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Autologous fat grafting for cheek augmentation

Treatment Effect

Treatment Effects

- Immediate effects: After the procedure, there will be a noticeable plumping effect in the cheeks, improving facial contours and creating a more three-dimensional appearance. However, initial swelling may occur due to the injection and tissue response, with peak swelling typically appearing 48 to 72 hours post-procedure.

- Long-term effects: Once the transplanted autologous fat survives, the results are long-lasting. The surviving fat will remain permanently in the treated area, keeping the cheeks full. Compared to fillers such as hyaluronic acid, the results appear softer and more natural once the fat stabilizes.

Is this suitable for me?

Suitable for the following individuals:

- Those with sunken cheeks, such as individuals with naturally hollow faces or those experiencing cheek fat loss and hollowness due to aging.

- Those who desire fuller, more three-dimensional facial contours to enhance facial aesthetics.

- Those who prefer using their own tissue for augmentation and reject foreign prosthetic materials.

Not suitable for the following individuals:

- Those suffering from severe organ diseases, bleeding or clotting disorders, diabetes, autoimmune diseases, or neuromuscular dysfunction.

- Those with local infections at the surgical site.

- Those currently taking anticoagulants or medications that affect coagulation, such as aspirin, and are unable to discontinue them two weeks prior to surgery.

- Women who are menstruating.

Select Device

Equipment Selection

- Liposuction Equipment: Common devices include negative pressure liposuction machines, which utilize the principle of negative pressure suction to extract fat. High-quality negative pressure liposuction machines offer stable suction power, allowing for precise control over the volume and speed of fat extraction, thereby minimizing damage to surrounding tissues.

- Fat Processing Equipment: Devices such as centrifuges can be used to separate and purify extracted fat by removing blood, moisture, and impurities, thus enhancing the purity and viability of the fat particles.

Select Brand

Select Equipment

- Liposuction equipment: Common devices include negative pressure liposuction machines, which utilize the principle of negative pressure suction to extract fat. High-quality negative pressure liposuction machines offer stable suction power, enabling precise control over the volume and speed of fat extraction, thereby minimizing damage to surrounding tissues.

- Fat processing equipment: Devices such as centrifuges can be used to separate and purify extracted fat by removing blood, moisture, and impurities, thus enhancing the purity and viability of the fat particles.

Price

The cost of autologous fat grafting to the cheeks generally ranges from 2,500,000 to 3,800,000 KRW. However, the price is influenced by various factors, such as the regional economic level, hospital tier, doctor's experience, the area from which fat is harvested, and the volume of fat injected.

Expected Outcome

Expected Results

Positive Effects: The cheeks become fuller, and the facial contours appear smoother and softer. This results in a more youthful and vibrant appearance, enhancing overall facial aesthetics. The outcome looks natural, with both visual and tactile realism.

Potential Variations: Some of the autologous fat may be absorbed by the body, which could lead to less fullness than expected. A secondary injection might be necessary to achieve the desired result. Surgical outcomes can also be influenced by factors such as the surgeon's skill, individual physical constitution, and post-operative care, carrying the risk of uneven filling or localized irregularities.

Combination Therapy

Combined Treatment

Combination with Hyaluronic Acid: For patients who have high expectations for filling results and wish to achieve more significant improvements in a short period, hyaluronic acid can be used first for initial filling to quickly address depressions. This can then be combined with autologous fat grafting to achieve long-lasting results.

Combination with Laser Aesthetics: After autologous fat cheek augmentation, combining the procedure with laser aesthetic treatments, such as intense pulsed light (IPL) skin rejuvenation, can improve the texture and tone of the facial skin, resulting in a more perfect overall facial appearance.

Adverse Effects and Complications

Side Effects and Complications

- Infection: Failure to strictly adhere to aseptic techniques during surgery or improper postoperative care may lead to infection, manifested by symptoms such as local redness, swelling, pain, and fever.

- Fat Liquefaction: Poor blood supply to the transplanted fat tissue may result in fat liquefaction, leading to local hard lumps and fluid accumulation.

- Fat Embolism: This is a serious complication. Although its incidence is low, it can be life-threatening if it occurs. Fat particles enter the bloodstream and block vessels in vital organs, such as the pulmonary and cerebral vasculature.

- Local Irregularities: These may result from uneven injection by the physician or uneven absorption of fat postoperatively.

Side Effects

- Short-term Side Effects: Swelling, pain, and bruising may occur after surgery, generally subsiding gradually within a few days to several weeks.

- Long-term Side Effects: As mentioned above, complications such as infection, fat liquefaction, local irregularities, and fat embolism require attention, although their incidence rates are relatively low.

Select Instrument

Selecting Equipment

- Liposuction Devices: In addition to the negative pressure liposuction machines mentioned above, there are also water-jet assisted liposuction systems. These systems use a spiral water jet to precisely target adipose tissue with pressurized water flow, selectively separating fat cells while causing minimal damage to surrounding tissues, thereby improving the survival rate of the fat cells.

- Fat Injection Devices: Specialized fat injectors, for instance, feature well-designed needles that allow for the uniform injection of fat particles into the cheek area, reducing damage to the fat cells.

Project Contraindications

Project Contraindications

Absolute contraindications: Patients with severe systemic diseases, such as severe heart disease, liver or kidney failure, and malignant tumors; patients with mental illnesses who cannot properly perceive surgical outcomes; and those with acute infectious lesions at the surgical site.

Relative contraindications: Women during menstruation, pregnancy, or lactation; individuals currently taking medications that may affect coagulation function and cannot discontinue them; and those with recent bad habits such as excessive alcohol consumption and smoking that are difficult to quit.

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Contraindications

Absolute contraindications: Patients with severe systemic diseases, such as severe heart disease, liver or kidney failure, and malignant tumors; patients with mental illnesses who cannot properly understand the surgical outcomes; and those with acute infections at the surgical site.

Relative contraindications: Women during menstruation, pregnancy, or lactation; individuals taking medications that may affect coagulation function and cannot discontinue them; and those with recent unhealthy habits such as excessive alcohol consumption and smoking that are difficult to quit.

Side effects

Side Effects

- Short-term side effects: Swelling, pain, and bruising may occur after the procedure, but these symptoms typically subside gradually within a few days to several weeks.

- Long-term side effects: Although less common, complications such as infection, fat liquefaction, local irregularities, and fat embolism require careful attention.

Self-Symptom Check

Symptom Self-Assessment

Mild swelling, pain, and bruising after surgery are normal and usually subside gradually within a few days. If swelling and pain worsen, or if you experience fever, local skin redness, or abnormal discharge, these may indicate an infection, and you should seek medical attention promptly.

If lumps or fluid accumulation are detected in the filled area, it may indicate fat liquefaction, requiring immediate examination and treatment at a hospital.

If you experience symptoms such as difficulty breathing, headache, or dizziness, be alert to the possibility of fat embolism. This is a very serious condition that requires immediate medical attention.

Select treatment plan

Choosing a Treatment Plan

Doctors will develop a comprehensive treatment plan based on factors such as the degree of facial hollowing, individual needs, and physical condition. For patients with mild hollowing, a small amount of fat grafting in a single session may achieve satisfactory results; whereas for those with more severe hollowing, staged procedures may be required.

The donor sites for fat harvesting are also selected according to the patient's individual circumstances. For instance, fat from the inner thighs, which consists of smaller and more uniform particles, is suitable for facial augmentation. In contrast, areas with larger fat volumes, such as the abdomen, back, or buttocks, can be used for extensive augmentation in other areas.