Autologous Fat Transplantation and Filling Surgery

Autologous Fat

Fat transplantation, also known as fat injection, the body part of the fat transplanted to another part of the body. Since the beginning of the 1990s, orthopedic surgeons have use a lot of autologous fat transplant surgery in the face, breast, hands and hips and cosmetic surgery, in recent years there has been developed from the body fat for the healing of difficult wounds, scar repair even after radiotherapy defect (such as breast after breast cancer radiotherapy), have such a significant and effective help!
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Soft Plastic Surgery and Surgical Methods
Soft Tissue Sculpture Method: Soft tissue includes skin, fat and muscle. Reduce the volume of subcutaneous fat or masticatory muscles can improve the face shape. Methods as below:
  1. Masticatory muscle injection of botulinum
    Botulinum can reduce the volume of masticatory muscles, very helpful to improve the jaw curve.
    ◆ Method: direct injection in the masticatory muscles
    ◆ Time: the first week of feeling bite strength reduction, the obvious effect appeared after a month, the effect lasted for six months (favor to bite hard food time will be shortened). Recommended injection once every 6 to 8 months .
    ◆ Effect: masticatory muscle hypertrophy effect is obvious, bite force reduction, can improve the night molar or migraine symptoms, no effect on the mature skeletal shape, (mature bones are not affected by botulinum injection, but after six months of bone surgery recovery period, the injection of botulinum can prevent bone regeneration) must be injected regularly to maintain the effect.
    ◆ Advantages: simple and safe treatment, no recovery period, eliminating the fear of surgery
    ◆ Disadvantages: the effect is often not as expected, the cost is not cheap and must be regular injection, poor economic efficiency
    ◆ Applicable: good skeleton condition, but people with masticatory muscle hypertrophy affect the jaw curve, after the bone sculpture, the prevention of bone regeneration, people with night molars or tension type migraine symptoms.
     
  2. Face fat plastic surgery
    Fat has always played a very important role in the face, its quantity, health or not, deeply affect the aesthetic feeling. Fat is also an important structure that protects vital organs from the maintenance of young skin and supports elastic fullness is definitely not the general imagination of the rubbish. So, unless necessary, do not change it in any way.

    2-1 Autologous fat transplantation: Many people have cheek depression troubles, because it looks haggard old, most people intuitively think of "make up fat", that the depression can be filled to improve, but sometimes got the disappointed result, because the face becomes larger. This is because there is no proper distinction between "true" and "false" cheek depression before surgery. This idea must be clarified first in order to choose the correct surgical method.
True cheek depressionFalse cheek depression
There is no prominent problem for skeleton, simply created because of subcutaneous fat atrophy (too little fat or thinner to make the cheek depression), then you should choose fat transplant surgery.Cheek depression is caused by prominent facial skeleton, mainly cheekbones and jaw angle. Although the fat transplant surgery can improve the depression, but the face becomes larger; choose facial bone sculpture surgery, can change the face shape, also can improve the cheek depression.

◆ Method: extract the thigh or abdominal fat, after centrifugal screening, and then inject a good fat to fill deep under the face skin. Each site filled with 10 ~ 20cc.
◆ Time: part implanted fat will be decomposition and absorption, about 30 to 50% survived to become a stable support force. All need two to three months. Sometimes in order to get the desired outcome of the operation, the physician will deliberately implant more fat then after the absorption the left amount of fat just meet the needs, before that, surgery patient must tolerate the cheeks up the temporary sequelae, need for three to six months. Sometimes the fat will gather to form fibroids, will touch the lumps, to wait patiently and massage. Will gradually disappear, take more than six months.
◆ Effect: Successful surgery will make face look better, younger. Often need more than two operations to maintain good results. The results of surgery will change with the change of body fat and thin.
◆ Advantages: simple and safe surgical methods, cheap, less sequelae.
◆ Disadvantages: physicians are not easy to accurately control the number of implanted fat, often need a second operation, causing unnecessary distress. Facial lines change flat, little visual effect (less three-dimensional change ). Surgery results will change with the body fat and thin, persistent uncertainty.
◆ Apply: true depression, including: cheeks, temples, eyes, tears. Face other fill, including: the front jaw, chin, nose.
 
2-2 Facial liposuction surgery: Many people complain that the face is too big, want to face-lift, intuitive think that liposuction surgery can change face shape, but often only get disappointed. Because the face of the main culprit is the bones, just by removing the fat cannot get the satisfy results. Sometimes, in order to get better results, fat pumping too much, so the skin loss saturation, instead get the result of aging feeling. Before do facial liposuction, should determine whether the shape of face is good or bad with the skeleton, but also to avoid excessive fat, so as to avoid the occurrence of aging sequelae. Method:
Traditional: the face dedicated lipstick tube to extract the subcutaneous shallow fat, deep fat, too close to the nerve cannot extract.
Shock type: relatively new liposuction tools, you can extract more deep fat.
◆ Time: just finished surgery because of swelling cannot see the effect. Be patient for three to six months
◆ Effect: can improve the face shape, but the change is limited.
◆ Advantages: simple and safe method, people with full subcutaneous fat is very effective.
◆ Disadvantages: physicians are not easy to control the precise amount of extraction, and occasionally need second surgery can only improve the face shape, visual effects are not ideal, usually only as a result of adjuvant surgery, the result will change with the body fat and thin, persistent uncertainty.
Dr. Roye Tsai
Dr. Roye Tsai Said...
Many people have cheek depression troubles, because it looks haggard old, most people intuitively think of "make up fat", that the depression can be filled to improve, but sometimes got the disappointed result, because the face becomes larger. This is because there is no proper distinction between "true" and "false" cheek depression before surgery. This idea must be clarified first in order to choose the correct surgical method.
Autologous fat transplantation procedure instructions
Since the beginning of the 1990s, orthopedic surgeons have autologous fat transplant surgery, a great amount use on the face, breast, hands and hips cosmetic surgery, in recent years has been developed from the body fat for the healing of difficult wounds, scar repair even after radiotherapy defects (such as breast after the breast cancer radiotherapy), all have a very significant and effective help!
 
Fat transplantation, also known as fat injection, the process of surgery is a part of the body fat transplanted to another part of the body, including three steps:
  1. Lipid surgery - fat extraction
  2. Fat essence - fat purification essence
  3. Fat implantation - the essence of the body fat injects back into specific parts of the body
 
The first stage: Fat extraction
Try to use thinner and porous liposuction tube to extract fat, laser solution fat or ultrasonic liposuction, generally considered to be more likely to hurt fat cells, so it is not recommended.
 
The second stage: Fat essence
After stand still, and then centrifuged by the centrifuge machine, the excess liquid will be excluded, some doctors will use physiological saline to clean out the fat particles. This step is very important, because those poor-quality fat cells not only cannot survive after transplantation, and may even affect those good fat cells.
 
The third stage: Fat implantation
The most important step, because the need to carefully pay attention to the essential fat particles, well implanted into the area that need to implant, not only the location is important but the number and size of fat is also very important. The "fine autologous fat gun", invented by Dr. Lin's, is an important tool for dealing with this critical step, because according to the study, it is noted that the tiny fat is transplanted, the higher the survival rate, relatively to large fat particles after implantation only will be more likely to produce the phenomenon of central necrosis.

 
脂肪分佈
自體脂肪移植填補手術
Dr. Chenghan Xie
Dr. Chenghan Xie Said...
Autologous fat transplantation fill area
In 2001, the University of Pittsburgh orthopedic surgeon, first published on the study of adipose-derived stem cells, in which found that adipose tissue in the middle of the texture cells (mesenchymal stem cells (MSCs)) is 300-500 times the bone marrow tissue, therefore, fat transplantation not only can be used in cosmetic surgery, also can further used in radiation therapy of defective tissue, such as breasts, or difficult wounds, such as diabetic foot wounds.
 
Autologous fat is completely belonged to self, lipstick essence of the implant process is completely sterile, and therefore can reduce the risk of infection and rejection to a minimum. The key of constitute a successful operation interlocking, such as: preoperative assessment, anesthesia method, liposuction surgery, the essence of fat, and then use the fine autologous fat gun, to transplant these precious fats to the parts we want:
 
  • Face (10cc-100cc)
    Transplant the fat into the subcutaneous tissue location: the eye, the eye concave, tears, apple muscle, husband and wife palace, forehead, smile lines, marionette lines, bridge of nose, tip of nose, chin, upper and lower lips, neck, almost all parts of the face can use fat transplantation fill surgery to restore the appearance of youth. In addition to the increase in volume, adipose stem cells in the growth factor can also allow implantation of subcutaneous collagen regeneration, can effectively reduce the fine lines!
     
  • Breast (25cc-400cc)
    Each fat transplant can increase the breast about half to two cups, depending on the condition:
    1. The amount of fat to be transplanted
    2. The size of the area where the breast itself is available for transplantation
    In addition to beauty, for breast cancer surgery because of local or total removal of the breast caused asymmetry, or because of surgical scars caused by depression and the atrophy of the breast after radiation, also have excellent treatment results.
     
  • Buttocks (100-1000cc): peach buttocks, buttocks.
    the back of the hand, the instep: correct chicken hands, chicken feet.
 
自體脂肪移植填補手術
Micro-Autologous Fat Transplantation Gun
精微自體脂肪槍 MAFT-GUN® (Micro-Autologous Fat Transplantation Gun)
  1. Trace output
    The use of fine autologous fat gun, fat particles can be the smallest to achieve 1/240 ml, fat survival rate will be greatly improved!
    According to the theory of Carpaneda physician, during the fat transplantation each time the fat ball transfer into the body, its’ radius preferably less than 2 mm (1 mm ≦ r ≦ 2 mm), in order to have the best survival rate. According to this theory, each milliliter syringe filled with fat, if the injection of a radius of 1 mm fat ball, each milliliter must be injected 240 times to achieve this goal! Fine autologous fat gun can accurate and precision reach 240 times per milliliter output.
     
    Many after the fat transplant surgery, due to the implanted ball volume is too large, resulting in adjacent tissue cannot transmitted nutrition to the central part of the ball, and metabolic waste cannot be successfully discharged from the periphery, causing the so-called central necrosis, through fine autologous fat gun, necrotic situation significantly reduced, survival rate effectively improved.
     
  2. 360-degree multi-directional output
    When the doctor is doing the implementation of fat transplantation operation, often because the injection needle tip fixed opening side cannot change the direction, must always rotate the wrist angle to change the output position, effort and inaccurate! The patented syringe chuck structure of the fine autologous lip gun is not only free to adjust the direction of more than three hundred and sixty degrees, but also have the indication of the clear direction, which can provide the doctor with judgment basis to change the direction of the output, improving the efficiency of surgery, even can accurately transfer the fat to the location to be implanted!
     
  3. Impenetrability controlling reduces possible air contact and relative contamination opportunities
    Most commercially available fat grafts use their own metal push rods to replace the putters with 1 ml syringes, often causing the filled adipose tissue exposed to the air. The impenetrability controlling of the fine autologous fat gun will not cause the fat inside the syringe to be exposed, reduce the chance of fat exposure to air, and reduce the chance of contamination and infection.
     
  4. Multi-stage control
    Adipose transplantation should be with the difference of surgical site anatomical location and the individual differences of the organizational structure, to elastic adjust the amount of fat injection volume, fine control of the operation movement of each injection volume, is the key step of fat transplantation to the success or failure. The patented "multi-stage controlled injection system" of the fine autologous fat gun provides physician the choice of multi-stage adjustment of the injection volume from 1/60 ml to 1 / 90,1 / 120,1 / 150,1 / 180,1 / 240 ml, according to different needs, anatomical location and tissue structure, elastic select of the required injection of each output volume, accurate and fine injection of fat particles. 
     
  5. Stable and accurate output volume
    In some parts of the body injection site, due to the more tough subcutaneous connective tissue structure, must according to this repeated back and forth to push and pull needle action, to pound loose the tissue, so can inject microinjection of fat, injection needle repeated action (repeated back and forth to push and pull the needle) too much damage and impact, resulting in postoperative difficult to avoid the bruises and swelling. Fine autologous fat gun patented action system, with the pre-determined precision output volume and each accurate push, regardless of the size of the power of the physician, the speed of injection or not, can be deducted by each trigger action operation, each push the output volume is stable, consistent and accurate and accurate fat ball, a large number of reduced the planting area back and forth rubbing of ​​the drill hole type, so that the recovery period is greatly shortened, the patient swollen blood stasis appearance is also far less than other traditional surgical methods.

精微自體脂肪槍 MAFT-GUN® (Micro-Autologous Fat Transplantation Gun)
Preoperative precautions
Before surgery, please look at the following contents and explain, mark the unclear place, and communicate with the physician at the clinic.
 
一、Preoperative precautions
  • The clinic accept scheduled surgery date three months in advance, and is retained until the last week for the final confirm, If the clinic is unable to confirm for the time being, the clinic may transfer the scheduled date to another surgery patient.
  • Surgical X-ray and physical examination should be completed one week in advance, the most urgent need three days to complete. (This clinic must accept the medical report of other medical institutions, must be within three months, and meet the requirements of surgical examination items.
  • X-ray and physical examination results will be informed by telephone to the surgery patient, meets the surgical safety standards then can confirm the operation; does not meet the standard, it is recommended to give up surgery, or to suspend surgery. Re-test after three months, if still does not meet the standard, it is recommended to give up surgery.
  • Try to relax and stay physically before surgery, stop all noninvasive drug intake, including diet pills, anticoagulant drugs or traditional Chinese medicine, and nutritional supplements for unknown ingredients.
  • One day before the operation, the clinic will interview by telephone to remind the anesthesia before the note, and do the surgery final confirmation.
  • Surgery patient should arrange at least one week after surgery necessities of life,  avoid inconvenient going out after postoperative swelling. (For facial bone surgery to be prepared with liquid food and children's toothbrush)
  • Do not drive yourself on the day of anesthesia. Please arrange for family or friends for transfer, or the clinic will arrange for transportation.
  • Remember to carry sunglasses, hats, masks or scarves when perform a facial surgery, convenient for cover when return home, to avoid embarrassment.
 
二、Take the initiative to inform the physician whether the abnormal physiological condition or disease, including:
□  Is there a cardiovascular disease (e.g. arrhythmia)?
□  Is there abnormal bleeding (e.g. bleeding)?
□  Are there facial vascular abnormalities (e.g. hemangioma)?
□  Are there facial nerve dysfunction, or facial expression abnormalities?
□  Is there any drug allergy or other allergies?
□  Are there infectious diseases (such as hepatitis C, AIDS, tuberculosis)?
□  Have you took any other surgery?
□  Are there foreign bodies implanted in the body?
□  Is there an adverse anesthesia response record (including other family members)?
□  Is there any other major disease or genetic disease?
 
三、The need for facial bone surgery to complete the following preoperative examination items

A. X-ray photography:
  • P-A View
  • Cephalometric View
  • Panoramic View
B. Physical examination:
  1. Electrocardiogram (EKG)
  2. Blood test
  • General blood test (CBC routine)
  • Prothrombin Time (PT)
  • APTT
  • Blood type
  • Rh factor
  • Glucose AC
  • Cholesterol
  • Liver function (GOT / GPT or AST / ALT)
  • Renal function (BUN, Creatinine)
  • Hepatitis B (HBsAg)
C. Urine examination
Lipid surgery (Patient Instructions)
Before surgery
  • See  preoperative precautions
  • Communicate the expected results with the physician• Anticoagulant drugs should be discontinued for 7-14 days
  • 6 to 8 hours before surgery, fasting, water-deprivation (tea, coffee, etc.)
  • Stop smoking for two months
  • Preoperative photography 
Surgery day
  • Do not ride on your own
  • return home on a daily basis (with few exceptions) 
After surgery
  • Generally return to work within 2 weeks after surgery
  • Continue to wear elastic clothing for about 2 weeks
Postoperative recovery
  • General day-to-day activities are resumed after 3-4 days
  • Swelling will last for 3-5 days
  • Bruise will begin to decrease after 7-10 days
  • moderate exercise after 2 weeks
  • can feel the changes in the volume of the treatment area after about 2-6 weeks
  • Final results will stabilize in 3-6 months
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Add:5F., No.107, Sec. 4, RenAi Rd., Taipei, Taiwan

Tel:02-2772-8887 Fax:0227725822
Wechat ID:miniface_info LINE ID:@vyl7873s

Miniface have no counselors, reply letters by the physician himself, please forgive me if the reply letter late, in general, reply time of 2 to 7 days, no patient to wait for the appointment of outpatient consultation.
Online consultant please provide the following photos: No makeup positive photo / left side 45 degrees / left side 90 degrees / right side 45 degrees / right side 90 degrees
Suggestions to add photos: makeup photo / whole body of life photos
Miniface no consultants, all professional issues answered by the physician personally. Friends or relatives can participate in the consultation, in order to maintain the quality of consultation, do not exceed three person. For special personal privacy needs, please inform the physician first. Can carry information or photos for the physician reference, discuss. The initial cost of five hundred dollars, can be deducted from the surgery fee.
Before the appointment of surgery by physician assessment, consultation method: (1) consultation physician mailbox (2) appointment outpatient consultation.
Please read the preoperative instructions and check items before surgery. After payment of the deposit, we will reserve your scheduled date of operation. "The surgical procedure need physicians with a high degree of focus and commitment, every day of surgery, every physician, only a large amount of surgery, for you to go all out." - is a micro-mini insistence. If you have any reasons need to change the date of operation, please call one day before the operation, otherwise the deposit is not refundable, please be understandable.
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