Wrinkle treatment with autologous fat
To put it simply, plump lips and an even complexion are spontaneously and unconsciously perceived as youthful and attractive in a fraction of a second. Natural and beautiful facial features arise from the harmonious unity of the face.
What our patients say
Information at a glance
Operation duration
1.5 hours
Aftercare
6 weeks
Anesthesia
Twilight sleep
Thread tension
Self-dissolving threads
Hospitalization
Outpatient
Socially acceptable
after 5 days
Costs
Additions or alternatives
How do facial wrinkles develop?
The skin loses its elasticity with increasing age and after intensive exposure to the sun or UV radiation. The connective tissue supporting the skin becomes slack and the skin fat shrinks. Individual predispositions or lifestyle habits such as smoking can also lead to a reduction in the elasticity of the skin. The following types of wrinkles are distinguished with regard to possible causes and treatments.
Actinic wrinkles are caused by years of UV radiation from the sun or solarium, which damage the skin and support or even accelerate the natural formation of wrinkles. These wrinkles are particularly visible on the face, around the mouth and on the neck. Sun wrinkles, for example, can be effectively treated with needling or peeling.
In the case of orthostatic or gravity wrinkles, muscles and skin fat sag due to a decrease in tissue firmness. This type of wrinkle includes, for example, the nasolabial fold between the corner of the mouth and the nose. Depending on how pronounced the wrinkles are, they can be padded with tissue fillers or autologous fat and/or corrected with a facelift. A brow lift may be necessary to correct sagging eyebrows.
Dynamic or mimic wrinkles are the result of active muscle movement. Fine muscles involved in certain facial expressions stretch or contract the skin. Over time, furrows appear in certain areas of the face. These wrinkles are often named after the facial expressions that characterize them, e.g. frown lines, frown lines (forehead wrinkles) or laugh lines (crow’s feet). Group A muscle relaxant injections are suitable for reducing these wrinkles.
1 Forehead wrinkles – 2 Frown lines – 3 Drooping eyebrows – 4 Drooping eyelids – 5 Crow’s feet – 6 See eye illustration – 7 Sunken cheeks – 8 Drooping earlobes – 9 Drooping tip of the nose – 10 Nasolabial fold – 11 Pleated wrinkles/smoker’s lines – 12 Thin lips – 13 Marionette lines – 14 Sagging cheeks – 15 Chin wrinkle
Signs of ageing are so familiar to us that it is surprisingly difficult to consciously name these aspects. Ageing affects the entire body and tissue at different rates. The point at which the peak of development is reached and ageing begins varies from person to person. Lifestyle (sun exposure, smoking and alcohol) and hereditary factors have an effect on ageing. The effects become visible relatively early on the face. The changes begin in the late teens and only become visible in the mid-twenties. As a rule, however, our appearance only changes in midlife to an extent that prompts some people to seek surgical help. It is therefore less important to quantify the “ageing face” in years than to recognize the typical changes that occur.
What is a wrinkle treatment with autologous fat?
Certain proportions, harmony and symmetry play a decisive role in the perception of beauty. For this reason, we first ask you about your desired changes and analyze your individual anatomical conditions.
Transplanted autologous cells are used to increase volume and improve contours. Deep frown lines or forehead wrinkles can be smoothed out and dark circles under the eyes can be corrected. Balanced contours of the cheeks, lips, temples and chin can be restored. The fat cells can be suctioned from the abdomen, buttocks, thighs or knees.
How is autologous fat treatment carried out?
Procedure for wrinkle treatment with autologous fat
Preparation
- Have all your questions about possible complications and alternative treatments answered in advance.
- Nicotine and alcohol consumption should always be kept to a minimum!
- It may be necessary to take hormone-containing medication (the pill). to take a temporary break.
- Are you taking blood-thinning medication, such as ASA or Thomapyrin®? At least. 10 days before wrinkle treatment with autologous fat, these should be discontinued (in consultation with your doctor).
- Discontinue vitamin preparations (A, E) and dietary supplements (omega-3 fatty acids, St. John’s wort preparations, etc.) before the operation: This should be at least 4 weeks before the wrinkle treatment with autologous fat.
- Do not plan any air travel: The ability to travel by air is restricted by surgery. For this reason, do not plan any business or private air travel for the 6 weeks following the operation!
- Have cooling pads ready in the house to cool the skin for the time after the operation!
The OP
- The procedure takes about 60 minutes, depending on the extent of the procedure.
- The procedure is performed on an outpatient basis under local anesthesia and twilight sleep.
After the procedure
- Driving should be strictly avoided on the day of the operation due to the accompanying medication.
- Plenty of rest and cooling help to keep the swelling to a minimum on the first few days.
- Keeping the upper body elevated at around 30 degrees (even when sleeping) for 5 days is beneficial for reducing swelling and wound healing.
- Alcohol consumption increases the tendency to swell, smoking delays healing.
- Showering is possible on the 3rd postoperative day (immediately before the wounds are checked).
- Skin sutures are only removed from the donor sites after 10 days.
- Bending down, lifting heavy loads and sporting activities should be avoided for 2 weeks.
- Postoperative clinical checks should be scheduled on the 3rd postoperative day and after 1, 2, 6 weeks and 6 months.
- Sports, sauna visits, swimming, heavy work and sunbathing should be avoided for at least two weeks. 4 weeks should be avoided.
Schematic representation of important structures in wrinkle treatment with autologous fat
1 zone of autologous fat treatment – 2 Incision for lifting the face – 3 Superficial temporal vessels (Vasa temporalis superficialia) – 4 Elevation in front of the ear canal (tragus) – 5 Ligaments between the skin and bone (zygomatic ligament) – 6 Parotid gland (glandula parotidea) – 7 Submandibular salivary gland (glandula submandibularis) – 8 Ligaments between the skin and bone (mandibular ligament) – 9 Muscle nerve to the mouth (Rami buccales nervi facialis) – 10 Ligaments between muscle and skin (ligamentum massentericum) – 11 Cutaneous nerve (nervus auricularis magnus) – 12 Incision for a neck lift
More facial nerves in the picture:
Muscle nerve of the forehead (ramus frontalis nervus facialis), muscle nerve to the upper lip (rami zygomatici nervi facialis), muscle nerve of the lower lip and chin (ramus marginalis mandibulae), cutaneous nerve (nervus auricularis magnus).
The green zones can be injected with tissue fillers (autologous fat or hyaluronic acid) to enhance the contours.
AUTHOR
Dr. Adelana Santos Stahl
Our aim is to offer optimal, discreet and precise treatment based on our extensive expertise in the field of plastic surgery.
Dr. Adelana Santos Stahl has a unique international perspective with a female view of plastic surgery. Your individual and detailed approach is the key to the beautiful and natural results. Having trained in Brazil, one of the largest and best-known countries for aesthetic and reconstructive plastic surgery, she understands her patients’ desire to look and feel their best.
She completed her medical studies and training as a specialist in plastic and aesthetic surgery in Brazil. In 2009, she also successfully passed the German equivalence examinations for the state medical examination.
Two years later, in 2011, she received the German and in 2012 the EU specialist certification (EBOPRAS) for plastic surgery. From 2009 to 2013, she deepened her knowledge of aesthetic and reconstructive facial surgery with world-renowned representatives of plastic surgery such as Professor Gubisch at the Marienhospital and Madame Firmin in Paris.
A VDÄPC Fellowship (continuing scholarship for graduate students) in Switzerland, France and the USA has further enriched her professional experience. Dr. Santos Stahl is active in various renowned professional associations. In addition to the DGPRÄC and DGBT, she is also a member of the Brazilian Society of Plastic Surgery – SBCP.
She is also the author of several scientific articles and, together with her husband, is dedicated to research and clinical studies in the field of plastic surgery.
She has been based in Saarbrücken since 2019.
You might also be interested in
Personal advice
We take time for you and offer you customized advice and treatment for your individual result.
