Lipofilling (or lipostructure) comprises the transfer of fat from one part of the body to another to reshape the face or body. This 100% natural approach is suitable for people who do not want to use implants or resorbable materials.
Lipofilling may be performed both on the face and on the body.
Lipofilling of the face primarily helps fill hollow wrinkles, restore volume and adjust the shape of the nose or chin. It is also used to improve the skin or to fix severe acne sequelae (crater-shaped scars). The face needs little fat for the treatment of wrinkles or lack of volume, and the surgeon always finds sufficient reserves even in very slim people.
For the body, the donor must have a larger stock and only individuals with excess fat are considered for liposuction.
Breast lipofilling provides a moderate increase in breast volume. Women who do not want to resort to silicone gel implants are becoming increasingly popular.
The lipofilling of the buttocks renders the buttocks firmer, higher and more defined. When the surgeon takes the fat out of the buttocks or the saddlebags, it is a full remodeling of the buttocks.
The intimate parts
- Broaden the circumference of the penis during a phalloplasty.
- Rejuvenate the vagina: the fat injected during vaginoplasty increases the trophicity of the vaginal mucosa as it begins to dry out after the age of 45.
- Increase the size of the vaginal lips when they are too thin with nymphoplasty or rejuvenate when wrinkled.
Other areas of the body
- Fix the asymmetry of the calves, or even reshape the whole leg by restructuring the ankles.
- Fix so-called "corrugated iron" anomalies after liposuction has left hollows and bumps visible on the skin. An individual with good skin elasticity will expect a good result, but if the skin is damaged, the improvement is moderate.
- Filling a pectus excavatum, abnormality of the rib cage where the sternum is recessed.
How the procedure works
Lipofilling is performed under local or general anaesthesia depending on the area, without hospitalization, and takes between one to two hours.
The collection of fat cells is performed in a donor area that can be any area of the abdomen, thighs, hips, knees, etc. The surgeon can only extract the amount required for lipofilling or take the opportunity to perform a full liposuction.
According to the practice methods of the clinicians, two methods are possible.
This is a fat autograft because the donor and recipient are the same individual. The fat injected is perfectly tolerated by the body, so there is no chance of rejection or allergy.
- The removed fat cells are centrifuged to eliminate their impurities until they are re-injected in the form of mash.
- The healthy fat cells are inserted directly into their initial liquid, consisting of a saline and interstitial fluid solution.
Regardless of the process used, with or without a centrifuge, all methods are working. It is necessary to retain as many live fat cells as possible during the transfer for a significant proportion of the graft to be successful.
The injection of fat into the recipient area is in the form of microbeads of fat tissue distributed in the area to be filled, so that the grafted cells are in contact with the capillaries, able to provide them with oxygen and the nutrients required for their survival.
During the session, the surgeon avoids the injection of more than 500 grams of fat to prevent the necrosis of the fatty tissue. In fact, a fat transplant that is too compact is no longer nourished by adjacent tissues, and the cells will die.
The results vary depending on the extent of lipofilling. There's an oedema and bruising for a week. After one or two days, you can resume regular activities. It is best to wait about a month to resume physical activity.
The result of lipofilling is instantly visible. For the final result, one to three sessions will be needed.
At each session, part of the graft of the fatty tissue will be retained and the other part will be gradually absorbed. It is therefore necessary, from the start, for the patient to be mentally prepared for a minor disappointment just after the operation. In general, the volume of fat decreased by 30 to 60 per cent, depending on the situation. This drop in volume should not be confused with a permanent final result.
The fat injected then responds in the same way as the fat contained elsewhere in the body. Its quantity increases if the person gains weight and decreases if he or she loses weight. However, whatever the weight differences are, the form of the lipostructure-treated area will be preserved in proportion.