IntroductionFat transfer surgery gained popularity soon after it was introduced and it has become a mainstream cosmetic trend in the last couple of years. Because of its numerous advantages, many women opt to go through the fat transfer procedure to enhance and revitalize their aesthetic features.Fat injections are mainly used to rejuvenate the face by injecting fat into the cheeks and subsequently diminishing expression wrinkles. However, they can also be used to augment the breasts and buttocks, improve the appearance of scars, add volume to hypotrophic calves, and fill in any imperfections at any part of the body.Also known as lipofilling, fat transfer is currently one of the most well-regarded procedures in plastic surgery. Lipofilling doesn’t leave noticeable marks on the skin and the main advantage of the procedure is that it uses only material from the patient’s own body. Thus, adverse reactions are completely avoided.Lipofilling – the new cosmetic surgery trendThe fat transfer procedure involves three main stages. While the patient is under general anesthesia, the fat is initially collected with the help of small cannulas. Afterward, the aspirated fat is processed to prepare it for the next step wherein fat is reinjected into the body according to the marks illustrated during the pre-operative drawing. Considering the fact that the body naturally reabsorbs a portion of the injected fat, a moderate quantity of fat is required for a successful procedure. In order to appreciate the complete and final results, the patient must wait for a few days to give the newly grafted fat cells ample time to settle into their new location.Harvesting and preparing the adipose tissue for reinjection usually takes about an hour. The reinjection can take from half an hour to an hour, depending on the areas to be treated and the quantity of fat to be reinjected. Generally speaking, the fat is collected from the lower abdominal area, the internal side of the thighs or knees, and also the upper and lower back. These are the areas of the body where adipose tissue is usually available in large quantities and are also of a good quality.After harvesting and going through the purification process, the fat cells can be kept for up to a year for subsequent injections at different intervals, or as the situation necessitates. The longevity of the adipose tissue depends on factors such as the patient’s lifestyle, physical characteristics, the treated area, the harvest method, as well as the extent of the insertion of new fat cells.The results of fat transfer are not permanent; their sustainability depends on the area treated, as well as the plastic surgeon’s talent and the patient’s ability to follow the postoperative instructions. In some cases, the procedure will need to be repeated two or three times with six months in between the sessions as it is possible that a high percentage of the fat cells will die or be reabsorbed by the body during this time.Fat transfer can be performed using several methods. While it is a very safe procedure, fat transfer can also be accompanied by a series of complications when the pre-operative or post-operative indications are not carried out. The success of the procedure is highly dependent on the skills and experience of the plastic surgeon.Breast augmentation with fat transferNot everyone is blessed with exceptionally attractive looks. For example, women who lack an impressive bust turn to breast augmentation through fat transfer in order to achieve aesthetically-pleasing breasts, without the scarring or complications that may occur as a result of implant surgery. On the other hand, several prospective patients have their doubts regarding the possibility of complete fat reabsorption and whether or not the procedure is worth the effort.According to recent studies in the field of plastic surgery as well as more than a few years of experience in performing the procedure, we can say for sure that the autologous fat cells collected via liposuction represent a viable alternative to the traditional silicone implants, but it is not advisable for all women.After many years of research, specialists have managed to eliminate the risk of fat calcification which can create lumps or lead to fat becoming entirely reabsorbed following fat transfer.Augmenting the breasts through fat transfer is not a suitable option for women who want a massive improvement in the size and shape of their breasts as the intervention can’t offer a significant augmentation over the course of just one session. The plastic surgeon will inject about 200 ml of purified fat into each breast in a single procedure. Compared to the projection provided by the silicone implants, the fat transfer to the breasts only offers discreet results. Multiple sessions can be performed if the patient desires a more considerable enhancement.But not all women dream of jumping from an A-cup to a D-cup overnight and this is what makes the fat transfer procedure a more preferable option than implants. The procedure offers visible, but subtle results; everybody will notice the improvement but without the marks and scars, no one will be able to tell that you had a cosmetic procedure done to enhance the appearance of the breasts.At some point there were a few celebrities who were adamant to deny the rumors about having plastic surgery done on their breasts. Some of them even offered to go through tests and scans just to prove that they do not have implants. Nowadays, it is possible to have the breasts enhanced without having to go through breast implant surgery. As such, a noticeable improvement in the bust coupled with a lack of scars and implants can be a sign of breast augmentation through fat transfer.Buttock augmentation with fat transferAutologous fat transfer is an innovative method to reshape and augment the buttocks. While silicone butt implants can only be positioned over the gluteal muscles, fat injections can be used to fill any irregularities on the surface of the buttocks to attain a perfect shape. Even though the increase in volume is certainly smaller compared to the silicone butt implants, the aspect of the buttocks will seem very natural.The procedure is designed for both men and women who want to restore the shape of their derriere to how it was when they were younger. Weight loss programs and hormonal changes can have a negative impact on the features of the buttocks. Other suitable candidates for the buttock augmentation through fat transfer are the individuals who are dissatisfied with the appearance of their bums, which failed to improve even after rigorous exercise.The intervention requires liposuction from at least one area of the body—usually more than two regions are targeted—and then the fat is processed and reinjected into the area where it is needed. The liposuction procedure is commonly performed on the abdomen, thighs, and lower back.Compared to the silicone implants, the autologous fat is not rejected by the body and does not have the potential to trigger an immune response. The outcome of the intervention is much more natural, the recovery is faster and the risk of postoperative complications is significantly lower. The intervention is performed under anesthesia and the type of anesthetic is decided based on the specifications of the patient.Before the buttock augmentation procedure, the patient must be in good health and should keep from taking aspirin, anti-inflammatory medication and natural supplements prior to the surgery to avoid any complications. To ensure the safety of the intervention and for a speedy recovery, the patient should avoid getting sick before the intervention. Moreover, non-smokers are more suited to undergo the surgery.After the intervention, the surgeon will apply a compression bandage on the treated area for a specific duration, which varies from patient to patient. The compression garment is usually worn nonstop for at least two weeks. The girdle is essential for helping the patient attain the desired shape and to prevent the occurrence of edema. During recovery, the patient has to avoid sitting down for extended periods of time. The edema should subside after a few days following the intervention and the discomfort can be alleviated with the help of medication.The buttock augmentation with the autologous fat transfer is a stand-alone intervention that can considerably improve the appearance of your buttocks. At the same time, I always recommend combining the fat transfer procedure with silicone butt implant surgery. The results achieved with the two procedures are highly superior to those of gluteal implant surgery alone.ConclusionCosmetic surgery trends change from generation to generation and occasionally, from year to year. I would never advise going under the knife to test the latest cosmetic procedure on the market because usually it hasn’t been performed long enough to know its side-effects and long-term complications. But not to worry, fat transfer is a safe and efficient procedure. It is a plastic surgery intervention that rose to fame in the last few years because it provides amazing results with limited or insignificant scarring and fewer side effects than the breast or buttock implants.The fat transfer can be used on multiple areas of the body, and to be eligible for the surgery, the patient should have at least one donor area where liposuction can be performed. Overall, cosmetic surgery trends are not always a bad thing, but you should still proceed with caution and check whether it has been tested and proven to generate long-term positive results.