Fat grafting involves the removal of fat from one area of the body (by liposuction) and then placing it into another area of the body as a graft.

I use fat grafting in my practice to restore volume to the face and lips, sometimes a stand-alone procedure, but often combined with face lifting or eyelid surgery. Particular location in the face that benefit the most from fat grafting include the lips, lid-cheek junction, jawline, prejowl or marionette region, and nasolabial folds.

I also use fat grafting in adding camouflage and volume over implants in breast reconstruction. Additionally, I use fat grafting very commonly for buttock augmentation (Brazilian Butt Lift) either alone or in conjunction with Buttock Lifting. (As part of a body lift procedure). I use artistry to refine and enhance and customize buttock shape through fat grafting. Lastly, I use fat grafting to fill voids left by traumatic injuries, including extravasation injuries (atrophy) caused by chemo injections in arms.

The “controversies” surrounding the technical aspects of performing fat grafting include how the fat is harvested, processed, and injected. I have been performing my fat grafting procedures with consistent results for more than twenty years performing. I started fat grafting very early in my career. I was one of the earliest adopters of the concept of fat grafting. I have always felt that simple gravity filtration and reinjection quickly is the most gentle and the most effective method. I use this for all areas of fat grafting except the face, where I centrifuge (spin down) the fat for only one minute.

There have been so many methods described for processing fat over the last 10 years that it is dizzying. Recently, I was at the 2018 Bakers Gordon Cosmetic Surgery Symposium, one of the most highly regarded scientific meetings in Plastic Surgery where I saw that essentially all techniques in fat grafting around the world have all gone back to simple gravity filtration of some kind to process the fat, and minimal centrifugation in facial fat grafting.

It was a real “AH-HA” moment for me. Nearly every expert was now uniformly doing what I have been emphatically espousing for years!

Visit my website www.drspiro.com and Instagram @spiroplasticsurgery to see my results for yourself. They are artistic and beautiful!