Facial lipofilling is a solution to age-related changes and aesthetic problems. Who needs lipofilling and who is contraindicated for it? Procedure for nasolabial folds

It is too early to do plastic surgery, and fillers give only a temporary effect. It seems that once and for all (or at least for a long time) it is impossible to correct the flaws in appearance. In the meantime, there is a solution.

Lipofilling of the face- This is a transplant of the patient's own fat, with which you can restore the lost volume, smooth out wrinkles, remove dark circles under the eyes and other aesthetic defects. Due to the low trauma and lasting effect, this method is considered one of the best ways to correct age-related changes without a full-fledged plastic surgery.

Is this procedure suitable for everyone? What are its pros and cons? Will it hurt or not? What to prepare for during transplantation and in the rehabilitation period? What are the complications and side effects? The site offers the most detailed and verified information:

In what cases will face lipofilling be effective? Main indications

As we age, our skin loses firmness and elasticity, gradually stretches and “floats” down under the influence of gravity. In parallel, soft tissues and a layer of adipose tissue become thinner. As a result, facial features are sharpened, the oval loses its shape, numerous wrinkles appear, the eyes look sunken, and cyanosis forms around them. Usually these problems become apparent at the age of 40-50, but sometimes they are faced much earlier - already around 30. Transplantation of own fat cells allows:

• correct the oval of the face and the shape of the chin;
• fill wrinkles and large skin folds;
• restore the lost volume of the cheekbones;
• smooth out congenital and acquired soft tissue defects of the face and neck, incl. atrophic scars;
• to fill the spaces in the immediate vicinity of the facial implants located in the soft tissues in cases where the latter are noticeably contoured.

An important condition: the patient must have enough fat on other parts of the body, which could be picked up and moved to problem areas of the face. That is why lipofilling is often combined with. However, if everything is in order with the contours of the figure, it can also be carried out as an independent procedure, the main thing is that there is the right amount of transplant on the abdomen, hips or knees.

What exactly can be corrected in this way?

Pros and cons of own fat transfer

Lipofilling of the face is usually compared with contouring with fillers, since both methods solve approximately the same tasks. The main advantages of fat cell transplantation in this context are:

• Safety. The transplant obtained from the patient himself does not contain foreign proteins and other foreign impurities, which guarantees the absence of allergic reactions and rejection, which infrequently, but still occur when using synthetic injectable drugs (see article « » ).
• Natural result. Changes after lipofilling of the face are usually described as "lightness" and "freshness". In the case of preparations based on hyaluronic acid, such epithets will not always be appropriate. The fact is that HA works by pulling in a large amount of water, resulting in a characteristic swelling and overall heaviness of the treated area - especially when it comes to correction with a large amount of filler.
• Adipocytes that take root after transplantation remain in the new place forever. When compared with the GC, which lasts a maximum of six months, the choice is obvious.
• The ability to enhance the effect: the transplanted fat is often enriched with stem cells or the patient's own blood plasma, which improve his survival rate, and further have a beneficial effect on the tone and general condition of the facial skin.
• Absence of migration, contouring and other problems typical for procedures using a large volume of fillers.

Disadvantages of this method:

• The complexity and complexity of the procedure. If hyaluronic acid can be "placed" in any beauty parlor, then fat cell transplantation is carried out only in an operating room, using high-tech equipment. The sampling of material in cases where a serious volumetric correction is needed may require general anesthesia.
• Relatively long recovery period. It will take at least 1-2 weeks before all injection marks disappear from the face.
• The presence of at least small fat "deposits" in the abdomen, thighs, knees or buttocks as a prerequisite. Patients with a perfectly slender figure will not be able to carry out this procedure, since there will be nowhere to take adipocytes for transplantation.
• High price: successful transplantation is possible only with an experienced surgeon, whose clinic is equipped with a high-quality apparatus for cleaning and processing fat. In addition, since not all transplanted cells take root in a new place, 1-3 more corrective sessions may be required in the future to obtain an optimal result. Each of them is comparable in cost to the main one.

How is the procedure carried out

Lipofilling of the face begins with the delivery of standard tests - blood (general, biochemistry and for various types of infections), urine, and sometimes a number of others that the surgeon can individually prescribe to make sure there are no contraindications.

• If all results are normal, the area for fat sampling is determined. Most often it is the knees or hips - here it is the most "clean" and is best suited for transplantation. Unlike breast or buttock corrections, the face requires noticeably less graft, so the desired volume is almost always obtained under local anesthesia. For pumping, a thin cannula is used that does not leave any noticeable marks on the skin.
• The next step, the surgeon puts the resulting fat in a centrifuge, which cleans it from impurities of blood, anesthetic and other foreign particles. At the same stage, the material is sometimes enriched with stem cells, vitamins or the patient's blood plasma (the latter is preliminarily taken from a vein and also processed in a separate centrifuge).
• Next, a transplant is performed: an anesthetic cream is applied to the target area of ​​​​the face and, when it works, the prepared fat cells are injected. Skin punctures are made using small-diameter needles. Subjectively, it will not be very comfortable, but no more painful than with any other “beauty injections”. The wounds remain very small and the seams are not superimposed on them.

Injections take about 30-40 minutes (if work is carried out with a large number of facial areas - up to 1-1.5 hours), and all manipulations, starting with fat sampling, take no more than 2 hours. The patient can go home immediately upon completion.

Photo 3 - lipofilling of the face at a young age (the patient is 31 years old, the main problem is nasolacrimal grooves and an unhealthy appearance of the skin under the eyes. Also, she underwent rhinoplasty):

Photo 4 - rejuvenation and correction of the shape of the face with your own fat. The patient is 37 years old. Also, she underwent neck liposuction and removal of Bish's lumps:

How is rehabilitation going, when will the result appear and how long does it last

An important difference between lipofilling and contouring with fillers is that after transplantation of fat cells, the face returns to normal much longer. Those who plan this procedure should have at least 10-14 days in reserve before important public events and meetings.

The main problem of the first two weeks is bruising and swelling at the injection sites. The reason is the relatively large volumes of the graft: at least 3-5, and sometimes even 10-15 ml of fat is injected into those areas for which 1-2 ml of hyaluron is usually enough. You will have to be patient, but there are no serious post-procedure restrictions. By the end of the specified period, up to 80% of puffiness will go down and it will be possible to return to your usual routine.

• How long does the effect last after face lipofilling? Adipocytes that take root in a new place (depending on the technique and skill of the surgeon, they remain from 30-50 to 90% of the total volume) will remain with the patient for life. According to statistics, external - all this time the natural aging of the skin continues, but remains almost imperceptible.

After what time can the procedure be repeated?

It is possible to evaluate the final changes not earlier than after 3-6 months - during this time, some transplanted cells continue to die, while others are gradually included in the metabolism, overgrown with connective tissue and blood vessels. If after the specified period a significant part of the fat has taken root, but the overall effect is still insufficient, a small additional correction is carried out - it is done in exactly the same way as the main procedure, but the result will be more predictable.

In rare cases, several such additional sessions will be needed - in order to carefully perfect all problem areas and at the same time prevent the transplantation of excessive amounts of fat, the consequences of which are quite difficult to correct. And quite rarely, but still, there are situations when, after the first procedure, it is obvious that there is no point in continuing: for example, if only ~ 10% of the transplant has taken root. Here you can doubt the experience and professionalism of the surgeon, but if there are no objective grounds for this, then the problem is in the individual characteristics of the body, and the only possible option is to choose alternative methods of facial plastic surgery (fillers or surgery).

Photo 5 - before and after a facelift in combination with stem cell-enriched fat grafting in the cheeks, lips and lower jaw:

Photo 6 - lipofilling of the area around the eyes:

Also, it is important to understand that although successfully transplanted fat is not going anywhere, over time, under the influence of age factors, tissues will continue to lose volume. When this process becomes obvious, you can think about a second procedure.

Contraindications, complications, possible side effects

There are a lot of factors due to which you will have to refuse or postpone lipofilling to a later date. Especially if it is carried out simultaneously with liposuction of bulky areas of the body. The main ones are:

• problems with the cardiovascular and respiratory systems;
• acute infectious diseases (even seasonal colds or manifestations of herpes on the lips);
• elevated body temperature for any reason;
• blood clotting disorder;
• autoimmune diseases;
• diabetes;
• tendency to form hypertrophic and keloid scars;
• acute diseases of internal organs or exacerbation of chronic pathology;
• mental illness.

Fat grafting is considered one of the safest methods in plastic surgery, but some undesirable consequences do occur:

• Edema and bruising after face lipofilling. The inevitable companions of the rehabilitation period, which we have already spoken about above. They are especially evident if the work was carried out in the area around the eyes. It will not be possible to significantly reduce puffiness, it reaches its maximum a few days after the procedure and gradually disappears by the end of the second week. You can slightly alleviate the situation if at this time several times a day apply cold to your face for 15-20 minutes.
• Clumping and contouring of fat. In a graft that was poorly prepared for transplantation and not brought to a homogeneous consistency in a centrifuge, there are fairly dense lumps that can later be felt under the skin, and sometimes look outward in the form of tubercles. It can be quite difficult to knead or remove them, and at home it is simply impossible.
• Necrosis of fat cells. An extremely rare complication - even in foreign sources only a few such cases are described, and doctors still do not have a common opinion about their causes. Symptoms are difficult to confuse with something: the treated area hurts a lot, swells and turns red. Then, sunken areas are formed on problem areas, similar to atrophic scars, which will be extremely difficult to remove. Presumably, this happens when there are active inflammatory processes in the skin or soft tissues - if they are not identified and treated before the procedure, then the body's protective reaction will be directed not only to the infection, but also to the transplanted material.

Photo 8 - the result of necrosis after lipofilling:

Photo 9 - residual traces in the same patient after a course of treatment:

• Scars and scars. These unwanted traces sometimes remain in the places where the adipose tissue was taken. In the worst case - if the patient has a tendency to form keloids - they can even appear on the face, at the points of punctures. Ways to prevent scarring should be discussed with the doctor at the consultation, along with other possible complications, in order to be prepared for any possible "surprises".
• Complete or partial absence of a positive effect. On average, after transplantation, only about 60% of fat takes root. Sometimes this amount can be brought up to 70-90% (due to special processing techniques and high quality equipment), and sometimes it is only ~10%. Thus, an inexperienced surgeon cannot guarantee the patient at least some result of face lipofilling. Experienced - maybe, but also only within certain limits, since much depends on the individual characteristics of the organism.
• Hypercorrection. In order to compensate for the inevitable loss of fat cells and not to carry out another procedure in the future, they are sometimes transplanted with a margin, expecting that only a part of the adipocytes will remain. And if in the end, by coincidence, many more of them survive than planned, the patient's face will look far from the best. Before doing anything in this case, you need to make sure that we are not talking about persistent edema (which indicate an infection) and wait the required 3-6 months, during which the excess can go away on its own. Further, if the problem persists, excess fat is aspirated using cannulas - approximately the same way as it was originally taken for transplantation.

How much does face lipofilling cost? Current prices

The cost of the patient will depend on how good and modern the equipment is installed in the chosen clinic, how experienced the surgeon performs the procedure and how many additional corrective sessions are needed in the future. In addition, the number of treated areas and the severity of age-related changes are important - the amount of fat required for transplantation depends on this.

Thus, often the cost of the same type of corrections even by the same specialist for different patients varies significantly due to their individual characteristics. A more or less exact figure can be determined only at a face-to-face consultation, after a detailed examination and discussion of the desired result.

Lipofilling of the face is currently the most effective, and most importantly, gentle way to give the various areas of the face the necessary volume. The main advantage of this surgical procedure is that the transplanted fat remains forever. In this case, the volumes of fat grafts can be quite large, which is basically impossible in the case of using other fillers.

In addition, the fatty tissues of the human face contain a sufficiently large amount of stem cells, which, after the facial procedure, can actively contribute to the process of facial skin rejuvenation. This procedure is carried out exclusively with the help of special microcannulas. Facial lipofilling can be performed as an individual procedure or in combination with other surgical procedures for skin rejuvenation.

History of lipofilling

Medical experts began experimenting with the introduction of various substances under the skin to change the contours of the face as early as the nineteenth century. The first description of the technique for introducing paraffin under the skin refers to one thousand eight hundred and ninety-nine. However, at that time, the use of paraffin to reshape the contours of the face not widely used due to a large number of various kinds of complications that were associated with the rejection of this substance by the human body.

For this reason, plastic surgeons have been forced to use other injectable substances. In particular, refined latex and rubber. In the forty-fifth year of the 18th century, a lipoma was transplanted into the mammary glands for the first time. But this technique was also imperfect and was quickly forgotten about.

In 1926, a technique for introducing the patient's own fatty tissues through special needles was first described. However, its implementation at that time turned out to be impossible, because the method of obtaining adipose tissue was not yet thought out. The use of special cannulas for this purpose, as well as a vacuum, became possible only in 1983. This technique is called lipofilling.

Lipofilling of the face: main stages

The surgical procedure consists of the following steps:

1) Careful clinical examination of the patient;

2) Drawing up a detailed plan of the procedure;

3) Determination of areas of the face that need lipofilling;

4) Markup;

5) Anesthesia of the places where it is planned to introduce cannulas with the help of special needles of a minimum degree of fineness;

6) Taking fat autografts with the help of special syringes with a capacity of five milliliters to ten milliliters;

7) Centrifugation, due to which it becomes possible to separate viable fatty tissues from damaged cells, as well as from various kinds of anesthetics;


8) Enrichment of the injected fat with special platelets, which are injected from the patient's blood, in order to increase the degree of its survival;

9) The introduction of fat under the skin of the patient's face.

Regarding the postoperative period, it proceeds quite easily. Bruising occurs in very rare cases, swelling is completely painless and minor, wearing a bandage is not necessary.

Varieties of lipofilling

Currently, there are the following types of facial procedures:

• 1) cheekbone lipofilling;
• 2) nose lipofilling;
• 3) lipofilling of the chin;
• 4) lipofilling of the lower eyelids;
• 6) eyebrow lipofilling;

Let's explore each variety in more detail.

Cheekbone lipofilling

This lipofilling of the face on the cheekbones is used in cases of an increased level of the "plane" of the middle zone of the face, turgor of the skin of the face, a decrease in the degree of its elasticity, narrowness of the middle part of the face, the formation of a nasolabial furrow, the formation of a nasolacrimal furrow, insufficient severity of the cheekbones, a sharp transition of the lower eyelid-cheekbone , asymmetry of the middle part of the face, haggard appearance of the face, tired appearance of the face, sunken cheeks, sunken cheeks, as well as the initial age-related changes in the skin of the face.

As for the fatty tissues that are used for lipofilling of the cheekbones, they are taken from special donor areas of the body, which can be the hips, waist or abdomen. Fat is cleaned by a special method. The very same procedure for the introduction of fatty tissues under the skin of the cheekbones takes no more than thirty minutes.

Within the next 15 days after the surgical procedure to change the cheekbones of the face, they begin to sprout new blood vessels that provide them with oxygen as well as nutrition. The results of the facial lipofilling procedure are the effect of fullness of the face, as well as the ideal contour of the cheekbones.

The main advantages of cheekbone lipofilling include the following:

• 1) Absence of any allergic reactions;
• 2) Low level of trauma;
• 3) High level of susceptibility of own fatty tissues by the patient's body;
• 4) Long-term result;
• 5) Stability of the result;
• 6) Naturalness of the result;
• 7) Short rehabilitation period;
• 8) Possibility of combination with rhinoplasty;
• 9) Possibility of combination with blepharoplasty;
• 10) Possibility of combination with cheiloplasty.

Separately, it is worth noting the short duration of the rehabilitation period after the surgical procedure for face lipofilling (this procedure is also done for the legs). The risk of any complications is minimal. The result should be observed within 2-4 days after the swelling subsides at the injection site.

Operations on the nose

Lipofilling of the nose is usually a minimally invasive procedure and for this reason local anesthesia is used to perform it. Adipose tissue, which is used for transplantation in the nose area, can be taken from absolutely any part of the body that contains them in large quantities. In particular, from the buttocks, thighs, abdomen, as well as from the inside of the knees.

In some cases, so-called injection anesthesia can also be performed in order to minimize bleeding. Aspiration of fatty tissues is carried out through a small incision using a perforated cannula, as well as a special aspirator. After the procedure, the incision is sutured with small stitches.

Before injection, the aspirated adipose tissue is thoroughly cleaned. Thanks to rotation in a special centrifuge or filtering various kinds of painkillers, as well as blood, are separated from fatty tissues. The nose area is anesthetized, after which fatty tissues are injected with thin cannulas. The whole complexity of the procedure lies in the fact that with each cannula to introduce the smallest possible amount of adipose tissue.

Chin changes

Before lipofilling of the chin, patients must have a general examination, as well as get a specialist consultation. In addition, he will need to take tests to identify various kinds of contraindications, as well as all possible risks of surgical intervention in the chin area. For the chin lipofilling procedure, patients are required to pass the following tests:

• 1) Electrical cardiography;
• 2) Urinalysis;
• 3) Blood test;
• 4) Analysis for the determination of the causative agent of syphilis;
• 5) Analysis for hepatitis C
• 6) Analysis for hepatitis B;
• 7) Fluorography;
• 8) Analysis for HIV infection.

During the examination of the patient and the consultation of a specialist, this list of tests may be subject to change. In addition, various additional tests may be prescribed. This will depend on the condition of each patient individually, as well as on anamnesis.

Eyelid lipofilling

Lipofilling of the upper eyelids can mean an operation on the superciliary region, the subbrowial region and partially the temporal region. To carry out this surgical procedure, two types of fat autografts are used, which are taken exclusively from the knee area, because it is in this area of ​​the human body that the fat has the smallest size, the best blood supply, and the maximum number of cells, which, in turn, contributes to their better survival in upper eyelid areas. Fat of the first type serves to raise the upper eyelids.

In addition to the volumetric function, it also has a supporting and supporting function. Fat of the second type is used for volume correction of the upper eyelid area, and also acts as a filler.

Lipofilling of the lower eyelids is carried out in extremely rare cases. This is explained, first of all, by the fact that this part of the human body is characterized by a high level of mobility, which, in turn, actively contributes to the rapid resorption of the injected fatty tissues.

Eyebrow lipofilling is used mainly in cases of enophthalmos, that is, retraction of the eyeball due to various kinds of injuries, tumor processes, scarring of the intraorbital retina, as well as intraocular retinal atrophy. Forehead lipofilling will help you in cases where your forehead is blurry or flat. Thanks to this surgical procedure, you can create a smooth transition from the forehead to the nose, thereby making the face much younger.

When talking about 3D technology, it's always amazing: created by man, but in such a way that you can't distinguish it from reality. The same effect is achieved after a unique cosmetic procedure of facial rejuvenation at the cellular level - lipofilling, when as a result of correction lost volumes are modeled, while achieving a natural face, and minus 10 years of age is gone.

Facial lipofilling – rejuvenation with own cells

Lipofilling is not an operation as such - it is a micro-operation, rather similar to gel injections, only your own fat cells act as a filler. Fat is taken from the patient from the places of its greatest accumulation: the inner or outer part of the thigh, buttocks, abdomen.

There is something in common with: after fat is taken using a special syringe with a capsule called a cannula, it is placed in a centrifuge to remove excess impurities and damaged cells. Then your own fat cells are injected with very thin needles in separate droplets into the problem areas of the face, previously outlined. The bandage is not applied either in the area of ​​the filler injection, or in the areas of adipose tissue sampling. Scars in places of punctures do not remain.

The set of accessories for the procedure is individual, disposable. Lipofilling is performed under local anesthesia (i.e. the patient controls the entire process) or general anesthesia at the request of the client. The procedure itself takes 30 to 60 or more minutes. It does not require a long stay in the hospital: if the correction zone is single and the amount of injected adipose tissue is small, then the patient returns home on the same day.

Killing two birds with one stone - getting a rejuvenating effect and reducing body volume in the facial lipofilling procedure will not work: liposuction (fat sampling) is performed in a very small amount from 2-5 ml to 30-60 ml for the entire face area.

Facial lipofilling, according to reviews on the forums, is used to eliminate appearance flaws in various situations:

• for the purpose of rejuvenation during natural aging (thinning and drying of the skin);
• in cases of significant weight loss with a sharp weight loss, which is not reflected in the best way on the face;
• the appearance of premature wrinkles when the condition of the skin changes at a young age in thin women and owners of dry skin;
• for the correction of congenital or acquired asymmetry of the face or chin.

What problems can be eliminated with facial lipofilling? According to the reviews on the forums about lipofilling, the faces that primarily give out age and cause dissatisfaction: deep bags under the eyes or hanging eyelids, recession of the temples, nasolabial folds, a marked tear trough and a sharply defined sharp jaw line. It is these transformed zones that can be seen in the photo of face lipofilling before and after, as a spectacular result of the procedure. But most of all, the restored volume of the skin is striking, and without distorting facial features - the natural forms of the cheeks and cheekbones without sharp transitions.

Facial lipofilling is one of the few anti-aging procedures that does not have age restrictions, is effective and is carried out even at the age of 70.

Indications for facial lipofilling

3D facial rejuvenation with a fat autograft is not the only indication for this procedure. Lipofilling of the face will help in correcting aesthetic imperfections, even in cases of facial injuries, because. naturally models lost or small volumes, deformation and asymmetry of the cheekbones, cheeks, lips, chin. The ideal procedure is when only a single area needs to be corrected.

Contraindications for face lipolifting

There are no specific contraindications to face lipofilling, they are common, as well as to any other beauty procedure, namely: oncological diseases, diabetes mellitus, diseases associated with impaired blood clotting or engraftment of connective tissues, cardiovascular diseases, the presence of acute infectious or inflammatory diseases at the time of the procedure, mental health problems. The only caveat is that the micro-operation may not take place if there are no fat cells in the donor patient.

Cost of face lipofilling procedure by zones

The cost of lipofilling is differential and depends on the area of ​​correction and the amount of injected fat, which may be necessary from 1 ml to 30-40. If we consider 1 zone 5 × 5 cm in size, then it is approximately 25,000 rubles. Lipofilling of the lips and nasolabial folds will cost about 40,000-42,000 rubles, slightly higher than the price of the procedure in the temporal region.

Such critical areas as the upper or lower eyelid (both eyes) will cost from 55,000 to 65,000 rubles, a chin correction will cost about the same, and the vast area of ​​the cheekbones and cheeks will reach 100,000 rubles. Lipofilling of the face will completely reach 120,000 rubles, i.e. the price of the procedure is much lower than a facelift.

What to expect after the procedure?

There is no rehabilitation period after the procedure, as such. It is a painless, minimally invasive micro-surgery. Some patients start working duties already on the 3rd day. The inserted implant - its own fatty filler does not cause rejection or an allergic reaction, which, according to reviews of facial lipofilling, is a decisive factor in choosing a rejuvenating procedure. But to prevent complications, you should still follow the actions recommended by your doctor, especially in the first three days.

Fat cells tend to dissolve before they take root. In this regard, they are administered 30-50% more than the required amount. Slight swelling of the face after the procedure is normal. It usually goes away in 3-7 days. The appearance of bruises, or rather some yellowness on the face at the injection sites of the filler, is also considered the norm. Reduced sensitivity is also possible.

Facial lipofilling receives negative feedback from those who have undergone the procedure most often for these reasons, especially if swelling or yellowness does not go away for a longer time.

After 2 weeks, there are no traces of punctures and negative consequences from the procedure. The face acquires a certain volume, giving it natural fullness, but not fullness.

We can talk about the final result of the procedure after 2 months, when the implant is no longer such, but becomes a full-fledged tissue, one with others. The effect is manifested not only in the even relief of the face, the smoothness of lines, the absence of deep depressions, folds or wrinkles, but also in the structure of the skin itself. This is also evidenced by positive reviews before and after face lipofilling, noting a change in the condition of the skin. Her own fat has given her the necessary nutrition, she becomes more saturated, fresh and young. You can no longer call it dry or parchment.

Facial lipofilling: what is the validity period?

The initial assertion that the result of face lipofilling is preserved until the end of life, in practice is not entirely justified. In some cases, the fatty filler behaved unpredictably. In some patients, it resolves within a year or less. This is explained either by an individual feature of the connective tissues of this person, or by a lifestyle that leads to such an ability not to retain fat in his body.

But if you study in detail the reviews on the forums, you will meet those who write that they themselves underwent facial lipofilling 2-3 years ago and are still satisfied with the result, i.e. the duration of the procedure can be called long.

True reviews from the forums about facial lipofilling

Positive reviews

Vlada, 37 years old

Throughout my life, I have always suffered from excessive thinness. But she could no longer put up with the terrible bags under her eyes and sunken cheeks. This was especially evident in the photo. Gel fillers saved only for a year and a half, but I wanted a longer effect.

I studied everything about face lipofilling, photos before and after the operation, prices in various metropolitan clinics. On the forums, I carefully looked through the reviews of specific specialists in this area, talked with those who had already undergone the operation. After that, I began to choose a doctor. Although she herself is from Moscow, she chose the plastic surgeon S. from St. Petersburg. The cost of the procedure also played an important role in my decision: here it is lower than in Moscow clinics. Through the site I sent my photo and a preliminary application for admission.

I had a problem with the intake of fat: on the inner side of the thigh it was not enough, they had to take it from the sides, they barely scraped 18 ml. Where they took the fat, they put stitches and sealed it with a band-aid. They warned that the stitches might bleed, but this did not happen to me. After 5 days, I took them off myself with nail scissors, disinfecting them with alcohol.

All manipulations were performed under local anesthesia, because I wasn't going to spend the night at the clinic. I didn't feel pain at all. The whole operation took about 2 hours. Although I felt great, they didn’t let me go right away, but forced me to lie down in the ward with a compress on my face. And only after a delicious dinner I was allowed to leave the hospital.

The greatest effect came after 2 months, when, under the influence of accustomed fat cells, the skin on my face began to look much better and I felt younger.

More than 2 years have already passed, and I still look great, the injected fat has not gone anywhere, has not dissolved.

Lilia, 50 years old

You will not believe it, but already a month after face lipofilling, I received congratulations on my anniversary! Including compliments that I look younger than my age. But I had senile sunken cheeks, as if they were starving and forced to carry heavy bags ... Appear in front of the guests in this form, and then “admire” the photos and videos ... No, not that! My daughter and I, first on the Internet, and then during personal meetings, stopped at the clinic of Dr. P., when we were convinced of the literacy of specialists who could be trusted with our face.

I was not afraid of possible bruises in the places of incisions for taking fat. The main thing is that after 3 days the puffiness on my face subsided and I could devote myself to the upcoming anniversary. And he was a success thanks to Dr. A.A.

Vera, 52 years old

I’ll tell you about the result of lipofilling on my face, not my own, but about a sick one for me ... My daughter received a terrible facial injury as a child: a huge dog attacked her, she was barely saved. It happened in the countryside, so she had a huge sunken scar across her right cheek. Naturally, it is impossible to hide this, including from prying eyes. Everywhere - at school, on the street, in other places - my girl walked with her eyes downcast. The older she became, the more complexed about this.

When she was 15 years old, I was finally able to help her ... Or rather, Dr. P. did it. Hardware cosmetology and other procedures returned the meaning of life to my daughter. The final operation was face lipofilling, which returned her youthful charm. You will not believe it, but after that a lot has changed in her life ... Now she is even called a beauty. Now only close people know about what happened to her in childhood, about the ugly scar on her face. So I have the right to say that lipofilling is capable of miracles.

Neutral Feedback

Nelly, 57 years old

I did facial lipofilling 2 times, although the first time I was scared because of the negative reviews on the network. The first time - under the eyes and in the cheekbones. There were no bumps left from the overdose of fat cells. The unnecessary has disappeared, the most is left. The only negative in my opinion was that the bruises under the eyes did not go away for a long time. Now, six months later, I had 2 operations on my cheeks, 4 days have passed, so it's too early to talk about the result, but I think that everything will be as planned with the doctor. Although swelling of the face is scary.

Lydia, 35 years old

I lost more than 15 kg, everything is fine, but not my face. It was blooming, and now it looks like a drunk with a shabby face. I wasn't going to fix it. I turned to the clinic. We opted for face lipofilling. I won’t say that the procedure itself and the anesthesia are pleasant ... And after that it’s better not to remember at all. The face is all swollen, just a bun ... As they say, all is well that ends well. After 2 weeks, all swelling from the face and bruises were gone. It's been 3 months now and I'm happy with the results so far. At least I look fresh and smooth.

Negative Feedback

Galina, 47 years old

If I had known that this would happen, I would never have gone for lipofilling around the eyes. I was given local anesthesia, but it still hurt when they took fat from the abdomen, and when they made punctures for its injection on the face. As a result, after the procedure, literally the next day I had swelling under my left eye. It lasted for 10 whole days. And 2 more months after all this, I had bags under my eyes ... It's been 3 months already and I don't know which is better: sunken eyes or swelling under them. I am not satisfied with what was on my face, much less the result after lipofilling.

Svetlana, 42 years old

I did lipofilling of the nasolabial folds. A nightmare!!! It's not my face, it's scary to look at, it's swollen... Now the left side is numb, some kind of bump has appeared. What will happen next? Did I pay money for such beauty? And it's already been a week.

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"Lipofilling of the face, reviews." 1 comment

04/28/2016 @ 6:08 pm

Depending on the volume of injected fat and the scale of the procedure, all operations are performed under local or general anesthesia. During face lipofilling, adipose tissue is usually taken from the abdomen, thighs or from the knees by liposuction.

The recent boom in lipolifting has just begun to gain momentum. If a couple of years ago only a select few spoke about such an operation, now every patient of a cosmetology clinic knows about it. Why do many people prefer to do facial lipolifting to rejuvenate and eliminate existing aesthetic defects, age-related problems? Such a high level of demand is explained by the stability of the results obtained, low trauma, easy rehabilitation with a minimum of complications and the absence of scars after surgery.

Lipofilling (lipofilling) of various areas of the face is the type of operation most commonly used by plastic surgeons. It is performed as an independent, isolated event, as well as in combination with other surgical interventions: with classical rhinoplasty, all types of facelifts, cheiloplasty, blepharoplasty and fractional laser resurfacing or rejuvenation.

Lipofilling should not be treated as a simple procedure. This is an operation with a complex of specific manifestations during its implementation and after. Simplicity and low-impact does not negate the observance of special requirements and recommendations during the rehabilitation period. If you decide on face lipolifting, then you should figure out what, how and when will happen.

Experts consider lipolifting an operation with low-traumatic consequences, quick recovery and a pronounced natural rejuvenating effect that increases over time.

During the operation for beautification or volumetric restoration (modeling) of all facial contours, own fat is transplanted, which is a unique filler. This method of surgical intervention has become one of the modern trio of technological achievements, giving a true form of rejuvenation of living tissues. The use of new methods of lipolifting, injections of autofibroblasts and fractional laser rejuvenation activates the natural reserve forces of the body.

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Types of lipofilling

Modern lipofilling is usually divided into three main types: macro-micro (SNIF) and nanolipolifting (nano fat grafting). They differ in:

• technologies for taking "building" material;
• the level of administration and prepared for transplantation, adipose tissue;
• the size of transplanted fat grafts;
• techniques for introducing transplanted cells;
• the tools used; cellular composition;
• tissue preparation methods.

In macrolipofilling, relatively large fat tissue grafts are used as a plastic filler. Using them, it is convenient to restore or increase the volume of zones with naturally expressed fat. In the face area - these are the cheekbones, the temple area and the chin. On the body itself for macrolifting, the gluteal zone, knees, chest and lower leg are considered the most suitable for correction.

To collect fat fractions, blunt cannulas up to 2 mm are used. Specially processed and purified material is injected with cannulas almost twice as thin (1-1.2 mm). It is allowed to enter subcutaneously, intramuscularly and intramuscularly.

Microlipofilling with a small portion of the introduction to effectively correct areas with a very thin fat layer. These include the eye, neck, around the lips, etc. Macrodoses in these places form irregularities in the form of strips of fatty thickenings. Therefore, cannulas up to 1 mm for biosampling and 0.7 mm for subcutaneous injection of the prepared biomaterial into corrected areas are better suited.

Small fractions of fat can remove superficial types of wrinkles, nasolacrimal and nasolabial folds, shallow scars and post-acne skin defects, traces of stretch marks, etc.

The Sharp Needle Intradermal Fatgrafting technique for moving viable finely dispersed fat with a thin needle is described by European plastic surgeon Patrick Tonhard. His method made it possible to smooth the relief, fill in fine wrinkles in delicate areas.

Most patients require a complex effect of three methods at once at different levels. The combination of macro-, micro- and nanolipofilling guarantees an excellent developing effect with the restoration of missing volumes and a rejuvenating effect on the skin.

Thanks to the performed lipofilling, the patient will receive the natural beauty of a full young face with elastic, straightened and dense skin.

Such a positive effect of lipofilling on the skin layers is associated with the presence in human adipose tissues of two types of cell groups that make up the stromal-vascular fraction. In the vascular - fatty (adipocytes), erythro-, peri-, leukocytes, endotheliocytes, macrophages, etc.

The fibroblast-like group consists of fibroblasts themselves and mesenchymal stem cells. Responsible for regeneration are stem cells and loose connective tissue cells - fibroblasts.

At the mention of the ubiquitous stem cells, a lot of questions arise. Ambiguous publications in the media sowed fears, gave rise to a lot of legends. Let's start dotting the missing "i".

1. Stem cells are found in every tissue of the human body. They are located along the outer walls of the vessels and constitute a strategic reserve. Without them, regeneration or recovery from damage is impossible. Everyday work is not for them, they come out of a dormant state in emergency situations. Only in case of especially severe diseases and injuries, they are sent to the damaged organ or area. At the end point of migration, several divisions occur, giving rise to healthy progeny cells.
2. Stem cells are indeed progenitor cells with specific properties. Their ability to divide and develop infinitely quickly makes it possible to obtain any cell during reproduction. As they mature, they take on the functions of bone, muscle, vascular or nervous tissue cells. HOWEVER, pluripotency is characteristic exclusively of the embryonic type of stem cells. As a person grows older, they acquire unipotency or the ability to give life to cells of their type. They carry the properties of the tissue of which they are an integral part.
3. It is characteristic that each of them, when dividing, leaves behind one more stem cell, which passes into a dormant phase and replaces the spent progenitor. The second, produced, functional cell continues tissue regeneration with its young offspring. If we talk about fatty tissues, then its milliliter holds up to a million stem reserve.
4. Stem cells stimulate the formation of new blood vessels, muscles, and skin tissues. With an increase in the number of fresh fibroblasts producing connective tissue, the production of intercellular substances, collagen, elastin and its own hyaluronic acid increases. The activated processes rapidly rejuvenate the areas with transplanted fat. In addition to the displaced volume, the turgor and skin color change, velvety, density and smartness appear.
5. The very process of fat transplantation is accepted by the body as a trauma, and stem cells are urgently activated. Cells representing the "receiving" and "giving" sides begin to wake up. Additional fibroblasts and stem assistants will “go” to the site of injury, which will enhance and speed up recovery.

What to expect from the postoperative period?

The recovery process after lipofilling proceeds differently for everyone. It all depends on the set of individual characteristics of the body, lifestyle and habits. This includes:

• age complicating changes;
• a list of previous operations, aggressive impacts and injuries affecting the transplant area;
• the ability to regenerate and its speed;
• specific pain threshold;
• the presence of a tendency to form hematomas and edema;
• the presence of chronic diseases and bad habits.

Often, patients experience some fear of future changes in their own appearance. Even the improvement is worrisome and they try to get the doctor to inject less. The planned volume of transplants must be discussed with the surgeon in advance in order to avoid unnecessary disappointments a couple of months after the operation.

For example, when lipofilling of the cheekbones, 6-14 ml are injected, the volume is determined by the specifics of the structure and size of the face. Novice patients insist and receive 6 ml. Then, by the end of the third month, 4 may remain, however, in the worst case. All 5.5 are possible - in an ideal scenario.

Now let's look at the face through the eyes of the patient himself. Immediately after surgical manipulations, they observe a rounding "rejuvenating" edema, which has been growing for some time. The volume of the area that has taken on the fat can get a 3-4-fold increase! A few days is enough for them to adopt a new look. Now the proportions are beginning to suit, when suddenly there comes a stage when everything superfluous comes off, and there remains a small correction for those same 4 ml.

It is these volumes that will become the basis for a new image. When you gain or lose weight, the new adipose tissue will react as if it were your own, increasing and decreasing. But they will never return to the original, pre-lipofilling state!

The vast majority of “incredulous” patients return after six months for an additional portion of fat in order to get the effect with edema, which they managed to like in the postoperative phase.

Patients talk about resorption of transplanted fat. There is some truth in these statements. During engraftment, up to 20-30% of the fatty material is consumed. It is noted that the percentage of engraftment is directly proportional to completeness. This means that the losses of the thin ones are obviously greater, so they are advised to repeat the session to get the maximum effect. Although, in addition to spending up to a quarter of the displaced adipose tissue, care for postoperative swelling must also be taken into account.

How will lipolifting affect the face?

Any, even a minor operation, can provoke side, unwanted reactions and unexpected complications. Lipofilling is no different: side effects persist for a while, and complications are extremely rare.

The symptomatology that occurs after a traumatic effect manifests itself in the form of an inflammatory process (without infection - aseptic). This is called a temporary side effect, which is inevitable in the healing process. It is manifested by swelling, bruising, local violation of the sensitivity of damaged tissues, the appearance of discomfort and redness.

Complications are considered, joining at the postoperative stage, pathological processes. These include formed seals, persistent irregularities and cysts.

Standard local side effects that appear after facial lipolifting:

Hyperemia or redness of the skin is saturated scarlet and pink. Classical hyperemia always occurs in response to local inflammation during traumatic impacts. In addition, the tissues themselves give a natural inflammatory response to the transplanted biomaterial. Basically, hyperemia, in addition to temporary inconvenience, does not raise unnecessary questions. It is very easily removed when using local therapeutic agents.

The formation of some irregularities or seals. At first, they can be palpated in areas receiving implanted fat. Such appeared irregularities or seals do not require any intervention and additional impact. Usually, they are observed by all patients in the first 2-3 weeks after surgical procedures. It is forbidden to massage them and in no case - to press. If you do not listen to the recommendations of doctors, then a hole will form in place of the former protruding irregularity, which will no longer be delayed.

If pronounced seals remain 3-4 weeks after the transplantation of the fatty biomaterial, then you will have to visit your plastic surgeon and show him the condition of the problem areas. Sometimes prolonged inflammation can turn into complications in the form of persistent seals and other irregularities.

In such cases, there is no point in panicking. Usually, to solve the problems that have arisen, the doctor prescribes a standard gentle finger massage, which must be done daily up to 4 times. Perhaps the doctor will enhance the therapeutic effect by prescribing a course of physiotherapy, additional procedures. A complex effect often leads to very fast results and the manifestations of complications will completely disappear. In extreme cases, with the ineffectiveness of therapy, a puncture may be necessary. Usually, connecting to a simple physiotherapy massage is enough.

characteristic edematous syndrome. Necessarily accompanies the postoperative phase during fat transplantation. Manifestations can be of varying severity. The root causes of the condition are:

• trauma-responsive aseptic inflammation;
• temporary lymphostasis;
• violation of the fluid outflow.

The introduction of fat leads to a sharp increase in the local soft tissues of the zone being changed, compression of the veins and obstruction of normal lymph flow.

Initially, puffiness appears only after a day. The blood flow at the operation site sharply decreases (by 50%) by 3-4 days, at the same time the edema becomes maximum. By the 5th day, hemodynamics normalizes and edema gradually disappears. Less often, the puffiness formed at the end of the first day, without increasing, subsides only on the third.

The provoking factor for the reappearance of edema can be the use of spicy, salty and sweet foods, premenstrual syndrome, overdoing exercise, overheating, alcohol intake, etc. Absolute stabilization of blood circulation to baseline is usually observed by the 2nd month of rehabilitation. After the 3rd, it increases significantly, which confirms the rejuvenating effect.

The degree of discomfort that appeared at the impact sites may manifest itself differently in each specific case. Usually, its severity is limited to a feeling of some bursting during the period of greatest swelling. The perception of the level of discomfort is more dependent on individual sensations. You can stop the sharp manifestations with painkillers.

The appearance of hematomas (bruises, hemorrhages) is associated with damage to small vessels and leakage of blood from the usual vascular bed. Getting into the surrounding soft tissues, it impregnates them, causing staining in a certain shade. These will be hematomas, which, due to their colorfulness, scare patients no less than the edematous syndrome at the first manifestations.

The complete disappearance of visually frightening post-traumatic marks usually occurs by the end of the first week after the intervention or by the 10th day of rehabilitation.

In case of difficulties with resorption of hematomas at the sites of fat graft sampling, a manual or LPG massage is prescribed, which affects not only the skin, but also the layers of subcutaneous fat. The effect of the hardware option is more pronounced and noticeable after several sessions. It significantly reduces swelling, helps to dissolve large hematomas and scars.

The importance of rehabilitation measures in recovery after lipolifting

There is a specially developed program in the clinic to minimize the terms of the rehabilitation stage and facilitate its passage. Subject to compliance with the requirements and carrying out all the activities of the preparatory period, postoperative recovery is significantly improved. The entire software package increases the percentage of engraftment of adipose tissue.

The activities carried out during external therapy include a complex of cosmetic products in the form of special creams. With the correct sequence of their impact on the skin of the face, its transformed zones take root faster and recover after lipolifting.

External therapy includes:

Anti-inflammatory hormonal cream Elocom is developed on the basis of synthetic glucocorticosteroid. With local short-term use, it quickly stops excessive inflammation, itching, and an allergic reaction. Although you should not use a hormonal cream all the time or for a long time, there is still no better way to get rid of “loosened” inflammation.

Additional anti-allergic, antipruritic, anti-exudative properties of the cream make it indispensable in the treatment of many inflammatory complications after skin lesions. The active ingredients of the drug will reduce redness, painful swelling. When applied topically, the vessels constrict at the site of acute inflammation. The duration of use is limited to 3-5 days, by which time the inflammatory process will already be stopped.

Heparin ointment, being a product of animal origin and a direct anticoagulant, prevents platelets from pooling and blood clotting. The ointment will reduce the severity of edema by expanding blood vessels and improving local blood circulation. Due to this, the processes of rapid resorption of hematomas are turned on, the risks of postoperative complications are reduced.

Regenerating cream Traumeel S. It is based on a homeopathic medicine. The drug has a wide spectrum of action on many problems that arise in acute inflammatory processes. One and a half dozen herbal ingredients and mineral supplements safely treat local pain, while providing wound healing and good anti-inflammatory effects. Hemostatic agents help to cope with the first stages of the post-traumatic period. The homeopathic preparation has long been used as a tool that significantly improves the condition and contributes to a full recovery after lipolifting.

A carefully designed full rehabilitation program will help you cope with side effects as soon as possible and achieve your original goal. It allows the skin of the face injured by lipofilling to fully recover, eliminates the additional difficulties of a difficult rehabilitation period and brings the long-awaited result closer.

Magnetic therapy is carried out with low-frequency, low-intensity alternating magnetic fields. This is the safest therapeutic method. Magnetotherapy is used for local impact on the area located directly in the area of ​​​​the location of magnetic emitters. Among the main therapeutic effects: a pronounced anti-inflammatory, relieving swelling, blocking pain manifestations and improving microcirculation action.

Microcurrent therapy is based on the electrotherapeutic effect of low voltage currents with small amplitudes. Microcurrents stimulate the process of restoring the internal electrical potential of the membranes of their own cells. Getting a start, the body normalizes cellular metabolism, restores the lost functions of cells damaged during transfer to a new place. The microcirculation of postoperative areas and the outflow of lymph improve dramatically.

The main goals of the rehabilitation stage:

• minimize the risk of postoperative complications;
• ensure active entry into the deep layers of the soft tissue affected after lipofilling, useful substances with the help of drugs that promote the rapid engraftment of the transferred fat;
• conduct local anesthesia with the help of antispasmodics, timely relaxation and stimulation of additional production of endorphins;
• quickly establish normal blood supply in the "receiving" areas of fat transplantation;
• prevent the maximum increase and quickly eliminate edema, stimulating lymphatic drainage;
• reduce pain to relieve temporary psychological discomfort;
• stimulate general immunity;
• activate emergency regenerative processes in injured skin, which will help speed up healing.
• to achieve rapid resorption of the resulting hematomas and seals;
• strengthen the vascular walls and normalize their permeability;

The entire process of rehabilitation of the patient takes place under the sensitive, constant supervision of specialists. If any difficulties arise, such control will allow you to quickly change the tactics of rehabilitation or supplement the program with measures to prevent possible complications.

The standard package of the rehabilitation program is designed for 6 recovery days. This minimum is considered necessary to accelerate recovery and obtain the maximum aesthetic effect. The main difficulties occur in the first three days, when the patient feels discomfort from swelling, bruising and irritation. It is better to start rehabilitation procedures on the first day after surgery in order to minimize side effects after transplanting one's own fat to a new receiving area.

Of course, it is desirable to extend the rehabilitation time up to 2 weeks, until the full recovery of the face after lipofilling.

The package of procedures preparatory to the operation includes physiotherapy procedures that will help improve the blood circulation of the areas targeted for change with the help of lipolifting.

Attention! What can not be done after lipofilling?

1. The accustomed adipose tissues DO NOT tolerate a hot climate, "shock" physical activity, hot baths and saunas. Therefore, for the next 3 months after lipofilling, you will have to wait with all this.
2. The first 3 months after transplanting your own fat, you need to maintain a stable weight. Absolutely NOT to lose weight! With a sharp loss of mass, the “new” fat will go away first!
3. During this period, even the pressure of the temples of old glasses that do not fit the new forms should be avoided. They can leave small dents that spoil the impression of the image.
4. For another six months after the operation, the body needs to be fed with polyunsaturated fats. Therefore, olive oil, red fish, cream, fatty sour cream, cottage cheese and nuts CANNOT be excluded from the daily diet.
5. The newly transplanted adipose tissue will not tolerate mechanical pressure. In response to pressing, it will dissolve, leaving behind a dent. The first month after the operation, DO NOT sleep with your face in the pillow. This position will provoke re-edema and increase the percentage of fat lost during engraftment.
6. Even obvious irregularities in the distribution of fat in the first 3-4 weeks of engraftment CANNOT be kneaded and pressed. Only the surgeon can determine the nature of the seals upon examination. With persistent seals, a gentle massage is prescribed.

With a careful approach and careful observance of the recommendations, after 3 months your reflection in the mirror will please you with well-deserved volumes. And a little later, the skin of the face will surprise with added freshness and firmness.

A noticeably rejuvenated face without pigmentation, angularities and wrinkles, with a clear oval, beautifully pronounced cheekbones and sensual lips, with a radiant look and velvety skin, will give amazing lipofilling forever. Let the filled face add a feeling of youth, regardless of the years lived!

ask a question to a specialist

Facial lipofilling is an aesthetic procedure that involves the transplantation of one's own fat cells from one area to another. This operation allows not only to smooth out shallow wrinkles, but also to improve the general condition of the skin, get rid of dark circles under the eyes and correct the contours of the cheekbones, chin and facial contours in general.

The fat itself is taken from where it can be in excess - the hips, stomach or buttocks. After taking fat into a syringe specially designed for this purpose, it is sent to a centrifuge to separate useful and dead cells, after which they proceed to the operation itself.

Many cosmetologists and other specialists involved in aesthetic surgery confirm that lipofilling can be classified as a universal procedure that allows you to solve several problems at once in one session without serious surgical intervention.

Indications

The main reason for lipofilling is dissatisfaction with the appearance of your face, which by the age of 30 may lose its youthful freshness - wrinkles, circles under the eyes and other not the most pleasant details appear. But not only age-related changes can cause a trip to the beauty parlor - among the indications the following is indicated:

• Prominent tear troughs
• Asymmetry due to injury
• Postoperative folds
• Deformation of the contour of the cheekbones due to sudden weight loss
• Congenital or acquired asymmetry of the chin
• Atrophic scars of any nature
• Unnatural dry skin

It should also be said that the procedure has nothing to do with liposuction. The amount of fat taken from “problem” places is too small to talk about figure correction and the ability to solve two problems at a time. Lipofilling involves the use of just a few drops of fat per area.

Prominent tear troughs: before and after

Contraindications

As such, facial lipofilling has very few contraindications. Basically, they relate to the general condition of the body, the presence of chronic diseases and factors incompatible with general or local anesthesia.

The procedure cannot be carried out with the following problems:

• Cardiovascular diseases
• Any infectious lesions, including herpes and SARS
• Autoimmune disorders
• Epilepsy
• Diabetes
• Hemophilia

Important: The operation can be interrupted by the doctor himself, if during the process it turns out that the patient does not have enough fat cells suitable for transplantation. As such, this cannot be called a contraindication, but rather a factor in which the procedure becomes simply impossible.

Training

Like other operations related to the face, lipofilling has a number of preparatory stages, the first of which will be a consultation with a cosmetologist and testing. This item often includes a cardiogram to make sure there are no heart problems, as well as other examinations using technology.

A week or two before the scheduled procedure, the patient undertakes to minimize the use of alcohol and tobacco products. For the same period, a ban on taking aspirin and other drugs that affect blood clotting is introduced. It is recommended to follow the regime and sleep at least 8 hours a day - to maintain a stable heart rate.

The day before visiting the office, you must wash thoroughly, do not use any cosmetics and perfumes, including skin cleansing solutions, and follow an individually prescribed diet.

Immediately before leaving the house, doctors advise not to eat or drink a lot of fluids - increased sweating can cause the session to be postponed.

Types and stages of the procedure

Regardless of the specific indication, facial lipofilling has similar steps. After liposuction, that is, the removal of fat, it is prepared within a few minutes. At this time, markup is made for subsequent injections.

Next, the client of the clinic is offered to choose the method of anesthesia - local or general. Most often, local anesthesia is chosen, since in any case the reaction of the person and his sensations are important in order to stop in case of discomfort.

After that, the doctor proceeds to the subcutaneous fat injections themselves. Compared to hyaluronic acid injections, more material is used here, since there are no inorganic elements.

Specific varieties differ in goals, types of injections and the amount of fat used, and, accordingly, taken away.

Eyelid lipofilling

The most popular variety - eyelid lipofilling - is also the most affordable way to rejuvenate in terms of price. The areas of the epidermis around the eyes are most susceptible to premature aging, and many people have deep nasolacrimal grooves by the age of 30, which this procedure will help get rid of.

Injections in this case are fan-shaped, just 3 ml of fiber is enough.

Lipofilling of cheeks and cheekbones

The longest and most unpredictable type. Basically, lipofilling of the cheekbones is a natural procedure after an injury or after an unsuccessful weight loss. Although, there is another reason - sagging by the age of 40 and the appearance of deep folds.

Time, recovery time and other details cannot be predicted - this part of the face is corrected strictly individually.

He sets himself quite different goals. They do it, first of all, to increase the volume, without resorting to acids and Botox, and only then - to get rid of wrinkles.

Chin lipofilling

A complex, costly, but extremely popular, especially among men, technique. Soft tissue defects in the lower part of the face can also be corrected with the help of injections of adipose tissue. At the same time, the chin will become a convenient “platform”, due to its plasticity, and the ability to both add and remove volume.

Lipofilling: before and after photos

We have collected for you some photos of the lipotransfer procedure so that you can visually evaluate the results.

Lip lipofilling: before and after

Rehabilitation

Face lipofilling does not have any terms of the postoperative period, but there are a number of nuances that you need to remember even before the session itself.

Firstly, the face may be swollen for several days after the procedure, and not only at the injection sites. Swollen eyelids are often observed, which is unacceptable for people working in the public sphere. It can last up to two weeks, but usually goes away in 5-8 days.

Secondly, bruises in this case are absolutely normal. Nevertheless, the injection is an invasion into the microflora, and microtrauma of the capillaries is inevitable.

Thirdly, if several sections were corrected at once, then there is a risk of asymmetry, both vertically and horizontally. The unpleasant effect will last up to 10 days, this is due to the long survival of fiber in a new place and its uneven distribution.

In addition, the doctor will advise you to follow a special regimen, consisting of the following items:

1. For the first 72 hours, sleep only on your back with your head elevated.
2. Eliminate physical activity for a month
3. Carefully use cosmetics, especially powders and alcohol-containing lotions
4. To heal the “donor zone”, wear compression underwear for at least a week

To make it clearer to you how the recovery goes, we have collected for you photos of rehabilitation by day after this procedure:

Irina Stoyanova, Coordinator of Bookimed International Patient Support Center:

"Before any, even minimal, surgical intervention, it is important to be aware of possible complications. With lipofilling, there is always a risk of a fat embolism. Fat cells can enter a blood vessel, blockage of which will lead to death. If the procedure is performed in violation of sanitary standards, inflammatory processes.Fillers from adipose tissue often dissolve unevenly.Asymmetry is formed, which will require a second operation to eliminate.Any lipofilling procedure (correction of the shape of the face, chest, penis, etc.) is short-lived.A popular procedure when patients want to increase the cheekbone area. Here you need to understand that an incorrectly installed fat implant tends to migrate to adjacent tissues.In this area, an error is fraught with the formation of puffiness and bags under the eyes.When enlarging the lips with your own adipose tissue, it is important to take into account the anatomical features.The circular muscle of the face is very active and well supplied with blood. the likelihood that fat will be absorbed unevenly. To remove it, an incision of the entire lip will be required.

Pros and cons of face lipofilling

The key advantage is safety and an extremely small percentage of risks of tissue rejection and allergies. The same acids cannot give even a result close to this. On the other hand, the operation is time-consuming and requires high qualification of the performer.

Versatility is also considered a clear advantage - sessions are assigned to both young girls and older women - no age restrictions. The reverse moment is a number of contraindications, which are a serious obstacle.

Almost all types of facial lipofilling are performed in an astronomical hour. Here, as a disadvantage, we can say about the difficult recovery period, in comparison with other types of injections.

In addition to the absence of rejection, fat grafting is also beneficial in that even after many years, the basis of adipocytes remains in place. Also, any injection can be enriched with plasma or stem cells if the clinic has special equipment.

And the main disadvantage for the vast majority of patients is the price per session. Manipulations with one's own tissues cannot be called cheap, and besides, they require expensive equipment, which is not available in every city. Add to the cost and disposable inventory, selected individually for each visitor.

Frequently asked Questions

There are a lot of questions that users ask about lipofilling, and some of them are based on distrust of the very format of the operation and the fact that fat cells taken from the buttocks, for example, take root on the face. However, there are other, more constructive questions that you can read the answers to right now.

How long does the effect last after fat transfer to the face? When will it be possible to have a second session?

It all depends on the individual patient. As a rule, the result is visible after a couple of weeks, when the swelling finally goes away. It is not recommended to repeat the operation earlier than in 5-6 months. In total, the skin returns to its original state after 2-3 years.

What types of plastic surgeries are contraindicated for carrying out simultaneously with lipofilling?

Only rhinoplasty. The fact is that any actions related to the nasal septum are best done separately. The slightest violation here can lead to serious consequences.

How effective is the procedure for removing a scar?

There is a lot of information on the Internet that facial lipofilling can get rid of deep traumatic scars, but you should not believe such reviews. Yes, fiber can partially smooth out even chronic scars, but without surgical intervention, they cannot be completely removed.

What to do if the swelling of the lips after the session does not go away for 2 weeks?

The lips are a hypersensitive area, especially when it comes to injections. Swelling around the mouth can disturb even after a two-week period. But if they do not go away after a month, it is already worth seeking immediate help from the doctor who performed the injections.

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