Fat Transplantation (Fat Injection)
After the Fat Injection Procedure
Immediately. If only fat transplantation is being done, the procedure normally takes about 1 to 2 hours. After which, you may have tape applied to the areas where the fat has been injected to hold it in place. You will be encouraged to walk around immediately. It is important that you have someone else drive you home. Do not touch the areas where the fat has been transplanted. It takes about 3 days before the fat is revascularized by the surrounding tissues. If there is a lot of movement within the transplanted area, revascularization may not occur and the fat will die. Dr. Cruise is a strong advocate of good pain relief so you will be given as much pain medication as necessary both immediately after the operation and for the postoperative period. There will be some swelling and bruising but there is surprisingly little pain. You must sleep sitting up, or at least with your head elevated on 2 ore 3 pillows, for the first week so that swelling is minimized.
That evening. It is recommended that you take it easy. You can walk around, eat, but not too much more than that. You must sit and lay with your head up on at least 3 pillows. You should take as much pain medication as necessary and try to go to sleep early. Do not apply ice to the fat transplantation site as this may diminish blood flow and inhibit revascularization of the fat cells. You will be given medication to help keep the swelling down as well as to prevent infection.
First week. You can take a body shower the day after surgery. Let cool water run over your face. Do not wash. Dab dry. Keep the tape on for as long as it will stay on. If it starts to peel off, gently cut off the portion that is lifting. You will see Dr. Cruise in his office 1 week after surgery.
First month. Begin gentle massage with a vitamin E cream 1 week after surgery. Gently massage your skin from your nose to the side of the face to encourage lymphatic drainage. This will help bring the swelling down. At 2 weeks after surgery you can begin to massage a little more firmly. Massage at least every 4 hours for 2 minutes.
Beyond. Swelling will not completely resolve for about 6months but, as mentioned above, the majority of it will be gone by 2 weeks. The final result will become evident at 3 to 6 months.

