Micrografting Fat Transfers: A Game-Changer in Facial Aesthetics
Dr Yannis is a triple board-certified Plastic Surgeon, Founder and Medical Director of 111 Harley St. in London’s highly respected medical area. Under the guiding hand of his expertise, the clinic specialises in plastic surgery procedures, aesthetic treatments and injectables with on-going research and an ever-evolving treatment menu incorporating the latest technologies and techniques.
As a Plastic Surgeon with extensive experience in facial aesthetics, I am frequently asked about the latest advancements in cosmetic procedures. One technique that I often, and increasingly incorporate into my facelift surgeries is Micrografting. Also known as Facial Fat Transfer, and sometimes Face Fat Transfer, this innovative method has revolutionised the way I approach facial rejuvenation at my London clinic - and with good reason. Micrografting allows me to offer my patients a more natural, long-lasting solution compared to traditional dermal fillers.
Understanding Micrografting
The process of Micrografting, which should only be done by a qualified and experienced surgeon, involves harvesting the patient's own fat cells, typically from areas such as the abdomen or thighs. This is discussed with the patient at the consultation stage and the process often means patients address more than one concern in the process. The beauty of using their own cells is that both patient and surgeon are assured the ‘filler’ is biocompatible, meaning the risk of rejection is eliminated.
To obtain the fat, I use a Liposuction technique in the area agreed upon in the patient’s consultation. The fat is then purified and meticulously injected into targeted areas of the face to restore volume and improve contours with beautifully natural results. Unlike dermal fillers, which are often made from synthetic substances, Micrografting utilises the body’s own fat, making it biocompatible, and minimizing the risk of allergic reactions.
The Micrografting Procedure
The procedure begins with Liposuction to collect the fat, this process can be performed under local or general anaesthesia, depending on the patient's preference and needs. Once the fat is harvested, it undergoes a gentle purification process using a centrifuge which separates the healthy fat cells from other components that are no longer required for the purposes of this procedure, such as blood and oil. These purified fat cells are then injected into specific areas of the face, such as the cheeks, temples, undereye area or nasolabial folds.
Each face is unique and the needs of my patients vary, however this is all discussed in depth at the consultation stage to gain an understanding of the patient’s goals and where I feel we can optimise the facial features to align with their desired outcome.
One of the critical aspects of Micrografting is the technique used for injection. I employ a precise, multi-layered approach to ensure fat cells are evenly distributed. This helps ensure a natural-looking result whilst promoting better integration of the fat with the surrounding tissue.
Facelifts & Micrografting – A Match Made in Heaven
When performing my signature Facelift procedures, I often incorporate Micrografting to enhance the overall result. When a patient books a Facelift consultation, it is primarily to discuss aging – and a common concern, in addition to skin laxity, is loss of volume.
As we age, the skin naturally loses volume as collagen level deplete and the internal scaffolding no longer gives the plumpness we associate with youth. A Facelift primarily addresses laxity and repositions the skin, reversing the effects of gravity. Micrografting provides the added benefit of restoring volume, enhancing the overall results.
Many patients experience a loss of facial fat as they age, contributing to a gaunt appearance, particularly in slimmer faces. By using Micrografting in conjunction with a Facelift, I am able to rejuvenate the face not just by lifting the layers of the skin, but also by filling in areas that have lost volume for a more complete result.
Why Not Dermal Fillers?
Don’t get me wrong, dermal fillers have their place. Modern, Hyaluronic Acid-based fillers, such as those used in my clinic, 111 Harley St., are ideal in a number of different situations and are used by my Non-Surgical team on a regular basis to meet patient goals – and a surgical approach won’t be for everyone.
That said, as a Plastic Surgeon, my view is that there are several advantages to Micrografting and it’s a procedure I have seen tremendous results from for many of my patients.
Longevity
One of the most significant differences between Micrografting and dermal fillers is longevity. Whilst fillers can last between several months to a couple of years, depending on the exact product, the results from Micrografting last far longer. This is due to the fact that, once injected, a portion of the fat cells can establish a new blood supply, allowing them to survive and function in the same way as the existing fat in that area of the body.
Natural Results
Micrografting offers a natural look, understandably, because it uses the patient’s own tissue. With this technique, the results tend to be both harmonious and aligned with the patient’s unique facial structure.
Minimal Risk of Reactions
Since Micrografting uses autologous fat, the risk of rejection or allergic reactions is significantly reduced compared to a synthetic alternative. With any procedure, one must consider the risk of adverse reactions - and any option that minimises that risk is something to contemplate when creating a surgical plan.
Versatility
Micrografting can be used to treat various areas of the face and body, not just those traditionally addressed by fillers. For example, my clinic also offers fat transfer to the breasts which can produce excellent, natural results for those looking to achieve volume without implants. The versatility of Micrografting allows me to tailor the treatment to each patient’s needs, enhancing the results of both Facelifts and any other surgical or non-surgical procedures.
Skin Quality
There is also evidence suggesting that fat transfer can improve the quality of the overlying skin. The fat cells contain growth factors that can stimulate collagen production and promote healthier skin, contributing to a rejuvenated appearance overall. I also use Exosomes to improve skin quality for my patients, and both prove to be excellent choices.
Considerations & Conclusions
While Micrografting offers numerous benefits, it is essential for patients to understand that it is ultimately a surgical procedure and that means it comes with its own set of considerations. As with any surgery, there are risks involved and downtime during recovery.
I would always recommend choosing your surgeon very carefully, viewing examples of their results, ensuring they are suitably qualified and that you have a through consultation, answering any questions you have so you are fully equipped with all the information. An experienced Plastic Surgeon will be happy to fully explain the process and share before and after photos of previous work.
Micrografting is a remarkable technique that can be used alone, or incorporated into other procedures such as Facelifts. It offers a holistic approach to facial rejuvenation with outstanding results when done by an expert. Every patient, and their facial anatomy is unique, but I would encourage anyone exploring the possibility of facial rejuvenation, to add Micrografting to their list when doing their research.
