that your results will show that. The best window a patient can get on a surgeons experience, and aesthetic sensibility with fat grafting is reviewing before and after photos. Go online and find a surgeon with lots of photos that show aesthetic enhancement that speak to you as beautiful and natural appearing.

Do All Fat Grafting Surgeons Use the Same Technique?

Well, a lot of the information that you need should be available online. Take a look at the surgeon’s training. Also, try to get a sense of the surgeon’s degree of experience and level of expertise with fat grafting. There should be some description of the surgical instrumentation and equipment that’s used and also a specific description of the surgical technique itself. Surgeons with a special interest in fat grafting make all of this information available to patients online. When you’re researching online, you will find widely varying opinions about fat grafting. There are surgeons, myself included, that think that fat grafting is safe, effective, and a critically important part of naturally appearing facial rejuvenation surgery. You’ll find other surgeons who think it’s unnecessary and some who think that fat grafting just doesn’t work. The reality of fat grafting surgery is this, as a surgeon it requires a significant investment of time and effort to learn the technique. Once you become proficient at the technique you’ll find that 1) fat grafting is safe 2) it’s a scientifically sound and reproducible surgical technique and 3) fat survives. Structural fat grafting creates a permanent enhancement of facial soft tissue volume. I think the best window that you can get on a surgeon’s level of expertise and their aesthetic sensibility is looking online at before and after images.

What should you look for in a Fat Grafting Surgeon?

Well, a lot of the information that you need should be available to you online. Take a look at the surgeon’s training and also try to get a sense of their degree of training and level of expertise of fat grafting. They should provide some description of the surgical instrumentation and equipment that they use and also a specific description of the surgical technique. Plastic surgeons who have a specific interest in fat grafting make all of this information available to patients online. When you research online you’ll find widely varying opinions about fat grafting itself. There are surgeons, myself included, who think that fat grafting is safe, effective and a critically important part of naturally appearing facial rejuvenation surgery. There are other surgeons who think that it’s unnecessary and there are even surgeons who think that it doesn’t work. The reality of fat grafting surgery is this; it requires, on the part of the surgeon, a significant investment of time and effort to become proficient in the technique. Once you’re proficient, you as a surgeon find that 1) it is safe 2) it is a scientifically sound and reproducible surgical technique and most of all 3) that fat survives. Structural fat grafting creates a permanent enhancement of facial soft tissue volume. We understand now that the primary process in facial aging is atrophy. As we age, facial soft tissue atrophies. The facial skeleton even atrophies as we age. So, if you’re a facial rejuvenation surgeon and you don’t perform structural fat grafting, you’re failing to treat the primary cause of facial aging and I think the results will show that. The best window a patient can get on a surgeon’s experience and aesthetic sensibility with fat grafting is reviewing before and after photos. Go online and find a surgeon with lots of photos that show aesthetic enhancement that speak to you as beautiful and natural appearing.