Autologous fat grafting has seen exploding growth in market size, revenues, patient acceptance, technologies due to the improved methods for harvesting and re-introduction techniques used. Typical facial augmentation procedures using fat transfer yields almost 80%+ revascularization rates and yields much higher duration for the life of the augmentation that can last for (7) years or more. Newer centrifuge units and technologies allow for greater preservation of the fat harvested and micro cannulas now allow for precise placement of the fat as well as greater control over the volume. Patients prefer fat because it is a more permanent, safe, and more natural looking result by using the fat from one area and introduce the fat to large deficit areas (lipoatrophy) or to the smallest of rhytids and hollows across the face and other body part areas.
If you know how to place dermal fillers, have an aesthetic eye, and willing to make a minimal investment in technology then autologous fat grafting is ideal for integration within your practice. Patients if having the option would prefer their own natural fat compared to synthetic HA products and other bio-stimulation augmentation procedures. The average price for these procedures for patients are between $2,500 and $3,000 and eliminates the need for synthetic fillers in future periods. In comparison with dermal fillers, the patient will be able to receive more volume and the physician will make a higher professional fee and profit from the AFT procedure as there is very little expense with the procedure.
Fat grafting/Transfer is a minimally invasive procedure that allows for the harvesting of adipose fat using either manual aspiration (MAL) or power assisted liposuction (PAL). The areas of harvesting (donor sites) are typically the abdomen, gluteal fold (buttocks, lateral thigh) or love handle areas where fat is typically stored and easily harvested. Tumescent anesthesia is used to limit the amount of anesthesia associated with the procedure. Once harvested the fat is then cleansed and isolated using a centrifuge system allowing for only undamaged fat cells to be used for the injection. Typical areas for injection of the fat include most facial areas, buttocks, and lipoatrophy areas from trauma or surgery across the body.
Transplantation is the final step of the procedure where the injection of the fat is accomplished using blunt tip cannulas of various sizes and contour to evenly replace fat into the targeted areas that has been diminished through the aging process. Common facial areas need only one fat injection for noticeable and long-lasting improvement, whereas other areas of the body may require additional procedures for final correction. The rationale behind why additional procedures might be needed is that there are limits to each injection to ensure vascularization of the fat, if you infiltrate too much fat per injection you may interfere with the vascularization of the fat due to the body breaking down the excess fat introduced.
The improvements to the harvesting and transplantation of fat in the past few years now allow physicians to perform this “clean” procedure within their offices using a sterile field. Manufacturers now offer “disposable kits” that allow for the physician to be able to perform the procedure with the minimal of capital investment. Newer vented blunt tip cannulas allow for multiple linear threads to be introduced and there are specialty cannulas that contour to the face for problem areas around bone, larger lengths also allow for fewer access port entries across the areas. Most commercial centrifuge systems dedicated to the purification of fat are closed systems that minimizes any exposure to the procedure room environment. The adipose fat once cleansed and isolated now allows for excess fat to be frozen for a period of (30) days with viability rates of almost 80% reducing the expense and time of re-harvesting fat for minor touch ups or repeat procedures. Implanted fat also contains estrogen receptors that will improve skin appearance and skin value to the patient while also increasing the biological processes of supporting tissue.
Expand your tissue augment procedures with the “natural” filler, it is non-immunogenic and when placed properly is semi-permanent or even permanent in some cases. During your course study you will be able to train, observe, and study fat transfer methods from a Board Certified Physicians or other specialty instructors that successfully perform these fat grafting procedures. Learn to successfully integrate and perform these procedures within your present office setting from people who perform fat grafting within their offices.
The revenue for the physician and cost to the patient is dependent on the volume of fat transfer an individual patient presents, the extent and amount of revision to be done, the geographic region where the procedure is desired, and the physician’s desired professional fee. Most surgeons will charge $2,500.00 to $3,000.00 per surgical hour or a minimum of $1,500.00 for shorter procedures. The average time for the fat grafting procedure is around 30-45 minutes depending on the extent of patient consultation.
Every AAOPM course program will include your complete digital resource guide of forms, informed consents, and standardized protocols. You will receive as part of your training all course materials presented during the course including a detailed color manual of the didactic given as well as other materials given to AAOPM attendees to help them in introducing these new procedures within their office.
Autologous Fat Grafting Training Objectives
Upon Completion of this program, the physician should be able to:
1. Understand the aging face and be able to evaluate patients with aesthetic needs.
- Be able to describe to patient alternative treatments, various filler choices, and inform patients of expected outcomes of each.
- Give patient options to help determine which types of treatments that will create desired results for patients as well as communicate with patients and determine client expectations.
- Map out the various fat pads of the face where the adipose fat tissue will be enhanced to replace loss of fat in these facial fat pads through the aging process.
- Learn the protocols and a complete understanding of Tumescent Anesthesia procedures and/or other local anesthesia options for the fat grafting procedures.
- Gain knowledge as to the different types of anesthesia to be given to patients for fat harvesting through published protocols depending upon donor site and amount of fat cells to be harvested.
- Understand the different adverse events, contraindications associated with the tumescent anesthesia and of the harvesting of fat.
- Receive practical information, direction and instruction of the procedures in where to and how to successfully harvest fat from various body donor areas.
- Re-Learn “sterile” technique in the handling, cleansing, and final separation of the fat from the other body fluids to ensure a higher degree of undamaged fat cells for injection and increased fat viability after injections.
- Learn, observe, and evaluate various Fat Harvesting Equipment Technologies.
- Understand the benefits of new disposable lymphocytic equipment technologies presented within the program including:
- Tissu-Trans Filtron 500™ and Lipo-Vage™ disposable Fat Transfer Systems.
- Tulip™ Instruments disposable cannulas.
- Dual spin dedicated centrifuge systems (Harvest Technologies™, Encyte™) for fat concentration, cleansing and alternative uses for the reproducibility and enhanced results.
- Gain proficiency in Autologous Fat Grafting Transplantation Techniques.
- Be able to re-introduce fat to various facial and body areas by proper surgical marking of the facial fat pad anatomy, prior pictures and anatomical charting to give a natural appearance for the fat augmentation procedures. Learn from lectures by our Board Certified Faculty and specialists utilizing the latest techniques and aesthetic procedures including the use of other types of synthetic fillers or Botox™ in combination to create a total aesthetic solution for your patients.
- Understand the possible need for additional “revisions” or additional injections, even fat injections are bio-resorbable and are semi-permanent.
- Learn the “pearls” to correct various types of deficits, rhytids, hollows, and surgical traumas using the necessary volumes and techniques in achieving patient expectations and enhanced patient care.
- Market your new Aesthetic Procedure
- Learn to Leverage your present Patient File Base as a referring source or as your first set of aesthetic patients.
- Learn effective “business models” for integrating into your own practice and the need to create structured marketing programs for promotion of your new procedures.
- Access to the Physician Portal that you can receive all the supporting documentation, intake forms, videos, and other pricing and packaging materials to easily start to incorporate these new procedures.
- Learn what it takes to be successful in aesthetics and determine the aesthetic services that make sense to incorporate within your practice.
- Learn the concept of “Patients for Life” and understand patient needs, trends in aesthetics, and learn how to develop and retain your client base.