Visage Clinic: Dr. Marc DuPéré
101-133 Hazelton Avenue
Yorkville, ON M5R 0A6
Phone: (416) 929-9800
Fax: (416) 368-3113
Toll Free: 1 (855) 8 VISAGE
Monday-Friday: 8:00 a.m.–5:00 p.m.

From Your Hips to Your Lips: A Fat Grafting Breakdown

Toronto plastic surgeon breaks down the popular new procedure known as fat grafting.

One of the hottest topics in plastic surgery today is stem cells and fat grafting. It is now common to take fat from unwanted areas, such as the hips, abdomen, bra rolls, and inner knees and transfer it to areas such as the lips, cheeks, buttocks, and breasts. I perform fat grafting with stem cells for most patients at my Toronto practice who get facelift, neck lift, and eye rejuvenation surgeries to minimize the need for synthetic fillers in the long run.

What Are Stem Cells?

Adult stem cells are undifferentiated biological cells that can differentiate into specialized cells. Interestingly, those stem cells were discovered in the 1960s at the University of Toronto, where I also did my residency in plastic surgery. Stem cells are found in many types of tissues including the blood, the umbilical cord, the bone marrow, and even within the fat cells.

It is now well known that stem cells act as a repair system for the body, replenishing adult tissue. This is why the technology is being used for various nerve, brain, and joint conditions. And now it is a hot topic for skin and soft tissue repair and rejuvenation.

How Does It Work for Cosmetic Rejuvenation?

Stem cells are present in various adult tissues, including the fatty tissue. The plastic surgeon harvests the fat, usually from an area with excessive and unwanted fat, and uses a centrifuge to remove the oil, blood, and the local anesthetic. The centrifugation will also bring the heavier stem cells to the lower third of the syringes. Those are the important cells. Once the stem cells are collected out of all the fat cells, they can then be reinjected in areas such as your face, lips, cheeks, and chin, as well as the breasts, buttocks, and so on.

It is strongly believed the stem cells are more resilient and will survive better than the average fat cells, so for this reason, I use only the lower third of the centrifuged fat when transferring to the face.

When I use fat grafting to augment the buttocks, as in a Brazilian butt lift, a very large amount of fat needs to be transferred (up to 800 milliliters per side), so I usually inject both normal fat and stem cells for my Toronto patients.

Another concept is PRP, or platelet-rich plasma. A good analogy is to consider PRP as a fertilizer in which the growth factors found in your blood’s plasma are reinjected in your facial tissues to stimulate the local stem cells. So PRP is often added to our facial surgeries, including fat grafting.

The Artistry of Stem Cell Fat Transfer

When creating a beautiful work of art, both the painter and the paint are important.

In a stem cell transfer, the quality of the fat is extremely important, and only a low-suction form liposuction can be used to not damage the fat cells. That requires time to do it right. My Toronto patients often rightly request a more dramatic “liposuction result,” so I will first harvest the fat by hand, and once I have enough for the transfer, I can complete the liposuction with my SAL and PAL high-suction machines. This does add surgical time, but patients appreciate combining the 2. I also like to harvest the fat from areas that tend to be stable over time, meaning the areas that are hard to burn off, such as the abdomen and love handles in men and the abdomen, saddlebags, and bra rolls for women.

The other factor is the artist, your plastic surgeon. To create a more youthful “you” requires meticulous treatment of the fat but also surgical precision in placement of the stem cells in multiple depths and layers of the soft tissue. I use the Coleman techniques of fat grafting. My most common areas to inject include the lips, the cheeks, the chin, the jaw contour to improve the jowls, the laugh lines, the temples, the upper and lower eye areas to improve the hollowed and tired look, the hands, and the buttocks.

So yes, it truly is rejuvenation from your hips to your lips!

Where do you wish you could transfer your fat? Tell us about it in a comment below.

5 Responses to From Your Hips to Your Lips: A Fat Grafting Breakdown

  • Pingback: Is A ‘Vampire’ Facelift In Your Future? | Flush The Fashion

    • Dr. Marc DuPéré says:

      It is correct! As long as you maintain a similar weight. Fat that survives will continue to be physiological and will increase and decrease with weight gain and weight loss. Come and visit us and I will go in detail on how I prepare the fat to maximize its survival along with my use of platelet-super-rich plasma. Best, Dr. D.

  • Kan says:

    Would the fat from the stem cells that is transferred to your lips be a permanent process that does not dissolve like the hyclournic fillers overtime ?

    • Dr. Marc DuPéré says:

      I tried to email you more detail but the email bounced back.
      Here it is:
      Good day,
      Thank you for your interest in our services at VISAGE Clinic, Dr. Marc DuPéré, Board-Certified Plastic Surgeon for 15 years.
      We are proud to announce that Visage Clinic was again recently voted TOP plastic surgery clinic in Toronto for 2017, 2016, 2015, 2014 and 2013 – voted by GTA (greater Toronto area) customers! See press release:
      Call us at 416.929.9800 to book your consultation.
      As you know, fat transfer can be done for face, breasts, hips, buttocks, etc.
      Fat transfer uses your own fat tissue, as you know. Fat grafting is a delicate procedure which we hope most of the fat survives. However, there is always a percentage that will not survive (~30-60%) and patient may require a second fat grafting procedure 6-12 months later. The fat is often harvested from the abdomen, the hips, thighs and inner knees for example. I applied the principles of SAFE liposuction. I would re-inject the liposuctioned fat into the desired area. I do use small cannulas and low-suction (hand-held) when harvesting so more fat will survive. I also add platelet-super-rich plasma to maximize fat cell survival.
      The fat that survive will be with you for ever and will also fluctuate with your weight gain and loss.
      I also perform buttock, hips and breast augmentation with implants and fat grafting.
      Recent videos were posted on YouTube and my Facebook VISAGE CLINIC of both fat grafting procedures and breast implants.
      We do offer financing via a third party – my staff could help, should you be interested.
      As far as availability is concerned, I am sure we could find some time in the next 2-3 weeks for your visit. And as far as surgery is concerned, we can normally accommodate patients within the 3-8 weeks post-consultation.
      We would be happy to meet with you for a consultation. Consultation fees are 195$ + HST for cosmetic surgical procedures.
      I have 2 offices – maps are can be found at:
      1. VISAGE Downtown Toronto – MAIN office (133 Hazelton Ave. Suite 101, Toronto – 416.929.9800 or 1.855.884.7243 / 1.855.8-VISAGE)
      2. VISAGE Richmond Hill (13311 Yonge Street, Suite 114, Richmond Hill, Ontario L4E 3L6 – 1.855.884.7243 / 1.855.8-VISAGE)
      Are the surgeries are done at our accreditated surgical centre, at the Yorkville clinic, with board-certified anesthesiologists. We do have overnight facility if desired.
      Please read about us and follow us at:
      LinkedIn Bus:
      Instagram: drdupere
      We are open Monday to Friday, 8am – 5pm.
      Margarida, Danielle, Raman or Willians, my assistants, will be happy to find a time and day convenient for your visit. Please, call them at 416.929.9800. There are cc’ed as well.
      They will also try to reach out to you.
      We look forward to meeting you,
      Best regards,
      Dr. Marc DuPéré, plastic surgeon

  • roma says:

    Hello Dr. Marc

    I appreciate the work you do and am interested in getting fat grafting done for my face. How much will it cost?

    • Dr. Marc DuPéré says:

      Thank you for your kind words! My assistants will be emailing you information later today. I look forward to meeting you. Cost will vary if we can do it under local anesthesia versus a general anesthetics. Kind regards, Dr. D.

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