LAM FACIAL PLASTICS

I have a couple of questions about the fat graphing procedure.
a) Do you use local or general anesthesia when doing the fat transfer. Or do you offer either option?
b) When harvesting the fat, does it matter if it is fat that you just gained? Or fat that has been there a while, for example if you have lost 20 pounds and kept it off for a few months, and that is the fat that you withdraw, is that any different as far as how long it will last once it has been transplanted. I ask this because they call the last 5 pounds "stubborn fat" and I am sure this has nothing to do with how it is metabolized.
c) does a persons metabolism rate have to do with the percentage of fat that does not take?


Thank you.

a) Do you use local or general anesthesia when doing the fat transfer. Or do you offer either option?
I prefer general because the procedure can be amazingly short, with very little anesthetic, and much less swelling. for someone under local, the procedure takes much longer, i have to use a lot more anesthetic, there is much more bruising, swelling, and recovery. it is also uncomfortable. if you really do not want general, i can do it under sedation.
b) When harvesting the fat, does it matter if it is fat that you just gained? No
Or fat that has been there a while, for example if you have lost 20 pounds and kept it off for a few months, and that is the fat that you withdraw, is that any different as far as how long it will last once it has been transplanted. I ask this because they call the last 5 pounds "stubborn fat" and I am sure this has nothing to do with how it is metabolized. No, but you must watch this video to understand how I see weight changes in order to appreciate safety:
http://lamfacialplastics.com/gallery2/v ... t.flv.html
c) does a persons metabolism rate have to do with the percentage of fat that does not take?
in general no. i have done smoker's (albeit not advisable), athletes, and slightly heavier people, all with pretty good take.