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Course Outline

LIPOSUCTION AND FACIAL FAT TRANSFER FELLOWSHIP

Session 1:

Introduction

  • History and evolution of liposuction & fat grafting
  • Rationale for autologous fat transfer in facial aesthetics
  • Comparison with fillers and synthetic materials
  • Safety and regulatory considerations

Session 2:

Anatomy & Patient Selection

  • Facial fat compartments and age-related volume loss
  • Donor site considerations (abdomen, thighs, flanks, etc.)
  • Patient evaluation and indications for fat transfer
  • Contraindications and risk assessment

Session 3:

Liposuction for Fat Procurement

  • Principles of tumescent anesthesia
  • Cannulas and instrumentation for atraumatic harvesting
  • Techniques for gentle aspiration (syringe vs suction-assisted)
  • Factors affecting adipocyte viability during harvest

Session 4:

Fat Processing and Purification

  • Sedimentation, filtration, and centrifugation methods
  • Removal of tumescent fluid, blood, and oil
  • Stromal vascular fraction (SVF) and regenerative cell components
  • Storage considerations (fresh vs cryopreservation)

Session 5:

Techniques of Facial Fat Transfer

  • Microfat vs Nanofat vs SVF-enriched grafts
  • Injection techniques (microdroplet, threading, fanning)
  • Commonly treated areas:
  • Tear troughs & periorbital hollows
  • Cheeks & midface augmentation
  • Lips & perioral region
  • Nasolabial folds & marionette lines
  • Jawline & chin contouring
  • Temporal hollowing
  • Volumetric facial sculpting vs subtle rejuvenation

Session 6:

Indications and Applications

  • Aesthetic uses: anti-aging, contour enhancement, soft-tissue volume restoration
  • Reconstructive uses: post-trauma, scar improvement, congenital deformities
  • Fat as a regenerative tool: skin texture improvement, acne scar remodeling, radiodermatitis
  • Combination with other modalities (PRP, i-PRF, stem cell concentrates)

Session 7:

Complications and Management

  • Donor site complications (seroma, contour irregularities)
  • Recipient site complications (over/under correction, nodules, cysts, fat necrosis, infection)
  • Rare but serious risks (embolism, blindness)
  • Prevention and management protocols

Session 8:

Post-Procedure Care and Outcomes

  • Post-op instructions for donor and recipient sites
  • Expected recovery timeline and longevity of results
  • Factors influencing graft survival
  • Clinical photography and objective assessment tools

Session 9:

Advances and Future Directions

  • Stem cell–enriched fat grafting
  • Nanofat for skin rejuvenation
  • Role of exosomes and biologics in enhancing fat graft survival
  • Emerging technologies in fat harvesting and injection

Session 10:

Hands-on Training & Case Discussions Live demonstrations

  • Step-by-step supervised practice (harvesting → processing → injection)
  • Complication case studies and how to manage them
  • Ethical considerations and patient communication