by dr. lam » Tue Nov 30, 2010 12:37 pm
I centrifuge the fat. i have worked with doctors who have centrifuged for shorter and longer periods than I do or strained the fat or done something else magical and all their results have held up. There is just way too much voodoo on the processing part.
I do not use other methods because I honestly do not want better "take". I moderated a panel of fat grafters internationally in July and almost every person did not want any better "take". the reason is that the face that they design is based on how that take would be, i.e., if i put 1 cc of fat in i know that in a year when the graft matures what kind of result i will get. anything that would promote better take is a very bad thing for me at least. hope that makes sense.
best,
sml
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