Fat Transfer for the Management of Soft Tissue Trauma: The Do's and Don'ts

The document from 2010 by Dr. Samuel M. Lam discusses the use of fat transfer for managing soft tissue trauma and facial rejuvenation, highlighting its potential for long-term success but also the associated risks and limitations. Dr. Lam advises that fat transfer may not be suitable for younger patients or those with fluctuating weight due to the risk of fat graft growth causing deformities. He suggests the procedure is more appropriate for older patients with stable metabolism and mild defects. The document details the author's technique, including conservative injection methods, the use of small amounts of fat (15 to 50 cc), and the importance of avoiding overharvesting and donor site distortion. Fat is harvested using a gentle technique, processed by centrifugation, and injected with blunt cannulas to minimize risks. The conclusion emphasizes the need for careful patient selection and a thorough understanding of the procedure to achieve satisfying results, particularly in the context of soft tissue trauma.