Episode 8: The Importance of Fat in Plastic Surgery

In this episode of Beauty and the Beasts, plastic surgeons Dr. Sam Jejurikar and Dr. Salvatore Pacella discuss how fat has become one of the most valuable tools in modern plastic surgery.

Once considered something to remove and discard, fat is now recognized for its regenerative properties, growth factors, and ability to restore youthful volume in both the face and body. Advances in fat harvesting, processing, and injection techniques over the past decade have significantly improved outcomes and consistency, making fat transfer a core component of aesthetic and reconstructive surgery.

The conversation explores how fat loss contributes to facial aging and why fat transfer plays a key role in natural facial rejuvenation. The surgeons discuss patient selection, skin quality, and why careful handling of fat is essential for long term success. They explain what patients should realistically expect after fat transfer, including typical retention rates and how fat behaves over time.

Dr. Jejurikar and Dr. Pacella also address potential complications such as asymmetry, cyst formation, and fat necrosis, along with strategies used to minimize risk. The episode expands into fat transfer for the breast and body, including historical concerns about breast safety and current evidence that has shaped modern practice.

The discussion concludes with a candid look at Brazilian Butt Lifts, including how cultural trends influenced demand, why safety concerns emerged, and how ultrasound guidance and strict technique standards have improved outcomes.

This episode is ideal for patients researching fat transfer, facial fat grafting, natural facial rejuvenation, and BBL safety, as well as clinicians interested in the science and evolution of fat grafting in plastic surgery.