15773 Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate

Name of the Procedure:

Grafting of Autologous Fat Harvested by Liposuction Technique to Face, Eyelids, Mouth, Neck, Ears, Orbits, Genitalia, Hands, and/or Feet; 25 cc or Less Injectate

Summary

This procedure involves taking fat from one part of the patient's body using liposuction and injecting it into specific areas like the face, eyelids, mouth, neck, ears, orbits, genitalia, hands, or feet. This can help restore volume and improve appearance in these areas with the addition of up to 25 cc of fat.

Purpose

The procedure addresses volume loss, contour irregularities, and age-related changes in targeted areas. The purpose is to enhance aesthetics, improve symmetry, and restore a more youthful appearance by utilizing the patient's own fat.

Indications

• Volume loss in the face, hands, or other areas
• Contour deformities or irregularities
• Age-related fat atrophy
• Enhance reconstruction post-injury or surgery
• Correct congenital deformities

Preparation

• Fasting for 6-8 hours prior if general anesthesia is used
• Discontinue blood-thinning medications as advised
• Conduct pre-operative assessments such as blood tests and imaging

Procedure Description

1. Harvesting Fat:
   • A tumescent solution is injected into the donor site (abdomen, thighs).
   • Liposuction is performed to harvest fat cells.
2. Processing:
   • The fat is purified and prepared for injection.
3. Injection:
   • Local anesthesia or sedation is applied to the target area.
   • The purified fat is meticulously injected into the desired areas in small, controlled amounts.

Tools used include liposuction cannulas, syringes, and centrifuge for fat processing.

Duration

Typically takes 1 to 3 hours, depending on the extent of fat grafting.

Setting

Performed in a hospital, outpatient surgical center, or clinic with appropriate facilities.

Personnel

• Plastic Surgeon or Dermatologic Surgeon
• Surgical Nurses
• Anesthesiologist, if general anesthesia is used

Risks and Complications

• Infection
• Fat necrosis or lump formation
• Asymmetry
• Reabsorption of grafted fat
• Bruising or swelling

Benefits

• Natural enhancement with minimal scarring
• Improved contour and volume
• Long-lasting results if fat survives

Recovery

• Wear compression garments as instructed
• Manage swelling and bruising with medications and cold compresses
• Avoid strenuous activities for a few weeks
• Follow-up appointments for assessment

Alternatives

• Dermal fillers (hyaluronic acid or synthetic fillers)
• Implants for specific areas
• Pros: Immediate results, no donor site needed
• Cons: Risk of allergic reaction, not permanent

Patient Experience

During the procedure, the patient will feel minimal discomfort due to local anesthesia. Post-procedure, expect swelling, bruising, and some tenderness, which can be managed with prescribed medications. Full results are usually evident within a few months as the fat settles and integrates.