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1. WHAT IS FAT GRAFTING?

A surgical fat transfer to move fat from one part of the body to another. It’s also known as lipomodelling. As we age, loss of fat and muscle volume beneath the skin creates hollows that cast shadows on the face. I t is these shadows that give us an aged and tired appearance. Fat and stem cell grafting provides a natural and permanent solution to restoring that youthful volume and glow throughout the face. Micro injections of fat and stem cells are harvested from other parts of your body such as the abdomen or thighs.
Compared to temporary fillers such as Juvederm and Restylane, fat grafting allows for larger volumes of augmentation and creates permanent results using your body's own natural material. Fat grafting is either performed alone or often as part of a face-lift or lower blepharoplasty.

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2. ABOUT DR. ESMAIL

Dr. Ali Esmail is Winnipeg’s first and only fellowship trained Facial Plastic Surgeon. Unlike a ‘general plastic surgeon’, Dr. Esmail has 6 years of specialized training that focused on procedures from the neck up. Facial plastic surgery requires extreme attention to detail, an eye for symmetry and a drive for perfection.

When it comes to someone’s face there is no room for error, and at Visage, this is the very work ethic that drives our entire team. It is those attributes that originally attracted Dr. Esmail to the field of facial plastic surgery. His obsessive attention to detail and keen eye for aesthetic symmetry is what makes him one of the most exciting and top young surgeons in the field.

2. ABOUT DR. ESMAIL

Dr. Ali Esmail is Winnipeg’s first and only fellowship trained Facial Plastic Surgeon. Unlike a ‘general plastic surgeon’, Dr. Esmail has 6 years of specialized training that focused on procedures from the neck up. Facial plastic surgery requires extreme attention to detail, an eye for symmetry and a drive for perfection.

When it comes to someone’s face there is no room for error, and at Visage, this is the very work ethic that drives our entire team. It is those attributes that originally attracted Dr. Esmail to the field of facial plastic surgery. His obsessive attention to detail and keen eye for aesthetic symmetry is what makes him one of the most exciting and top young surgeons in the field.

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3. TIMELINE

IMMEDIATE POST-OP

depending on the volume required grafting can have a moderate amount of swelling which can last up to it is not particularly painful procedure. Typically there are sutures that need to be removed and no dressing.

THREE MONTHS

The amount of fat that takes is varied from person to person but typically is around 40-60%. By 3 months he would have a good idea of what the final take will be. At this time we may add a 2nd session might be required for refinement.

The Consult

During the initial consult Dr. Esmail will take a complete medical history as well as discuss with you your goals for facial rejuvenation. We recommend you come to the consult with pictures of what you looked like 10 years ago. This is helpful for Dr. Esmail to determine your natural aging anatomy. Using state of the art skin analysis and 3D photography along with consultation with you Dr. Esmail will create a plan for your fat grafting.

ONE WEEK

After procedure you will be seen in the office to examine your harvest and donor sites.

The Consult

During the initial consult Dr. Esmail will take a complete medical history as well as discuss with you your goals for facial rejuvenation. We recommend you come to the consult with pictures of what you looked like 10 years ago. This is helpful for Dr. Esmail to determine your natural aging anatomy. Using state of the art skin analysis and 3D photography along with consultation with you Dr. Esmail will create a plan for your fat grafting.

IMMEDIATE POST-OP

depending on the volume required grafting can have a moderate amount of swelling which can last up to it is not particularly painful procedure. Typically there are sutures that need to be removed and no dressing.

ONE WEEK

After procedure you will be seen in the office to examine your harvest and donor sites.

THREE MONTHS

The amount of fat that takes is varied from person to person but typically is around 60%. By 3 months he would have a good idea of what the final take will be. At this time we may add a 2nd session might be required for refinement.

4. BENEFITS

Permanent facial contouring and volume replacement. Fat grafting is a great alternative to temporary Fillers with a natural permanent result. The stem cells Implanted from the fat grafting also has significant benefit to the overlying skin.  Fat is the ultimate filler for natural permanent results.

5. AM I A CANDIDATE?

Fat grafting is a great solution for most people have some loss from aging. If you have tried fillers and are ready for a permanent result, fat grafting may be for you.  People more advanced volume loss patients also make good candidates for fat grafting. You require adequate harvest sites (abdomen or thighs) of adipose tissue for the procedure to be completed.

Setting up a consultation is the best way to determine if you are a candidate.

6. TYPES OF PROCEDURES

This is an outpatient treatment done under  under local anesthesia ear or under deep IV sedation.  Fat is collected by liposuction, and the fluid obtained during liposuction is loaded into syringes for injection back into the body.

Micro and Nano Grafting

Dr Esmail uses special techniques to gently harvest fat cells from your body. These cells are centrifuged to purify the fat to leave fat cells, stem cells and growth factors. Then depending on what we want to achieve the fat is mechanically broken down to micro or nano particle size. The fat is then injected using micro cannulas much like temporary fillers.  Nano grafting can be done with local anesthesia.  Nano grafting is good for improving crepe skin, fine wrinkles, dark under-eye circles.

7. RISKS

As with any surgical procedure swelling bruising and infection are all risks. Given the smaller volumes of fat being injected the risk of fat embolism that is seen with procedures like Brazillian butt lifts are not seen in facial fat grafting.

8. RECOVERY

Patients can expect moderate bruising and swelling.  Relatively little downtime which will have you back to daily activities within 7 days. Discomfort is typically minimal and easily controlled with pain medication and cold compress.  It is required to over-correct, which means injecting more fat than is actually needed because 30-60% of the transplanted fat cells do not survive and are resorbed in to the body. The final result is assessed after three months.

9. WHAT TO EXPECT FROM A FAT GRAFTING PROCEDURE?


Fat grafting is a powerful tool for volume and structure correction.  The ultimate filler not only provides new volume but the stem cells provide a  regenerative effect top the skin.  After fat grafting you should expect a youthful looking face with healthier glowing skin.

10. CHOOSING A SURGEON FOR FAT GRAFTING PROCEDURE

Dr. Esmail was trained in fat grafting by Dr Mark Glasgold. Dr. Glasgold is considered the pre-eminent expert in fat grafting. His textbook is considered to be the bible of fat grafting. Being a permanent procedure, fat grafting is a powerful tool in facial rejuvenation, and should only be done by specialized surgeons.

10. COST OF FAT GRAFTING IN WINNIPEG


$3500+ Pricing includes facility fee and anesthesia (+gst)

12. FAQs

Can this procedure be done without  going to sleep?

If I gain weight Weight will I gain weight in my face? 

Can you remove extra fat at the time of harvesting ?

Can you do body liposuction at the same time as fat grafting?