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Microfat grafting Orange County Microfat Grafting Fat Transfer to Face

Have you ever wondered if you could take a little excess fat from this part and put it somewhere else where you’d like an enhancement? Our skilled surgeons can now remove unwanted fat from one area and use it to enhance cheeks, nasolabial folds, Marionette lines, lips, chins, hands, skin depressions and scars and even the buttocks (Brazilian Buttocks Lift). Microfat grafting is a safe, natural, non-allergenic procedure to add fullness wherever it is desired. These fat grafts last longer in larger areas of non-movement like the cheeks than they do in dynamic areas like the lips. Microfat grafting is very effective in the cheek areas and can be used to correct the appearance of aging hands.

The following information has been prepared to familiarize you with facts about the surgical procedure known as microfat grafting also called fat transfer. You are requested to read this information thoroughly and to discuss any questions which might arise with your surgeon before you give your consent to have this procedure. You are also requested to keep this form as a reference in the postoperative period.

Microfat grafting is a time tested technique that uses your own fat cells to fill an area of deficiency.

You may visit your surgeon as many times as you wish, to have all of your questions answered. At your final preoperative visit, your final questions will be answered and you will confirm that you understand the procedure to be performed, that this material has been explained to you, that you have read and understand these information sheets, and that you accept the risks by signing the informed consent forms. 

You will be given prescriptions for pain pills and antibiotics along with instructions for their use. Certain laboratory tests will also be required within two weeks of surgery. If you are over the age of 50 or if you have any history of cardiac problems, you will have to obtain a cardiogram at your doctor’s office and any certified laboratory.

The operation will be performed at an outpatient facility under a very light general anesthetic or a deep sedative, supplemented by local anesthesia, to insure your comfort. A very short stab wound, typically within the navel, is used for harvesting the fat. Tiny stab wounds are also made where the fat is to be injected, usually not much bigger than needle pricks that heal without visible scarring.

Adequate pain medication will also be prescribed. 

Discourage massage and excessive facial animation immediately following facial fat grafting. These restrictions are to prevent migration of fat away from the desired areas of treatment. Compression dressings to prevent migration have been described; however, they are often difficult to maintain and probably add little to the final result. 

Ice compresses may be applied for 24 hours to minimize swelling and bruising.

Social activity should be limited while the patient is uncomfortable. Basically, most patients find that they can return to normal activity as the discomfort of the operation fades away.

Patients should be seen in the first week postoperatively to check the donor and recipient sites. Some edema and a minimal amount of bruising may be apparent. 

An additional follow-up appointment should be made for approximately 6-8 weeks. At this point, most of the edema has subsided, and early results can be assessed. Whatever fat persists at the 6 month follow-up visit will likely be a permanent success!

The major concerns following fat grafting are related to under correction and over correction. Under correction can be the result of the placement of less than the required amount of fat or from the resorption of some of the graft. Under correction is easier to treat than over correction. Additional fat may be grafted at a separate sitting to complete the correction. An overcorrection or the development of a firm scar layer around the transplanted fat can lead to a visible and palpable mass – the only way to effectively remove this is through an open surgical procedure. It is important that you understand that the patient is responsible for all costs associated with all secondary surgical procedures or for the treatment of any complications that may arise as a result of this elective surgery. 

Damage to underlying structures, particularly around the eye, is possible but exceedingly rare, reported in the literature but never seen at our office.

This procedure is not covered by insurance. The office staff can assist you to obtain financing if desired.

In compliance with suggestions adopted by the American Society of Plastic Surgeons®, it is customary for the patient to pay all fees for cosmetic surgery prior to the desired operation. This insures that the patient is sincere in her motivation and can afford the surgery, thus creating a better patient/ physician relationship. A non-refundable deposit will be required to secure your desired surgery date. The remainder of the fees must be paid prior to the surgery, usually at the time of the preoperative visit, but no later than two weeks before surgery.

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