Hi. This is Dr. Nathan Long, M.D. and today we are talking about fat transfer and the process of healing. We have some pictures of progression of days past of a patient we actually saw today.
So, let’s go ahead and go to the before picture. With each patient I carefully outline the area, we discuss the area to be treated, take a before picture. (We do a complete consultation discussing the risks, benefits, and alternatives to your procedure.) Notice the rolls, creases, the area where we take the fat, and the area where we place the fat.
Next, day one after surgery. Notice how the rolls have now laid down and the fat has gone from above, and we see more swelling and fullness below. We should notice that the fat takes root and lives in the area. What we want to do with the above area is keep it very tight. When you keep it very tight there is little to no bruising, little to no pain, and also a very nice result very smooth and flat.
We go to day three after surgery. We notice how the healing starts to take place. Notice some swelling, not too much change.
Two weeks later we notice now that the skin has glued down on to the body and we notice how the fat has really started to take root and live in the area. Then, we notice an area of swelling here and we really want to make sure this area lays down flat. If the swelling remains, it can become hard, and become a problem in the future. (We will ask you to continue wearing your compression garment if this is noted during your post operative appointment.)
Next, we go to the picture we got today which is 5 weeks post surgery. We notice how the area has a nice contour. We have a little crease here. Going forward we need to peel this skin with Retina and make sure this skin goes back to it’s normal tightness. We notice how the fullness in the bottom has remained.
Now, let’s go over to the beginning and the end. This is from the before and then todays picture. We notice how the rolls have gone down. The fullness has really taken root. Going forward we want to make sure that we peel the skin. If we have any problems the patient will come in and see us as needed.
This has been Dr. Nathan Long, M.D.
We will see you next time.