Fat Transfer / Lipofilling (Lipografting — přenos tuku)

Fat transfer (lipofilling or lipografting) harvests a small volume of the patient's own fat from a donor area — typically the abdomen or thighs — and injects it into areas needing volume restoration or contour improvement. At Plastická chirurgie A-Z Olomouc, this technique is used primarily for facial volume restoration in patients 60 and older, and as a regenerative approach to breast augmentation or post-surgery contour refinement. Because the material is autologous, there is no risk of allergic reaction. The procedure belongs to the clinic's regenerative plastic surgery category.

Fat grafting — also known as lipofilling, lipografting, or autologous fat transfer — is a regenerative-aesthetic technique that uses the patient's own adipose tissue as a natural, biocompatible volume-restoring agent. The procedure has two components: a mini-liposuction to harvest fat from a donor site (commonly the inner thighs, abdomen, or flanks), and the injection of processed fat into the recipient area to restore volume or improve contour. At Plastická chirurgie A-Z, fat transfer is recommended primarily for: 1. **Facial rejuvenation** — restoring the cheek hollowing and tear-trough volume loss that develops after 50–60, providing a result that looks and feels entirely natural because it is the patient's own tissue. 2. **Breast contour refinement** — correcting rippling or asymmetry after augmentation, or adding natural-feeling volume post-mastectomy. 3. **Post-operative contour correction** — filling small depressions after liposuction or scar revision. The harvested fat is centrifuged to remove oil, blood, and infiltration fluid, then re-injected in micro-droplet aliquots through fine-gauge cannulas to maximise the contact surface area — this is the key technical step that determines graft survival. Approximately 50–70% of transferred fat typically survives permanently; the surgeon slightly overfills to account for this resorption, so the final result at three to six months reflects the settled volume. Procedure time ranges from 60 minutes (small facial session) to 2+ hours (breast or large-volume body transfer). Anaesthesia is local for small facial sessions, sedation or general for larger-volume body work. Post-operative swelling at the injection site is expected for two to four weeks; bruising at the harvest site resolves over one to two weeks. A compression garment is worn on the donor area for four to six weeks. The regenerative properties of fat — attributed in part to adipose-derived stem cells — may additionally improve skin quality, texture, and elasticity at the injection site over time, a benefit not seen with synthetic fillers.