Fat Transfer

What Is a Fat Transfer?

Fat transfer, also known as fat grafting or fat transplantation, can replenish volume and add definition to a variety of facial and body areas. This procedure transfers your own (autologous) fat from select areas of the body to fill in targeted regions that have lost volume. Fat transfers offer natural results and can provide long-term facial rejuvenation for patients looking to increase volume and more carefully sculpt the face and lips, augment the breasts, and can be used to repair contour irregularities from prior liposuction.

Dr. Weintraub’s surgical facility possesses the only health-department-issued tissue-bank certificate for adipocytes (fat cells) in NYC that allows a patient’s fat to be extracted, cryopreserved (frozen), and reinjected at a later date, with safety and efficacy. This is extremely important because patients can store their own fat for a later date for injection when more volume is desired due to the natural aging process.

When we are young, our faces possess healthy fat volume. As we age, however, the fat depletes, revealing wrinkles and folds and hollows. The cheekbones, mid-face, under-eye area, lips and around the mouth can look sunken, flat and deflated. The mirror might reflect that you appear older than you actually feel, which can negatively affect self-esteem. NYC plastic surgeon Dr. Barry Weintraub strives to help patients feel confident about themselves. A fat transfer can volumize facial lines and smooth folds to reclaim a youthful radiance. Patients who undergo fat transplantation can target an assortment of areas of the face including the nasolabial folds (the lines between the corners of the mouth to the corners of the nose), the lips, cheeks, under-eye hollows, and cheekbones. Fat grafting can fill creases using your body’s own, natural fat. It can also augment the breasts for a subtle and beautiful cup-size change, and can improve contour irregularities anywhere on the body.

The process is twofold: first, fat is harvested from an area of your body that has an ample amount of excess fat, the most popular donor location being the abdomen. Fat cells are carefully removed through liposuction then prepared for your upcoming injection. Patients are provided with a form of comfortable anesthesia during this procedure.

Next, these cells are injected into the face, or body, to add volume and shape. Approximately 70% of your own (autologous) fat survives transplantation and happily lives in your body from that point on. Patients see an immediate increase in fullness after their injection, as the natural fat begins to fill wrinkles and hollows for more harmonious facial balance as well as smoother skin.

Dr. Barry Weintraub offers natural fat transfers at his AAAASF-accredited NYC surgical suite. Minimal swelling is expected after your fat-grafting procedure and should subside within a few days. There is usually little-to-no discomfort after undergoing your fat injection, and results can be seen immediately.

Considering a Fat Transfer

There is no specific chronological age that determines when you should have a rejuvenative procedure; the best way to know when it’s right to call for a consultation is when you look in the mirror and see something that truly bothers you. Likewise, there is only one person to have plastic surgery for: you and you alone. It should never be undertaken due to pressure from others.

Goals of a Fat Transfer

Your own natural fat is the best, longest-lasting injectable material that can be used in the face and body to fill out substantial volume deficiency. The natural aging process tends to reduce the amount of healthy fat around the facial region, resulting in hollows, fine lines, and wrinkles that can contribute to a gaunt and aged appearance. Fat transfer can provide long-term, natural-looking results for those looking to rejuvenate their facial appearance, as well as those looking to increase a cup size with a breast augmentation, and those looking to fill in prior depressions and contour irregularities from old liposuction done elsewhere.

If one understands that wrinkles of the skin are caused by the slow weakening of a patient’s deeper dermal structures over time, it is obvious that replenishing, or filling in, the base of wrinkles will result in repair. The goal of dermal fillers is to act as a liquid building block, filling smoothly and naturally the unwanted wrinkle, depression or line.

Of the utmost importance in administering fillers is retaining the harmony and natural proportions of the face. Overzealous use and subsequent overfilling of natural anatomic structures can produce unsightly results and the unwanted “fake” look. It is therefore advisable to have these procedures done by a board-certified plastic surgeon such as Dr. Barry Weintraub due to his thorough training and extensive knowledge of the deep anatomy of the body and its natural proportions.

Your Consultation

You’ve certainly looked in the mirror many times. However, when you look in the mirror and begin to see things that upset you, that’s when you should schedule a consultation. A consultation will help give you a better understanding of what you see.

The most highly qualified doctors available to administer fat transfer, or to perform any procedure – surgical or not – are board-certified plastic surgeons, due to their extensive medical training. Dr. Weintraub, with his Ivy League background and over two decades of experience, performs all non-invasive procedures himself with his own hands.

When looking for the best plastic surgeon, you should:

  • Check for board certification by the American Board of Plastic Surgery (there are many other boards, some legitimate, some not, but there is only one American Board of Plastic Surgery, established in 1931).
  • Ensure that the physician attends a major hospital in your community, and is in good standing with that hospital.
  • Confirm that he or she has a fine reputation amongst other medical professionals in your community.
  • Speak to the surgeon’s patients who have undergone similar procedures.

Remember, this is your treatment, and you are interviewing the doctor as much as he’s interviewing you. Do not hesitate to bring a list of questions with you on your consultation. And remember: a good surgeon is someone who not only has the skill to perform the treatment, but is someone who understands what your specific needs and desires are. A good surgeon should listen, listen, and listen!

Have no fear during your consultation. This is a time to speak, to be heard, and to develop a trusting relationship. Questions can be answered, and fears allayed. And while Dr. Weintraub is at the forefront of his field in terms of his techniques and medical developments, you will find his office environment to be warm, personable, and inviting. He and his staff truly care about each and every patient, and take great pride in making themselves available to help with every step of the process.

How Fat Transfer is Performed

Safety comes first. Plastic surgery is surgery, and should therefore be taken seriously.

Dr. Weintraub prefers his patients to be in a comfortable state of twilight sleep, where the patient is unarousable and is awakened only after the procedure is over. Due to advancements in anesthesia and new medications possessing a shorter half-life, no longer do patients have to contend with nausea, vomiting or grogginess; rather, the emergence from anesthesia is crisp and clear.

Dr. Weintraub insists on the most sterile conditions in the operating room, with board-certified anesthesiologists and state-of-the-art monitoring equipment commensurate with the highest hospital standards. The only person performing the surgery is Dr. Weintraub himself. Every intraoperative maneuver is executed with precision and care, and all wounds are sewn in multiple layers by his own hand.

Cosmetic plastic surgery should never be rushed, and Dr. Weintraub always strives for the best, as he understands that patients will live with the result for the rest of their lives. His aesthetic is sophisticated and reflective of understated elegance. In his own words, “Cosmetic surgery is nothing less than artwork on the human form.”

Where Fat Transfer is Performed

Though once limited to a hospital setting, the more modern approach to cosmetic plastic surgery is to perform such procedures in a safe, secure and completely private operating room. Although Dr. Weintraub has privileges at Lenox Hill Hospital, Manhattan Eye Ear and Throat Hospital, and The Center for Specialty Care (outpatient limb of Weill-Cornell Hospital), he prefers the privacy of his hospital-grade, state-of-the-art surgical center attached to his office at 800A Fifth Avenue. This facility is attended by Dr. Weintraub’s team of board-certified anesthesiologists, certified registered nurses, and fully licensed operating-room staff. With its private entrance, its standards are of the highest quality, and offer Dr. Weintraub’s patients the utmost in medical and plastic-surgical care.

The Best Candidates for a Fat Transfer

The best candidates for fat transfer are well balanced, in good general health, and possess realistic expectations. You are an excellent candidate if you’ve done your homework, have had your consultation, and the following three things are present:

  • You are highly motivated to make the change.
  • You have the ability to pause your daily responsibilities (work, family, school etc.) in order to undergo the procedure.
  • You have the financial wherewithal to make an elective cosmetic surgery come to fruition.

Preparing for Fat Transfer

Once you have decided to make this exciting new change, you will need to provide medical clearance from your family physician. You will be given instructions as to how to prepare for the specific surgery you have chosen, and will be given prescriptions to be filled in advance. Garments (when appropriate) will be ordered for you by Dr. Weintraub’s office. For those patients who live beyond a 50-mile radius of New York City, Dr. Weintraub advises a two-night post-operative stay at The Pierre, The St. Regis, The Surrey, The Mark or The Carlyle Hotel, where his patients are given a special reduced rate, and where he will visit you after your procedure. A private nurse can also be provided.

The Cost

Each patient is individual in his/her own makeup and anatomical configuration. Therefore, in order to give an accurate quote for fat transfer, it is best to schedule a consultation that will allow Dr. Weintraub to appropriately judge what is involved. For those patients who live overseas or outside New York City or the Hamptons, photographs can be emailed or sent to the office, and a phone consultation can then take place.

After Surgery

There will always be a short period of minimal swelling and sometimes bruising. You must carefully follow all instructions provided by Dr. Weintraub in order to achieve the best results possible. He is a firm believer in early showering, because, in his own words, “Clean wounds make for narrower incisions.” He will advise you as to when you can return to your normal lifestyle and exercise routine.

What Sets Dr. Weintraub Apart

Dr. Weintraub has always been blessed with a strong aesthetic sense. He possesses a unique blend of medical science and artwork, as it truly is artwork that he performs on the human form. His attention to detail ensures that he gets the best results possible, and he is meticulous about everything he does, from pre-op to post-op care and beyond.

He studied medicine at Cornell during a time when core values were emphasized, and it is on these values that he bases his practice. He believes that physicians should be humble and respectful, and should never lose sight that the person they are operating on is exactly that: a person possessing real-life issues and concerns. The chairmen of the department of general surgery at Cornell at the time, Dr. Tom Shires, along with another luminary, Dr. Leon Morgenstern of Cedars-Sinai, taught Dr. Weintraub that “The operating room is a sacred place. It’s a very serious place. Never be cavalier about surgery.”

During his surgical residency training, Dr. Weintraub regularly visited Mexico to donate his time operating on deformed children and adults who couldn’t afford proper healthcare. In less-than-optimal conditions, he learned how to perform surgery with the basics, and received great satisfaction in making profound differences in people’s lives by restoring their faces and bodies. Similarly, when he was Chief Resident at the New York Hospital – Cornell Medical Center, and later when he was Chief Resident at the Reconstructive Unit at Memorial Sloan-Kettering, he found that his compassion for patients, along with his skill and precision as a surgeon, could change lives and bring people joy they never thought possible.

Dr. Weintraub believes that surgery is never a race. The patient is always number one. He keeps in his wallet a piece of paper that is his motto in the operating room: “Always demand what is right, and never accept second best.” He likes to consider himself a “thinking surgeon,” and does not enter the operating room with a mechanical series of steps to execute robotically, but likes to remain alert and ready for whatever intraoperative challenges might spontaneously arise. Although many notable surgeons openly listen to music while performing surgery, Dr. Weintraub does not, preferring the mood of the operating room to remain serious and focused.

Over 60% of Dr. Weintraub’s practice is comprised of complex redos of surgeries performed by other offices. Such procedures always involve difficult issues, since there exist not only the limitations of a patient’s own anatomy, but also the limitations of another surgeon’s aesthetic, and the scar tissue that has developed as a result. Patients seek Dr. Weintraub from all over the world to correct their aesthetic problems. He takes great pride in getting the best results, and always enjoys the challenges of such procedures.

Last, Dr. Weintraub will not hesitate to turn patients away if he feels they are not good candidates for surgery. If a surgery is not in someone’s best interest, he will be the first to say so. However, when a patient is a good candidate, the results produced by Dr. Weintraub can be magical, and he feels that it is an honor to give patients a gift they can enjoy for the rest of their lives.

How To Get Started

Dr. Weintraub will be happy to discuss a fat transfer with you. Please call our New York City office for a private consultation. We hope you look forward to our warm welcome and the opportunity for us to help you make an educated and confident decision.

CLICK HERE to contact our office today and set up your consultation for a fat transfer.