Aesthetic plastic surgery of the face Lipofilling to the face
The important value of fat in the antiaging of the face has been known for decades. Today we have data that support: 1. the regenerative role of fat stem cells, 2. the safety of their use even in oncological patients and 3. their long-term effect and staying in the place they are placed.
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WHAT CAN BE DONE?
Lipotransfer aims to improve the contours of the face, especially in the areas that reveal age: jaw angle, chin, cheekbones, temples. The reversal of aging, using the excess fat, is not only achieved by filling the face with its own cells, but because the surrounding tissues are regenerated, through stem cells. Before surgery, the empty compartments are drawn on the face. After the liposuction is done and the fat is processed, the fat is transferred to the compartments of the face.
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WHO IS FACIAL LIPOSUCTION FOR?
All adults, regardless of age, are candidates for face and neck liposuction. We usually recommend it as the first line of treatment for patients who have lost enough fat from their face and the facelift or fillers solution is expensive. Patients need to have stabilized their weight and have no other serious health problems. This operation is easily combined with operations in which small-scale liposuction is performed: thighplasty, brachioplasty and abdominoplasty, while it is an integral element of a facelift.
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WHAT IS THE TYPE OF ANESTHESIA?
When lipotransfer is planned on a small scale, the patient can receive local anesthesia in the office. Otherwise, the operation is performed under general anesthesia or intoxication in an organized clinic. The duration of the surgery is 1-2 hours. After the surgery, it is advisable to stay in the clinic for a few hours.
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WHAT WILL THE SCARS LOOK LIKE AFTER THE SURGERY?
The wounds created during the surgery are very small and we often close them with a suture. By extension, the scars that are created are extremely small and often after some time are not visible to the naked eye.
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HOW LONG WILL THE RESULTATS LAST?
Immediately after the surgery, swelling occurs which gradually disappears in the first weeks. Also, about 50% of the fat that is transported survives. The image stabilizes at 6 weeks and after this time the result is considered permanent and will remain stable as long as patients do not increase or decrease their body weight too much. The distribution of fat after lipotransfer also takes place in the newly created fat depots.
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WHAT ARE THE LIMITATIONS OF LIPOSUCTION?
No skin is removed during liposuction, so old stretch marks and scars remain. In order to perform lipotransfer, pre-existing relaxation in the skin that will accept the fat underneath is required. Patients with autoimmune diseases and especially diseases of the connective tissue, immunosuppressed and cancer patients undergoing treatment need proper and close guidance.
The technique is not a slimming method and should only be recommended to patients who have had a stable weight for the last 6 months. Also, patients should be prepared for the fact that they may need to repeat the procedure until the desired result is achieved.
As in all cosmetic operations, in liposuction, patients with serious health problems, or those with a dysmorphic syndrome should be prevented from the surgery.
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WHAT ARE THE RISKS OF LIPOSUCTION?
The doctor will evaluate your general condition and your history and, if he decides that you are suitable for surgery, he will inform you about the possible complications and what needs to be done to reduce the possibility of their occurrence. You will also be asked to stop smoking and refrain from using supplements that affect blood clotting. The anesthesiologist will then talk to you about the type of anesthesia you will receive and the possible complications.
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WHAT YOU SHOULD DO BEFORE SURGERY?
Depending on your age, you will be given instructions on the medications you may be taking and should be stopped or replaced, as well as on the additional testing that needs to be done based on your history. Your weight must remain stable, because possible fluctuations may delay the surgery, and you will be asked to exercise gently for two months before the surgery.
The doctor will explain the value of smoking cessation and proper nutrition in wound healing. One week before the surgery, measurements will be taken to order a special pressure garment, you will be photographed and the consent form will be signed.
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WHAT TO EXPECT AFTER SURGERY?
You stay at the clinic for a few hours, but your time away from work must have been calculated at 1 week. This doesn't mean you won't be able to do light work much sooner, but you'll generally feel overwhelmed. Abstaining from sports for 1 month is also recommended.
In the first days, a small amount of fluid drains from the wounds and ecchymoses (bruises) may develop around them. The pain when present is easily treated, but the swelling subsides slowly, so it will take 2-3 months to finalize the result.
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WHAT IS THE COST OF LIPOTRANSFER?
The cost of liposuction is calculated by adding the cost of the clinic, in which the patient is operated and treated, the fee of the Plastic Surgeon and the Anesthesiologist.