Hello dr lam, i have a question, when the FAT is harvested into the face, does it really gain a blood supply or it always finish by getting resorbed. Can u see under an IMR or any kind of microscope the cells alive under the skin after getting transfrred TO THE FACE
I don't look under a microscope but there is no doubt it is alive. I know this because I have seen patients who gain a lot of weight, the fat can look too full. That would not happen if it were a bioinert substance. That is why I pick my patients very carefully. See my other answer. In addition, I have taken fat out of lips 8 to 10 years after someone has had them injected there and I don't need a microscope to see the fat in front of me when it pours out. I do so many lip reductions that I recognize the difference very clearly between fat, normal lip, silicone, Artefill, and other injectable agents.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery