New Generation Lipofilling
Lipofilling, also known as autologous fat grafting, is a surgical technique that uses your own body fat to restore volume, enhance contours, and achieve natural-looking results. It is widely used in cosmetic and reconstructive procedures for the face, breasts, buttocks, and body.
How Lipofilling Works
Lipofilling is a three-step procedure designed to maximize fat cell survival and ensure safe, effective outcomes.
Fat Harvesting
Fat is gently removed from areas with excess fat, such as the abdomen, hips, or thighs, using low-pressure liposuction. The process is atraumatic to preserve the integrity and viability of fat cells.
- Low-pressure, gentle liposuction
- Atraumatic technique to protect fat cells
- Preserves fat cell integrity and viability
Fat Purification
Extracted fat is purified to isolate healthy, viable fat cells. Dr. Roger Khouri has done a lot of groundbreaking work in the field of lipofilling. This research shows that you shouldn't centrifuge fat (all the fat cells are destroyed, and only oil is created). Furthermore, you shouldn't filter the fat, because that destroys all the beneficial growth factors essential for the fat's survival.
- No centrifugation or filtering
- Decantation preserves growth factors
- Enhances viability by gentle handling
Injection
The prepared fat is carefully injected into the target area. Use small 2–3 ml luer-lock syringes to avoid large boluses; place micro-droplets in multiple crisscross layers (1–1.5 mm) to prevent central necrosis and ensure integration.
- Precise micro-droplet reinjection
- Controlled volume with small syringes
- Minimal necrosis risk; optimal integration
Common Applications
Lipofilling can be used to enhance various areas of the body
Facial Enhancement
Filling wrinkles or restoring volume loss in the face for a more youthful appearance.
Breast & Buttock Augmentation
Naturally augmenting the breasts or buttocks using your own body fat for natural results.
Body Contouring
Improving body contours after surgery or injury to restore natural shape and symmetry.
Benefits
Why choose lipofilling for your aesthetic enhancement
100% Natural
Uses your own fat, eliminating the risk of allergic reactions or rejection.
Natural-looking results
Transferred fat integrates seamlessly with surrounding tissue for lifelike contour.
Long-lasting results
Once grafted fat integrates, results can be long-lasting.
The LipoGrafter® System
LipoGrafter® performs the entire fat transfer process in a closed, sterile system — from harvesting to reinjection — while preserving cell viability.
How the LipoGrafter® works
Gentle Fat Harvesting
Controlled, low-pressure aspiration preserves cell integrity.
Automated Purification
Filters and separates healthy fat cells from damaged tissue.
Super Wet Infiltration
After the "Super Wet" infiltration, the fat is essentially softened within the body. It is then aspirated at low pressure using fine cannulas.
Fat Separation
The fat is separated from the infiltration fluid by decantation (the action of gravity). This is done without filtering to preserve the growth factors.
Controlled Re-injection
Fat is precisely delivered into the target area, optimizing volume and contour.
Advantages of LipoGrafter®
Enhanced cell viability
Closed system and gentle handling reduce graft trauma; higher percentage of viable fat cells.
Operational efficiency
Streamlines process by minimizing manual steps and eliminating multiple syringe transfers.
Natural results
Gentle handling and controlled reinjection contribute to more natural, longer-lasting outcomes.
Reduced complications
Closed, sterile system decreases likelihood of infections and complications.
Lipofilling + Expander
Primarily used in breast reconstruction after mastectomy or partial mastectomy. A tissue expander is surgically placed to stretch the skin and create a pocket. Fat grafting is then performed to improve contour, softness, and symmetry.
Enhanced natural contour
Fat fills irregularities and smooths the surface for a lifelike appearance.
Gradual volume control
Expansion combined with fat grafting allows fine-tuned adjustments over time.
Reduced tissue stress
Hybrid approach distributes volume, minimizing tension and potential complications.
How it works
- A tissue expander is surgically placed to stretch the skin and create a pocket for reconstruction.
- Fat grafting is then performed, injecting purified autologous fat into the breast to improve contour, softness, and symmetry.
- The expander can be gradually adjusted to achieve the desired volume, while the fat integrates naturally with surrounding tissue.
Ideal candidates
- Women undergoing post-mastectomy reconstruction.
- Patients desiring a softer, more natural result than expander-only reconstruction.
- Those who want gradual volume adjustment with minimal surgical trauma.
Lipofilling + Implant
Often used for cosmetic augmentation or secondary reconstruction to refine shape, correct asymmetry, or improve implant contour. A breast implant (e.g., B-Lite) provides projection; fat grafting smooths edges and refines contours.
Seamless contour
Fat masks implant edges for a natural transition.
Customizable volume
Targeted fat injections allow minor shape and size adjustments.
Enhanced softness
Combining implant support with fat achieves a lifelike tactile feel.
How it works
- A breast implant (e.g., B-Lite) provides primary volume and projection.
- Fat grafting is applied over or around the implant to smooth edges, fill depressions, and refine breast contours.
- This combination results in a more natural shape, softness, and symmetry compared to implant-only augmentation.
Ideal candidates
- Women seeking aesthetic refinement after implant placement.
- Patients desiring improved natural feel and shape without increasing implant size.
- Those undergoing revision procedures to correct asymmetry or contour irregularities.
The Combined Lipofilling Journey
Consultation
Assess anatomy, goals, and suitability for hybrid reconstruction or augmentation.
Surgical Planning
Determine implant/expander size, placement, and fat grafting sites.
Procedure
Implant or expander placement followed by precise fat grafting using advanced techniques.
Recovery & Refinement
Fat integrates over weeks; additional adjustments may optimize symmetry and volume.
Key Scientific Considerations
- Fat cell survival: typically 60–75%; multiple sessions may be required.
- Safety: autologous fat reduces risks associated with foreign materials.
- Enhanced outcomes: hybrid procedures combine structural support with soft tissue optimization.
Important Considerations
What you should know before considering lipofilling
Fat Cell Survival
Typically, about 60–75% of grafted fat survives; touch-up sessions may be needed to achieve desired results.
Dr. De Wolf recommends planning for potential touch-up sessions to achieve optimal results.
Potential Side Effects
Potential side effects include temporary swelling, bruising, and formation of small lumps.
- Temporary swelling and bruising
- Possible small lump formation
- Requires careful technique
Professional Consultation Required
It's important to consult with a qualified plastic surgeon to determine if lipofilling is suitable for your aesthetic goals and to discuss potential risks and benefits. The procedure requires careful technique to ensure the survival of fat cells and to avoid complications.
Summary
Combining lipofilling with expanders or implants allows a highly tailored approach to breast reconstruction and augmentation:
- Optimizes shape, softness, and symmetry.
- Reduces tissue stress and implant-related complications.
- Achieves natural, durable, and aesthetically harmonious results.
- Can be customized to each patient’s anatomy and goals.
These hybrid strategies offer cutting-edge, evidence-based options for women seeking natural, refined, and long-lasting breast enhancement.
Discover Natural Enhancement
Learn more about how new generation lipofilling with the Lipografter system can help you achieve your aesthetic goals naturally.