Lipofilling of the cheekbones was developed based on a set of recent advances in plastic surgery and stem cell-based biotechnology. An alternative method name is microlipography.
Next, we will consider what lipofilling of the cheekbones, nasolabial folds and cheeks is.
Concept and essence
Lipofilling of the cheekbones is the correction of facial contours by transplantation of an autograft (a certain amount of the patient's own fat reserves), which, after passing a special treatment that improves its properties, is introduced into the cheeks, cheekbones and other segments of the face.
On the face, microlipography is carried out in different zones, which allows you to visually remove age-related changes and ten years younger.
As practice shows, people with beautiful “high” cheekbones, both natural and obtained as a result of plastic surgeries, face the problem of drooping cheeks (dips under the cheekbones), which makes the face hard, haggard, and also creates the effect of “skeletonization”, which significantly increases age. Thanks to lipofilling of the cheekbones, it is possible to model noble high cheekbones and at the same time form a soft roundness in the cheek area, which is characteristic of a young age.
Benefits
Lipofilling of the cheekbones and cheeks has certain advantages when comparing this procedure with other corrective and anti-aging techniques.
The main advantages of this technique:
- The risk of rejection is reduced and allergic reactions are eliminated due to the use of own adipose tissue, and not materials of artificial origin as a filler.
- Not only skin tightening is observed, but also volume modeling of subcutaneous tissues.
- The result lasts for a long time, since transplanted and adapted lipocytes (adipose tissue cells) remain forever in the treatment area. In addition, unlike artificial fillers, an autograft can be introduced in a much larger volume.
Also, the following can be added to the advantages of technology:
- the integrity of the skin is almost not violated, therefore, there are no traces of surgical intervention;
- the treated area looks natural;
- eliminated not only vertical ptosis of the tissues of the cheekbones and cheeks (sagging under the influence of gravity), but also the loss of volume horizontally in depth;
- the procedure is relatively painless;
- the technique is suitable for both full and thin people, since it does not require large volumes of autograft (about 10 ml usually);
- It has a short recovery period;
- local anesthesia is applied (general anesthesia is possible using weak anesthetics in case of increased pain threshold);
- the possibility of carrying out the procedure simultaneously with liposuction (adipose tissue is removed from the zone of increased fullness, for example, the lower abdomen, waist, hips, knees, second chin and injected into the area with a volume deficiency);
- the possibility of use in patients in advanced age (over 60 years).
Indications / contraindications
Like any operation, microlipography has its own reasons for conducting or not performing an operation.
Restorative and aesthetic indications for cheek lipofilling (before and after photos can be seen in the article):
- insufficient amount of tissue on the cheekbones and cheeks after a sharp weight loss, with anatomical features, as a result of age-related changes;
- hollows under cheekbones, sunken cheeks;
- inexpressive cheekbones;
- inverted scars, bumps after various skin diseases, coblobular acne, injuries, fossa, etc .;
- blurred face contour, sagging cheeks;
- asymmetry in the cheeks and cheekbones;
- superficial wrinkles and deep nasolabial folds.
The following contraindications are noted:
- Do not have surgery for people under 18 years of age;
- not recommended for violation of blood coagulation, blood diseases, including hemophilia, as well as during the use of anticoagulants, which are prescribed for a tendency to thrombosis;
- during pregnancy;
- with oncological processes and autoimmune pathologies;
- with inflammatory phenomena and ulcers in the treated area;
- in acute infections and severe dermatological diseases;
- with serious diseases of the vessels, heart;
- with diabetes and atherosclerosis.
Effect duration
For those who are interested in how much lipofilling of the cheekbones lasts (reviews, by the way, can provide comprehensive information on this issue), it is worth knowing that the preservation of results after lipocyte transplantation can be determined by many factors, including the natural condition of the skin, the severity of defects, and anatomical features.
Of course, the procedure gives an immediate effect of leveling and filling problem areas, and the result is already visible in the first hours. Proof of this is the "before and after" reviews about lipofilling of the cheekbones with a photo. However, to fully appreciate the aesthetic changes will be possible only after 1-2 weeks after the operation, when the postoperative swelling and bruising disappear.
It must be understood that not all transplanted cells take root (about 70 percent of the total volume is retained). This is due to the physiological absorption of lipocytes by the body or the so-called reabsorption.
This fact is taken into account during the operation, therefore, during the procedure, excessive correction of the buccal-cheekbone zone is carried out, that is, a greater amount of transplant is introduced into the problem areas.
That is why the final result of cheek lipofilling (photo can be seen in the article) can be observed only after 3-5 months.
The procedure will last for three to five years. Six months after lipofilling of the cheekbones, repeated transplantation of adipose tissue is done to get the most desired result.
At the same time, doctors note that the more often this procedure is performed, the longer the effect of youth.
How is the procedure going?
Before the operation, preparation is done.
Before cheekbone lipofilling:
- a thorough examination of the skin on the face is performed, problem areas are studied, where it is planned to transplant fatty tissue and future puncture sites;
- computer modeling of cheeks and cheekbones is carried out in order to maximize visualize the planned result;
- fat collection points for transplantation are determined and the amount of necessary adipose tissue is calculated;
- a photograph of the client’s face is taken in order to then compare the “before” and “after”.
About two weeks before surgery, it is recommended that drugs that thin the blood be eliminated to reduce the risk of bleeding. It is recommended to refrain from eating for 5-8 hours before undergoing the procedure.
Algorithm
An operation to transplant fat cells into the skin in the skin area lasts no longer than one hour, and consists of several stages.
On the cheekbones and cheeks, the doctor makes the necessary markings to distinguish between correction zones.
Then the skin is treated with antiseptic solutions, after which an anesthetic is injected with a very thin needle to anesthetize.
Through a micro incision, the required amount of transplant is taken with a thin needle from the selected area (this can be the stomach, hips, knees, second chin).
Since the needle has a blunt end, nerve fibers and blood vessels are not damaged. The stretching of the fatty substance is carried out under local anesthesia.
The fatty substance is processed by centrifugation or filtration, while the blood, anesthetic solution and damaged cells are separated from the viable adipose tissue.
Further, in the cleaning process, the fat is brought to a gel consistency. Purified blood in some clinics is enriched with plasma with blood platelets directly from the patient. This plasma is called the PRP mass. It stimulates the processes of lipocyte engraftment and promotes subsequent tissue regeneration.
Then, using a microneedle (cannula) with perforation, the doctor introduces small doses of fat through one or more punctures.
Then the incision is sutured with one stitch.
After that, a special massage is made in the treated area to ensure complete alignment and modeling of the tissue.
results
Lipofilling of the cheekbones in the area of ​​the cheekbones and cheeks:
- smoothes the skin in the area of ​​nasolabial folds;
- compensates for the shortage of soft tissue in the cheeks and cheekbones;
- restores youthful roundness of the cheeks and tightens the skin;
- increases the volume of the cheeks and cheekbones, adjusts their shape, size and contour;
- eliminates birth defects or post-traumatic deformities;
- relieves saggy cheeks and restores the youthful contour of the lower part of the face;
- fills and smoothes even deep age wrinkles;
- eliminates the asymmetry of the facial bones.
In addition to the main task, correction of the problem area, microlipographing promotes volumetric facial rejuvenation. This effect appears due to the property of stem cells of transplanted adipose tissue to trigger regeneration processes that contribute to:
- smoothing roughness and roughness;
- naturally moisturizing too dry areas;
- reducing the number and depth of wrinkles, even in neighboring areas of the skin;
- increase skin elasticity.
Rehabilitation
The recovery period lasts depending on the volume and complexity of the procedure, the amount of transplant, age and skin condition.
The patient is in the clinic for another 2-3 hours after lipofilling for observation, however, special postoperative care is not provided here.
Rehabilitation takes place rather quickly, since the operation itself is less traumatic.
Also, fat cells provide speedy recovery, as they contain certain growth factors that accelerate repair processes.
According to reviews, lipofilling of the cheekbones, performed by a qualified specialist, leaves no traces of punctures, swelling and subcutaneous hemorrhage. 20 days after the procedure, all these consequences should disappear without a trace.
Recommendations
After you have done lipofilling of the cheekbones, you must follow the instructions below for 30 days. Thanks to their compliance, the integration of fat cells will be faster and more active:
- Regular disinfection of puncture sites should be carried out until complete healing.
- Large physical activities, heating of the face, tanning, visiting the sauna or bathhouse, pool or ponds are not allowed.
- It is not recommended to wipe the skin with a towel, touch the face with your hands, apply aggressive makeup, do massage, peeling, apply hardware cosmetology.
- Do not sleep on your stomach.
Consequences and possible complications
Typically, patients can tolerate microlipography quite easily. But, like any surgical intervention, the procedure has a number of side effects:
- The appearance of edema and subcutaneous hemorrhage in the form of bruises (usually persist for 10-12 days), as well as swelling, which can last several weeks.
- It is possible that a decrease in sensitivity in the areas of taking and introducing fat.
- Mild asymmetry and roughness are possible, which disappear after elimination of edema.
Reviews
Many patients are completely satisfied with the results of lipofilling of the cheeks and zygomatic zone. Photos fully reflect the effectiveness of this procedure. Partial absorption of the introduced fat is sometimes noted - this can be easily adjusted at the next session of the procedure.
Negative reviews are usually explained by the choice of the wrong clinic and the insufficient qualifications of the doctor, as well as the concealment by the patient of diseases that are contraindicated for the procedure.