Prior to having fat transplantation, blood tests may be done if there is any question of bleeding problems. The patient is to avoid aspirin, prostaglandin inhibitors (i.e. Motrin or Advil), Vitamin E, and abstain from alcohol or smoking for two weeks prior to and two weeks after the procedure. An antibiotic will be started one day prior to the procedure and continued six days after. If anxiety sets in, Valium may be taken one hour prior to the procedure as ordered by Dr. Ablon. The donor and recipient sites will be carefully cleansed and injected with a diluted anesthetic solution. Once the areas are numbed, the fat is painlessly harvested.
The fat is removed without disrupting the underlying nerves or vessels and collected in small tubes. This fat is then washed and cleaned, and injected into the desired site. Following injections, the fat can be molded into proper position by the doctor’s hands. The patient will usually note that the area is slightly swollen since a small amount of extra fat is injected into the area. This is done since approximately 1/4 – 1/2 of the fat does not survive the transplantation, and slight over-correction is needed for a better final result. After the procedure, sutures may be placed at the opening to the donor site, and a pressure dressing applied. Usually only steri-strips are placed on the recipient site.