In the section below, the factors that make fat transfer succesful will be explained. There is no question that some of the fat is lost after the transfer. These strategies are employed to maximize the portion that survives permanently.
The main strategy that Dr. Khalifeh uses to achieve the patient’s desired size is staged grafting. Because there are limits to how much fat will survive in one injection and pushing fat beyond that limit is counterproductive, we divide the fat injections into two sessions.
A female patient comes to us with the aesthetic goal of larger breasts. She also desires a slimmer abdomen and wasteline. Our solution would involve two sessions:
To answer a very commonly-asked question, there is no reliable method to store the fat for reuse later. The best place to store it is to leave it right in your body. Because we perform most of our procedures with awake liposuction techniques, serial scheduling of smaller procedures with short recovery periods is very feasible. And the total cost is comparable to a longer procedure under anesthesia.
For the breasts, there is a wearable device that has been designed to stretch the native breast tissue. This is achieved via negative pressure, i.e., suction. This is called the BRAVA system. The strategy of the BRAVA is to “expand” the breast, therefore fitting more fat for fat transfer. While we have looked into the BRAVA system, we have decided against it because:
In theory, the BRAVA system is not a bad idea (as long as the patient understands the risks and benefits). However, because we perform most of our procedures in awake sessions, we are able to obtain large volumes of transferred fat via staged procedures, without the added inconvenience of wearing an inconvenient BRAVA device.