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Fat Grafting

While most of us think of fat in negative terms, modern medicine has provided us with a means to harvest surplus fat and harness its positive cushioning and regenerative effects. With techniques allowing cosmetic surgeons to harvest tiny fat particles optimally sized for fat grafting. Biologic agents such as fat aspirate that are derived from our body are termed autologous or self-derived. Fat is a natural volumizer and arguably the ideal or perfect filler for the face and body. Fat contains a vast array of regenerative cells populations including adult stem cells. The ongoing renaissance in fat grafting can be attributed to the expanding clinical applications of its use in cosmetic surgery and regenerative medicine. To learn more about fat grafting treatment offerings at Hogue Clinics, please contact us today to request your complimentary consultation.

About Fat Grafting

Fat grafting may be used to treat undesirable scar depressions, volume deficits or surface contour irregularities involving the skin and subcutaneous tissues.

At Hogue Clinics, an autologous fat grafting treatment is an office-basedminimally-invasive procedure that involves harvesting fat aspirate using traditional liposuction, washing and processing the fat, then deploying or injecting the fat aspirate concentrate into recipient sites for an intended clinical benefit. Fat grafting treatments at Hogue Clinics are performed for cosmetic enhancement, volume correction, and regeneration of aged or damaged tissues. Popular tissue areas for fat grafting at Hogue Clinics include the face, dorsum of hands, breast cleavage, breasts, and penis (ManShot).

Fat harvesting to obtain fat aspirate from a patient’s surplus fat is the first step of the fat grafting process. Fat is harvested using the tumescent technique that involves injecting a local anesthetic solution containing dilute lidocaine, epinephrine, and bicarbonate. The lidocaine is a local anesthetic agent. The epinephrine is a vasoconstrictive agent that prolongs the duration of local anesthesia and minimizes bleeding and bruising during the fat collection process. Bicarbonate is a buffering agent to optimize the pH of the local anesthetic solution to enhance its effects.

During liposuction, the diameter of the harvested fat aspirate particles can be predetermined based on the hole size of the aspiration cannula used. Alternatively, the diameter of the fat aspirate particles may be reduced with special filters. To optimize fat graft survival, fat aspirate is often co-injected with autologous platelet-rich plasma (PRP).


Platelet-rich plasma (PRP)

The use of PRP has been applied to a wide range of cosmetic and regenerative purposes for its ability to improve natural healing and to promote tissue regeneration, including fat graft survival.

PRP is isolated from your harvested whole blood using special centrifugation techniques to separate the whole blood into its biologic components based on their densities. Platelets are cellular fragments containing a myriad of growth factors, cytokines, and peptides that were originally formed from megakaryocyte cells within the bone marrow. In the body, platelets are key players in the body’s natural healing process. When platelets become activated, they bind to receptors in target cells and signal the cell to activate various beneficial processes such as cellular proliferation, matrix formation, and collagen synthesis. Activated platelets release granules containing 30+ growth factors to initiate wound healing benefits. At Hogue Clinics, a hematology analyzer  lab instrument is used to determine the physiologic baesline platelet concentration of each patient’s whole blood. After PRP is isolated, a hematology analyzer is used to ensure the platelet concentration within the isolated PRP achieves a regenerative level of 1-million platelets per microliter, or at least a 5-fold increase in platelet concentration over  physiologic baseline.

What is Fat Aspirate Concentrate?

At Hogue Clinics, fat aspirate concentrate (FAC) is a term that refers to fat aspirate that has been concentrated and prepared for deployment (injection) as an autologous biologic agent. In other words, FAC is the injectable form of fat after harvesting, washing and processing. FAC functions to cushion, volumize, shape, and rejuvenate tissues that are aging, depleted, deflated, distorted, and in need of regeneration. Since fat is completely natural, it does not have the potential for causing an allergic reaction, unlike synthetic fillers.

With advancements in biologic tissue preparation used with FAC, the autologous fat grafting procedure is changing the ways in which harvested fat can be used for a host of clinical applications. Discover how Dr. Hogue at Hogue Clinics has taken autologous fat grafting to a new dimension through his innovation and technical expertise.

Areas Treated

For your convenience, the following autologous fat grafting treatment categories have been established:


Autologous fat grafting is a key volumizing tool used by today’s cosmetic surgeon for rejuvenating the aging face. Targeted injections of tiny fat aspirate particles can volume restore depleted facial fat pads, thereby addressing a primary cause of facial aging. Loss of facial fat pad volume in the periorbital, eyebrow, eyelid, and temple regions is one of the earliest signs of facial aging. Loss of fat around the eyes presents a tired, hollow, and deflated appearance. Facial fat grafting can also be used for volume correction of the mid- and lower-face. Fat grafting is ideal for restoring a youthful, rejuvenated facial appearance. The results are long-lasting, often lasting up to 6-10 years. Common areas of the face treatable by autologous fat grafting include the eyebrows, eyelids, forehead, temples, cheeks, jawline and jowls.


For years, a telltale sign of aging has been the appearance of a person’s hands. Aging of the hands often appears as thinned or flaccid skin, age spots, prominent tendons and veins, and atrophied muscles between the carpal bones. The dorsum of the hands is the opposite side of your palms. Unfortunately, this area is apparent and visible for all to see. Loss of fat involving the dorsum of the hands combined with thinning skin leaves underlying veins, tendons, and muscles prominently visible. With autologous fat grafting, instant long-lasting hand rejuvenation is possible. Watch the Hogue Clinics “Autologous Fat Grafting to the Dorsum of the Hands” treatment video performed by Dr. Hogue and uploaded to youtube.com to discover if this treatment if right for you.


Autologous fat transfer is an exciting and innovative way to achieve a natural breast cleavage and/or natural breast appearance for women with hypoplastic breasts. If you are interested in natural appearing breast cleavage and breasts using autologous fat grafting, then contact Hogue Clinics to set up a complimentary consultation with Dr. Hogue.


Autologous fat grafting of the penis, known as the ManShot, is an effective treatment for increasing penile girth and overall size. To be an eligible candidate for the ManShot, a prospective patient’s penis must already be circumcised. Watch the Hogue Clinics “ManShot” treatment video performed by Dr. Hogue and uploaded to youtube.com to decide if this treatment appeals to you. If interested in learning more about the ManShot, please contact Hogue Clinics to set up a complimentary consultation with Dr. Hogue.

Ideal Candidate

The deal candidate for an autologous fat grafting treatment is a healthy, non-smoking individual that is looking to naturally enhance or improve face or body areas that are amenable to treatment. Smokers will be advised to stop smoking for at least two weeks beforehand, and completely abstain from smoking for 2 months following their fat grafting procedure. For obvious reasons, the ideal candidate should have a steady weight and possess a surplus supply of fat to allow for harvesting of sufficient fat aspirate for the treatment to be performed.


The autologous fat grafting treatment is a multiple modality treatment that involves local anesthesia and numbing, fat harvesting, washing and processing, deployment (fat injections), then discharge to home. After the treatment is performed, our office provides aftercare instructions. A routine follow-up visit is scheduled with Dr. Hogue at about 1 week, then periodically thereafter for 4 months.

Recovery and Results

Avoidance of smoking, including avoidance of second-hand smoke exposure for at least three months following a fat grafting treatment is essential to avoiding a poor fat grafting outcome. Compared with synthetic fillers such as Juvederm®, Radiesse®, and Sculptra®, autologous fat grafting is less expensive (volume to volume comparison), and constitute a more natural filler. Grafted fat along with its intrinsic regenerative cell populations provides both cosmetic and regenerative benefits to the treated area. Grafted fat is an alive, naturally-occurring tissue within the body. Grafted fat continues to show benefits over time. 


Our cosmetic surgeon, Dr. Hogue, provides a complimentary consultation for each patient to determine if they are a good candidate for a fat grafting procedure. Based on selection criteria, clinical indication, and desired outcome, a customized treatment plan is developed specific for each patient. Fat grafting requires expertise, experience, and artistry due to the complex technical requirements and skillful know-how necessary to achieve a successful clinical outcome. Dr. Hogue is an experienced innovative surgeon with world-class expertise to provide his patients with world-class results.


A price quote for an autologous fat grafting treatment is provided at your consultation with Dr. Hogue. Contact Hogue Clinics today to schedule your complimentary consultation.

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