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Fat transfer (the use of autologous
fat for tissue augmentation) has been used for contour remodelling
for over a century. Fat is extracted from the outer thighs or other
areas followed by purification techniques and injection of the purified
fat cells into the desired target site. Once the fat has been collected,
it can be frozen in storage and then thawed for injection at a later
time, if so desired. Popular applications of this technique include
contour remodelling of the smile lines of the mouth to minimize the
"jowling effect", reduction of lip wrinkling around the
mouth, replacement of lost tissue on the backs of the hands and augmentation
of the breasts. The appearance of scars from surgeries may also be
improved with this well-tolerated technique.
For fat transfer to the breast,
we are following a protocol devised by Dr. Fulton, who has been doing
a technique called the BAMBI (Breast Augmentation and Mammoplasty
by Injection) procedure for more than 8 years. The BAMBI procedure
has been improved significantly with refined techniques for separation,
purification and stimulation of wound healing.6
References:
- Fulton, J. Small Volume Fat Transfer.
Journal of Dermatologic Surgery and Oncology, 1998.
- Coleman, S. Long term survival
of fat transplants: controlled demonstration. Adv Plast Surg 1995;19:421-425.
- Fulton, J. Breast contouring by
autologous fat transfer. Am J Cosmet Surg Ann Meeting, 1995.
- Askin, S. Autologous fat transplantation:
Minor and macro techniques. Am J Cosmet Surg 1987;4:111-5.
- Jackson, RF. Frozen fat- Does
it work? Abstract. Am Acad Cosmet Surg Ann Meeting, 1995.
- Fulton, J. Fat Transfer to the
Breast. in press
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