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SEE MORE PHOTOS Maximizing Buttock Augmentation SEE MORE PHOTOS Fat Embolism: What is it and How to Avoid SEE MORE PHOTOS Natural Breast Augmentation (NBA) FAT TRANSFER NEWPORT BEACH Fat transfer Newport Beach Fat transfer Newport Beach Style is all about Dr. Mowlavi's dedication and mastery of fat transfer. This refers to the process of repositioning the fat in your body. This cosmetic procedure involves the removal of the fat solution by liposuction, processing the fat, and then reinjecting the fat back into the body. Recent advances in fat harvesting, processing, and reinjection techniques have allowed this treatment modality to blossom. Specific regions of the body have become the center of attention for injection of fat and these include the buttock, the face, the breast, the hands, and throughout the body to correct contour irregularities. Optimizing fat harvesting Fat transfer Newport Beach Style is all about Dr. Mowlavi's dedication and mastery of fat transfer. This refers to the process of repositioning the fat in your body. This cosmetic procedure involves the removal of the fat solution by liposuction, processing the fat, and then reinjecting the fat back into the body. Recent advances in fat harvesting, processing, and reinjection techniques have allowed this treatment modality to blossom. Specific regions of the body have become the center of attention for injection of fat and these include the buttock, the face, the breast, the hands, and throughout the body to correct contour irregularities. Optimizing fat processing Once the fat slurry has been removed, it must be washed and compacted prior to reinjection. Processing of fat has traditionally been performed by washing the fat slurry in a sieve and letting the fluid drain out prior to placement into syringes for injection. This technique does increase the exposure of the fat to the open air and can increase the risk of contamination and subsequent infection. It also increases the labor and delay required for the replacement of fat back into the body. Today, this process has been optimized by collecting the fat into a closed, sterile canister. The fat is washed in the canister and the fluid allowed to self-decant and drained out. Then, the fat is reinjected into the body through the same tubing that it was collected. The closed-loop system has several advantages when compared to the traditional fat processing system. First, the fat exposure to the outside air is minimized thus minimizing the risk of contamination. Second, the processing time is minimized thus decreasing out of body time for the fat cells. It is intuitive to acknowledge that lessening out of body time will ultimately result in improved survivability. An additional measure taken to minimize fat cell viability is to keep the fat cells cooled while they are out of the body to lower their metabolic activity. This concept is utilized routinely in cardiac surgery when the heart is placed on bypass and is likely to keep the fat cells from depleting their resources. Optimizing fat grafting Traditionally, fat cells were reinjected using 60cc syringes that were filled with fat cells. This process required direct pressure using your grip to inject the fat cells from the syringe into your body. This process was not only manually laborious but also made the placement of fat cells in a controlled manner and with constant pressure difficult. Both of these factors are critical for the fat grafting procedure. In order to ensure that fat cells are revascularized, meaning that the blood flow to them is re-established, it requires placement of fat cells in small aliquots so that the fat cell surface area to volume is maximized. Maximizing fat cell surface to volume is critical to improving blood flow communication to the body. In addition, uneven and increased pressure on fat cells has been shown to be detrimental to fat cell viability. In fact, when during both fat cell removal and re-injection it is imperative to keep the applied pressures to less than 15 mm Hg pressure. When injected with the hand pressure syringe technique, it becomes inevitable that variable and higher pressures are applied to the fat cells which may cause fat cell death. Instead, using the closed-loop system of injecting with a rotatory motor, allows for cells to be exposed to uniform and moderate pressures throughout. In addition, the fat cells can be injected with greater control thus allowing the increased surface to volume ratios required to optimize fat cell viability. Finally, grafting times which would typically take ½ to 1 hour of operative times, can be achieved in 5 to 10 minutes, thus minimizing out of body time. Fat transfer to the buttocks The fastest-growing cosmetic procedure in the world is fat transfer to the buttock as popularized by term Brazilian Buttock Lift, or BBL. This includes placement of fat removed from the body and into the buttock to improve both buttock volume but also buttock shape. Fat transfer volumes to each buttock cheek can range from several hundred up to 1500cc of fat volume transferred. Traditional buttock fat transfer techniques were plagued by both safety concerns as well as compromised aesthetic results. Recent advances in fat transfer techniques and protocols have focused on improving both safety concerns as well as aesthetic outcomes. Advances in fat transfer techniques have focused on improving the safety concerns of fat emboli. Fat emboli can be a detrimental side effect of fat transfer if the fat cells inadvertently enter the bloodstream during the fat injection. This process involves the injection of fat cells into the gluteal veins when fat cells are placed into or under the gluteus maximus muscle. By controlling fat injection locations limited to only the fat layer, it is feasible to eliminate the risk of fat emboli syndrome. At Cosmetic Plastic Surgery Institute, we utilize ultrasound-assisted guidance and proprietary fat grafting cannulas that can be localized under visualization thus ensuring avoidance of fat grafting into or under the gluteus maximus muscle. This is a unique service provided at our center to ensure patient safety. This is also a hallmark of fat transfer Newport Beach Style. Finally, due to a large number of BBL’s performed, we are routinely referred, disgruntled patients. The number one complaint received by patients is that their surgeon did not provide them the buttock volume and shape they desired. As a result, we have created the Buttock Assessment Tool that allows patients to communicate the exact buttock size and shape that they are desiring. Using this tool ensures that patients are satisfied with their outcomes. Fat transfer to the face Fat transfer to the face is much different than for the buttock. First, the volume of transfer is on a smaller scale, mainly in the 10 to 30cc volumes. In addition, the fat transferred in injected using smaller caliber cannulas and micro-fat packets measuring 0.1cc each. The areas of the face that are injected include the nasojugal groove, the nasolabial fold, the jawline, the lateral cheeks, the temples, the lips, the infra-eyebrows, and even the nose. The nasojugal groove requires provides fullness in the upper central cheek when flattening of this region is observed. The nasolabial folds form as skin redundancy is observed forming around the mouth. The fat transfer will allow your surgeon to stent this skin redundancy so that it does not hang over as prominently. Fat transfer in the lateral cheeks is often desired by women who want to have more of a cat-like appearance with a prominence of the lateral cheek region. Filling of the temples is often desired if there is a weakening of the temporalis muscle following Botox injections or weight loss, characterized by the hourglass deformity. Injection of the lips can also be desired by patients asking to have more lip fullness usually of the upper lip greater than the lower lip. Fat transfer to the infra-eyebrow region will help lift the eyebrows up and counter brow droop. Finally, fat transfer to the nose can help camouflage a nasal dorsal hump by filling in the void in the upper nose, referred to as the radix. Small stabs less than 2mm with an 18 gauge needle can be made for the transfer of fat using small-caliber cannulas. The fat is typically harvested from any area of the body and quickly processed and transferred in a matter of minutes. Minimizing out of body time as well as micrografting of fat aliquots has served to allow for successful fat transfer outcomes. Fat transfer to the breast Fat transfer Newport Beach Style includes natural breast augmentation for those who want to avoid implants. Fat transfer to the breasts has been the most limiting in terms of results. It has been observed that fat transfer to the breasts is unlike that of the buttock. When volumes greater than 250cc of fat transfer to the breasts are performed, the volume of replacement is lost. Thus, only small volumes of fat transfer to the breast have been successful. Unfortunately, smaller volumes of fat transfer to the breasts do not achieve most patients’ goals of gaining a cup or two increase in size. To date, no studies have explained this limitation of fat transfer to the breasts. The current theory involves the hypothesis that breast tissue is not well vascularized and so fat cells do not re-establish blood flow. In an attempt to optimize blood flow re-establishment to the fat cells, only conservative volumes of transfer are performed in the range of 50 to 150cc. As such, when larger volumes of breast mounds are desired, then multiple fat transfer sessions are recommended. Fat transfer to the hands Fat transfer to the dorsal hands is recommended for patients who feel that their hands have aged. The aging hand will demonstrate atrophy of naturally occurring fat that then exaggerates the underlying tendons and veins. Fat transfer in the hands is performed by making small stab incisions in each of the four web spaces which are then used to transfer fat using small gauge cannulas much like the face. Approximately, 5 to 7 cc of fat can be transferred in the superficial layer under the skin for a total of 20 to 30ccc of total fat transferred. The fat transferred is massaged to ensure a uniform and smooth contour that completely camouflages the underlying tendons and veins. Fat transfer to correct contour irregularities Fat transfer can be used to correct contour irregularities created by botched liposuction procedures. When fat is removed from the superficial fat layer, uniform fat removal is not always possible especially if traditional liposuction techniques are used. Often, divots and contour irregularities are observed that are not aesthetically pleasing. Fat can be re-transferred to ears of concavity to help smoothen the overlying contour. Fat transfer can be performed in all areas of the body. So, we invite you to a free consultation to see if fat transfer Newport Beach Style is right for you.