Louisville Aesthetic Plastic Surgery

Fat Grafting

Part 1- Introduction

Fat grafting has become an integral treatment in aesthetic and reconstructive procedures.  Fat grafting has been performed for many years.  It is not until recently that we understand how fat grafting works and the potential benefits.  Fat grafts were initially used in the late 1800’s.  However, it was not until the 1980’s that the widespread use of liposuction allowed for easier harvesting of fat grafts.  Since that time, there has been a revolution in the research related to the optimal techniques required and possible benefits.  Fat grafting is now used for a variety of aesthetic uses as both a filling agent and therapy for damaged tissue.  In the face, it can be used to increase volume throughout.  It can be used as a stand-alone therapy or as an adjunct to other procedures such as a facelift or blepharoplasty.  Fat grafting has been utilized in breast augmentation and is commonly used as an adjunctive procedure in breast reconstruction after treatment of breast cancer.  There is a considerable buzz around fat grafting for gluteal augmentation, often termed “Brazilian Butt-Lift”.  In addition to adding volume, fat grafts have been shown to regenerate and improve the surrounding tissue.  The science is complex and the exact mechanisms are not yet fully understood.  This series of articles will review many of these issues surrounding fat grafting.

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