DR. Alain Michel

plastic surgeon in Lyon and Hô-Chi-Minh

Chirurgie esthétique

Greasy transfer in the case of breast augmentation


As soon as the first liposuction techniques were invented Plastic Surgeons realised that the fat extracted could be re-injected elsewhere in the body, thus acting as a filler. This technique, autologous fat injection, known as lipofilling, remained disappointing for many years: the re-injected fat tended to be reabsorbed to a great extent, leaving a result, which was neither predictable nor lasting. Nevertheless Plastic Surgeons were not discouraged and tried to understand the reason for these unsatisfactory results. Little by little progress was made and it was from 1995 onward that the injection of autologous fat became a reliable technique. (S. COLEMAN).

The principle is an autograft of fat cells from fat harvested from the patient.

Lipostructure can be used for many depressions (troughs) which can be natural or post-traumatic. The aims and indications of this procedure can be summed up as follows:

1 - Aesthetic indications

  • The filling and smoothing of certain wrinkles, especially of the face.
  • Restoration of the ‘fullness’ of a gaunt face or one showing the first signs of aging.
  • Restoration of volume and shape to the face : especially in the case of a face emaciated by aging.
  • In complement to certain neck- and face-lifts to give a more balanced result.
  • As an additional procedure after a previous face-lift, to improve the shape of the mid-section of the face without resorting to another face-lift.

To correct corrugations in the appearance of the skin following lipo-aspiration.
These aesthetic procedures are not covered by medical insurance.

2 - Indications concerning restorative or reconstructive surgery :

  • Filling of holes or hollowed out areas following injury.
  • Correction of wasting after triple therapy for HIV + patients.
  • To improve the aesthétic appearance of the breasts following reconstruction or mammary implants after mastectomy.
  • Under certain circumstances these reconstructive procedures may be covered by medical insurance.

It is important to keep in mind that lipostructure is a truly surgical technique which must be carried out by a competent, qualified Plastic Surgeon, who is experienced in this technique and who operates in a surgical environment.