Last week Dr Murray attended a Fat Transfer Conference in Sydney. The main lecturer was Sydney P Coleman who has just received the American Society of Plastic Surgeons trustee award for his work with Fat Transfer since the 80’s. The main topic of this conference was fat transfer to the face, the buttocks and breast augmentation.
Dr Murray’s Blog from the Conference
During our discussion, we examined the peri-orbital region, with Dr. Coleman detailing his approach to fat transfer in both the upper and lower eyelids. He noted that volume loss in the tear trough and lower eyelid can contribute to changes in the under-eye area, rather than the eyelids themselves.
We also explored the role of stem cells in fat transfer and their potential effects on skin. Dr. Coleman suggested that periodic fat transfer to the face, approximately every 2 to 5 years, may utilise the properties of stem cells. These cells, present in transferred fat, have the capacity to differentiate into collagen-producing cells that integrate into the skin. Additionally, we discussed the use of fat transfer in treating acne scarring, where injecting fat into areas of scarring may assist in addressing volume loss, with clinical images demonstrating notable changes.
Another key topic was the management of pigmentation variations in the under-eye region. While addressing this area can be complex, outcomes following fat transfer have been of interest. It was noted that while fat transfer may influence the appearance of pigmentation, temporary secondary pigmentation can occur post-procedure, typically resolving within four months.
The discussion also covered fat grafting to the back of the hands, where it is used to address volume loss in the area. Observations six months post-treatment indicated changes in skin texture and fullness.
In the context of breast procedures, fat transfer was reviewed as an option for volume augmentation. Some patients experienced an increase in breast volume, with a focus on the upper region. It was noted that additional procedures may be required to achieve the desired volume, with some cases involving the transfer of approximately 300 to 350cc of fat. It was emphasised that fat transfer behind the breast tissue is not recommended for individuals with a history of breast cancer.
The application of fat transfer in the gluteal region was also discussed, with considerations for individuals seeking adjustments to volume and contour.
Most fat transfer techniques can be performed under sedation with local anaesthetic. While the overall risk profile is considered low, as with any procedure, there are potential risks, including infection and complications, which should be assessed on an individual basis.
