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Prof. asoc. Dr. Stefan Gress

Lipostructure Fat Grafting

Professor Gress is one of the top specialists internationally

With increasing age, the thickness and volume
of fatty tissue under the skin decreases
significantly, especially in the face.

As we age, the thickness and volume of the fatty tissue under our skin, particularly on the face, diminishes significantly. Face modeling with lipofilling (also called lipostructure) helps you appear fresher, younger and healthier. There are no scars. You will be “ready for action” again very soon and won’t need to take much time off. This is a minor plastic surgery with Prof. Gress in Munich that produces an incredible impact…

Lipofilling, the term for injections with the body’s own fat, is done to make angular areas appear more rounded thanks to the fatty tissue. This gives fullness and volume to the face so it appears younger, facial contours become softer. By increasing the fatty tissue, circulation to the face increases and it looks healthier and rosier. The procedure also smooths wrinkles, as the skin is stabilized and tightened from underneath, for example, on the nasolabial folds between the nose and the corners of the mouth. The chin and lips can also be modeled and enlarged with this procedure.

This method is especially suitable for:

  • Filling sunken checks and lower eyelids
  • Modeling the chin and lips
  • Correcting nasolabial folds
  • Smoothing visible edges (such as tear sacs at the lower lids)
  • Filling slack labia majora
  • Tightening the vagina to improve stimulation
  • Slight breast and bust enlargement
As the fatty tissue beneath the skin diminishes with age, the skins support slackens and wrinkles can appear.

The procedure is usually performed under local anesthesia. You do not need to have an empty stomach. Do not take blood-thinning medication (aspirin, Marcumar, ASS 100, etc.) 14 days before the procedure. 

Fat cells are suctioned as gently as possible from the inner sides of the knees or on the outer sides of the thighs. Abdominal fat is less suitable. After a special process, called the Coleman method, the body’s purified fat is injected by means of a fine cannula into the areas to be emphasized and modeled. The treated regions are then covered with a tape bandage that remains in place for three to four days. Bruising occurs very rarely. You are quickly “ready for action” again.

Filling the fatty pads underneath the skin. The fat must be injected using a “spaghetti technique”, which promotes optimal healing for the fat.
Steri-strips protect the injected areas.

Injection of the body’s own fat is usually performed under local anesthesia. When this procedure is properly performed, it can produce a permanent increase in volume and tissue fullness, including on the lips, cheeks and chin, and smooth wrinkles (but it can also be used on other parts of the body, such as to tighten the vagina, fill the outer labia, etc.).

  • Lie and sleep on your back with your upper body elevated and keep the treated facial area cooled.
  • Avoid any exertion. Minimize speaking and avoid expressive facial expressions
  • Wash your face carefully. During the initial period after the procedure, use only clear water or mild shampoo for washing hair.
  • Avoid direct sunlight on your face and the solarium for at least three months.
  • You should avoid sports, saunas and strenuous activities for two weeks after the operation.

The healing rate of the transplanted fatty tissue on the body varies greatly. In fact, there are even noticeable differences in the various facial regions. For example, when injected around the eye region, almost the entire amount of transplanted fatty tissue will be preserved; a follow-up corrective procedure is often necessary for the lips.
Using lipostructure to fill cheeks. Medically indicated procedure.

In Germany, it is not permitted to publicly display before and after pictures of cosmetic surgery. Of course, you can view sample photos at our office during your consultation.

Frequently asked questions about lipostructure using autologous fat

 When is lipostructure an option?

 Will the transferred fat remain in place?

 When will the final result be visible?

 What type of anaesthesia is used?

 What risks are associated with the procedure?

 How long does the procedure take and how much does it cost?

 What preparations are necessary?

 What do I need to remember after the surgery?

 Lipostructure, autologous fat transfer, lipostructure using autologous fat

 Lipostructure using autologous fat

Art & Precision

Unique combination of the highest demands in terms of precision and aesthetics

Media Partner

First point of contact for international media for all questions relating to intimate surgery

Professor for Plastic Surgery

Professor and lecturer
in Plastic Surgery

Experience makes the difference

  • More than 10000 procedures
  • Over 30 years of experience
  • Inventor and developer of the “Composite Reduction Labiaplasty”
  • Internationally recognized top specialist
  • Author of the international textbook “Aesthetic and Functional Labiaplasty” (Springer Publishers)
  • Professor and Lecturer in Plastic Surgery

In the most important national and international specialist societies

American Society of Plastic Surgeons

Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen

International Confederation for Plastic, Reconstructive and Aesthetic Surgery

International Society of Aesthetic Plastic Surgery

The Aston Baker
Cutting Edge
Aesthetic Surgery

2018, New York

Faculty Member
The greatest honor for
a Plastic Surgeon