San Francisco Plastic Surgery Dr James Romano

126 Post Street, Suite 618, San Francisco, CA 94108 | 415.981.3911 

San Francisco Plastic Surgeon

About Dr Romano

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Breast Surgery

Body Surgery

Facial Surgery

Brow Lift

Brow Lift Reversal

Buccal Fat Pad Excision

Canthoplasty

Cheek Implants

Cheek Bone Reduction-Malarplasty

Chin Implants

Corrugator Muscle Excision

Dermabrasion

Ear Reduction-Otoplasty

Eyelift-Blepharoplasty

Facelift-Minimal Incision

Facelift-Rhitidectomy

Facelift-Vertical

The Weekend Facelift

Facial Fat Grafting

Facial Wasting-Lipoatrophy

Lip Enhancement

Lip Lift

Lip Reduction

Lip Rejuvenation

Liposuction of the Face and Neck

Nasal Surgery-Ethnic Rhinoplasty

Nasal Surgery-Revision Rhinoplasty

Nasal Surgery-Rhinoplasty

Nasolabial Lines-Laugh Lines

Temporal Tuck

Male Plastic Surgery

Anti Aging

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Facial Fat Grafting

THE TYPICAL PATIENT

  • Contour deformities, dents or deficiencies in the face.
  • This may be due to areas where liposuction has occurred in the past and now a dent is present.
  • Features typically are deep laugh line folds, small lips, or frown lines.
  • Good for patients that want larger lips, cheeks, jawbone or chin.

THE PROCEDURE

  • Anesthesia is a local injected into the site for fat harvesting and the recipient site in the face.
  • The incisions are very inconspicuous and about 1/8" in length.
  • The procedure is performed in the outpatient center and involves harvesting fat from one site, preparing this, and grafting into the recipient site where the dent is present.
  • Small microscopic grafts placed in many small tunnels. This is the micrografting technique.
  • Dressings are very light and are used for several days.
  • This can be combined with other plastic surgical procedures.
  • This can be repeated at a later date to add more size and volume if you desire.

THE RECOVERY

  • You can go home and return to mostly normal activities right away.
  • You can shower the next day.
  • There is only minimal pain that is mostly gone by next day and usually does not require medications.
  • Swelling is mild to moderate and peaks at three to four days then disappears rapidly over the next three weeks.
  • Minimal or no bruising is the usual.
  • There are usually no stitches.
  • I recommend taking 4-5 days off of any social interactions.

THE RESULT

  • Beautiful, balanced and proportioned contour.
  • Natural and presentable appearance in the first week that gets better over the next three to six months.
  • This is designed to be a permanent correction. Once the blood vessels grow into the fat, it lasts forever.
  • Fat grafting success depends on your blood vessel ingrowth. It may not last at all, or partially. Often only about 20 - 30% survives and it needs to be repeated one or two times to give you the degree of permanent correction you require.

For before and after images of this procedure click here

 

Please call or contact the office for any further information or to schedule an appointment.

Copyright 2007 James J. Romano, M.D., 126 Post Street, Suite 618, San Francisco, CA 94108, 415 . 981 . 3911
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