[Duhan Plastic Surgery Autologous Fat Grafting] - [Indian Wrinkles]

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What is fat grafting?

Fat grafting is also called fat injection.

Because it is a delicate and precise fat grafting procedure,

it is also referred to as micro fat grafting.

It involves harvesting your own fat using a syringe and then reinjecting it with a syringe

into the desired area to correct facial contours.

The key to micro fat grafting is

expressing natural and smooth contours and achieving a high survival rate.

Using 3D volumetric fat grafting and 2D planar fat grafting, etc.,

the most ideal fat grafting is performed for each area.

Except for bone surgeries such as cheekbone and jawbone surgery,

contour correction of other sunken areas

can be achieved through fat grafting.

The procedure is simple, has no side effects,

and can naturally correct any area as much as desired,

so it is one of the best facial contouring procedures.

PARTS OF FAT INJECTION

Indian band - front cheekbone wrinkle

This refers to a sunken wrinkle line that runs across the front cheekbone area.

It is also called a front cheekbone wrinkle, and in most cases the cause is congenital, with some people having a prominent wrinkle line at a young age.

If a wrinkle line is present, it can make you look older and give a less favorable impression, so the wrinkle line should be corrected.

PARTS OF FAT INJECTION

Method of fat grafting for the Indian band - front cheekbone wrinkle

PARTS OF FAT INJECTION

1. Fat is harvested from areas where a lot of your own fat is stored, such as the lower abdomen, waist, or thighs.

• Because local anesthesia (sleep-pain-free anesthesia) is used, there is no pain at all.

• A thin liposuction cannula is used to collect the fat into a syringe.

2. The collected fat is placed in a centrifuge to obtain pure concentrated fat.

The purpose of centrifugation is to obtain pure concentrated fat, reduce side effects, and increase the fat survival rate.

3. After centrifugation, moisture and oil are removed through a second concentration process.

By removing moisture and oil, nearly 100% concentrated fat is obtained.

4. The fat is then transferred into a thin 1cc syringe and grafted into the desired area.

At our clinic, we use our own specially developed microneedle (micro grafting cannula).

The microneedle is a special grafting cannula used only at our clinic for ultra-precise grafting.

Example of fat grafting for the Indian band - front cheekbone wrinkle

PARTS OF FAT INJECTION

Even if your skin is thin, it is not a major problem at our clinic because we perform multilayer fat grafting (layer-by-layer through the skin).

At our clinic, the procedure includes a process that induces collagen formation along with tunneling work, making it effective for skin that lacks elasticity.

The key to fat grafting is ensuring that fat cells, as living cells, can achieve a high survival rate.

In particular, the Indian band is a very difficult area to graft.

At our clinic, the Indian band area includes a process called “tunneling.”

Tunneling means creating space for the fat to go by using a microneedle just under the skin. In other words, space is prepared as if drilling a tunnel, and then the fat is injected, which improves fat survival. Even after all the fat has been injected, it does not sag in the direction of gravity or become uneven.

In addition, the tunneling technique can improve dull-looking areas by organizing melanin pigment, and because the tunneling technique includes a separation process under the wrinkle,

fat is grafted under the separated wrinkle, so the wrinkle is improved more clearly than with fat grafting at other clinics.

In addition, the procedure is performed with micro fat grafting using a thin cannula, and a delicate injection method allows customized design.

With our clinic’s know-how, a large amount is not injected into one spot; instead, it is grafted evenly and uniformly across multiple layers.

Multilayer fat grafting lasts 3 to 4 times longer than conventional methods, and fat survival is also higher.

To minimize swelling and bruising during the procedure, an anti-swelling agent is mixed with the anesthetic, and we provide painless sleep anesthesia under local anesthesia.

Bruising and swelling peak on the third day and usually subside over about one week.

The degree varies from person to person, and the rate of reduction also differs from person to person.

Also, because a micro fat grafting cannula is used, there are no facial incisions or sutures.

Indian band - advantages of fat grafting for front cheekbone wrinkles

PARTS OF FAT INJECTION

The procedure is simple.
Because it uses your own tissue, the shape looks natural.
There is almost no swelling or bruising.
You can return to daily life immediately after the procedure.
If the fat tissue takes hold, the effect can be maintained for a long time.

Indian band - number of fat grafting sessions and interval for front cheekbone wrinkles

PARTS OF FAT INJECTION

Most fat grafting procedures produce satisfying results after an average of 1 to 2 sessions.

The minimum interval between procedures is after 3 months, and when repeating the procedure, the fat that was collected during the first fat grafting can be thawed and used.

Indian band - lasting effect of fat grafting for front cheekbone wrinkles

PARTS OF FAT INJECTION

Some people say fat grafting is ineffective because a lot of it is absorbed, but this applies when the procedure is performed at a clinic with somewhat limited experience.

In principle, if fat grafting is performed correctly, a satisfying result can be achieved, and once the transplanted fat takes hold, it is no longer absorbed and remains as your own fat tissue for life, making it one of the safest and most effective methods.

On average, after 1 to 2 fat grafting sessions, you can achieve a permanent and satisfying facial contour correction effect.

Side effects of fat grafting

PARTS OF FAT INJECTION

Of course, good results should be achieved, but depending on the skill and technique of the surgeon/procedure provider, sometimes unavoidable problems may occur.

Poor results due to a low survival rate, awkward shape, asymmetry, severe swelling, inflammation, fat necrosis, calcification, unevenness, sagging, and pigmentation may occur.

PARTS OF FAT INJECTION

Inflammation	Bacteria invade during the procedure, or the fat fails to take hold and melts during the process of taking hold
Necrosis	During the process of fat taking hold, blood supply is insufficient, so the fat that failed to take hold decays and melts away, leaving behind remnants
Calcification	During the process of fat taking hold, blood supply is insufficient, and the fat hardens as calcium deposits, forming a firm lump
Unevenness	If the fat is not injected evenly or is concentrated only in one area, the shape cannot be uniform and becomes bumpy
Sagging	If too much is injected or the fat is not placed in the correct position, sagging of the face may occur
Pigmentation	If bruising and swelling are severe, depending on the individual’s constitution, iron remaining in the bruise may deposit in the skin and oxidize, turning brown; this can occasionally occur after under-eye procedures depending on the person’s constitution
Asymmetry	When the survival rate differs between the left and right sides, or when the amount was not properly adjusted during the first procedure, causing imbalance
High absorption rate	A condition in which enough fat does not survive to create the desired contour, and much of it is absorbed, so the appearance does not change much before and after the procedure
Awkward shape	A condition in which too much fat survives or the fat is grafted into an inappropriate area, disrupting the overall balance of the face

Problems related to fat grafting side effects

PARTS OF FAT INJECTION

Because fat grafting uses autologous fat, it has almost no side effects, unlike commercial filler materials.

Except for a little swelling and bruising after the procedure, there can be said to be no side effects at all.

Therefore, it can be considered safer than any other plastic surgery procedure.

However, this refers to cases where fat grafting is performed properly, and if the procedure violates the principles, side effects may occasionally occur, such as a bumpy shape, hardening due to fat necrosis, inflammation, or an awkward shape caused by excessive injection.

These are issues determined by the provider’s experience and technique, and are absolutely not a general problem with fat grafting itself.

Therefore, if the procedure is performed according to the principles, such side effects almost never occur.

How to perform fat grafting without side effects

PARTS OF FAT INJECTION

Procedure in a sterile stateAs with all surgeries, fat grafting must also be performed with completely sterilized instruments and materials.After the procedure, the inside of the suction cannula should be thoroughly cleaned with a brush and sterilized with a high-pressure steam sterilizer so that no fat residue remains inside the suction cannula or grafting cannula used. Anesthetic drugs and saline must also be carefully managed so that they are not contaminated.Thorough disinfection and material management can prevent bacterial infection and inflammation.
Multiple-stage purification of fatFat must be purified through several stages to completely remove impurities in order to maximize effectiveness.Approximately 80% of the harvested fat usually consists of impurities, and only about 20% is actually usable.If the remaining impurities (blood, serum, anesthetic, oil, moisture, etc.) are not removed, the result will not be good no matter how well the grafting is done.
Preliminary space preparation before fat graftingTo achieve a high survival rate, a satisfying result should be obtained with just one procedure if possible.Fine fat must be planted evenly in multiple layers, and before that, space must be secured at the grafting site so that the previously grafted fat is not compressed by surrounding tissue; only then can the fat avoid pressure and take hold well.
Precise and even grafting into multiple tissue layersThe key to fat grafting is expressing a soft and natural contour.To create a soft contour, it is better to graft in a 3D method that distributes the fat evenly across multiple layers.The grafting locations include the subcutaneous layer, muscle layer, and fascia layer, and the fat must be spread through the tissue as if sowing seeds evenly to achieve a smooth contour without unevenness.

Duhan Plastic Surgery autologous fat grafting pre- and post-procedure process and aftercare instructions

This is the pre- and post-procedure process for undergoing fat grafting.

PARTS OF FAT INJECTION

1. Make a consultation appointment by phone or online.

2. Visit at the scheduled consultation time and receive a consultation.

3. If you wish to proceed, make a surgery appointment immediately after the consultation and leave.

You can also make a surgery appointment later by phone or online.

4. Visit 30 minutes before the scheduled surgery time, receive an explanation of the fat grafting procedure, and undergo design planning.

5. After the design is completed, change clothes and receive an intravenous injection for painless sleep anesthesia.

6. The fat grafting procedure time varies by area, and if multiple areas are treated at the same time, the procedure may take longer.

On average, it takes from 30 minutes up to 2 hours.

7. After the procedure, you will receive antibiotic and anti-inflammatory injections and rest in the recovery room for about 30 minutes.

8. You will be given post-procedure precautions and schedule your next visit date.

9. Visit 2 days after the procedure to check the progress of the fat grafting area and disinfect the fat harvesting site.

You may shower starting 2 days after the procedure.

Visit on day 7 after the procedure to check the progress and have the sutures at the fat harvesting site (navel) removed.

If your home is too far away and it is difficult to come to the clinic, you do not necessarily need to visit.

10. If a second procedure is needed, you will visit and receive treatment between 3 and 10 months later.

Features and pride of Duhan Plastic Surgery's autologous fat grafting clinic

PARTS OF FAT INJECTION

♥ All anesthesia is performed with local anesthesia (sleep anesthesia).

All fat grafting procedures are performed under local anesthesia, regardless of the area being treated.

Local anesthesia is administered together with sleep anesthesia, so the procedure can be done without any pain even during anesthesia and after the anesthesia has ended.

Depending on the area, an anti-swelling agent, hyaluronidase, is mixed into the local anesthetic and administered.

Hyaluronidase is an expensive anti-swelling agent that works by dispersing tissue fluid so that swelling is barely caused from immediately after the procedure.

♥ We have a systematic and advanced fat grafting system.

The success of fat grafting depends on the survival rate.

To maximize the survival rate, the following are necessary.

○ Living fat cells must be harvested.

○ To increase fat purity, centrifugation purification and removal of unnecessary oil are used to maximize purity.

○ Before fat grafting, subcutaneous tunneling is performed at the graft site to secure space for the fat to be grafted.

○ Micro fat grafting cannulas are used to perform precise and detailed grafting for each area.

○ A 3D method is used to graft finely across multiple layers, increasing survival rate and creating a smooth contour.

♥ Fat is harvested by selecting appropriate and various donor areas.

The most commonly used area for fat harvesting is the lower abdomen. The lower abdomen is the first choice for harvesting because there is less pain after the procedure, less swelling and bruising, and it is a comfortable area for daily life.

If there is not enough fat in the lower abdomen or if the patient prefers another area, fat is harvested from other areas as well. After the lower abdomen, the next most commonly chosen area is the inner thighs, followed by the outer thighs.

There is no fixed rule for which area gives the best fat survival rate.

The results are similar regardless of the harvesting area. The ideal harvesting area is the part of your body with the most excess fat, but it is better to choose the donor area while considering the amount of fat to be harvested and activities after the procedure.

♥ We maximize fat survival through a two-stage purification process of the harvested fat.

The harvested fat undergoes a two-stage purification process to remove impurities other than fat cells.

The impurity that makes up the largest proportion of the harvested fat is local anesthetic, followed by oil.

In addition, impurities such as serum and red blood cells are included.

In the first stage, it undergoes about 3 to 4 minutes of centrifugation, and in the second stage, it goes through an oil removal process.

The parts purified by centrifugation are local anesthetic, red blood cells, serum, and so on.

Oil is removed manually through natural absorption.

Through the two-stage purification process, near-100% concentrated fat is obtained, maximizing the effectiveness of fat grafting while increasing the survival rate as much as possible.

♥ Space for fat grafting is secured through subcutaneous tunneling.

Subcutaneous tunneling is a necessary process for securing space in advance at the area where the fat will be grafted, in order to achieve a high fat survival rate and uniform grafting.

Using a thin probe, the area under the skin is moved repeatedly in a fan-like pattern to create space for the fat to be grafted.

The effect of subcutaneous tunneling is to increase fat survival and prevent fat from clumping, thereby creating a uniform and smooth contour.

♥ 3D micro fat grafting can create a smooth and even facial contour.

Although there are exceptions depending on the area, the basic method of fat grafting is the 3D approach.

By dividing the fat into multiple layers and grafting small amounts evenly by area, the survival rate of the fat is increased and the survival is made more uniform, allowing a soft contour to be created.

♥ Micro fat grafting cannulas are used for precise fat grafting.

In the past, methods using fat injection devices caused various problems because fat was pushed under the skin under high pressure.

The absorption rate of fat was high, survival was not uniform, the contour became uneven, and grafting into delicate areas such as under the eyes was difficult.

To solve these problems, when performing fat grafting, the fat is transferred again into a thin 1cc syringe and grafted into the desired area.

At our clinic, we use our own specially developed microneedle (micro grafting cannula).

The microneedle is a special grafting cannula used only at our clinic for ultra-precise grafting.

Fat grafting can also be performed on the upper eyelids, lower eyelids, forehead wrinkles, glabella wrinkles, nasolabial folds, and the bridge of the nose, making fat grafting possible in almost all cases except for fine wrinkles.

♥ Immediately after fat grafting, molding is performed so that a uniform and smooth facial contour is created.

Immediately after fat grafting, delicate molding work is performed so that the transplanted fat spreads evenly and a smooth shape is created.

Molding is the final step of fat grafting and one of the most important steps.

♥ Rapid freezing and sterile storage of remaining fat simplifies the second procedure.

If a second procedure is performed more than 3 months after fat grafting, we use the fat left over from the first procedure instead of harvesting fat again.

The fat remaining after the first procedure is rapidly frozen, sterilized, and stored.

For the second procedure, the stored fat is thawed so the procedure can be done more simply.

The storage period for the fat is up to 1 year, and if you visit within 1 year, the stored fat will be used for the procedure.

♥ Thorough aftercare system

After fat grafting, through thorough aftercare, we carefully monitor the progress until the fat has fully taken hold.

During the follow-up period, if necessary, we try to minimize customer dissatisfaction through swelling-reduction injections, shape correction, and molding.

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