TOPIC: Free Fat transfer and centrifuge

Hello- Just wanted to relay some information that might be useful for anyone who had FFT procedure or who is considering one. I had two procedures within last year. 1st procedure had slow healing time a a few problems..2nd procedure by different doctor much better result. 1st time no centrifuge I believe. 2nd time adiprep was used. Anyway I have a well respected board certified plastic surgeon friend(who I saw when I was having prtoblems for advice). He specializes in breast and facial procedures and surgery and has a large practice. He said using a centrifuge is essential to separate viable and non viable fat cells,and that a good one costs about $5,000 and needs to be regularly maintaned. Said many smaller practices can\'t either afford or dont have personnel to maintain . He said simple filtration to separate fat is useless... a centrifuge again is essential..normally 70-75% fat take can be expected..Just saying,, physician and technique are very important..I had adiprep kit(costs about $400) may not be the best..even though I seem to have had good result. He uses PRP also..but again he stressed he does breast and face..But, I would check to see if Phalloplasty doctor uses centrifuge to separate fat and also what kind of centrifuge..Very important for quality result..I suspect this may be part of problem...I doubt many doctors doing Phalloplasty ultilize a high quality centrifuge system..I may be wrong..also, from personal experience i wouldnt use someone who does overfill(60ml to 100ml) versus staging ( i had 15ml-including 3ml PRP last tiime) Im not promoting FFT ,but thought this might be useful (coming from a well known respected oplastic surgeon) if someone is considering this

Hey centerfuges are an old technique- the problem is that they damage a lot of the good fat cells and the issue always comes back to blood supply. $5,000 is nothing really for medical equipment. I hope you have a continued great result but spinning the fat is not the issue - it is blood flow and the fact that fat does not absorb evenly over time and will clump. Not at all trying to stress you out - there are always people who get the good result from a bad technique- I hope it is you.

Thanks for input. Just wondered why most plastic surgeons who use autologous fat in breast and face also use PRP. for blood supply and healing, ..But there seems to be skepticism whether it helps in Phalloplasty since blood supply is a often a problem. Wouldn\'t it make sense to use PRP when doing FFT in Phalloplasty? I\'m

Had anyone heard anything else about Dr Morganstern?Ive tried to call several times, but office difficult to reach. I\'m skeptical of his claims, but am interested in more specific information ..what is he doing different from Dr Maercks, Ibrahim, Capriotti, Giiunta, Heller and Mata. ..who all do autologous fat transfer ...Does anyone know of any feedback on the board on results from Capriotti or Mata? I can\'t find any

In all my years on here I haven\'t heard their names or at least recalling hearing from their patients. Prp and spinning the fat is actually relatively old as a technique- I would be a little skeptical of anyone calling it new. The advantage to using that technique in other areas of the body is that the dermal layer has fat in it which conceals a lot of imperfections. Your Dick is more dynamic and has no fat so it is a hard area to take fat. Dermal Grafts were meant to correct this short coming but they had similar issues.

Hello ..Sorry if I seem to be obsessing over centrifuge issue..but this doesn\'t make sense..3 doctors and 3 totally different answers1) first doctor says a centrifuge damages fat cells and he doesn\'t recommend. \"says most reputable doctors don\'t use centrifuge to purify fat2)second doctor says centrifuging is essential to separate viable from non-viable fat . Says simple filtration is useless. Also says kits like Adiprep are not the best quality3) 3rd doctor says Adiprep gives great results ..what I had last time ...Was going to get 1 more procedure next year, but now am unsure. On realself it says the centrifuge should be 50G or less t' not damage fat, but most machines use 1200 or more. Adiprep says it\'s 1200 G .. Why are all these doctors using centrifuges if 1200G or more if it is accurate that at that G force much of the fat is damaged?I gave a phone consult with Dr Mata in Phoenix soon ..I trust him...I\'m curious to see what he says.