[Facial Autologous Fat Grafting, Duhan Plastic Surgery] - [Indian Wrinkle]

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​http://www.microfat.net​

​http://www.microfat.net​

Indian wrinkle fat grafting

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

It is also called an Indian wrinkle or front cheekbone wrinkle,

and the cause is mostly congenital.

In some cases, the wrinkle line is noticeable at a young age.

If there is a wrinkle line, you may look older,

and it can give a worse impression, so the wrinkle line should be corrected.

What causes Indian wrinkles?

① The skin under the eyes is very thin, so it occurs at the boundary with the thicker cheek fat
② Relative depression of the fat contour boundary caused by protrusion of orbital fat
③ Cases that occur constitutionally without sagging skin
④ Sagging skin due to aging

What is the fat grafting procedure for Indian wrinkles?

① Fat is collected from areas where your own fat is stored in large amounts, such as the lower abdomen, waist, or thighs.

• Because local anesthesia (painless sleep anesthesia) is used, 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

to reduce side effects after grafting,

and to increase the fat survival rate.

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

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

④ The fat is then transferred again into a thin 1 cc 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.

Examples of the fat grafting procedure for Indian wrinkles

What are the advantages of the fat grafting procedure for Indian wrinkles?

① The procedure is simple.
② Because it uses autologous tissue, the shape looks natural.
③ There is almost no swelling or bruising.
④ You can return to daily life immediately after the procedure.
⑤ If the fat tissue survives, the effect can be maintained for a long time.

How many times is the fat grafting procedure for Indian wrinkles performed?

Most fat grafting procedures can achieve a satisfactory effect with an average of 1 session and at most 2 sessions.

The interval between procedures is between 3 and 10 months,

and for a repeat procedure, the fat that was stored when the first fat grafting was performed can be thawed and used.

However, because there are large differences in procedure results from one clinic to another,

only accurate, principled procedures can produce good results.

How long do the effects of fat grafting for Indian wrinkles last?

Some people say fat grafting has no effect because much of it is absorbed,

but this applies when fat grafting was performed at a clinic with somewhat limited experience.

In principle, if fat grafting is done correctly, a satisfactory effect can be obtained,

and once the grafted fat survives,

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, 1 to 2 fat grafting sessions can provide a permanent, satisfactory facial contour correction effect.

What other surgical methods are there for correcting Indian wrinkles?

① A method using orbital fat removalThis is applied when the relative depression of the fat contour boundary is caused by protrusion of orbital fat.In this case, considering the degree of protrusion caused by fat, it is important to judge carefully whether removing the fat is effective or whether it is better to graft fat under the wrinkle line. This decision should be made by considering the practitioner's experience and the eye shape desired by the patient. If fat is removed when the protrusion is not severe, the wrinkle may become less noticeable, but a side effect may occur in which the area under the eyes looks sunken overall, so fat removal must be decided carefully.
② Lower blepharoplastyLower blepharoplasty is a surgical method that improves a sunken wrinkle by pulling up the skin under the eyes and excising and suturing the excess skin when wrinkles occur due to sagging skin under the eyes. If the nasolabial fold under the eyes is so severely sagging that correction with fat grafting or fat removal is impossible, it can be corrected with lower blepharoplasty. If the skin is sagging, fat removal alone does not correct it well, and in many cases it actually creates more wrinkles. Also, if fat grafting is performed, only the under-eye area may become even more protruding, so in older patients with sagging skin, lower blepharoplasty is required in most cases.
③ A series approach combining orbital fat removal and fat grafting Even after orbital fat removal, the under-eye wrinkles may become less noticeable or may remain. In such cases, fat grafting should later be added only to the wrinkle line. This is a finishing treatment with fat grafting for wrinkle lines that were not completely removed by fat removal. It is usually performed one month after fat removal. If it is expected before the procedure that fat removal alone will not be enough, it is common to plan in advance to include fat grafting as well. Whether fat grafting is performed is judged based on the practitioner's experience. Before the procedure, a plan may be made for both fat removal and fat grafting, but if the result is good and the wrinkle disappears with fat removal alone, fat grafting may not be performed. Sometimes other clinics recommend performing fat removal and fat grafting at the same time, but these two procedures should absolutely not be done simultaneously. The reason is to carefully design the procedure based on the results of fat removal and to precisely adjust the amount of grafting according to the degree of depression. However, if fat grafting is performed immediately after fat removal without knowing how much and where the area will settle, it cannot be done properly. For example, it is the same as roughly coloring in a drawing without knowing what the sketch will look like. In under-eye procedures, which require very high precision, such practice goes against the principles and should be kept in mind. In some cases, satisfactory results can be obtained with fat removal alone, which is another reason why fat grafting should not be done at the same time.
④ Procedure using fillerFillers (Restylane, Aquamid, Artecoll, etc.) were mainly developed to correct fine lines around the eyes and are not suitable products for facial contouring. In some cases, fillers such as Restylane or Aquamid are used to correct sunken areas, but they can create a bumpy under-eye appearance and may cause the skin to turn pale instead of returning to its natural skin tone, so they are not a recommended treatment. They also have a relatively high chance of causing inflammation, so careful attention is required. The under-eye area is a region where precision is essential and absolutely no side effects should occur, so injecting foreign substances is not desirable.

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