Shaping your figure with your own tissue - ‘Sculpture in your own clay’

Lipofilling

My face and body don’t look well in many places. Wrinkles on the face and shades under the eyes, my cheeks no longer so shapely. My breasts have lost their firmness and the buttocks could look more attractive. Added to all that, plenty of fatty tissue has

Fatty tissue accounts for 15-25% of our body weight and fulfils a number of important functions. Many associate it with unattractive looks, however. In fact, too much fat may accumulate in places, with adverse effects on the appearance of a given body region. Somewhere else, though, it can be used as a perfect, natural filler in a procedure known as lipofilling. Lipofilling is designed to reduce signs of ageing, reconstruct those body parts where the fatty tissue begins to vanish, or shape and highlight the figure to its advantage. 

Details of your procedure

Lipofilling, or fatty tissue transplant, forms certain body parts using the Patient’s own fatty tissue and involves moving the tissue from one location to another. The tissue is most often withdrawn from the stomach, thigh, knee or lumbar regions. It is then purified and injected in a point that requires correction or shaping.

Harvest of fatty tissue is nothing but liposuction. There are many methods of fat suction that differ in the way a cannula works that collects the fatty tissue, different quality of materials for lipofilling and final results of a procedure.

In the standard method of liposuction, cannulas connected to a vacuum apparatus are inserted in the Patient’s body through fine apertures. By moving a cannula forward and backward, the doctor collects fat, sucked out with the apparatus. Fatty tissue harvested by means of selected state-of-the-art methods contains low quantities of blood.

Water-jet assisted liposuction (WAL) removes fat using a water jet or, more precisely, a sterile solution including saline, lidocaine, and adrenaline. The solution injected through a cannula separates the tissue atraumatically while anaesthetising it with lidocaine. Adrenaline, meanwhile, constricts blood vessels and thus reduces bleeding. The ‘water’ and the softened fat are not accumulated in the body but removed nearly instantly with another cannula. The WAL method reduces the risk of swelling and oedema and the material obtained contains more undamaged fat cells and less blood compared with the material harvested by means of the above traditional technique.

Nutational Infrasonic Liposculpture N.I.L is the method of liposuction counted among the safest and most effective in recent times. The nutational cannula movements in 3 directions prevent the surgeon from pressing forcibly to obtain the material. Given the N.I.L (like WAL) is carried out correctly, locations of fat harvest are smooth and even. In addition, this type of liposuction may be slightly less painful to the Patient both during the procedure and the recovery.

The fatty tissue harvested by liposuction is not immediately fit for reuse, that is, injection into a body region to be corrected. The lipofilling material must be prepared – separated and purified. The fat harvested can be purified with a variety of methods: sedimentation, in a centrifuge or using Puregraft technique. Not all of them guarantee best quality and sufficient volume of the material needed for a transplant, though. The first method, sedimentation, is the cheapest and, in some circumstances, reliable. The centrifuge, on the other hand, is applied most commonly but ruptures the cell membranes at high revolutions. Puregraft, as distinct from the other techniques, features a fully closed tissue loop and is thus a sterile procedure. It effectively removes even up to 97% impurities, that is, redundant fluid, blood cells or lipids. What is more, the procedure is fast and takes less than 15 minutes to clean up to 300 ml of the substance, enough for the purposes of shaping. The resultant material is the purest, stable, lasting, natural, autogenic tissue filler that guarantees the best lipofilling effect.

The fatty tissue transplant is a safe method as it uses the Patient’s own tissue, which limits the likelihood of complications, allergies or rejections. It serves to smooth wrinkles, shape cheeks, enhance lips or breasts, rejuvenate hands, and model buttocks, among other uses.

The filling and shaping effects can be noticed virtually immediately after the procedure. The rejuvenation becomes apparent gradually over the coming weeks. Effects of this medical procedure are natural. A region operated on adopts desirable shapes and contours while the skin is revitalised, firmer, and more flexible.

Preparation for your procedure:

Patients planning or expecting a surgery are requested to read ‘Guide for the Patient – preparation for your procedure’, available in the INFORMATION section.

Recommendations following a lipofilling:

  • Stay at the clinic: depending on the scope of surgery, the Patient will remain at the clinic for 1-2 days;
  • Medication: Patients should take antibiotics and painkillers as recommended by their doctors;
  • Other: Cool compresses on harvest and transplant of fatty tissue locations are recommended. A first shower can be taken 4 days after your procedure, while harvested areas can be gently massaged after a week. Smoking, drinking of alcohol or drinks containing caffeine are prohibited for a minimum of 3 weeks after your procedure. Patients cannot sunbathe or go to solarium for 6 months after their surgery;
  • Follow-up visits: Patients must attend follow-up visits arranged with their doctor.

Patients will be informed in detail about any recommendations following their procedures at the clinic.

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Frequently asked questions:

Effects of the procedure remain with you for a very long time, yet one can’t say they are permanent; rather, they are lasting, since the transplanted fatty tissue is partly absorbed over time. This is not a high tissue wastage.

It all depends on the amount of fatty tissue accumulated in your body, which is obviously lower in slim people, and on scale of the defects. The quantity of your own fat may prove insufficient to fill the defects, though it doesn’t have to be so. This will be assessed by a specialist in such procedures.

The idea of the lipofilling is to use your own tissue, since a donor’s tissue may be rejected. This is too risky a procedure.

Luckily, the procedure only requires small incisions in the Patient’s body both for harvesting of the fatty tissue and its injection somewhere else. Given proper care of these locations, then, no obvious scars should remain.

Each surgery entails the risk of complications. The Patient will be informed about general complications and those specific to this procedure during a medical appointment and qualification.

All depends on the extent and area of a surgery, which can be conducted in local, intravenous or general anaesthesia.

Pain of various intensity and dependent on the scale of surgery, amount of harvested fat, methods of liposuction, and the Patient’s sensitivity can be felt afterwards.

There is a whole gamut of options and their selection depends on purpose of a procedure and the Patient’s expectations. For instance, were fatty tissue to be used to enhance breasts, silicone implants can be considered. Were fat to fill wrinkles, hyaluronic acid can be suggested.

It can be a standalone procedure or combined with others.

Of course. Come and see us!

Information about the procedure:

Duration 

45-90 minutes

Anaesthesia

General, intravenous or local

Stay at the clinic

1-2 days

Stitch removal

On the 7th day

Effects of the procedure

Long-term, fully manifest after 6-12 months

Contraindications

Pregnancy or breastfeeding, low body weight, hypertension, diabetes, autoimmune diseases

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