Fat Transfer (FAQ)

1. What is fat transfer and how is it performed?

Fat transfer is the process of adding volume by injecting fat from one part of the body into another part.
The fat,which is usually removed by liposuction, is purified before the procedure and then injected into the face, breasts, buttocks or other areas.
The main goal is to add volume, shape and rejuvenate the skin.
Fat cells, which are rich in stem cells, can help regenerate the skin.
It provides a natural and long-lasting result because the patient’s own tissue is used.

2. From which areas is fat taken for fat transfer?

Excess fat can be removed from areas where it is present:
- Abdomen
- Legs (inside or outside the thigh)
- Arms
- Waist and back area.
The amount of fat taken varies according to the area to be treated.
Small volume transfers (for the face) usually require 50-100 cc of fat, while larger volume procedures (BBL, breast augmentation) can use 400-1000 cc of fat.

3. Who is a suitable candidate for fat transfer?

Anyone with sufficient fat tissue can be a candidate for this procedure.
Patients with a Body Mass Index (BMI) below 18 are usually not suitable because they may not have sufficient fat reserves.
It is suitable for patients who want a natural look and are looking for permanent volume correction.
People with good skin elasticity may get better results from the procedure.
Individuals in good general health and non-smokers can achieve more successful results.

4. How is fat transfer different from fillers?

Fat transfer offers a natural alternative because the patient’s own fat cells are used.
While fillers offer a temporary solution, fat transfer can be permanent.
Fat transfer rejuvenates the skin because it is rich in stem cells, while fillers do not have this effect.
Fillers are absorbed by the body after a certain period of time, but some of the fat added with fat transfer is permanent.
Larger areas are volumized with fat transfer, while fillers are usually applied to smaller areas.

5. How long does the fat transfer procedure take?

The duration of the procedure depends on the area to be treated:
- For the face area: 15-30 minutes.
- For the chest, buttocks or legs: 2-3 hours.
It involves the removal, purification and re-injection of fat.
You can usually be discharged the same day, but after large volume procedures, an overnight hospital stay may be required.

6. Is fat transfer a permanent procedure?

Yes, but not all of the transferred fat is permanent.
In the first 6-7 months, approximately 50% of the fat is absorbed by the body and the rest is permanent.
The rate of fat retention depends on the area of application, the patient’s eating habits and skin structure.
The permanence of the fat may be lower in smokers and those with an unhealthy diet.
Sometimes better results can be obtained with additional sessions.

7. What are the risks of fat transfer?

Although it is generally a safe procedure, it may involve some risks:
- Swelling and bruising.
- Risk of infection.
- Fat necrosis (death of fat cells).
- Asymmetry or irregularities.
- Fat loss (depending on the rate of adhesion).
To minimize the risks, it should be performed by a specialist surgeon under hygienic conditions.

8. What is the healing process after fat transfer?

Procedures for the face usually heal within 2-5 days.
For large volume transfers such as breasts, buttocks or legs, full recovery can take 4-6 weeks.
There may be swelling, bruising and mild pain during the first week, which will subside over time.
Patients need to be patient for 3-6 months to see the best results.
Supportive clothing or bandages recommended by the doctor should be used.

9. What should be considered after fat transfer?

Heavy exercises should be avoided for the first 1 week.
Alcohol and cigarette consumption should be stopped for at least 4-6 weeks because these substances slow down healing.
No pressure should be applied to the area in the first days, because the fat cells try to adapt to the new place.
Drinking plenty of water and eating a protein-rich diet accelerates healing.
Sun protection and sunscreen creams should be used for the first month.

10. How natural do the results after fat transfer look?

The results provide a very natural and soft appearance because the patient’s own fat cells are used.
During the first few months, it may look a little fuller due to swelling, but it settles over time.
It does not give a feeling of stiffness like silicone implants, it integrates completely into the body.
When the procedure is performed with the correct technique, it does not create an overly plump or artificial appearance.
Since it improves skin quality, a younger and healthier appearance is achieved in general.

11. How many days can I return to work after fat transfer?

Most patients can return to work within 5-7 days after the procedure, but this period can be extended up to 10-14 days in large volume transfers.
In fat transfers for small areas such as the face, patients can usually return to their social life within 2-3 days.
Patients who undergo fat transfer to large areas such as the chest or buttocks should rest and avoid heavy physical activities for the first week.
Swelling and bruising may be evident in the first week, but most patients feel comfortable by the 10th day.
Time off from work may vary depending on the area and the patient’s individual recovery rate.

12. How long does swelling last after fat transfer?

Swelling peaks in the first 3-5 days, but decreases significantly within 2 weeks.
It may take 3-6 months to completely return to normal because the change continues until the fat cells adapt to the body.
To accelerate the reduction of swelling, compression garments recommended by the doctor should be worn.
Reducing sodium consumption and drinking plenty of water can help the edema resolve faster.
Some patients may experience mild asymmetric swelling, but these usually resolve.

13. When can I start doing sports after fat transfer?

Light walking can be started 5-7 days after surgery, but intense exercises should be avoided.
Activities such as weight lifting and jogging should be waited at least 4-6 weeks because the body tissues need to heal.
If fat has been transferred to the buttock or hip area, sitting and movements that create pressure should be avoided for 3-4 weeks.
Light exercises such as yoga and pilates can usually be done from the 3rd week, but care should be taken not to put pressure on the area.
It is recommended to get a doctor’s approval for returning to an intensive sports program.

14. Does gaining or losing weight after fat transfer affect the result?

Yes, gaining or losing weight can change the volume of the fat transfer area.
If the patient loses weight, the transferred fat cells may also shrink and the results may become less pronounced.
Excessive weight gain can cause irregular growths in the fat transfer area.
Maintaining a stable weight is recommended for long-term results.
The patient’s body fat percentage and metabolism can directly affect the success of fat transfer.

15. How should skin care be after fat transfer?

No harsh peels or chemical products should be applied to the treated areas during the first week.
The creams recommended by the doctor should be used to moisturize and protect the skin.
SPF 50 sunscreen should be used for at least 6 weeks to protect from sunlight.
Heavy makeup and cosmetic products should be limited for the first few weeks because the skin may be sensitive.
When choosing skin care products, products with natural ingredients and suitable for sensitive skin should be preferred.

16. Is there loss of sensation after fat transfer?

Some patients may experience mild temporary loss of sensation after the procedure, but in most cases this condition resolves within a few weeks.
The risk of nerve damage is low, but the duration of loss of sensation may be prolonged after large volume procedures.
Sensation in the area usually returns to normal within 3-6 months.
Gentle massages and sensory therapies recommended by the doctor can help to improve the loss of sensation.
If the loss of sensation persists for 1 year, a doctor’s follow-up is recommended.

17. How long does the pain last after fat transfer?

There may be mild to moderate pain for the first 2-3 days, but it can be controlled with painkillers.
The pain usually decreases within 1 week and largely disappears after 2 weeks.
Pressure on the area can increase pain, so care should be taken with sitting or sleeping position.
The medicines recommended by the doctor should be used regularly, otherwise the healing process may be prolonged.
If severe and sudden pain is felt, a doctor should be consulted for the possibility of infection or other complications.

18. Which activities should be avoided after fat transfer?

Heavy physical activities and exercises should be avoided for the first 4 weeks.
Activities such as sauna, steam bath and hot bath should be avoided for at least 1 month.
Tight clothes that will put pressure on the area should not be worn for the first 2 weeks.
Avoid environments with risk of infection such as pools and the sea.
Avoid standing for a long time during the first 1 week and allow the body to rest.

19. Which activities should be avoided after fat transfer?

Heavy exercises and activities that require high effort should be avoided for the first 4-6 weeks, as this may reduce the retention rate of fat cells.
Exposure to heat such as sauna, steam bath and hot shower should be avoided as this can increase edema and delay healing.
Sitting pressure should be avoided for the first 2 weeks, and special pillows should be used, especially if fat transfer is performed in the buttocks or hip area.
Patients undergoing fat transfer to the face should avoid rigid facial movements during the first week, as this may cause uneven distribution of the transferred fat.
Patients should avoid environments with risk of infection, such as pools and the sea, because there may be a risk of infection in the post-procedure areas.

20. How natural do the results obtained after fat transfer look?

Fat transfer offers a very natural appearance as it adds volume using the person’s own tissue.
During the first few weeks, the area may look a little plump due to swelling and edema, but over time it settles and becomes natural.
It does not give a feeling of stiffness like silicone implants because it is completely integrated into the body tissue.
When the procedure is performed with the correct technique, an overly plump or artificial appearance does not occur, and a shape suitable for the patient’s existing facial or body structure is obtained.
The fat given under the skin is nourished by the vessels over time, increasing the elasticity of the skin and giving it a younger appearance.

21. Is there an implant replacement after fat transfer?

Fat transfer is not a replacement for silicone or other implants, but it can be used as a natural alternative.
It can be used in combination with implants (hybrid method), for example, both implants and fat transfer can be applied in breast or buttock augmentation surgeries.
Fat transfer provides a softer and more natural feel, while implants can provide more pronounced volume.
For patients who need a large volume of fillers, implants usually offer more permanent and predictable results.
While fat transfer provides a natural look, implants may be more reliable in providing long-term stable volume.

22. How long does localized swelling last after fat transfer?

Swelling peaks within the first week and usually subsides significantly within 2-3 weeks.
It may take 3-6 months to completely disappear because the tissue healing process continues while the body accepts the transferred fat.
In the first weeks, edema and mild stiffness may be felt in the treated area, but it softens over time.
Patients should limit salt consumption and drink plenty of water to reduce edema.
Light massages recommended by the doctor can be done to increase circulation in the area, but excessive pressure should be avoided in the early period.

23. Will there be a scar after fat transfer?

Since the incisions made for fat transfer are usually 2-3 mm in diameter, they leave very small and unnoticeable scars.
They may be slightly pink or red in color for the first few months, but over time they adapt to the skin color.
It is recommended to use silicone-based creams and sunscreen to minimize the appearance of scars.
Patients should moisturize the skin and avoid irritating products to speed the healing of the scars.
If a prominent scar remains, it can be corrected with aesthetic procedures such as laser treatment or micro-needling.

24. Which patients can have revision surgery after fat transfer?

Patients who have not achieved sufficient volume after the first fat transfer are eligible for revision.
Since some of the fat cells are absorbed by the body, some patients may require a second session.
Revision surgery can be performed if irregularity, asymmetry or clumping of fat tissue has developed.
If the shape of the transferred area changes as a result of weight gain or loss, it can be intervened again.
Some patients may want to add more volume over time, so revision surgeries can also be performed according to personal preference.

25. Should massage be done after fat transfer?

Some surgeons may recommend light massage for better distribution of the fat, but pressure should be avoided in the early period.
Incorrect massages may cause the transferred fat to be distributed to the wrong areas.
During the first 3-4 weeks, too much pressure should not be applied to the treated area.
Whether or not to massage depends on the surgeon’s technical preference, so it is important for patients to follow the doctor’s recommendation.
If the doctor deems it appropriate, light lymph drainage massage can help reduce edema.

26. What is the body’s absorption rate after fat transfer?

In the first 6-8 months, approximately 50% of the transferred fat is absorbed by the body, while the remaining fat is permanent.
This rate may vary depending on the person’s genetic makeup, eating habits and lifestyle.
Smoking and unhealthy diet can cause more absorption of the transferred fat.
In some patients, 60-70% of the fat may be permanent, but it is not possible to make a precise estimate.
In cases of poor fat quality, fat loss may be higher and a second session may be required.

27. Which foods accelerate recovery after fat transfer?

Protein-rich foods (chicken, fish, eggs, legumes) support tissue repair.
Vitamin C accelerates the healing process by increasing collagen production.
Omega-3 fatty acids (salmon, walnuts, flaxseed) can accelerate tissue healing by reducing inflammation.
Drinking plenty of water helps reduce edema by accelerating the body’s detox process.
Sugar and processed foods should be avoided, as they can increase inflammation and delay healing.

28. What tests should be done after fat transfer?

Routine postoperative check-ups should be performed to assess the risk of infection or the success of the fat transfer.
Ultrasound or MRI scans may be recommended for some patients, especially for large volume transfers**.
Blood tests may be used to check for signs of infection or levels of inflammation.
A physical examination should be performed to assess the rate of adhesion of the fat cells.
If a significant change is noticed in the area of fat transfer, additional tests may be ordered.

29. Will there be irregularities in the liposuctioned area after fat transfer?

Yes, irregularities may occur in the liposuctioned area, but these usually improve over time.
Skin tightening treatments or massages after liposuction can help reduce irregularities.
In patients with low skin elasticity, fluctuations may be more pronounced, so skin tightening creams or laser treatments may be recommended.
The vast majority of irregularities disappear within the first 6 months, but some patients may require a second correction session.
Procedures performed by a more experienced surgeon can minimize the risk of irregularities.

30. Does weight change after fat transfer affect the result?

Yes, weight gain or loss can directly affect the volume of the fat transfer area.
Weight loss can cause fat cells to shrink and reduce the volume transferred.
Weight gain can cause the transferred fat to grow, sometimes creating a disproportionate appearance.
A balanced diet and maintaining a stable weight is recommended for long-term results.
Extreme weight fluctuations can reduce the retention rate of the transferred fat, requiring a second procedure.

31. Which sports are safe after fat transfer?

Only light walking is recommended for the first 1 week, more intense exercises should wait at least 4 weeks.
Patients undergoing fat transfer to the face area should be careful not to strain the facial muscles in the first week.
If fat transfer has been performed in the buttocks or hip area, sitting and weight-bearing exercises should be avoided for 6 weeks.
Low impact exercises (yoga, light pilates) are usually safe after week 3.
Weight lifting and resistance training should be avoided for at least 6-8 weeks.

32. Is there skin stiffness after fat transfer?

Yes, some patients may feel skin stiffness after the procedure, but this is usually temporary.
This stiffness decreases over time as the fat cells adapt to their new location.
Lymph drainage massages and gentle movements can help soften stiffness.
If the stiffness does not improve within 6 months, additional treatment options may be considered.
Drinking plenty of water and eating a healthy diet contribute to the rapid healing of skin tissue.

33. How long do the results last after fat transfer?

Approximately 50% of the transferred fat is absorbed by the body within the first 6-8 months, the remaining fat is permanent.
The permanence of fat transfer depends on the patient’s lifestyle, weight change and genetic factors.
Some patients may require additional sessions because not everyone’s body retains fat at the same rate.
If a stable weight is maintained, the results obtained with fat transfer can last a lifetime.
Smoking and poor diet can reduce the long-term survival rate of the transferred fat.

34. What are the signs of infection after fat transfer?

Excessive redness, swelling and pain can be signs of infection.
If there is an abnormal temperature increase in the treated area, a doctor’s check is recommended.
Pus or foul-smelling discharge can be a sign of a serious infection and requires immediate medical attention.
Patients should take antibiotics regularly if prescribed and practice sterile care.
If symptoms such as high fever and chills develop, the infection may spread to the bloodstream and require immediate attention.

35. Can I take a hot shower after fat transfer?

Hot showers should not be taken for the first 48 hours because hot water can increase blood flow and increase swelling.
Short showers with lukewarm water are usually safe from day 3 onwards, but direct hot water contact with the application site should be avoided.
Steam baths, saunas and hot tubs should be avoided for at least 4-6 weeks.
If there is tenderness in the stitches or liposuction area, it is important to gently dry the area.
Skin care can be done with moisturizing creams after showering, but doctor’s recommendations should be taken into consideration.

36. How long does bruising last after fat transfer?

Bruises are usually evident within the first 3-7 days and greatly diminish within 2 weeks.
In some patients, bruises may last longer, but usually disappear completely within 4 weeks.
Applying cold compresses can help bruises heal faster.
Creams containing vitamin K can help to remove bruises quickly.
If bruises are extremely large or heal late, it is recommended to consult your doctor.

37. Is there local numbness after fat transfer?

Some patients may experience temporary loss of sensation in the treated area, but it usually resolves within 3-6 months.
The healing process of the nerve endings depends on the individual, in some cases, loss of sensation can last up to 1 year.
Gentle massages and light exercises can help the nerve endings to heal.
If the loss of sensation lasts longer than 1 year, a medical check-up is recommended.
In very rare cases, permanent nerve damage may develop, but this is usually very unlikely in procedures performed by experienced surgeons.

38. How many weeks after fat transfer can I travel by plane?

Long-term travel should be avoided for the first 1 week because of the high risk of blood clots.
Short flights are usually safe after 2 weeks, but it is recommended to wait 4 weeks for long flights.
Moving the legs and drinking plenty of water during the flight promotes healing by increasing circulation.
Tight clothing should be avoided as extra pressure may build up in the areas where liposuction was performed.
If swelling or pain increases after the flight, it is recommended to consult your doctor.

39. Is there any irregularity in the liposuctioned area after fat transfer?

Slight irregularities may be felt in the liposuctioned area for the first few weeks, but they usually improve over time.
If the liposuction technique is not applied correctly, there may be fluctuations on the skin surface.
The corsets recommended by the doctor should be used regularly to keep the skin smooth.
Patients with low skin elasticity have a higher risk of irregularities, so additional treatment may be required.
If the irregularity persists, a second liposuction or skin tightening procedure may be required.

40. Does weight change after fat transfer affect the result?

Yes, weight change can directly affect the appearance of the fat transfer area.
In case of weight loss, the transferred fat cells may also shrink and the volume may decrease, which may cause the results to become less pronounced.
Weight gain can cause the cells in the fat transfer area to grow, which can create a disproportionate appearance in some patients.
For long-term results, it is recommended to maintain a stable weight so that the transferred fat tissue is permanently shaped.
Excessive weight changes can reduce the retention rate of the transferred fat, requiring a second procedure, so a healthy diet and exercise program should be followed.

41. Which patients lose more fat after fat transfer?

Patients who smoke may lose a greater proportion of the transferred fat because smoking narrows the vessels, making it more difficult for the fat to survive.
Patients experiencing weight loss may also lose more fat because the transferred fat cells can be used by the body as energy.
In patients with poor quality adipose tissue, the survival rate of fat may be lower.
Fat transfer may be less successful in patients with hormonal irregularities or poor circulation.
Patients on an irregular diet or low-protein diet after fat transfer may lose a large portion of the transferred fat.

42. Does gaining or losing weight after fat transfer affect the retention rate of the fat?

Yes, weight loss can cause a decrease in the volume in the fat transfer area because the fat cells shrink.
Weight gain, on the other hand, can cause the transferred fat cells to grow, which can create a disproportionate appearance in some patients.
If a balanced weight is maintained, the results of fat transfer remain stable for longer.
A healthy diet and lifestyle is recommended to maintain the volume of the fat transfer area.
Sudden weight changes can reduce the retention rate of the transferred fat and create an uneven appearance.

43. Does skin sagging occur after fat transfer?

No, fat transfer can usually prevent sagging by filling the skin, but this may be possible in patients with excessive volume loss.
Patients with low skin elasticity may experience mild sagging after fat transfer.
In areas where liposuction has been performed previously, the retention rate of the transferred fat may be lower, which may cause slight loosening of the skin.
Skin tightening treatments and regular skin care can reduce the risk of sagging.
Patients with rapid weight loss may experience mild skin loosening due to insufficient support of the transferred fat.

44. How long does tissue firmness last after fat transfer?

Tissue stiffness is usually greatly reduced within the first 3-6 months.
Lymph drainage massages and gentle exercises can help reduce the feeling of stiffness.
If tissue stiffness lasts longer than 1 year, it may be necessary to consult a doctor, because fat necrosis or cyst formation may occur.
Nutrition and skin care can help soften the skin tissue.
In some areas, mild irregularities or hardness will disappear over time, but additional procedures may be required for obvious problems.

45. Is lymphatic drainage massage necessary after fat transfer?

Yes, lymphatic drainage massage can help reduce edema and speed up the healing process.
However, massages that apply excessive pressure should be avoided during the first 2 weeks, as this can make it difficult for the transferred fat to survive.
Massage should only be applied as prescribed by the doctor and with light pressure.
Lymphatic massages can help maintain a more organized appearance in areas where liposuction has been performed.
Treatments by professional massage therapists can be effective in reducing edema and swelling after fat transfer.

46. What should be the sleeping position at night after fat transfer?

It is recommended to sleep on your back for the first 4-6 weeks to help the transferred fat to settle.
If fat has been transferred to the buttock or hip area, the sleeping position should be adjusted using special pillows.
Side sleeping and prone sleeping should be avoided, as these positions can cause the fat cells to be subjected to pressure.
If the head is kept slightly elevated, swelling may decrease faster after fat transfer to the face.
After 6 weeks, patients can sleep in the position they feel comfortable, but hard surfaces should be avoided.

47. Which drinks should be avoided after fat transfer?

Alcohol consumption should be limited for at least 2-4 weeks because it can negatively affect the healing process.
Caffeine-containing beverages (coffee, energy drinks) should be minimized during the first week because they can affect blood circulation.
Sugary and carbonated drinks should be avoided, as they can increase inflammation and delay healing.
Drinking plenty of water helps to flush the body of toxins and speed up the healing process.
Fresh fruit juices and herbal teas are a better alternative as they are high in antioxidants.

48. How to prevent excessive fat loss after fat transfer?

During the first 6 weeks, attention should be paid to the diet and a protein-rich diet should be followed.
Smoking and alcohol consumption should be reduced because these substances reduce the survival rate of the transferred fat.
Excessive pressure should not be applied to the transferred area, as this can cause damage to the fat cells.
Patients should maintain a stable weight, as sudden weight loss can cause the fat cells to shrink.
Care procedures recommended by the doctor should be followed, as there may be different recommendations for each patient.

49. What not to do during the recovery process after fat transfer

Heavy physical activity and exercise should be avoided for the first 4-6 weeks, as this can affect the rate at which fat cells attach.
Avoid exposure to direct sunlight for the first 2 weeks, as the skin may be sensitive and the scars may darken.
Smoking and alcohol consumption should be avoided, as these substances can constrict the blood vessels and cause the fat cells to die.
Avoid exposure to heat, such as saunas, hot showers and steam baths, because heat can increase edema.
Irregular sleep and stress can negatively affect the healing process, so attention should be paid to rest and a healthy diet.

50. What should be considered for the best results after fat transfer?

The corset or bandages recommended by the doctor should be used regularly, as this promotes skin tightening in the areas where liposuction was performed.
Eat protein-rich foods and drink plenty of water to accelerate tissue healing.
Heavy physical activity should be avoided for the first 6 weeks, as excessive movement can negatively affect the adhesion of fat cells.
Light walks are recommended to dissipate the edema quickly, but intense exercise should be avoided.
If the patient’s expectations are not fully met, additional sessions may be required and patience should be exercised because the final results will appear in 6-12 months.