First-hand opinion: honestly about lipofilling
Plastic surgeons often hear requests from patients: give me a facial plastic surgery to look younger. But rejuvenation does not always require – there are many alternative ways to correct the oval of the face, smooth out wrinkles, give the face volume and radiance, as in youth. One of these ways – correction with the patient's own fat cells, or lipofilling.
Vladimir Petrovich Pirus, plastic surgeon of the clinic of cosmetic surgery "Visit-Kosmetik", Master of Medicine. Active member of the All-Ukrainian Association of Plastic and Reconstructive Surgeons since 2002. Active member of the Russian Association of Plastic Surgeons since 2000. Representative of the French school of plastic surgeons in Ukraine.
Official certified international trainer of Allergan for contouring and botulinum therapy. Permanent participant of international congresses and trainings on plastic surgery in near and far abroad.
How fat is better than hyaluronic acid
V.P.: Fat is not hydrophilic. It provides more permanent results. Fat can be taken for free and as much as needed to achieve the result, so if you need to use large volumes, it has clear advantages over hyaluronic acid.
It cannot be perceived by the body as foreign, unlike materials of synthetic or biological origin.
Lipofilling: what knowledge about this procedure do we lack?
What are the disadvantages of lipofilling
V.P.: In some cases, there is a need for repeated corrective procedures. Harder to control the final volume. Additionally, the donor zone is injured.
The possibility of using the technique in asthenic patients is limited. The procedure requires special conditions close to those of the operating room. Slightly longer rehabilitation period and more pronounced symptoms after the procedure.
Lipofilling of the nasolabial folds: rejuvenation due to own fat?
When do you recommend this procedure
V.P.: The purpose of lipofilling is to restore lost or missing tissue volumes using only the patient's own fat cells.
It can be used both as a rejuvenating and as an image procedure. Areas of application of lipofilling are very extensive: correction of the volume of the middle zone of the face, periorbital region, facial contours, volume of the lips, nasolabial folds, correction of the contours and volume of the chest, buttocks, legs. lipofilling can also be used as a reconstructive procedure for the treatment and restoration of cicatricial deformities and contractures, atrophies of various origins and asymmetries.
Lipofilling of hands: how to perform the procedure correctly?
Recently, nanolipofilling has gained particular popularity. This is a special procedure that uses emulsified fat containing a large amount of regenerative cellular factors - precursors of stem cells.
In fact, as a result of the procedure, a stimulating regenerative effect is exerted on the skin. The appearance and condition of the skin improves.
Nanolipofilling can be used in a complex of rejuvenating procedures for the back of the hands, décolleté, and periorbital area. Of particular interest is the treatment of "dark circles" around the eyes.
What other procedures and operations can or even be combined with lipofilling
V.P.: Lipofilling is an excellent addition to such operations as blepharoplasty, facelift, correction of atrophic changes in the mammary glands during re-endoprosthetics.
Modern global progressive trends in rejuvenating facial surgery are such that most of the rejuvenating operations on the face are now almost complete without lipofilling.
And this combination makes it possible to make them more effective and less aggressive. And the result is more harmonious and effective. In many cases, lipofilling gives excellent results as an independent procedure in patients with minor age-related changes.
If a second lipofilling procedure is planned, how soon can it be performed
V.P.: Since lipofilling dies a part of fat cells (30-40%), a repeated corrective procedure is prescribed to the patient quite often to achieve the optimal result. It is believed that the best period for such a correction is a period of 3 months or more.
What is the duration of the rehabilitation period after lipofilling? Prerequisites to be met by the patient
V.P.: Major noticeable symptoms such as swelling or minor bruising disappear after about 10-14 days.
During this period, it is strictly forbidden to do intensive massage in the area of lipofilling, to use warming procedures (sauna, including a bath). It is not recommended to carry out air travel within 5-7 days. Avoid strong alcohol, spicy foods and foods high in salt.
Smoking can significantly impair the survival of fat cells due to spasm of peripheral capillaries. Impairs the process of survival of fat cells and the use of local cold compresses, and the wearing of postoperative compression bandages or underwear.
Source estet-portal.com
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