Fat Transfer Surgery

Autologous Fat Transfer

Dr. Bray, Jr. serving Los Angeles, Palos Verdes, Manhattan Beach, Hermosa Beach, Torrance, and Beverly Hills

Autologous fat transfer is the transfer of fat from one part of your body to a different part of your body.  The fat is transported as a free graft, meaning the fat does not remain attached to a pedicle or any blood vessels.  The fat graft must develop a blood supply in the new location where it is transferred.

The Consultation

At the time of consultation, Dr. Bray, Jr. will evaluate the areas where you desire augmentation or more volume.  This may be the face or body.  Dr. Bray will then evaluate areas that may be used as donor sites.  These are areas of excess fatty tissue which may benefit from removal of fatty tissue.

The Procedure

Fat transfer may be performed under local anesthesia for small transfers of general anesthesia when more fat is being transferred.  When Dr. Bray is performing fat transfer to the face an area is selected as a donor site.  The most common area is the abdomen.  A small fat harvester cannula is used to remove the necessary fat for the procedure.  The fat is removed carefully in order to provide improved contour in the abdomen.  The fat is then prepared for transfer by removing excess fluid.  The fat is then injected using a small fat injection blunt tipped cannula.  The fat is placed in multiple tunnels in the area of augmentation until an adequate amount of augmentation has been performed.

Another popular area for fat transfer is the buttocks.  This area requires more fat than the facial area.  In some cases fat must be harvested from more than one area.  The fat is usually harvested from the flanks and back.  Liposuction is performed to these areas and will help contour the hips, back, and the area above the buttocks.  The fat is then prepared and injected into the buttocks.  The injections are made through multiple tunnels with many small injections.

Ideal Candidates for Fat Transfer

Fat transfer may be perfect for patients looking to restore facial volume, enhance natural volume in the buttocks, or refine body contours. 

Ideal candidates:

• Have enough excess fat for harvesting
• Want a natural treatment approach
• Are in good health 
• Are at a healthy weight
• Don’t smoke (or are willing to quit) before surgery
• Have realistic expectations about the results

During your consultation, Dr. Bray, Jr. will assess your unique needs and discuss how fat transfer could work for you.

Fat Transfer Recovery and Aftercare

Recovery after fat transfer is generally smooth. Minor to moderate swelling, bruising, and discomfort are common in the first week or so. Dr. Bray, Jr. provides detailed aftercare instructions to ensure optimal healing and keep you comfortable. You should:

• Avoid putting pressure on treated areas 
• Wear compression garments if recommended
• Stay hydrated and eat nutritious foods
• Take medication as directed

Follow all post-procedure instructions carefully to help streamline your recovery and return to normal activities. 

Expected Results and Longevity

The transferred fat takes a few months to settle and integrate fully. Some initial swelling is normal, but you’ll start seeing your final results as it resolves. 

Results can last as long as several years, but it’s normal for the body to reabsorb some fat that is transferred. If needed, touch-up treatments can help maintain your ideal look over time.

Fat Transfer vs. Other Augmentation Options

Some other options for volume enhancement are:

Facial Enhancement

Fat transfer can provide long-lasting results, while dermal fillers offer temporary volume lasting 6-24 months. Fillers are a great option for those who want a reversible treatment or don’t have enough donor fat.

Buttock Enhancement

Fat transfer (commonly called a Brazilian Butt Lift) uses your fat for a soft, natural enhancement. Butt implants, on the other hand, require synthetic (silicone) materials for enhancement.

Dr. Bray, Jr. helps patients choose the best option based on their aesthetic goals and body type.

Cost of Fat Transfer

Fat transfer cost depends on multiple factors, including the size of the treatment area, the amount of fat needed, and whether you choose additional procedures. We provide personalized cost estimates during your consultation.

Fat Transfer Combination Procedures

Many patients choose to pair fat grafting with other procedures. For example, facelift tightens skin but doesn’t add volume. Adding fat transfer to a facelift can provide a more comprehensive facial restoration.

Pre-Procedure Guidelines

Dr. Bray, Jr. recommends quitting smoking, eating healthily, exercising, and staying well-hydrated to prepare for fat transfer. If you take blood-thinning medications, you may need to stop temporarily based on his recommendations.

Fat Transfer FAQs

How much fat do you need for fat grafting?

The amount varies depending on the area treated. A small amount is needed for facial rejuvenation, while buttock augmentation requires more.

Can fat transfer be done multiple times?

Yes. A second procedure can refine or enhance results if additional volume is needed.

Does fat transfer hurt?

Mild to moderate discomfort is expected but manageable with pain medication. Many patients say they experience soreness but not serious pain.

How long does it take to recover from fat grafting?

Recovery varies by procedure and individual healing response. Many patients resume nonstrenuous activities in about two weeks, with full healing taking a few months.

Can I sleep on my back after a fat transfer?

For buttock fat transfer, you should avoid sleeping on your back for at least a few weeks, according to Dr. Bray, Jr.’s recommendations. With facial fat transfer, avoiding pressure on your face is important, so sleeping on your back is usually fine. 

How long before I see the final fat transfer results?

Results become more visible as swelling subsides, usually within several months.

Can fat transfer results look unnatural?

Fat transfer can lead to unnatural results if too much fat is transferred, if fat is placed in the wrong place, or if the fat is transferred with the wrong technique. Dr. Bray, Jr. takes time with each patient to create a plan for placement and volume, and he uses specialized techniques in an effort to provide natural appearing results. 

Does fat transfer help with facial aging changes?

Yes! Fat grafting can help restore volume that was lost due to aging.

Is financing available for fat transfer procedures?

Yes. We can explain different financing options to help make fat transfer more affordable.

Contact Us in Los Angeles 

If you’re considering fat transfer, call our office at 310-326-9400 to schedule a consultation with Dr. Bray to discuss your goals and options.