Fat Grafting

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While most of us think of fat in negative terms, modern medicine has provided us with the ability to look beyond its negative connotations towards its positive cushioning and regenerative effects. With innovative techniques now allowing cosmetic surgeons to harvest 1-millimeter diameter fat aspirate particles perfectly suited for fat grafting and injection deployment, fat can be tapped for its cosmetic and regenerative capabilities. Fat that is derived from our body is termed autologous or self-derived. Autologous fat is a natural volumizer and is arguably the ideal filler. Fat contains a vast array of regenerative cell populations, including mesenchymal stem cells. The renaissance in fat grafting can be attributed to its expanding clinical applications within cosmetic surgery and regenerative medicine. To learn more about the innovative autologous fat grafting treatment offerings at Hogue Clinics, please contact us today to request your complimentary consultation.

About Fat Grafting

Fat grafting may also be used to treat scar depressions or defects involving the surface of the skin.

An autologous fat grafting treatment is an office-based, minimally-invasive procedure that uses local anesthesia to provide complete anesthesia during the harvesting of fat aspirate particles using gentle liposuction techniques. Collected fat aspirate is then washed, gravity decanted, and prepared for deployment (injection). Fat grafting treatments at Hogue Clinics use tiny 1-mm diameter fat aspirate particles termed micro fat for cosmetic enhancement, volume correction, and regeneration of aging or damaged body tissues, including facial fat pads, dorsum of hands, breast cleavage, and penis (ManShot).

Fat harvesting is the first step of the autologous fat grafting process. Tumescent liposuction is a fat harvesting technique that involves injecting a local anesthetic solution containing dilute lidocaine, epinephrine, and bicarbonate to completely numb the fat collection site. 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.

During liposuction, the diameter of the harvested fat aspirate particles can be predetermined based on the hole size of the aspiration cannula. Using innovative fat harvesting cannulas, fat aspirate particle sizes can be preferentially selected for optimal fat graft survival and compatible size-pairing with the deployment (injection) cannula to accommodate a variety of cosmetic and regenerative purposes.

To optimize fat graft survival and to enhance tissue regeneration, cosmetic surgeons at Hogue Clinics usually perform autologous platelet-rich plasma (PRP) injections during autologous fat grafting treatments.

PRP

The use of PRP has been applied to a wide range of cosmetic purposes for its ability to improve and expedite natural wound healing and tissue regeneration.

Autologous platelet-rich plasma (PRP) is isolated from your harvested whole blood using special centrifugation techniques to separate the whole blood into its components. 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 potentially beneficial wound healing benefits. At Hogue Clinics, a hematology analyzer is used to determine the platelet concentration in whole blood to establish the physiologic baseline. After PRP is isolated, a hematology analyzer is used to make sure the PRP’s platelet concentration achieves a regenerative level of at least 5-fold over baseline.

What is Fat Aspirate Concentrate?

At Hogue Clinics, fat aspirate concentrate (FAC) is a term that refers to harvested fat aspirate that has been concentrated and prepared for deployment (injection) as an autologous bio-cellular agent. In other words, FAC is the injectable form of harvested fat after processing that is used to achieve the optimal intended results of a particular autologous fat grafting treatment. FAC functions to cushion, volumize, reshape, and rejuvenate tissues that are aging, depleted, deflated, and in need of regeneration. Since fat is completely natural, it does not have the potential for causing an allergic reaction during deployment (injection), unlike synthetic fillers. The clinical applications for autologous fat grafting fat are widespread. Its cellular cosmetic and regenerative medicine applications include face-breast-body-hand rejuvenation, along with bio-cellular hair restoration, scar and wound rejuvenation, and men’s sexual health issues, including penis girth enlargement.

With advancements in bio-cellular tissue preparation technologies that are used to create fat aspirate concentrates (FAC) such as fat aspirate particle sizing, the autologous fat grafting procedure is changing the ways that harvested fat can be used for a host of clinical applications. Discover how cosmetic surgeon and regenerative specialist, Dr. Hogue, has taken autologous fat grafting to a whole new dimension through his innovation and technical expertise.

Areas Treated

Autologous fat transfers are a versatile technique that can address a number of different cosmetic and regenerative concerns that have to do with the effects of aging involving tissue volume loss and degeneration. For your convenience, the following autologous fat grafting treatment categories have been established:

Facial Fat Pads

Autologous fat grafting is a key volumizing tool used by today’s cosmetic surgeon for achieving facial rejuvenation. Targeted injections of tiny fat aspirate particles volumizes and restores depleted facial fat pads, thereby addressing a primary cause of facial aging. Loss of facial fat in the periorbital region, the eyebrows, eyelids, temples, and regions around your eyes, is one of the earliest signs of facial aging. Fat loss in this area presents a tired, hollow, deflated appearance. Facial fat grafting may also be used for volume correction of the mid-face and lower-face, and is ideal for restoring a natural, youthful, rejuvenated facial appearance. The results are long-lasting, often lasting 6-10 years or more. Common facial areas treatable by autologous fat grafting include the eyebrows, temples, periorbital region, malar cheeks, nasolabial folds, deep creases, jawline and jowls.

Dorsum of the Hands

For years, a telltale sign of aging has been appearance of the back of a person’s hands. Aging of the hands appears as a loss of skin quality, thinned or flaccid skin, age spots or brown spots, prominent extensor tendons and veins, and atrophied muscles between the carpal bones. The dorsum of the hands is the opposite side of your palms and represents the back side or dorsal side of the hands, which is apparent and visible for all to see. Loss of fat on the dorsum of the hands, combined with thinning skin, leaves underlying veins, tendons, and muscles to become prominently visible. With autologous fat grafting to the dorsum of the hands, 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 appeals to you.

Breast Cleavage

Autologous fat transfer is an exciting and innovative way to achieve a natural, improved breast cleavage appearance for women left with a wide sternum and separated breast implant appearance following breast augmentation mammoplasty. Smoother breast curves and an improved skin appearance of the breast cleavage is achievable with autologous fat grafting, with no downtime. If you are interested in natural appearing breasts with stunningly sexy breast cleavage using autologous fat grafting, then contact Hogue Clinics to set up a complimentary consultation with Dr. Hogue.

Penis (ManShot)

Autologous fat grafting with the ManShot treatment is a men’s sexual health treatment with both cosmetic and regenerative indications that uses FAC and PRP obtained from harvested fat and whole blood, respectively. The ManShot is an effective treatment for increasing penile girth in a circumcised penis. Additionally, the ManShot provides natural healing, rejuvenation, and tissue regeneration for conditions such as Peyronie’s disease and erectile dysfunction. 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, either sex, non-smoking individual that is looking to naturally enhance or improve body areas that are amenable to treatment. Smokers will be advised to stop smoking for at least two weeks beforehand, and for 2 months after, 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 sufficient harvesting of fat aspirate particles to achieve the volumizing goals for the treatment to be performed. To determine if you are a good candidate for one of our autologous fat grafting treatments, or to simply learn more, please contact Hogue Clinics today to schedule a consultation with Dr. Hogue.

Procedure

The autologous fat grafting treatment is a multiple modality treatment that involves fat harvesting, body sculpting of fat harvested areas, isolation and preparation of autologous bio-cellular agents including fat aspirate concentrate (FAC) particles and platelet-rich plasma (PRP), numbing of the fat grafting recipient site, and surgeon-performed meticulous grafting (deployment or injection) of tiny fat aspirate particles into recipient areas for the purpose of cosmetic enhancement and/or tissue regeneration. Depending on the type of area to be treated, the amount of fat aspirate particles injected, and the specialized deployment techniques used, may vary.

After the autologous fat grafting treatment is performed, our office will provide each patient with aftercare instructions. A routine follow-up visit is then scheduled with Dr. Hogue.

Recovery and Results

Following an autologous fat grafting treatment, it is important to avoid direct pressure to the graft recipient areas for about six weeks to optimize vascularization and survival of the grafted fat particles. Avoidance of smoking and second-hand smoking for at least three months post-surgery is essential to avoid a poor fat graft survival outcome.

Compared with synthetic fillers such as Juvederm®, Radiesse ®, Sculptra®, and others, autologous fat is cheaper (volume to volume comparison) and much more natural. Grafted fat, along with its intrinsic regenerative cell populations, provides both cosmetic and regenerative benefits. Grafted fat is an alive, naturally-occurring tissue within the body. Grafted fat is a dynamic natural filler than continues to show benefits over time, potentially lasting much longer, with improved benefits over synthetic fillers.

Consultation

Our cosmetic surgeon, Dr. Hogue, provides a complimentary consultation for each prospective patient to determine if they are a good candidate for an autologous fat grafting treatment. Based on selection criteria, clinical indication, and desired outcome, a customized treatment plan is developed specific for each patient. Autologous fat grafting requires great 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 autologous fat grafting patients with world-class results.

Pricing

A Hogue Clinics price quote for an autologous fat grafting treatment is provided at your complimentary consultation with Dr. Hogue. Pricing is determined by the volume amount of fat aspirate particles that are deployed or injected into your body during your treatment. Contact Hogue Clinics today to schedule your complimentary consultation.