Procedure

Facial Recontouring with Lipostructure- Plastic and Cosmetic Surgery

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What is lipostructure?

Lipostructure is a natural, long-lasting method which is also known as fat transfer or fat grafting. In simple words lipostructure of face is a procedure in which fat from one area of the body is used to make structural changes/ to fill in irregularities on face. This technique uses intricate layering of infiltrated autologous tissue to fill and support the face.

Which Speciality to Consult?

Lipostructure will be done by a plastic surgeon.

Why is it required?

People with following indications may require lipostructure of the face: Sunken cheeks, deep grooves running from the nose to the corners of the mouth, some instances of lines between the lower eyelids and the cheek, and the disappearance of fat from the cheekbones. People may also go for lipofilling procedure for lip enhancement. This procedure is also used to smooth out irregularities resulting from injuries or poorly performed liposuction.

Procedure:

Local anesthesia is given at the site of the donor area and the area to be treated. The procedure may take around an hour depending on the size of the areas to be treated.

By making either one or several incisions of 3 to 5 mm in length, required fat is obtained either from the inner thigh or the abdomen. The fat is processed by first centrifuging followed by filtering or rinsing. Once the processing is finished, pure liquid fatty tissue is the final product. Pure liquid fatty tissue is injected at the selected areas. For even distribution the fat is injected into minute amounts in the tissues. This way the transplanted fat gets well surrounded by healthy tissue and gets oxygen and nutrients by remaining in contact with the surrounding tissues.

What happens after the procedure?

The treated areas will be r swollen immediately after the procedure. In order to minimize the swelling, a cold pack in the first few hours are used.  Swelling generally goes away by third day. Patient may have swelling, tenderness, bruising, and drainage of anaesthetic liquid (for around 24 hour) at donor area. Patient would be able to resume activities after about one week, sometimes with the help of some make-up.

References:

  • https://www.ncbi.nlm.nih.gov/pubmed/9142473
  • https://www.colemanlipostructure.com/lipostructure-faq/
  • https://www.isaps.org/procedures/facial-plastic-surgery/fat-transfer-facial/
About the Author:

Dr. Anand Lakhkar is a physician scientist from India. He completed his basic medical education from India and his postgraduate training in pharmacology from the United States. He has a MS degree in pharmacology from New York Medical College, a MS degree in Cancer/Neuro Pharmacology from Georgetown University and a PhD in Pharmacology from New York Medical College where he was the recipient of the Graduate Faculty Council Award for academic and research excellence.  His research area of expertise is in pulmonary hypertension, traumatic brain injury and cardiovascular pharmacology.  He has multiple publications in international peer-reviewed journals and has presented his research at at prestigious conferences.

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