Fat is beautiful
Fat has been implicated in the history of our civilization as both beautiful and unwanted. Flemish Baroque painter, Peter Paul Rubens, emphasized the sensuality of fat. In more modern times, the revolution of fitness and the paradigms of fashion have implicated fat as a villain of beauty. But beneath all the implications is the physiologic importance of fat in plastic surgery. Over the past 20 years fat injections have become an important and vital part of rejuvenation of the face and repair of the body. Autologous Fat Transplantation (AFT) has become a vital tool in the armamentarium of plastic surgery. We use fat in reshaping the cushion of youth in the face. Fat is being used for the rejuvenation of the hand. Recently, fat injections are becoming an accepted means of enhancing the buttocks (Brazilian Buttock Lift) and the breasts.
A more exciting byproduct of AFT has been the implication of delivery of “Stem Cells” into an area and hence changing the genetic component of rejuvenation. AFT is being implicated as a vehicle of delivery of stem cells and rejuvenation of the architecture and structure of the area that it has been injected. In the past 20 years all the AFTs that have been done are now being met with somewhat of a surprise. The areas of injection are showing an unexpected youthfulness that we feel is due to the delivery of rejuvenating stems cells. Tremendous research is being done to explore this exciting frontier of plastic surgery. Groups out of Miami, Boston and New York are continuously working on models of delivery and purification that are allowing us to concentrate the stem cell properties of fat.
Over the next few years tremendous findings will come about regarding this new frontier and we will be able to perhaps inject youthfulness into areas of the body that we thought only surgical manipulation can affect. Stay tuned…