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The transfer of autologous fat for body modelling, such as breast augmentation with autologous fat or a Brazilian Buttlift, has been an integral part of the treatment spectrum of plastic-aesthetic surgery for many years now.Continue reading
As a result of intensive further development and technical improvements both in the area of suction and the preparation of the fat cells obtained, microfat treatment for building up volume in the face or for hand rejuvenation has been able to find a firm place on the list of treatments as an established and safe method.
Of course lipofilling is not only a suitable method for volume build-up and contouring. The further processing of the fat to so-called nanofat makes it possible to produce a highly effective and potent biofiller that enables a variety of innovative and gentle treatments.
Duration of the treatment: approx. 1 to 2 hours (depending on the extent)
Length of stay in the clinic: 2-3 hours
Anaesthesia: local anaesthesia
Follow-up treatment: compression for 1 week
Resumption of social activities: immediately
In the early days of fat transfer, it was assumed that fat could only be used for redistribution and volume formation in the form of macrofat. A transplantation into the upper skin layer was therefore not considered. In recent years, however, research from Belgium and Italy has clearly shown the opposite. In some patients, the treated region appears artificial or unnatural after the use of synthetically produced fillers such as hyaluronic acid, especially in problem areas around the mouth, hand, neck and décolleté, but also in and around the lips. In these cases, but also in patients who are interested in treatment but refuse any use of ‘foreign material’ on and in their bodies, the use of microfat proves to be a natural and highly effective alternative. The ‘wrinkles’ on the cheek, neck or décolleté respond particularly well to microfat treatment, but micro- or nanofat can also be used for the postoperative treatment of scars. Furthermore, pigmentation disorders can be significantly improved and dark circles around the eyes can be reduced.
One of the main effects is based on the stem and growth cells contained in the fatty tissue, which stimulate the regeneration of the skin instead of just temporarily replenishing it.
Micro- and nano-fat can be successfully used for a variety of treatments.
The processed fat can now also be deprived of any volume effect by mechanically destroying and filtering out the real, mature fat cells and leaving only the stem cells and growth factors for a smooth rejuvenation effect directly on the skin’s surface. This is known as ‘nanofat’. This very liquid solution is applied under the skin in a fan-shaped manner by a special technique with blunt cannulas. This technique drastically reduces the downtime. The patients are usually able to resume social activity immediately after the procedure.
The therapy with nanofat is particularly suitable as a combination therapy with PRP, microneedling or laser treatment as a total therapy of a skin rejuvenation.
The core idea of nanofat transplantation is the transplantation of stem cells directly under the skin surface in order to specifically improve skin quality and skin tone. For this purpose, the suctioned fat tissue is first thoroughly filtered, whereby most of the mature fat cells that provide the volume during micro- or macrofat transplantation are lost. The Sinis Clinic in Berlin is one of the first providers in Berlin to offer this technique of treatment regularly and safely.
Skin damage such as scars and burns after accidents and operations, pigment spots and also acne can be significantly reduced by a nanofat treatment, ideally in combination with a surface treatment using a fractionated CO-2 laser. A short procedure, but a great effect. After the laser treatment, the nano-fat is injected into the skin or scars with small needles under local anesthesia. Depending on the size of the skin damage, approx. 10 to 20 millilitres of suctioned fat are required. The treatment takes about one hour. Depending on the situation, between one and three sessions are necessary. As with most applications, some patience is required until the final result is achieved, as the final effects are only completed after 3-4 months.
If a slight breast lift with a little more volume is desired, in some cases a natural method can be used – lipofilling. First of all, the required fat is removed from the pre-determined areas of the body with the help of liposuction. Then it is prepared and injected into the breasts. Since experience shows that the injected fat cells grow by up to 70 percent, they usually remain in the breast permanently. Per treatment, the bust can gain volume by one cup size. Several treatments can be performed without any problems if you want a little more bust size. The result of such a breast augmentation looks very natural and also leaves no scars. However, a breast lift using lipofilling is only useful if the breast tissue is not too overstretched. If the bust is very saggy, lipofilling will not achieve a satisfactory result. In that case we recommend conventional surgery.
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In the course of a detailed initial consultation, we first analyse your face / neck and décolleté together with you. Subsequently, we prepare a detailed concept of which type of processed fat is suitable for you for each area. In most cases, all three variants are used at different locations and the actual procedure takes about 60-90 minutes. As in classic liposuction, fresh, living, endogenous fat cells (usually from the abdomen or thigh) are first removed with special microcannulas for lipofilling with micro or nanofat.
As only a small amount of fat is required, this procedure can be performed without anaesthesia under local anaesthetic. The collection is carried out with particularly fine cannulas that are already adjusted to the later application target.
This is followed by a special cleaning and preparation of the cells. Depending on the level of processing, micro- or nanofat can be obtained.
This is then injected into the correct skin layer and region using special cannulas and techniques depending on the target region.
The treatment area should be cooled with refrigerated compresses for 30 to 60 minutes after treatment to reduce redness and swelling. Immediately after the treatment, a thorough massage of the treated areas is important in order to distribute the nano-fat evenly.
You can leave the Sinis Klinik Berlin shortly after the operation. Since the application of make-up is allowed immediately after the treatment, you can usually resume your usual activities immediately after the treatment.
You should not do any sport for about 10-14 days so that the fatty tissue can grow undisturbed. Avoid exposure to strong heat or sunlight. During this time, any swellings and hematomas usually heal.
By using blunt suction and injection cannulas, the risk of nerve and vessel damage is minimal. As a natural consequence of the procedure, the injection sites may experience temporary minor redness and swelling, which in most cases disappears completely within a few days and rarely lasts up to two weeks or longer. If bruises occur during treatment, you may cover them immediately with make-up, and temporary bruising, swelling or temporary numbness may occur at the fat removal sites.
Lipofilling is a highly effective procedure to counteract the natural aging process. In principle, autologous fat injections are suitable for anyone who wants to improve their appearance in the long term and thus achieve a more positive appearance. However, the method is not always and not for everyone a suitable solution. Before a planned own fat transfer you should inform us about existing intolerances. You should also inform us about diseases such as diabetes and regular or irregular medication intake. Before deciding on lipofilling, you should first and foremost rule out acute bacterial or viral infections. If you have cardiovascular diseases or blood clotting disorders, you must first consult a specialist. Also, if you have severe liver or kidney diseases, autologous fat treatment is contraindicated. Lipofilling is also impossible if you have chronic skin diseases, inflammations or injuries in the treatment area. Lipofilling is also unsuitable for people who are otherwise seriously ill, minors, pregnant or breastfeeding. Also, people who are convalescing after an illness or surgery should not be treated. To minimize complications, we perform lipofilling only on healthy people. Since autologous fat transfer requires a donor area to harvest the fat tissue, you must also have sufficient fat deposits.