Liposuction and Autologous Fat: Simply 'Redistributing' Fat?

Annoy­ing love hand­les on your sto­mach, hips or thighs? At the same time, too litt­le volu­me in the face, hands or décol­le­té? This pat­tern is typi­cal and we often encoun­ter it in practice.

The obvious idea: the fat stays in the body, it just chan­ges places. What sounds unu­su­al at first has long sin­ce pro­ven its­elf in aes­the­tic medi­ci­ne. At the Swiss Der­ma Cli­nic in Zurich, we com­bi­ne lipo­suc­tion (lipo­suc­tion) with auto­log­ous fat tre­at­ment. Also known as face or body con­tou­ring. The aim of the tre­at­ment is to har­mo­ni­ze facial and body con­tours in a natu­ral way. With a very long shelf life and maxi­mum tolerance.

In this tre­at­ment, fat is remo­ved from one area, pro­ces­sed and then reap­pli­ed to ano­ther area.

 

How the treatment works:

First, the fat is har­ve­s­ted from the pre­vious­ly deter­mi­ned are­as of the body, pro­ces­sed and injec­ted in small quan­ti­ties into the desi­red are­as. For exam­p­le, on the face, chest or body. The appli­ca­ti­on fits seam­less­ly into the cur­rent trend „away from over­cor­rec­tions and towards natu­ral, har­mo­nious results“.

Auto­log­ous fat is well sui­ted for this becau­se it is the body­’s own tis­sue that can be per­ma­nent­ly inte­gra­ted into exis­ting structures.

 

Fat cells grow in over the long term

The trans­plan­ted fat cells have to inte­gra­te into the new tis­sue and can then grow in the long term. Unli­ke arti­fi­ci­al fil­lers, for exam­p­le, they are not bro­ken down by the body after a few months. A high per­cen­ta­ge of this pro­cess works very well. Only a small pro­por­ti­on is meta­bo­li­zed. Refresh­ments are pos­si­ble at any time until the desi­red result is achie­ved. How well fat is absor­bed indi­vi­du­al­ly depends on various fac­tors, inclu­ding life­style and per­so­nal predisposition.

A major advan­ta­ge of auto­log­ous fat tre­at­ment is that the injec­ted „mate­ri­al“ is the body­’s own and the­r­e­fo­re very well tole­ra­ted. The effects are natu­ral and indi­vi­du­al­ly con­troll­able. If more fat is nee­ded to fill out the hips or breasts, fur­ther tre­at­ment can be car­ri­ed out until the desi­red result is achie­ved. The only requi­re­ment is that the­re must be suf­fi­ci­ent fat reser­ves so that enough tis­sue can be removed.

Cur­rent stu­dies on breast aug­men­ta­ti­on (breast enlar­ge­ment) with auto­log­ous fat show: On avera­ge, around half of the trans­fer­red volu­me is retai­ned in the long term.

We the­r­e­fo­re plan for a litt­le more volu­me (fat cells). After lipo­suc­tion (suc­tion) and sub­se­quent injec­tions, it takes a few months befo­re the final result is visible.

Suitable for small to medium corrections

Auto­log­ous fat is well sui­ted for small to medi­um cor­rec­tions. In breast aug­men­ta­ti­ons, for exam­p­le, it is pos­si­ble to enlar­ge up to one cup size per ses­si­on. If a more signi­fi­cant adjus­t­ment is desi­red, we requi­re fur­ther ses­si­ons, each a few months apart. Ano­ther opti­on is a com­bi­na­ti­on of auto­log­ous fat and implants, depen­ding on the con­di­ti­on of the skin.

Important: The decis­i­on to under­go auto­log­ous fat tre­at­ment is very indi­vi­du­al. One of the most important pre­re­qui­si­tes is the medi­cal con­sul­ta­ti­on. Here we cla­ri­fy all points and assess which results are fea­si­ble and rea­li­stic. If neces­sa­ry, we recom­mend sui­ta­ble alter­na­ti­ves. Arran­ge your con­sul­ta­ti­on at the Swiss Der­ma Cli­nic in Zurich here.

 

Treatment for cheeks, temples, eye area, chest and body contouring

At the Swiss Der­ma Cli­nic in Zurich, we use auto­log­ous fat to even out volu­me and reju­ve­na­te the appearance, for example:

  • On the face, for sun­ken cheeks, flat­ter temp­les, loss of volu­me around the eyes, for subt­le facial reju­ve­na­ti­on and for face contouring.
  • On the body for dis­creet breast cor­rec­tion, balan­cing after weight loss, for body contouring.
  • On the hands and décol­le­té, when the tis­sue appears thin­ner or more aged.

Not ideal for very loose and sagging skin

In cases of sever­ely sag­ging skin, auto­log­ous fat injec­tions are not suf­fi­ci­ent. The­re must be suf­fi­ci­ent ela­s­ti­ci­ty and no major excess skin. If auto­log­ous fat tre­at­ment is not sui­ta­ble, com­bi­na­ti­on tre­at­ments or sur­gi­cal tigh­tening may be con­side­red. In addi­ti­on, tre­at­ment is often limi­t­ed in very slim pati­ents as the­re is not enough auto­log­ous fat available.

What about side effects and risks?

Typi­cal side effects such as slight swel­ling, brui­sing or a fee­ling of tight­ness usual­ly subs­i­de within a few days. Com­pli­ca­ti­ons such as fat necro­sis, cysts or cal­ci­fi­ca­ti­ons are rare if per­for­med by a spe­cia­list. Plea­se note that weight fluc­tua­tions can affect the volu­me of the trans­plan­ted fat, as it is the body­’s own tissue.

The com­bi­na­ti­on of lipo­suc­tion and auto­log­ous fat trans­fer is more than just „suc­tio­ning fat and injec­ting it else­whe­re“. It is more of a redis­tri­bu­ti­on. With this approach, we can even out con­tours and gent­ly build up volu­me, gent­ly build up volu­me and at the same time make tran­si­ti­ons appear more harmonious.

It is best sui­ted to peo­p­le who want a natu­ral chan­ge and under­stand that good results often lie in fine-tuning. Not in the maxi­mum quan­ti­ty. But in the right distribution.

 

FAQ

When does a com­bi­na­ti­on of lipo­suc­tion and auto­log­ous fat trans­fer make sense?

The pro­ce­du­re is par­ti­cu­lar­ly sui­ta­ble for peo­p­le who have excess fat­ty tis­sue in one area and would like a mode­ra­te increase in volu­me in ano­ther. Good pre­re­qui­si­tes for this are a sta­ble weight and suf­fi­ci­ent own fat, for exam­p­le on the sto­mach, hips or thighs. If you have very litt­le body fat or your weight fluc­tua­tes great­ly, plan­ning is limited.

 

Which are­as of the body can be trea­ted with auto­log­ous fat?

Auto­log­ous fat is often used in the breast area, around the hips (for slim peo­p­le) and in the face for natu­ral reju­ve­na­ti­on. In the face, it can fill in sun­ken are­as and make con­tours appear sof­ter. On the chest, it is more sui­ta­ble for small to mode­ra­te volu­me enhance­ment. The décol­le­té, hips or minor asym­me­tries in various parts of the body can also be impro­ved with auto­log­ous fat, pro­vi­ded the initi­al situa­ti­on is suitable.

 

How long do the results last with auto­log­ous fat?

Some of the injec­ted fat cells grow in per­ma­nent­ly, while others are bro­ken down by the body over the first few weeks and months. The final result is the­r­e­fo­re not imme­dia­te­ly appa­rent. In the long term, hea­led auto­log­ous fat beha­ves like nor­mal fat­ty tis­sue. In the event of signi­fi­cant weight fluc­tua­tions, the volu­me in the trea­ted are­as can also change.

 

Is it pos­si­ble to signi­fi­cant­ly enlar­ge a breast with auto­log­ous fat?

Auto­log­ous fat can be very sui­ta­ble for gent­le to mode­ra­te aug­men­ta­ti­on. Less so for a signi­fi­cant­ly lar­ger volu­me increase. This is part­ly due to the heal­ing of the fat and part­ly becau­se only a cer­tain volu­me can be suc­cessful­ly intro­du­ced into the tis­sue per ses­si­on. If you want a more signi­fi­cant increase in volu­me, you will need seve­ral ses­si­ons or an alter­na­ti­ve treatment.

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