One of the key ageing changes to effect the face is a loss of volume due to progressive atrophy of the facial fat planes. These changes result in a gaunt and hollow appearance that can make the face look tired and exhausted. Lifting techniques can be very effective at removing excess skin, but they do not address volume deficiency which is a hallmark of a youthful looking face.
Fat transfer, also known as 'liposculpture' or, inaccurately, 'stem cell transfer' has become very popular in recent years. The improved techniques allow for a much greater survival of fat tissue. The procedure involves the collection of fat tissue from either the abdomen or thigh areas using a form of limited liposuction. The fat containing fluid is then purified to extract the fat cells only and these are relocated to strategic areas of the face to restore volume to the cheeks, brows, lips and temples whilst at the same time filling hollows around the eyes and mouth. Fat transfer is also an effective tool in reconstructive surgery to the eye socket where volume has been lost after the removal of an eye or other diseases.
Mr. Ezra uses specialised equipment and techniques for fat collection to provide safe and reliable augmentation to the face and particularly the under-eye areas. It is also performed in conjunction with other surgical procedures such as a midface lift or blepharoplasty in order to rejuvenate the face by a volumetric approach. Depending on the type of fat transfer required, this is sometimes performed in conjunction with a plastic or maxillofacial surgeon.