Fat Grafting Duhan Plastic Surgery - Fat Grafting for Smile Lines and Nasolabial Folds, Indian Lines

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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 called micro fat grafting.

Using a syringe, your own fat is harvested,

then injected again with a syringe into the desired area

to correct the facial contours.

Dr. Shin Duhan

The key to micro fat grafting

lies in expressing a natural, soft contour and a high survival rate.

By using 3D fat grafting and 2D flat fat grafting, the most ideal fat grafting is performed for each area.

Except for bone surgery such as cheekbone and jawbone surgery, contour correction of other sunken areas can be corrected with fat grafting.

The procedure is simple, has no side effects, and can naturally correct any area as much as desired, making it one of the best facial contour plastic surgeries.

What is fat grafting for lip lines and nasolabial folds beside the nose?

Fat grafting for lip lines and nasolabial folds

is a procedure that corrects wrinkles formed from beside the nose to the lip area.

The deeper the wrinkles, the older you look,

and the more protruding the mouth appears,

but the corrective effect weakens the wrinkles,

creating a more youthful appearance,

and also provides a visual effect that makes a protruding mouth look somewhat less prominent.

What are the indications for fat grafting for lip lines and nasolabial folds beside the nose?

If fat grafting is performed for nasolabial folds beside the nose or wrinkles around the mouth, even deeply etched wrinkles can achieve sufficiently satisfying results.

◇ Corner-of-the-mouth wrinkle line

◇ Lip-area nasolabial fold line

◇ Cases where the front part of the face beside the nose is sunken and looks concave

What is the fat grafting procedure for removing lip lines and nasolabial folds beside the nose?

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

For wrinkle correction, not much fat is needed, so harvesting from the lower abdomen is preferable.

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

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

② The harvested fat is placed in a centrifuge to remove impurities (local anesthetic solution, serum, red blood cells, etc.).

The purpose of centrifugation is to remove impurities contained in the fat,

to increase the concentration of the fat and improve the survival rate of the fat.

③ The fat that has been centrifuged undergoes a second concentration process to remove water and oil.

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

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

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

At our clinic, we use a self-developed microneedle (micro grafting cannula).

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

For grafting, a subcutaneous tunneling procedure must be done in advance before grafting so that it can be accurately placed in the wrinkle area and effectively correct the wrinkles.

⑤ After fat grafting, daily life is possible immediately, and washing the face and applying makeup are possible from the next day.

What is the effect of wrinkle-removal fat grafting?

Rather than injecting a large amount into one spot using a tunneling technique, we perform 3D micro fat grafting with evenly distributed, 100% concentrated fat in multiple layers.

A delicate and meticulous injection method allows for customized design.

Fat grafting also includes a process called “tunneling,” which allows the grafted fat to stay in maximum contact with the surrounding abundant blood vessels so that nutrients can be continuously supplied.

Tunneling means using a microneedle just beneath the skin to create a space for the fat to enter. Since a space is made like drilling a tunnel and then the fat is injected afterward, the area does not sag in the direction of gravity or become uneven even after all the fat has been injected.

Because the tunneling technique includes a separation process for the wrinkles, fat is grafted beneath the separated wrinkle, so the wrinkles improve more clearly compared with fat grafting at other clinics.

Examples of fat grafting correction for removing lip lines and nasolabial folds beside the nose

In the case of fine lip-area wrinkles, they can be corrected with fillers (Restylane, Juvederm, Artecoll), but fillers have little effect on deeply etched wrinkles.

Also, these fillers are meant to be injected in small amounts for fine wrinkles, and if too much is grafted into deep wrinkles, not only will the procedure be ineffective, but side effects may also occur.

With fat grafting, sufficiently good results can be obtained even for severely sunken wrinkles.

Correcting deeply sunken lip-area nasolabial folds is one of the best methods of fat grafting.

Sometimes, combining fat grafting and fillers can be more effective.

What are the advantages of fat grafting for removing lip lines and nasolabial folds beside the nose?

① The procedure is simple.
② Because it does not use foreign materials like fillers (Restylane, Radiesse, Artecoll), there is no concern about side effects.
③ Because the procedure does not involve cutting the skin, there is no concern about scars.
④ Because it uses autologous tissue, the shape looks natural.
⑤ There is almost no swelling or bruising.
⑥ You can return to daily life immediately after the procedure.
⑦ Because the fat tissue survives and settles, the effect can be maintained for a long time.

What precautions are needed for wrinkle correction to remove lip lines and nasolabial folds beside the nose?

If you laugh hard or make strong facial expressions after the procedure, the grafted fat may be compressed and absorbed more, so be careful.
Do not press on the fat grafting area or massage it vigorously.
Avoid running or vigorous exercise for about one month.

How many sessions are needed for fat grafting for lip lines and nasolabial folds beside the nose?

In the case of lip lines and nasolabial folds beside the nose, there are various variables in the treatment effect.

If you laugh or frown intensely after the procedure, the fat cells will be compressed, reducing the effect.

For the grafted fat to settle properly, there must be no external pressure compressing it.

Therefore, in the case of fat grafting for wrinkles, facial expression management should be done well for about one month.

For fat grafting of the glabella or nasolabial folds, on average one treatment, and at most two treatments, can produce a satisfying result.

If necessary after the first procedure, a second procedure is performed between 3 and 10 months later, and during the second procedure the fat that had been harvested at the time of the first fat grafting is thawed and used.

What is the lasting effect of fat grafting for lip lines and nasolabial folds beside the nose?

Some people say fat grafting has no effect because much of it is absorbed, but this applies to cases where the procedure was done at a place with insufficient experience in fat grafting, or where the fat grafting was performed poorly.

If fat grafting is done correctly, satisfying results can be obtained, and once the grafted fat settles, it will no longer be absorbed and will remain as your own fat tissue for life, making it one of the safest and most effective methods.

On average, after one to as many as two fat grafting sessions, you can achieve semi-permanent, satisfying wrinkle improvement.

However, no procedure lasts forever.

Wrinkles are a sign of aging, so there is no way to prevent aging; the important thing is to make the effects of wrinkle procedures last as long as possible.

An area that has undergone fat grafting is reinforced with tissue beneath the skin, so it resists the forces that create wrinkles and wrinkles do not form easily.

Although there are individual differences, the wrinkle-improving effect of fat grafting can be said to last longer than any other procedure.

What are Indian lines?

These are sunken wrinkle lines that run across the front cheek area.

They are also called front cheek wrinkles,

and the cause is mostly congenital,

and in some cases the wrinkle line is clearly visible at a young age.

If there is a wrinkle line, you look older,

and the impression becomes less favorable,

so the wrinkle line should be corrected.

What is the procedure for fat grafting for Indian lines?

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

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

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

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

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

③ The fat that has been centrifuged undergoes a second concentration process to remove water and oil.

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

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

At our clinic, we use a self-developed microneedle (micro grafting cannula).

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

⑤ After fat grafting, daily life is possible immediately, and washing the face and applying makeup are possible from the next day.

Examples of correction with fat grafting for Indian lines

What are the advantages of fat grafting for Indian lines?

● The procedure is simple.

● Because it uses autologous 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 settles, the effect can be maintained for a long time.

What is the interval between fat grafting sessions for Indian lines?

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

The interval between procedures should be at least 3 months, and when re-treating, the fat that had been harvested at the time of the first fat grafting can be thawed and used.

What is the lasting effect of fat grafting for Indian lines?

Some people say fat grafting has no effect because much of it is absorbed, but this applies to cases where the fat grafting was done at a clinic with somewhat insufficient experience.

In principle, if fat grafting is done correctly, satisfying results can be obtained, and once the grafted fat settles, it is no longer absorbed,

and remains 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, satisfying facial contour correction effect.

Other methods besides fat grafting

■ Method using fillers (Juvederm, Artecoll, Teosyal, Evolence)

Lip lines can also be corrected with fillers or collagen, but the use of fillers is very limited.

Fillers can be used for fine, hairline-like wrinkles.

However, for deep sunken wrinkles, fillers are almost ineffective, and if too much filler is injected, it may be pushed outward by the force of smiling, making the nasolabial folds even deeper.

In severe cases, there is also concern about various side effects such as inflammation.

Nasolabial folds are mostly deep sunken wrinkles.

Therefore, it is difficult to expect satisfying results from filler procedures.

■ Implant insertion method (silicone, Gore-Tex)

Implants are often used for nasal augmentation, but are not suitable for wrinkle plastic surgery.

Small implants are sometimes inserted through an incision inside the nose or mouth, often called a “noble surgery,” but the purpose is correction of slight hollowness rather than wrinkles.

However, it is not an appropriate surgical method for correcting long wrinkles, and various side effects can occur.

Because it is a foreign material, you may feel discomfort when smiling, the contour may protrude, and the implant may shift position due to the force of smiling.

Sometimes it can also cause problems such as inflammation, so inserting implants into nasolabial folds is not a desirable method.

In principle, it is better not to insert implants in moving areas where facial expressions are made.

■ Magic lift (a procedure that pulls facial skin with threads)

There are also procedures called magic lifts that pull the face with threads,

but they have little effect not only on overall facial wrinkles but also on nasolabial folds.

There is a limit to pulling facial skin with the force of threads, and because wrinkles may quickly recur or facial irregularity may occur as a side effect, caution is needed.

■ Insertion or injection of artificial dermis (AlloDerm, SureDerm)

Correction is sometimes done using artificial dermis such as AlloDerm, made by processing human dermal tissue, but it is difficult to perform precisely.

Also, liquid AlloDerm is significantly absorbed, making the corrective effect hard to predict, and dissatisfaction with the procedure is common.

Solid AlloDerm is mainly used for nasal tip surgery to create a rounded nose shape and is not a desirable procedure for correcting nasolabial folds.

■ Insertion of gold threads or gold needles

There are clinics that entice people by saying that inserting gold needles into the face makes the skin elastic and taut and smooths wrinkles.

It is mostly performed by non-specialists, and because it is a very expensive procedure, it is advertised as if the effect is excellent, so consumers need to be careful.

Side effects of fat grafting for wrinkle procedures

Fat grafting for wrinkles is one of the procedures that requires a very high level of precision.

To see the effect of smoothing wrinkles by grafting into the wrinkle line, an appropriate amount of fat must be grafted at an appropriate depth and volume after tunneling.

If fat grafting is done poorly, areas other than the wrinkle line may bulge more, and there may be side effects where the area protrudes beyond the wrinkle correction effect. Conversely, there may be cases where almost no effect is seen, or where severe swelling immediately after the procedure causes discomfort.

Also, fat grafting does not apply to every wrinkle, so it should be used only for wrinkles that can benefit from it. Unlike contour correction, wrinkle procedures are more difficult, so as a rule, procedures should not be done by inexperienced providers or non-specialists.

How to address side effects of over-injected fat grafting

If someone has somewhat limited experience with fat grafting and performs it in a way that goes against the principles, or if the amount of fat grafting is misjudged and too much fat is grafted, the grafted area may swell severely or remain too protruding even after the swelling goes down, resulting in an unnatural appearance.

This usually occurs when too much poorly refined fat containing many impurities is forcibly injected.

In most cases, it subsides over time, but if the swelling is too severe, hyaluronidase for reducing swelling may be injected into the treatment area to help the swelling go down quickly, and if too much fat has been injected, a microcannula may be inserted to aspirate and remove the grafted fat again.

If over-injected fat is removed within 3 months, it can be taken out more easily.

Sometimes, if the grafted fat becomes necrotic and calcifies, becoming hard, it also needs to be removed by aspiration.

However, if fat grafting is performed properly, these problems almost never occur.

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