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Facial Fat Grafting and Soft Tissue Fillers

Dr Zukowski and his staff at the Zukowski Center are renowned worldwide for being the best in FFS Facial Feminization Surgery. Based in Chicago America, Mark Zukowski is recognized within the transgender community as being the best.I make judicious use of fat grafting in the face as a natural filler material.  This is a procedure that is well-embraced by board certified plastic surgeons with added expertise in cosmetic surgery.  It is ultimately a permanent material that is individualized.  An initial amount of absorption is expected; ultimately that fat that stays, stays forever.  I have worked with every filler imaginable over the years and keep coming back to fat.  Typically there are a number of ways to harvest and process fat, but it is processed in as atraumatic of a fashion as possible and then spun down in a light centrifuge to allow for the separation of oils and fats leaving the bioactive fat graft material behind.  This bioactive material is injected in a fashion to overcompensate for the fact that some degree of fat reabsorption is expected.  Fat is a material that survives best in a fat environment, so therefore injections of fat into the cheeks will typically loose only 30% of its projection.  

Dr Zukowski and his staff at the Zukowski Center are renowned worldwide for being the best in FFS Facial Feminization Surgery. Based in Chicago America, Mark Zukowski is recognized within the transgender community as being the best.Fat injected in areas that are more muscular in nature and always moving – such as the lips, the nasolabial folds (laugh lines that run between the nose and the lip) and the temporal soft tissue hollows – is expected to reabsorb by up to 50%.  We stand behind our work in a fashion that any secondary fat grafts are provided at no cost to the patient, and approximately 25% of my patients will go on to seek a secondary fat grafting with their breast or body procedures.  Secondary fat grafting does not require as much fat since there is already fat present from your first injection, and the percentage of take is typically higher.  This is a very cost effective and natural way to achieve soft tissue fill much like putting icing on the cake.  One can have the greatest culinary delight in a beautiful, tasty cake, but without the frosting, it really is lacking. 

And, as a note of caution, never ever allow anyone regardless of credentials to inject silicone anywhere into the soft tissues of your face and body.  This is a very dangerous technique suggested and performed by ignorant people.  Quite frankly, silicone is a material that will come back and cause problems many years out with very few solutions.

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