Lipofilling in Paris
Lipofilling in Paris: highlights
We perform facial lipofilling under local anesthesia or general anesthesia.
Lipofilling, also known as facial lipomodeling, is a recent technique that has revolutionized facial rejuvenation. It offers a natural and stable alternative to injections of synthetic and resorbable products (Hyaluronic acid, Radiesse...).
The lifespan of facial lipofilling is long-lasting.
The price of a facial lipofilling varies from 3500 to 5500 euros depending on the difficulty of the case.
Description of a facial lipofilling
This involves the grafting of purified fatty tissue. A syringe is used to aspirate fat from an area rich in adipose tissue (abdomen, hips, etc.). The fat is then purified using a special single-use filter(Puregraft 50 or Lipogems ) or cenbtrifugation, to separate blood and water from the pure fat (adipocytes). This fat is then injected into the face using fine cannulas, in order to :
Filling out certain very pronounced wrinkles, such as the nasolabial folds
increase the volume of certain areas of the face that have melted as a result of age-related tissue loss (cheekbones)
A discreet over-correction is performed, as the injected fat usually takes up only 70%.
The final result is obtained after 1 month and is stable over time.
Facial lipofilling in practice
The procedure is usually performed under pure local anesthesia, but can also be performed under general anesthesia or neuroleptanalgesia (local anesthesia enhanced by intravenous painkillers). It is no more painful than a facial injection of hyaluronic acid, but the fat harvest may be sensitive. In the case of general anesthesia or neuroleptanalgesia, a pre-anesthetic consultation is required at least 48 hours before the procedure. Post-operative recovery is straightforward, and a normal social life can be envisaged 48 hours after lipofilling. Modern fat purification techniques minimize bruising on the face, although slight edema may be present for 48 hours due to over-correction.
Bruising can be seen in the areas where the fat has been suctioned for 10 to 15 days.
Discover our dedicated page on the before-and-after results of a hyaluronic acid injection to the face.
Facial lipofilling: the specifics of our procedures
In addition to the classic method of fat purification by centrifugation... We only use single-use filters (Puregraft and Lipogems), which have a number of advantages:
These closed systems allow grease to be handled without bacterial contamination.
Purification is achieved by filtration and washing, which totally eliminates the blood and oil responsible for bruising and inflammation on the face.
The fat obtained is very fluid, enabling it to be injected through very fine cannulas (21 or 23 gauges), making this procedure possible under pure local anaesthetic.
As the fat is finer, there is less risk of unsightly fat balls after injection.
We can now even inject fat in the form of Nanofatgraft, which makes it possible to obtain extremely fine fat for the treatment of dark circles and the back of the hands.
Questions / Answers about facial lipofilling
What are the differences between facial lipofilling and hyaluronic acid injection?
The fundamental difference lies in the stability of the effects of facial lipofilling over time. Once the fat has been taken in, the volume will not diminish, and no further injections are required. What's more, it's an autologous product, meaning it comes from your own body. No long-term inflammatory reaction is possible, as can be seen with injections of foreign products such as hyaluronic acid, which, even if purified, contains chemical stabilizers like BDDE.
What's more, fat is rich in growth factors that improve skin quality and tone.
However, fat has some disadvantages. It is injected in larger quantities than hyaluronic acid depending on the size of the fat lobules.
It is therefore not suitable for the correction of fine wrinkles or areas where the skin is very thin such as dark circles.
Nevertheless, it tends to spread better than some very dense fillers (Juverderm Voluma® or Radiesse®), enabling better projection and more precise modification of facial volumetry (particularly in the treatment of tear valley wrinkles).
We use lipofilling to correct deep wrinkles (nasolabial folds, valley of tears, bitterness folds, temples) and to increase cheekbone volume. Similarly, lipofilling of the cheeks gives excellent results, as this is a large area where fat grafting provides a natural result that respects the anatomical composition of the cheek.
How long does facial lipofilling last?
Yes, once the graft has undergone partial resorption (it is estimated that the injected volume reduces by 30 to 40% in the 15 days following the procedure), the result is perfectly stable over time.
Facial lipofilling: is there any danger or possible complications?
A rigorous technique is required for this highly delicate procedure. This is a graft, so the percentage of tissue uptake can vary.
Heavy smoking, for example, greatly reduces graft uptake. However, in trained hands, a take-up percentage of 60-70% is usual. As the fat integrates, it can create small lumps or balls of fat after lipofilling. In order to avoid this phenomenon, which may not be visible but can be felt to the touch, we inject deep into the skin in a continuous tract using cannulas. Finally, because of the over-correction required, the face is oedematous for 2 to 4 days after the procedure.
Are lipofillings covered by health insurance?
Yes, in the case of reconstruction after trauma or accident, or if you suffer from lipodystrophy linked to antiretroviral treatment for HIV.
Your case will be examined by the health insurance doctor before any agreement is reached.
Health insurance coverage for lipofilling does not cover additional surgical fees. Our estimate of additional fees should be sent to your mutual insurance company to find out how much you will be reimbursed.
Price of facial lipofilling
The price of aesthetic lipofilling of the face ranges from €3,500 (lipofilling of a single area) to €5,500 (full facial lipofilling), depending on the areas injected and the anesthesia used (local or sedation).
Have a question? Please contact us!
Cosmetic surgery in Paris
Docteur Yaël Berdah and Docteur Marc-David Benjoar
Plastic surgeons in Paris France