Fat grafting is a procedure where fat is harvested from one area of the body, processed (processed), and transplanted (injected) into another area where volume and/or elasticity are lacking. The fat is harvested via special cannulas, gently treated with the Colemans technique and decantation, i.e. allowing the fat to sink and separate the fat cells from blood, oil and fluid from the local anesthetic.

Sometimes we use vibration techniques to remove fat with the PAL -650 from MicroAire ® machine. This is done under sedative medication (sedation) and local anesthesia, with an anesthesiologist and surgical nurse.

It is assumed that you have areas of your body with excess fat that you want to harvest from, which can be used. Typical good areas are the stomach, inner or outer thighs, inner knees, back and hips.

The amount and type of fat that is moved depends on both the desired volume in the area you want to correct, and how much you have to remove. Generally, it is a matter of relatively moderate amounts of fat, if too much fat is moved, the fat cells die as they need good blood circulation and tissue to survive.

Usually, the fat is well integrated (incorporated, grows) in the recipient area, but it must be assumed that the body absorbs approximately 30% of the fat in the first few months (somewhat less in the head region as it has good circulation in the recipient areas), so you fill in a little more than you need to compensate for this. In addition, you will be somewhat swollen in the first few weeks, which gives the impression of more volume. Minor irregularities may therefore occur after surgery, but this can be corrected within the warranty period.

During the consultation, your wishes and needs are thoroughly assessed with regard to the overall situation and the possibility of harvesting fat. If there is an indication for other interventions, this will be assessed whether they should be done at the same time or in a separate case.

In a standard fat injection, small puncture holes of approximately 1-2 mm are made to inject the fat. We close the wound with stitches that dissolve on their own, except for transplantation to the face where we do not sew, and close only with tape. It is important not to expose these puncture wounds to the sun for at least 12 months after surgery to avoid scarring and pigment changes. Cover with either tape and or high factor (Sun Block min SP30).

There are 3 main types of fat transplantation based on the size of the fat particles harvested, the area to which they are transferred, and the indication for the procedure in the recipient sites:

• Macrofat Grafting: 2.5 mm parcel size or fat particles size 2.5 mm or larger cannula, (not used on the face). Used for large volume fat grafting such as breast augmentation with fat, hybrid treatment with fat and implant, and Conversion replacement implant with fat, buttock augmentation with fat / BBL or fat to calves. The fat is harvested with large cannulas of 2.5-4 mm.
• Millifat Parcel Size: or fat particle size of 1.2- 2.4 mm (1.2-2.5 mm cannula)
  
  
• Microfat Grafting: less than 1.2 mm (0.5-1.2 mm cannula), fat particle volume is less than 1.2. Used for smaller volume fat transplantation such as for the face, small defects in the body, vaginal canal and outer labia, as well as for scar treatment.
  
  
• Nanofat Grafting: less than 800 Micron (needle of 27 or 30 G). Nanofat transplantation takes the treatment one step further. Then the stem cells and growth factors are separated from the fat, with cells that can divide into new stem cells, or in this case new skin cells. Nanofat is a relatively new type of treatment with regeneration as the goal and not to fill volume. The fat cells have a particle size of 800 Micron, and the fat is harvested with small needles of less than 1mm and smaller. The fat is then processed by passing it between two syringes for an emulsification of the fat, i.e. to separate the fluid with fiber cells etc. that you do not want from the stem cell fluid. When treating with Nanofat, you improve the quality of the skin, it can help to smooth out fine lines and small wrinkles, fine lines around the mouth and so-called crow's feet next to the eyes, as well as the tear trough. Although nanofat transplantation does not build volume in the face, it has regenerative properties and has a beneficial effect on the quality and appearance of the skin, and adds stem cells that are in the nanofat after it has been separated from the tissue and fluid fat. Regenerative effect on the skin, i.e. on the renewal process in the skin - provides better elasticity, less pigmentation, thicker leather and less wrinkles. This gives a younger appearance and better resistant skin. The most common areas for Nanofat transplantation and fat transplantation are the face and can be combined with other facial procedures, such as facelift, eyelid surgery, forehead lift and eyebrow lift, lips. Can also be used for scar treatment, on the scalp for hair loss, dark circles under the eyes and the walls of the vaginal canal.
  
  
• Other types of fat transplantation are Microneedling and Nanocreams, the latter being a relatively new product.