Quatela Center for Plastic Surgery
973 East Avenue
Rochester, NY 14607
Phone: (585) 244-1000
Monday–Friday: 8:30 a.m.–5 p.m.

Fat Transfer

In Rochester, NY, fat transfer, also called fat grafting or fat injections, is just one of many procedures the plastic surgeons at the Quatela Center for Plastic Surgery use to treat smile lines and lip wrinkles. This procedure is only helpful if the smile lines are not due to excess skin and muscle laxity, in which case a facelift is likely a better recommendation.

Fat Injections Before & After Photos

Keep in mind that each patient is unique and your results may vary.

Case: 1 of 6
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Case: 1 of 6
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Facelift Case 1001272 Before & After View #1 | Serving Rochester, Syracuse & Buffalo, NY | Quatela Center for Plastic Surgery
Before & After
Case: 1 of 5

Facelift with Complementary Procedures Case #41

Facelift, fat injections, and rhinoplasty
Fat Injections Case 82 Before & After View #1 | Serving Rochester, Syracuse & Buffalo, NY | Quatela Center for Plastic Surgery
Before & After
Case: 2 of 5

Fat Injections with Complementary Procedures Case #2

Fat injections, facelift, temporal lift, lower blepharoplasty, and chin augmentation
Fat Injections Case 214 Before & After View #1 | Serving Rochester, Syracuse & Buffalo, NY | Quatela Center for Plastic Surgery
Before & After
Case: 3 of 5

Fat Injections with Complementary Procedures Case #3

Fat injections, facelift, brow lift, mid-face lift, upper and lower eyelid lift
Fat Injections Case 184 Before & After View #1 | Serving Rochester, Syracuse & Buffalo, NY | Quatela Center for Plastic Surgery
Before & After
Case: 4 of 5

Fat Injections with Perioral Dermabrasion Case #1

Fat injections and perioral dermabrasion
Facelift Case 1001262 Before & After View #1 | Serving Rochester, Syracuse & Buffalo, NY | Quatela Center for Plastic Surgery
Before & After
Case: 5 of 5

Facelift with Complementary Procedures Case #35

Facelift and fat injections

Keep in mind that each patient is unique and your results may vary.

How Is Fat Transfer Performed?

Fat is typically harvested during neck liposuction in combination with a facelift to be used in injections for the smile lines and lips. Skin resurfacing procedures are often combined with fat injection for superficial wrinkles and fine lines surrounding the mouth. Skin resurfacing removes the outer layer of skin using dermabrasion, chemicals or laser, which refreshes the skin with a smoother, younger-looking layer with fewer wrinkles. Crow’s feet, facial lines, lines around the mouth and laugh lines can all be addressed in this way. As it often enhances the natural beauty already present and results in a more youthful look, skin resurfacing has become one of the most popular rejuvenation procedures.

Contact Us


Vito C. Quatela, M.D., FACS Vito C. Quatela, M.D., FACS

Vito C. Quatela, M.D., FACS

Specializes in Facial Procedures

Compassionate and dedicated to personalized patient care, Dr. Quatela is a board-certified facial plastic surgeon recognized worldwide for his expertise in facial rejuvenation. He established the Quatela Center for Plastic Surgery in Rochester, New York to provide excellence in aesthetic surgery.

Read On

Cheek Implants Versus Fat Transfer

Cheek implants are inserted into the face to provide structural support. Fat injections for cheek enhancement are not recommended because of the high rate at which it is reabsorbed. Patients seeking to augment that portion of the face (cheekbones, otherwise known as the malar eminence) should investigate cheek implants depending on their needs. If the intention is to address superficial changes caused by acne scarring or from trauma, or for treating smile lines, a fat transplantation would be the choice. Every patient will have a unique request, and looking at before and after photos is an excellent place to begin.

Fat transfer usually requires an initial over-correction in order to compensate for the fatty tissue that will be reabsorbed into the body. Swelling will be excessive initially for the first week but then recedes, a fact that patients are made aware of before their procedure. After about two weeks, the results are usually presentable. After three months following the procedure, 90% of the final result can be seen. As refinements will be made by the body during the healing process, the final result cannot be determined until one year after the cheek implantation or fat injection was performed.

Fat Transfer for Facial Hollowing and Thinness

Regardless of whether your face has become thin due to weight loss (either from changes in diet and exercise or because of a disease process) or heredity, a bony or shrunken face carries with it an unhealthy look and can prematurely age the appearance of a patient. Fat transfer, using tissue taken from the abdominal area, can improve this condition considerably, restoring years and rejuvenating a “wasted” look. Fat injections are also a natural alternative to temporary fillers such as fillers. Naturally, a complete physical exam and understanding of the health history of the patient is necessary before a surgical procedure in order to confirm that the essential cause of the gaunt appearance has been properly treated. A comprehensive anti‐aging treatment may also include BOTOX® Cosmetic injections.

Where Is the Fat Taken From?

The fat that is used in fat transfer is taken from either the neck or abdominal regions. For the abdomen, a small ½-inch incision is made in the belly button, where the cannula (suction tube) can be inserted without leaving visible evidence. Fat that is acquired from the neck is taken by making small incisions, also about ½ inch, directly behind each earlobe with another tucked under the chin. These incisions heal quickly and leave minimal scarring, if any. If this procedure is combined with a facelift, fat is taken from the neck area.

A Reputation Built on Results

You deserve the highest caliber of service, care, and results, and at the Quatela Center for Plastic Surgery, we're committed to providing all that and more. But don't take our word for it—see for yourself what our actual patients have to say about their experiences with us.

Read More Patient Reviews
Google
5.0/5
Jul 21, 2021
Dr Amalfi is literally amazing! My whole experience with her and the entire Quatela staff was wonderful! Emma and Melissa were both so helpful!! Thank you girls! It will be hard to find the words to do Dr Amalfi the justice she deserves, but her talent and skill is out of this world, with the personality to match. I consulted with her for a breast implant revision after I previously had breast augmentation by another board certified plastic surgeon with over 30 years experience and had horrible results. After 3 years of being so unhappy with my breast, and looking into many options for revision.. I kept coming across Dr Amalfi and read nothing but great reviews. But, after my previous unsuccessful surgery I was afraid I was doomed and would be stuck with these unattractive/deformed breast forever. I knew it would not be easy fix; if there was even going to be a fix for me at all. So I admit, I was a bit hesitant to consult with Dr Amalfi as she is young compared to many other surgeons with less years experience. I cannot express how grateful I am that I chose Dr Amalfi! I genuinely believe I would not have received better results from any other surgeon. She is a true artist and should be so incredibly proud of herself and the work she creates. She truly makes you feel comfortable and shows she really cares about her patients. I will confidently recommend her to everyone.
Google
5.0/5
Jul 15, 2021
I went to Dr. Amalfi for a labiaplasty procedure and I could not be more pleased with her work. Before this procedure, I was in constant discomfort, I couldn’t wear underwear and I felt very self conscious of this particular part of my body. Based on research and recommendations, I landed on the Quatela Medical Center for my procedure. Dr. Amalfi provides excellent service and creates a safe and comfortable environment for you to express your concerns and end goals of your procedure. The procedure itself is quick and painless and I was back on my feet and back to work in a week! I couldn’t have asked for better results or a better team to have performed my procedure. If you are looking to have this done with someone you can trust, Dr. Amalfi is that person!
Google
5.0/5
Jul 14, 2021
Entire team is welcoming and professional
Facebook
5.0/5
Jul 14, 2021
I see DR Koenig got my lip fillers 👄 he’s the best. Very kind and professional 💜
Google
5.0/5
Jul 7, 2021
Dr. Lee was recommended to me by another doctor at this practice. I was born with cleft lip and palate and had numerous surgeries to help the appearance of my nose and lip. When I went to my consult Dr. Lee was amazing and made me feel confident that she could help me with the appearance of my nose and lip and most importantly breathing through my nose. Her bed side manners are amazing and she did an amazing job on my rhinoplasty/septoplasty revision. About 5 months after surgery I inquired about lip injections and again Dr. Lee came through giving me a natural fullness look to my lips. Thanks for making me feel confident again!!!!
Google
5.0/5
Jun 24, 2021
Today I met with Dr. Lee for my consultation and treatment. I received one syringe of Juvaderm in my lips and cannot speak more highly of not only Dr. Lee herself but all of the staff as well as the facility. The staff all the way from the front desk to the examination room and then Dr. Lee herself were so friendly and inviting and made me feel so comfortable. The facility is absolutely gorgeous and luxurious. I submitted a consultation request online and received a prompt phone call the very same day to set up my appointment for just days away! I am so thrilled with my results and cannot wait to return. I would highly recommend Dr. Lee and will absolutely be returning to her for many years to come. I was told Dr. Lee is the best by other patients of hers that I know personally who referred me to her and I absolutely agree!
Google
5.0/5
Jun 23, 2021
Dr. Lee was fantastic explained everything she was going to do before she did it. Took the time to listen to my concerns and what I was looking to achieve from today's visit. She is absolutely incredible!!!!
Google
5.0/5
Jun 23, 2021
All experiences were great. I would recommend Dr Lee to everyone in need Of her services. Gil Henner
HealthGrades
5.0/5
Jun 22, 2021
June 22, 2021 Early in Dr. Quatela's career (1990), I presented with a broken nose (from childhood) that had grown very crooked to block my breathing. Admittedly, it was also long, thin and had a noticeable bump. Dr. Quatela did rhinoplasty to correct my breathing and make subtle changes to the appearance of my nose. I could not be happier with the result, and I can honestly say it was a painless procedure. Any discomfort was addressed with medication and the recovery period was surprisingly short. Friends who have had the same procedure with others enjoy sharing details of their trials. I’m the smug one who remains silent. Recently I returned to Dr. Quatela’s care. I decided to stop pulling at my face, remove the bags under my eyes and tighten up the wrinkles and sagging skin near my mouth. What a difference! The outcome is even better than I expected. In recovery I made huge strides every day. I am very pleased and most grateful for the doctor's amazing skill.
Facebook
5.0/5
Jun 18, 2021
I saw Dr. Amalfi for a mommy makeover and I couldn’t be happier with my results. The high quality of care and professionalism of the entire staff at the Quatela Center was outstanding. Dr. Amalfi truly went above and beyond before my surgery, the day of and post surgery to address all of my concerns. The quality and precision of care far exceeded my expectations. I highly recommend Dr. Ashley Amalfi and The Quatela Center for Plastic Surgery. After going through my surgery I wished I had done this much sooner. Thank you to everyone at Quatela who helped me along on this exciting journey.
Facebook
5.0/5
Jun 17, 2021
Dr. Lee and her staff are exceptional to work with. She is not only compassionate and empathetic but her attention to detail and delicate touch are impeccable. Whenever I go to the center they make me feel so welcome, from reception, to Lisa (who brings a smile to my face with her bright and cheery personality) to Dr. Lee herself, who has a wonderful positive energy, that makes you feel comfortable the moment you meet her. I trust her implicitly with my care and trust her expertise in providing the best possible outcomes for her patients. The center is a truly uplifting experience and they make you feel safe, confident, and aware that you are in excellent hands. She has helped me see the face that used to look back at me from the mirror. I can’t thank her and her team enough. She is highly skilled at her craft and I can’t recommend her enough!
Facebook
5.0/5
Jun 3, 2021
I highly recommend Dr. Lee and her staff at The Lindsay House. I was recommended by two family members. This was my first time having any procedure done and they made me feel like I was the star of the show 🌟. Thank you Dr. Lee and staff! ❤️
Google
5.0/5
Jun 3, 2021
Absolutely adore Dr. Lee ! She is dynamic, professional and down to earth. From the front reception to Dr. Lee's assistant Lisa, everyone was easy to work with and provided me their utmost attention. I had an unpleasant experience with a different practice in the past. I should have trusted my gut back then and just went to the Lindsay House knowing they are well renown for their expertise and professionalism. Now I'll never look back. Dr. Lee will be my trusted provider from here on. I am so very pleased with the results of the injectable filler to my cheeks. I look 10 years younger and had no down time! I will recommend Dr. Lee to all my family and friends!
Google
5.0/5
Jun 1, 2021
Today I had my one year follow up with Dr William Koenig for breast lift surgery my entire experience with both pre-and post op surgery was seamless and worry free. The entire staff couldn’t have made me feel more comfortable and at ease starting with the staff at the front desk right on through the entire surgical team I highly recommend Dr William Koenig or any of the staff members At the Lindsey House if you are considering any type of cosmetic procedure
Google
5.0/5
May 28, 2021
I had a great experience with my whole surgery process. The staff were great at answering all my questions and making me feel comfortable through every step. I’m only 2 weeks post op and my results are already amazing!
Google
5.0/5
May 26, 2021
Dr.Lee and the whole staff is warm, compassionate and truly cares for you and the results you are looking for. Dr. Lee has such a wonderful personality, attention to detail and an amazing bedside manner. When coming to Quatela I was nervous, unsure and wanted to hear my options. Dr. Lee, along with Lisa and every member of the team answered my many questions with grace and willingness to help. I LOVE Quatela and feel so excited every appt I have with them, just to see their faces. Dr. Lee gave me results of a rhinoplasty I am over the moon with. It looks like my new nose has been there my whole life because of how amazing Dr.Lee is. I initially chose the Quatela Center based on reviews, and I am thrilled to be able to leave a review having the same wonderful experience so many other patients have had. I am so grateful for Dr.Lee, the staff at Quatela and how comfortable, welcoming, and re-assuring my whole experience has been with them thus far. I couldn't recommend this practice enough.
Facebook
5.0/5
May 19, 2021
Dr. Lee did a great job repairing the area where I had skin cancer just beneath my eyebrow. The staff are very friendly and warm.
Facebook
5.0/5
May 12, 2021
The staff at Quatela is very professional and friendly!
Google
5.0/5
May 11, 2021
Absolute amazing customer care. They worked fast, efficient, and demonstrated great teamwork. All staff members were attentive to any needs and request. Follow up by physician the day of surgery was phenomenal. When you call the office someone always answers the phone or returned my call in the same day to answer questions. Appointment times were quick in and out. I would recommend them 100 times over.
Google
5.0/5
May 7, 2021
I can’t say enough wonderful things about Dr. Quatela and his entire staff. From the moment you walk through the door at the exquisitely restored Lindsay House you are treated like a guest, not a patient. Dr. Quatela is an incredibly skilled surgeon and an extraordinarily talented artist. His calm demeanor, and humble manner immediately put you at ease. I am confident that I was in the best possible hands and received the best possible care from Dr. Quatela and his staff.
Google
5.0/5
May 5, 2021
I recently had a procedure done at Quatela and could not be any happier with the results. It was something I thought of doing for a while and finally did it and wish I had sooner! The staff at Quatela is AMAZING to say the least and make you feel so comfortable every step of the way. Dr. Amalfi made me feel very at ease and was so kind and answered any questions I had on this journey. I’m truly a raving fan. Dr. Amalfi and all staff at Quatela - thank you SO much!!!!
Google
5.0/5
May 4, 2021
I can’t say enough good things about my experience at Quatela. Dr. Lee is truly amazing. From the moment I met her on my first visit, I felt at ease and confident I made the right choice. She got to know me, listened to my concerns and recommended the best option to fulfill my needs. She is skilled, a perfectionist, kind and I couldn’t be happier with the results. Wouldn’t go to anyone else!
Facebook
5.0/5
May 4, 2021
I’ve been going here for lip fillers for 3 years now and I won’t go anywhere else. Dr. Heather Lee is amazing at what she does while making you feel as comfortable as possible. I recommend her to anyone thinking about getting filler. She’s a facial expert! Also the entire staff is always so friendly and constantly making you feel beautiful. Awesome environment.
Google
5.0/5
Apr 29, 2021
The staff members are all great! So welcoming and make you feel comfortable! So glad I chose to come to Quatela!
Google
5.0/5
Apr 28, 2021
I think Dr.Amalfi is truly amazing. She is such a beautiful person on the inside and outside. She took the time at each of my visits, making me feel truly at ease, without any worries, looking forward to the exciting outcome. I am one week post op, and couldn’t be happier with my results so far. I know that things will continue to heal and improve every day. Dr. Amalfi, you are wonderful!! I love you for your incredible talent, and gifts that you have given me. Thank you again... Jody
Google
5.0/5
Apr 27, 2021
I've always been self conscious about my nose, but when I got engaged I knew I didn't want to look back at my wedding photos with regret. I met with Brooke the next month who was so nice and knowledgeable- she really put me at ease! I had never had surgery before so I was concerned about pain and recovery but it was a breeze! Everyone at the Quatela center was so friendly and helpful, every time I had an appointment they made it so personal! Dr Quatela is amazing and followed me for a year and a half after surgery, I would go back in a heartbeat!! I am so beyond happy with my results, my nose looks natural but all my problem areas are gone!
Google
5.0/5
Apr 26, 2021
I cannot say enough about my experience. From the moment I met Dr. Amalfi I knew I was in good hands. She was so kind. She took the time to get to know me and made me feel so comfortable during the first visit. She listened to what I wanted and was very knowledgeable. She was empowering, supportive and very skilled at her craft. Every visit, especially the day of surgery I was very, nervous, but everyone on the staff made sure that I felt comfortable and told me what to expect. They were so kind and so compassionate. Not to mention, the building is gorgeous, clean and they kept a lot of the old architecture, but with a modern design. Every visit, even the surgery was done right there at the Lindsay House and it felt so welcoming. They had state of the art medical equipment, but I didn’t feel like I was in a hospital. Additionally, they have thought of everything when it comes to COVID-19 and your safety. After speaking with others and telling them about my experience I have heard even more great things about Dr. Quatela and their organization. They have really created a culture there that supports and makes every person feel important. The work they do to give back through HUGS was just the icing on the cake for me to know that I was making the right choice to work with them to meet my goals.
Google
5.0/5
Apr 15, 2021
My 10 m.o. daughter got her ears pierced here recently and we had a great experience! Every single person was so kind. Clean and amazing all around. 10/10.
Google
5.0/5
Apr 14, 2021
I started seeing Dr. Quatela in 2016 after months of research. Having a facelift is a very personal procedure and I wanted to be confident in my decision. I have had a few procedures since then. Dr. Quatela has done a forehead lift, neck lift and rhinoplasty. He did an amazing job and I can’t really say enough great things about this doctor. I am very grateful that I was able to have my procedures done by him. He is a gifted surgeon, an artist and a very kind, caring and compassionate person who takes the time to really listen and care about all of his patients. The team that supports him is wonderful, friendly and encouraging. Brooke is amazing and very helpful. Dr. Quatela and the staff in the surgery center made me very relaxed and comfortable. I am very pleased with the outcome of my surgery. He is a skilled physician who listened to me, understood my wishes, addressed my concerns and gave me exceptional care. I am very happy with the amazing improvement in my appearance. I highly recommend Dr. Quatela
Google
5.0/5
Apr 14, 2021
Amazing facility...amazing staff and Dr. Lee has the best bedside manner...she is beautiful on the inside and out and is so talented in her profession...
Google
5.0/5
Apr 13, 2021
I felt safe going to Dr Koenig, for the reviews didn’t lie. He is well qualified and always asked if I had any questions. My results look great and I have gotten so many compliments. I had another friend go to Dr Koenig as well and she loves her results! The Quatela center staff as a whole were so welcoming and answered any of my questions I had.
Vitals
5.0/5
Apr 13, 2021
Wonderful results. This physician cares about his patients and their satisfaction. My one eye needed a minor adjustment and he did it after a period of time of healing. He addressed my concerns and the end results is a happy patient. 🙂 He and his staff reflect, courteousness, professionalism, kindness, and I highly recommend his services as he lives up to his reputation of Rochester's Best!
Google
5.0/5
Apr 6, 2021
I've been visiting Quatela Center for several years. I adore their services because of the qualify of work from not just Dr. Quatela, but from all the staff. They are dedicated, friendly and knowledgeable. I won't go anywhere else.
Google
5.0/5
Apr 5, 2021
I have had an amazing experience with Dr. Amalfi. I have wanted labiaplasty for a very long time. It wasn't until I had a consultation with Dr. Amalfi that I knew she was my surgeon. I felt very comfortable and confident in her. She answered all my questions and took her time and explained the whole procedure/process with me. I was nervous on surgery day but thanks to the amazing nurses (Margy, Kaylee, and Taylor) they made me very comfortable. Iam three weeks post surgery and feel amazing. You will wish you have done it sooner!! Thanks to Melissa for making this process very smooth. I highly recommend Dr. Amalfi!!
Google
5.0/5
Apr 3, 2021
It's been a little over 2 months since my breast reduction surgery performed by Dr. Amalfi and I am LITERALLY jumping for joy! I live in Boulder, CO and had consultations with surgeons in Denver, San Francisco and Portland and was about to just put it off after not feeling the right fit.. In one last attempt I looked at places around my hometown in NY and after a virtual consultation with Dr. Amalfi I was sold! Knowledgable, professional, and such an authentic human offering a relaxed comfortable space for me to be nervous and giggle and be blunt and so on. I've never had any surgery done before and was expecting to feel more anxiety the morning going in but her and every single person on her staff made me feel so relaxed. Healing was swift and smooth. The Quatela staff was also so quick to answer any question I had at anytime. I am soooo grateful and stoked on the results, already feeling less tension in my neck and can finally feel good wearing button ups woohoo!! I would highly recommend her and this center to anyone considering plastic surgery!!
Google
5.0/5
Apr 1, 2021
After having cancer and chemotherapy, year after year I lost more hair. I was very upset and started asking all my friends, and professionals that I knew about who would do a good job on hair restoration. Everyone I talked to said go to Dr. Quatela. I did and I received a FUT and followed up with PRP treatments. Wow what a difference. I am no longer embarrassed. Working with the patient consultant Brooke, I knew what to expect and when. Upon my final one year check up for my hair with Dr. Quatela I ventured to ask him what he thought about me doing a facelift and lots of questions. I was so shocked at the time he took to explain his suggestions and listen to his thoughts. Once he left the room Brooke and I went over details. I went home and talked to my husband, and he said, just book it! I waited until the day and in between made many calls to Brooke to ask this and that, she always answered my calls very quickly and answered all my questions. She made great recommendations, including have me stay the night of surgery in the carriage house. She was spot on, I could have never gone home and managed the first night and have to come back the net morning to be checked. I stayed and my nurse, Emily was so caring and attentive. I got up, and saw the doctor and then went home to start the healing. It is now only 8 weeks and I have a lot more healing to do but I am so very happy and everyday i look better. A friend I saw yesterday told me I lost 15 years! Every experience from the nurses to the reception, to Dr. Quatela is so outstanding! He assures me when I question different parts of the healing and I am enjoying this entire process completely. Being sent to the spa and the care that Karen gives me, which is part of your lift, is amazing! I am so happy I did this and look out when I am 6 or months out!! I could not be happier and would never go anywhere or recommend anyone or anywhere else. Oh and by the way, Dr. Quatela did so much more than I ever expected. He is a perfectionist and I just know there is nobody who will ever do anything more to me or my family! Thank you Dr. Quatela, Brooke, Karen, Jamie and all the team at the Lindsay House. I will tell anyone interested in getting work done, and an uplifting experience there is no place else to go! Thank you again!
HealthGrades
5.0/5
Mar 31, 2021
I am from Rochester, NY. I had a facelift done by Dr. Quatela back in July, 2020. I happened to talk to many ladies that told me that Dr. Quatela was the person to see for a facelift. He came very highly recommended. Everyone from the very start were very kind. The place is beautiful and clean. I was having a hard time in my life at that time and Dr. Quatela was so supportive every time i saw him. He did a fantastic job!! I wish i had it done years ago. If you did not know me there is no way you can tell that i had it done. I absolutely love it! It made a huge difference! Great place!
Google
5.0/5
Mar 29, 2021
I had always hated the shape of my nose but was too afraid of surgery to ever do anything about it. Finally, at almost 40, I looked into rhinoplasty with Dr Quatela and I can’t believe I did not do this sooner. Every staff member from the office personnel to the surgical staff to Dr Quatela himself made me feel so comfortable at every step of the process; I had never had any type of surgery before but this experience went so well I am actually considering other potential procedures down the road! My nose looks incredible, I still look like me but with a nose that now matches how I always pictured myself. Dr Quatela has helped me feel like myself finally! I would recommend Dr Quatela without question to anyone considering facial surgery, any fears or concerns you may have will be alleviated after your first consult knowing you are in the best hands for the job!
Facebook
5.0/5
Mar 25, 2021
I’ve only been here for Botox injections so far but every single staff member I spoke with during my visit was incredibly friendly and helpful. I will definitely be returning!
Google
5.0/5
Mar 18, 2021
Excellent services throughout the entire process. Dr Koenig is an amazing professional. I will strongly recommend The Quatela Center for your aesthetic needs.
Facebook
5.0/5
Mar 13, 2021
Dr Koenig did my breast augmentation (implants) back in 2016/2017 and I cant say enough about how comfortable the Staff made me, from beginning to end ill stay astounded by how amazing that experience was. i took his suggestions and I am so glad I did. He did amazing work and they still look incredible. More recently dr Koenig did some injections for me and again....wonderful service. Very gentle, great bedside manner, and amazing results. I know that I can go to Dr Koenig and say, "this is what I'm thinking...do whatever you think" and I'll leave looking amazing and not over done. I'll never go anywhere else. all the doctors and staff are incredible. highly recommended.
HealthGrades
5.0/5
Mar 11, 2021
Dr. Quatela and his staff are amazing! I had the best experience. I am 53 years old and recently divorced from a 30 year abusive marriage. My face showed all the worry and pain over the years. I felt like I had lost 30 years of my life. It took some time for me to get enough nerve to get the facelift. Dr. Quatela was so kind and assured me which gave me confidence. After the surgery I could not believe the difference. It took 15 years off my face. I feel it gave me 15 years back to my life to start a new beginning and a beautiful life. Dr. Quatela is a wonderful Doctor I will forever be thankful to him for giving me this gift. All the staff including Brook, Santina, and wonderful interns. Thank you amazing!
Google
5.0/5
Mar 9, 2021
Two years ago I had a breast reduction surgery performed by Dr. Koenig. Every part of my experience was wonderful. My insurance made it difficult to get the surgery covered, but Melissa was so helpful and kind and took care of all it. Every staff member I interacted with was so nice. I get very anxious and stressed when it comes to medical procedures but this experience was stress free. Dr. Koenig did an amazing job on my surgery and my quality of life has improved so much! I cannot recommend the Quatela Center enough.
Google
5.0/5
Mar 6, 2021
I am only 10 days post op from my rhinoplasty with Dr. Quatela and I’m already obsessed with the results. I can’t say enough how comfortable every nurse had made me feel throughout this whole process, especially during the first week of recovery. Being a perfectionist myself, the minute I walked into Quatela I knew I couldn’t of been in better hands. Thank you Dr. Quatela for my perfect new nose, I can’t wait to show it off!!
Google
5.0/5
Mar 5, 2021
From start to finish, I felt I was with in the best hands possible of a caring yet highly professional atmosphere. Dr. Amalfi is a true artist, in her surgery as well as her actual artworks. She and her staff took such good care of me, always put me at ease, and the results are more than I could have asked for (even after just a week!). I can't wait to see the results after all the swelling goes down. In the time of COVID, the sterile but warm atmosphere of the surgical center was very reassuring. I can't recommend Dr. Amalfi and Quatela Center for Plastic Surgery more highly.
Google
5.0/5
Feb 23, 2021
From the moment you walk in until you leave you are treated so wonderfully but every single person that works there. You really feel like Dr. Lee is your friend, she's personal, comforting and answers all the questions you have without an ounce of judgement. I highly recommend Quatela Center!
Facebook
5.0/5
Feb 23, 2021
The staff is extremely welcoming. They answer any questions you have and make you feel comfortable. Dr. Lee is amazing. I highly recommend!
Google
5.0/5
Feb 18, 2021
I live in New York Upstate and began looking for corrective surgery on my lips from a childhood screwup with scar tissue and loss of size. Interested in going anywhere in the country, I found the Quatela Center to be the most skilled and experienced for the work I wanted to do. Then, I connected with Dr. Lee and she developed a rapport and trust within me to bring health and balance back to my mouth, an area that I was insecure with for 25 years. Most doctors like to tell you what to do, not allow you to decide and she was the one who let me be the guide to my final look and comfort zone. The entire process was full of kindness and compassion for my concerns, traveling distance, and all during COVID-19 which didn’t seem to interfere at all. I would recommend the Quatela Center to anyone interested in corrective surgery, and 100% satisfaction in the end. I will be back if anything else needs to be done.
Google
5.0/5
Feb 17, 2021
Absolutely LOVE Dr. Lee and the entire staff at Quatela Center! They are my go-to for everything!
Google
5.0/5
Feb 16, 2021
I recently had upper eyelid surgery (blepharoplasty) done by Dr. Heather Lee. I cannot tell you how pleased I am with the results. I was significantly healed within 5 days and there was very little swelling. Dr. Lee was patient and answered all my questions. The staff has been excellent and are very good at making you feel comfortable and welcome. My eyes look incredible and I'm so happy I chose Dr. Lee and the Quatela Center to have this procedure done!!
Google
5.0/5
Feb 10, 2021
I had an amazing experience everytime I have been there. Dr Almafi an her team are professional friendly an always welcoming. I have never had a Dr spend such much time paying attention to details! Thank you guys such for making me feel normal again! Brenda Kunkel
Google
5.0/5
Feb 8, 2021
I am a healthy 23 year old who has always had disproportionate fat around my stomach region. I decided to go with Dr. Amalfi, who performed liposuction on my abdomen, love handles, and lower back. First of all, the Quatela Center made me feel extremely cared for, as their staff and facilities are amazing. Dr. Amalfi is EXTREMLY talented and made me feel very comfortable trusting her with this process. It was really important for me to trust my surgeon completely , as with past surgeries, I wasn't entirely satisfied. I wanted someone who understood exactly the look I was going for. Dr. Amalfi understood me, and added even more of her expertise to bring my results to the next level. Dr. Amalfi made me feel like a friend - she was always cool, calm, and collected, and open to hearing all of my questions and concerns. Her excitement towards me and the surgery is what calmed my nerves the most, and her continued support and enthusiasm afterwards made me feel amazing. The incisions were so small and are barely noticeable, and my results are unlike anything I could have ever imagined. Dr. Amafli not only transformed my body, but literally transformed my entire life. Every time I look in the mirror I am reminded of what an incredible surgeon she is. I couldn't be any happier, and I am SO glad I chose Dr. Amalfi
Google
5.0/5
Feb 2, 2021
Quatela is an amazing place. From the moment I schedule my consultation to every appointment I went to every one was SUPER NICE. Dr. Koenig was my surgeon & he did an FANTASTIC JOB ON MY MOMMY MAKEOVER!!! He has rebuilt my confidence. I love my new body. Thanks to the receptionist Jamie. Thanks to Lauren patient consultant, Nicole Lauren( Nurse) & everyone. 5 stars all around.
Google
5.0/5
Jan 27, 2021
Amazing experience with Dr. Quatela and the entire staff. I first encounter Dr. Q and the staff at one of their free seminars on rhinoplasty. With my attendance came a free consultation. I took them up on the offer and met Brooke. She walked me through the process and even showed potential 'after' photos. After a very brief time, I decided to go with the surgery. Finding a time and recovery period was going to be tough for my busy schedule. They called and said they had a cancellation and could I do it next week! The staff at the Lindsay House went above and beyond making sure everything was in place for me to get the surgery with less than a weeks notice. I process that usually takes much longer. The surgery went well. Dr. Q and the staff in the surgery center made me very relaxed and comfortable. I took advantage of spending the night at the Carriage House. The next day I was home by 10am! I healed very well with barely any bruising or swelling. I could see results right away. Over the next year, my nose got better and better looking. Dr. Q followed up with many appointments. At the end of the year, the doctor was sure I was not at my final look and continued to use his talents to make it the best it could be. Now, I am done and could not be any happier!! I felt in good hands with Dr. Q and staff. They all cared and felt like family when I went in for visits. I will actually miss going in!! DO yourself the favor, if you are unhappy with your look, go visit the fantastic team at the Lindsay House!
Google
5.0/5
Jan 21, 2021
Dr. Almalfi and the staff at Quatela are very patient and encouraging. From the initial consultation, Dr. Almalfi made me feel like a queen. She removed all of my doubts about having a procedure. She did a wonderful job and made me look like a queen!!!
Facebook
5.0/5
Jan 19, 2021
I recently had lip injections with Dr. Lee and the process was truly amazing. The staff are so sweet and very professional. Dr. Lee was just as amazing and made me feel 100% comfortable. 10/10 for Quatela! ❤️
Google
5.0/5
Jan 19, 2021
Dr. Amalfi was wonderful! I had a breast lift and brachioplasty after losing 70 lbs. She did a beautiful job. Everyone from the office staff to surgery center was a pleaseure to deal with. Very friendly, professional and top notch! Highly recommend. No more bat wings!!!
Facebook
5.0/5
Jan 18, 2021
I recently had a rhinoplasty about 6 months ago and I could not be happier with the results. Dr. Quatela and his staff were so amazing and made the entire process stress free, even at only 18 years old. Every part of the experience was positive and I love everything about my new nose and Dr. Quatela’s work. I am so thankful for this amazing experience and highly recommend Quatela Center for Plastic Surgery!
HealthGrades
5.0/5
Jan 15, 2021
I would recommend Dr. Quatela to anyone and everyone I know. He is a magnificent surgeon and an artist all in one. He has a great manner and listened to all of my concerns before and after surgery. His staff is lovely, professional and extremely friendly. If I had known the results were going to be so wonderful, I would have done this sooner. At 63, I look and feel my most beautiful, and that is a wonderful thing to be able to say. If you are looking to have any work done (necklift, facelift, under eyes, brow lift, etc.) he is the surgeon to entrust. I am so happy I did.
Google
5.0/5
Jan 15, 2021
I had a consultation with Dr.Koenig and he recommended that I wait due to some personal life issues going on. His recommendation just showed me that he is extremely considerate of his patients' lives in all aspects. I am excited to move forward with him for my surgery. Everyone at Quatela has been very nice this far.
Google
5.0/5
Jan 9, 2021
My experience with Dr. Lee was phenomenal. I felt confident in her surgical skills, well informed, and nurtured by the Quatela team. The office runs like clockwork and your questions are always answered.Highly recommend..
Google
5.0/5
Jan 8, 2021
I received a cosmetic surgery consultation at Quatela recently and Dr Heather Lee was fantastic at addressing my concerns as well as pointing out other aspects that had not occurred to me relating to my motor vehicle accident injuries. The staff is great and their historic facility is just amazing to see. Overall, a great experience...!
Google
5.0/5
Jan 6, 2021
Ever since I was a teenager I’ve always felt self conscious about the way I have looked. I knew I always wanted a breast augmentation and I am 100% confident I chose the right place at the Quatela Center. Dr. Amalfi fulfilled my vision on what I wanted and what to expect. Her knowledge and passion in this field shows, without question. Every staff member I have encountered with treated me with the upmost respect. They went above and beyond to make me feel comfortable during my process and procedure. I trusted Dr. Amalfi and would definitely go back to see her if I need another surgery in the future. I highly recommend the Quatela Center for Plastic Surgery!
Facebook
5.0/5
Dec 28, 2020
I recently had breast reconstruction done by Doctor Amalfi and I could not be happier I had breast cancer and had reconstruction approximately 5 years ago and was not happy I had lumps and bumps it just looked misshapen but since I've had reconstruction done by doctor Amalfi I feel more confident and it looks great I would recommend this for anybody she did a wonderful job and I couldn't be happier.
Google
5.0/5
Dec 27, 2020
Dr. Koenig was amazing along with his exceptional staff. I was taken care of from start to finish. I recently had my one year follow up appointment and everyone was so happy for me at how outstanding my results were. Dr. Koenig and the staff supported me through the entire process. I would recommend the Quatela Center and Dr. Koenig to anyone considering plastic surgery. They take the time to educate and inform you about the procedures and a realistic expectation on what to expect. Thank you to you all!!!
Google
5.0/5
Dec 7, 2020
Choosing a doctor is something I do not take lightly, let alone a plastic surgeon. After weeks of research, I chose Dr. Ashley Amalfi and I could not be happier with my decision. She walked in the room for the first time, was so warm and welcoming that I genuinely felt like we had been friends for years. This was huge in my first impression of her as she was someone I was trusting my physical appearance to! She talked me though all my questions and fears leaving me feeling comfortable and confident with my decision. One year ago, I had a breast reduction and am kicking myself that I didn’t find her sooner to have it done! I suffered from horrible neck, back and shoulder pain for years, where most nights I cried it hurt so badly. I can honestly say from day 1 post-op, I have felt like a complete weight has been lifted off of me and I haven’t had a bit of that pain anymore. I have her to thank for that! She is an incredible surgeon and artist who takes pride in everything she does! Dr. Amalfi is a Godsend and I would absolutely recommend her to anyone!
Google
5.0/5
Nov 17, 2020
I highly recommend Dr. Koenig at the Quatela Center for Plastic Surgery. Always a very welcoming experience, I've had two surgeries now and have booked my third. I appreciate their recommendations as they care, but also care about safety and put that into the highest priority. My husband likes that I'm in good hands as well 🙂
Google
5.0/5
Nov 17, 2020
I recently went to Quatela to see Dr. Amalfi to have some injectibles put in under my eyes. I could not be happier with my experience. First off, they are taking every precaution with covid and things felt safe and clean. Second, everyone I dealt with was helpful and friendly. Dr. Amalfi is warm, experienced and did a wonderful job. She explained exactly what she would do, how it would feel, and what might happen in the days after. Which was all correct. The needle isn't bad, a little strange. One eye did water a bit, but painful it was not. I did bruise under one eye for about four days after and the other eye was perfect from day two. The first day I could see the slight change of having the fillers, but I didn't see the results I was looking for until day two. Day two I woke up, and as I said one eye was perfect! It looked lighter and brighter and I immediately felt I had the youthful appearance I was hoping for. The second eye got better and better each day and was a small price to pay. I was told this procedure can last up to a year and I'd say $525 a year is worth every penny. I will be back. I did feel a bit of soreness the first night, and I used the cold compress they gave me before bedtime. Just thought I'd mention. So if you are considering anything like this definitely go see Dr. Amalfi.
Google
5.0/5
Nov 9, 2020
Dr. Quatela and his staff provide excellent patient care and expertise. I had an eyebrow transplant completed with Dr. Quatela. He was very professional and took the time to explain everything in detail. He really listened to what I was looking for in my eyebrows. Dr. Quatela really understood how much this procedure meant to me and my self esteem. I am beyond happy with the outcome and would recommend him to anyone!
Google
5.0/5
Nov 4, 2020
I am 2 weeks post op from a breast augmentation with Dr. Koenig & I am very pleased with how professional he has been, along with the staff at the Quatela center during the whole process & I am extremely pleased with my results! 10/10 will recommend to anyone looking for any procedure to see Dr. Koenig for a consultation!
Google
5.0/5
Nov 4, 2020
I can’t say enough about my experience with the staff at Quatela, and especially Dr. Amalfi. She is an exceptionally talented surgeon to say the least. What stands out is her genuine care and compassion shown towards her patients. Her authenticity shines through. I am beyond pleased with the results.
Google
5.0/5
Nov 3, 2020
I had an exceptional experience with Dr. Ashley Amalfi and the staff at the Quatela Center for Plastic Surgery. I was recently diagnosed with breast cancer and have had two breast reconstruction surgeries with Dr. Amalfi, which included breast expander placement, followed by exchange of the expanders for implants with lipografting. From the very beginning, Dr. Amalfi approached my case with such care, compassion, and truly listened to my concerns and questions about the reconstruction process. She has a wonderful bedside manner, unlike any surgeon that I have previously met. She reviewed surgical options available, and recommendations which would give me the most desired results. She is a very talented surgeon at the forefront of her field, and uses the most up-to-date techniques which led to wonderful results. Every staff member that I interacted with at the Quatela Center was kind, compassionate, made me feel incredibly comfortable and I always felt I was in excellent hands. For my second surgery with Dr. Amalfi I had the opportunity to have my surgery at the Lindsey House Surgery Center, which was also an outstanding part of my experience. The center is beautiful, clean, and has the most technologically up-to-date equipment. I had a great experience with Margaret Brown, CRNA, who listened to all my concerns with my previous anesthesia experiences, and was able to control my pain, while preventing several post-op issues I've had in the past. After being given the diagnosis of breast cancer this past year, my surgical experience with Dr. Amalfi and her team has been an incredibly healing part of my journey, allowing me to regain dignity and confidence. I am beyond grateful for everything Dr. Amalfi and her team have done for me and would highly recommend her to anyone facing breast surgery.
Google
5.0/5
Oct 27, 2020
Dr Amalfi is wonderful, she is kind, caring and made me feel comfortable right away! The entire staff at Quatela is outstanding and I would recommend them to everyone.
Facebook
5.0/5
Oct 21, 2020
Dr. Almalfi & her team are absolutely amazing & I am beyond happy with the results of my breast augmentation
Google
5.0/5
Oct 20, 2020
I have been going to Quatela for the past 8 years and they are by far the most professional and client friendly place. Dr Koenig is wonderful he is always honest and explains everything thoroughly before any procedure. Every time I go I am treated so goodby all the staff. I always refer friends and family to dr Koenig because he is simply the best!
Google
5.0/5
Oct 17, 2020
I had done my homework and interviewed a number of surgeons before selecting Dr. Koenig, I knew immediately I wanted him to be my doctor. His depth of knowledge and breadth of experience was unmatched in the Dr.’s I had met with. I had the “mommy makeover” surgery and leading up to the procedures the staff was excellent and incredibly supportive. I hate hospitals and being in the setting of the Lindsay house was actually comforting. The day of my procedure the surgical team was excellent, they introduced themselves and took the time to answer my questions. Dr. Koenig has an exceptional bedside manner and I felt completely comfortable in his care. After the procedure I stayed at the carriage house, which I highly recommend if you are getting the mommy makeover. The nurse that was there was incredibly helpful. From the first day after through all of my follow ups the staff and Dr. Koenig were great. If you are looking for an exceptional surgeon and experience, you can trust Dr. Koenig and his staff.
Google
5.0/5
Oct 13, 2020
I cannot thank Dr. Lee and the fantastic staff of nurses at the Quatela Center, for blessing me with a new lower eye lid after MOHS surgery. Dr. Lee reconstructed my entire left lower eye lid, by grafting part of my right lower eye lid over. She is an angel in facial reconstruction. It is difficult to put into words the excellence of her talent, professionalism and personal patient care. Both my eyes look and function normally after just seven weeks. She was even able to transplant some eyelashes! I'll be wearing mascara again soon! Dr. Lee is an artist in facial reconstruction. I will forever be grateful! Thank you Dr. Lee.:) 🙂
Google
5.0/5
Oct 8, 2020
I had my nose done last year by Dr. Quatela and I am obsessed! No need to consult anyone else when it comes to your face. He gave me the exact look I wanted and it is so natural. I look like myself, but better! My experience was flawless. Every time I called the office I was met with friendly, helpful, polite and well-spoken staff members. The secretaries are always dolls. His patient coordinator/consultant Brooke is beyond knowledgeable and does an amazing job at your first appointment to make you informed, answer all questions and give you a computerized image of what your “after” results will likely be. The nurses in office and in surgery were all top knotch. The NP who did my pre-surgical visit was thorough, kind and professional. My anesthesiologist took great care to go over my medical history and make sure I would have a safe experience. Dr. Quatela himself is extremely talented and his confidence in his work makes you feel confident in his hands! He clearly takes pride in his work and the results he gets are phenomenal! (Keep in mind with the nose job pics on the site that some are taken very early on in the healing process. Mine is personally at week 6 when it’s a full 52 weeks to heal. My results got better and better!!) I highly recommend a visit to the Quatela Center. Couldn’t be happier. Thank you to all of you!
Google
5.0/5
Oct 8, 2020
Dr. Quatela and the staff members continue to provide excellent care, customer service and expertise. My six hour surgery started at 6 am and I was greeted by Dr. Quatela in a suit. This is a true testament to his professionalism and ability to create trust with his patients. It has been four years since my initial surgery and Dr. Quatela continues to provide follow up services to ensure I am happy with the procedure results. Thank you for doing so much more than changing my appearance. I will continue to recommend Dr. Quatela to anyone, near and far!!
Google
5.0/5
Oct 2, 2020
Dr. Amalfi is highly-skilled, compassionate and caring. She spends the time necessary to fully discuss care options and makes herself readily available via cell phone. I had an unusual situation and she contacted other doctors and did additional research to better understand the issue. I have the upmost confidence and trust she will do what is best for me. I highly recommend her!
Google
5.0/5
Sep 28, 2020
I recently underwent abdominoplasty with Dr. Koenig after having lost a significant amount of weight over the past 5 years. My results have been incredible and I am thrilled with how I now look. I had very minor complications after my surgery but was always put at ease by Dr. Koenig and staff and was scheduled for multiple follow-up appointments in order to ensure healing. I was never made to wait over 5 minutes for my appointments and the surgical center runs like a well- oiled machine. I am now 8 weeks post-op and can't believe what I see. Every day gets a little better as swelling continues to subside and I have bought my first ever bikini. I cannot recommend Dr. Koenig and the Quatela Center enough; my expectations have been exceeded in every way possible and I rave to everyone about my experience. THANK YOU to everyone at Quatela but most of all to Dr. Koenig- he is truly an artist and has perfected his craft while maintaining a warm, comforting bedside manner. I am so grateful and finally have the body I've always worked for!
Google
5.0/5
Sep 25, 2020
Exceptionally kind, caring, and skilled staff and practitioners. They always take time to address all of my questions and provide excellent instructions for after care. This is a top notch practice.
Google
5.0/5
Sep 17, 2020
The Quatela Center provided exceptional care throughout my entire experience. The staff is amazing and made me feel comfortable every step of the way. I am so happy with my outcomes and how well my healing process as been! I have recommended them to my family, friends and coworkers if they ever want/need plastic surgery.
Google
5.0/5
Sep 10, 2020
I want to start of this review by saying how much I love and appreciate the work that Dr. Amalfi did on me! She is amazing ! I would trust her again with any procedure, she answered all my questions without hesitation. I had a mommy makeover 3 weeks ago and already my body looks great. The staff was polite and professional! I honestly don’t have one complaint about my experience at the Quatela center. I highly recommend Dr. Amalfi
Google
5.0/5
Aug 31, 2020
My results came out even better than I had expected thanks to Dr. Quatela. Everyone in the office is extremely professional and compassionate and I had a great experience! I highly recommend Dr. Quatela and his amazing team.
Google
5.0/5
Aug 25, 2020
I couldn't have asked for a better Dr., facility and staff. Dr. Koenig and his team are 2nd to none. I HIGHLY recommend!
Google
5.0/5
Aug 25, 2020
I recently had a breast augmentation done by Dr. Amalfi and her staff! I am 1 week out today and I couldn't be happier with my results that I know are going to be even better as my healing time goes on! Every staff member I have worked with from my initial consultation, the pre-op, operation itself, and follow up appointments have been amazing. They answer all questions that you may have. Dr. Amalfi and Melissa were wonderful to work with. I told Dr. Amalfi what I wanted to achieve and she did exactly that. If I ever were to need a surgery again I would definitely go to back to see Dr. Amalfi. I highly recommend the Quatela Center for Plastic Surgery!
Facebook
5.0/5
Aug 25, 2020
I recently had a breast augmentation done by Dr. Amalfi and her staff! I am 1 week out today and I couldn't be happier with my results that I know are going to be even better as my healing time goes on! Every staff member I have worked with from my initial consultation, the pre-op, operation itself, and follow up appointments have been amazing. They answer all questions that you may have. Dr. Amalfi and Melissa were wonderful to work with. I told Dr. Amalfi what I wanted to achieve and she did exactly that. If I ever were to need a surgery again I would definitely go to back to see Dr. Amalfi. I highly recommend the Quatela Center for Plastic Surgery!
Google
5.0/5
Aug 20, 2020
Dr. Lee is the absolute best (:
Google
5.0/5
Aug 19, 2020
I met with Dr. Ashley Amalfi for fillers and botox and right away I knew I had come to the right person! She was very knowledgeable and made me feel comfortable right from the start. If you’re looking to get any cosmetic procedures done, or even just looking for a consult, I highly recommend her! My results are perfection!!
Google
5.0/5
Aug 18, 2020
I had an excellent experience with Dr. Amalfi. She is very kind, very thorough, professional & I am VERY IMPRESSED with the results just a few days after gynecomastia surgery. Nurses are very gentle & professional. Everything was explained thoroughly. Practice itself is extremely clean & comfortable. Communication between office staff, doctors, nurses & patients is above & beyond! Would definitely recommend to anyone looking for cosmetic surgery in the Rochester, NY area. KEEP UP THE EXCELLENT WORK!!
Facebook
5.0/5
Aug 18, 2020
I recently had a surgical procedure done by Dr Koenig he did an amazing job and the staff could not have been any nicer ! Top notch service from start to finish
Google
5.0/5
Aug 12, 2020
Dr. Amalfi and Dr. Lee are the kindest and most talented in their specialty. Through the entire process leading up to my procedure I felt safe and comfortable and most of all seen and heard. My breast reduction was beautifully done by Dr. Amalfi, her delicate craftsmanship is an absolute dream come true. Dr. Lee removed a cyst on my eyelid where I had zero bruising and minimal swelling. Women supporting women is what the Quatela center is all about and I am forever grateful.
Google
5.0/5
Aug 3, 2020
Dr. Amalfi and the staff at Quatela Center for Plastic Surgery are exceptional in their professionalism and compassion. My personal journey has been a long one that lead me there. Three years ago I was diagnosed with breast cancer and had a bi-lateral mastectomy. After 3 failed attempts at breast reconstruction by other plastic surgeons (told there was nothing more they could do) I was mentally and physically defeated. Then I heard about Dr. Amalfi at Quatela Center for Plastic Surgery. After my consultation with Dr. Amalfi my spirit and hope was renewed. On July 16, 2020 I had my 4th reconstruction at the Lindsey House Surgical Center. I can not stress enough the compassion and wonderful care I was shown. Also, during this epidemic every precaution was taken to ensure the safety of everyone. I am very happy to say my surgery was a success and I am very overwhelmed with my results. Thank you Dr. Amalfi for giving me my self confidence and life back! I am forever grateful!
Google
5.0/5
Aug 1, 2020
In May of 2018 I was diagnosed with breast cancer. After learning that I tested positive for the Chek2 gene mutation, which can cause breast cancer, I elected to have a bi-lateral mastectomy. In November I had the surgery and began the long process of breast reconstruction. I had expanders, then implants, then had my first fat grafting surgery. I was just not happy with my results. I kept telling my plastic surgeon that I didn't like the way my breasts looked. They were too big, practically sliding down my chest, and I had horrible rippling. His response was that we could TRY another round of fat grafting, but that he couldn't put smaller implants in because it would result in even more rippling. And that unfortunately rippling was very common and very hard to get rid of. Basically I walked out of there thinking that I was stuck with what I had. But I decided to go for a second opinion and it was one of the best decisions I've ever made! From the moment I walked into Dr. Amalfi's office I felt like I was VALUED and that every single person there, from the extremely helpful and sweet women at the front desk, to the caring nurses, to the well organized coordinator, to Dr. Amalfi herself.....they all came together as a team and made me feel like I was their most important patient and that I would be taken care of, and taken care of well. After my thorough consultation Dr. Amalfi assured me she could help me and that she would revise my reconstruction so that I would be happy with my results. Dr. Amalfi changed my life! She removed my implants, put smaller ones in that fit my frame better, and did fat grafting to get rid of any rippling I had. Not only is Dr. Amalfi an amazing doctor, but she is a talented artist as well! Her eye and talent for making things beautiful makes her an unbelievably skilled physician. I truly felt like her masterpiece! I highly recommend the Quatela Center for Plastic Surgery, and Dr. Amalfi specifically. It will change your life!
Facebook
5.0/5
Aug 1, 2020
In May of 2018 I was diagnosed with breast cancer. After learning that I tested positive for the Chek2 gene mutation, which can cause breast cancer, I elected to have a bi-lateral mastectomy. In November I had the surgery and began the long process of breast reconstruction. I had expanders, then implants, then had my first fat grafting surgery. I was just not happy with my results. I kept telling my plastic surgeon that I didn't like the way my breasts looked. They were too big, practically sliding down my chest, and I had horrible rippling. His response was that we could TRY another round of fat grafting, but that he couldn't put smaller implants in because it would result in even more rippling. And that unfortunately rippling was very common and very hard to get rid of. Basically I walked out of there thinking that I was stuck with what I had. But I decided to go for a second opinion and it was one of the best decisions I've ever made! From the moment I walked into Dr. Amalfi's office I felt like I was VALUED and that every single person there, from the extremely helpful and sweet women at the front desk, to the caring nurses, to the well organized coordinator, to Dr. Amalfi herself.....they all came together as a team and made me feel like I was their most important patient and that I would be taken care of, and taken care of well. After my thorough consultation Dr. Amalfi assured me she could help me and that she would revise my reconstruction so that I would be happy with my results. Dr. Amalfi changed my life! She removed my implants, put smaller ones in that fit my frame better, and did fat grafting to get rid of any rippling I had. Not only is Dr. Amalfi an amazing doctor, but she is a talented artist as well! Her eye and talent for making things beautiful makes her an unbelievably skilled physician. I truly felt like her masterpiece! I highly recommend the Quatela Center for Plastic Surgery, and Dr. Amalfi specifically. It will change your life!
Google
5.0/5
Jul 30, 2020
Had a deviated septum and a broken nose for around 8 years and he was able to both straighten it out and fix my breathing with one surgery and a relatively easy recovery. I was extremely impressed with the results. Very happy. Staff was amazing, communication was great, would 100% recommend!
Google
5.0/5
Jul 23, 2020
I recently underwent a mommy makeover with Dr. Amalfi and I am so incredibly grateful I decided to go on this journey with her! After multiple pregnancies in a short span of time, I needed to repair a very large separation in my tummy and wanted to regain some volume after nursing. From the very beginning I knew I was in knowledgeable and caring hands. She went over all of my options, carefully explaining every detail. I had an abdominoplasty with tummy tuck and fat transfer to the breast area. I am only 3 weeks out and am already so happy with my results. Her patient consultant Melissa was so thorough and has been my biggest cheerleader. I one thousand times over will recommend Dr. Amalfi and her staff to anyone needing or wanting surgery.
Google
5.0/5
Jul 20, 2020
I recently had the pleasure of working with Dr. Heather Lee at Quatela. I came to Dr. Lee in need of something for my under eye puffiness. Upon my arrival I was was greeted by the wonderful staff of Quatela which made me feel good. During my consultation with Dr. Lee I felt as though I was her only patient of the day. She took her time to explain the services that would be best for me. She was very pleasant and down to earth. She is extremely competent and she made me feel comfortable. After reviewing all of my options with Dr. Lee I decided to go with the Restylane fillers. I was so blown away from the results when Dr. Lee completed my service that I actually cried. Dr. Lee did an awesome job and through her work she restored an element of confidence in me that I had lost. I plan to return in a couple of weeks for another procedure with Dr. Lee and I'm confident that I will be equally as pleased with my results. Thank you Dr. Lee and I'll see you soon!
Facebook
5.0/5
Jul 20, 2020
I could not be happier with my results. The staff here are so kind and professional. Dr. Amalfi is a perfectionist and gave me exactly what I wanted. She goes above and beyond for her patients. I am so glad I chose her as my surgeon and not my original choice.

Are There Nonsurgical Options?

Patients that want to avoid surgery but still want to improve their smile lines and the area around their lips can find alternatives with our physicians. Options such as BOTOX® Cosmetic and Restylane® are nonsurgical treatments available to rejuvenate your appearance for the short term or until you feel plastic surgery is the right choice for you.

Dr. Heather Lee Dr. Heather Lee

Heather Lee, M.D.

Specializes in Facial Procedures

A board-certified facial plastic surgeon and a board-certified otolaryngologist–head and neck surgeon, Dr. Lee is dedicated to improving the lives of adults and children by using her surgical talents. She specializes in procedures of the face and head including facelift, functional and cosmetic nose surgery, blepharoplasty, and injectable treatments.

Read On

Fat Transfer FAQ

  1. I have very thin lips. Can you make them bigger?
  2. Will fat transplantation improve my smile lines and wrinkles around my mouth?
  3. Do I need cheek implants or fat injection?
  4. I want to dramatically change the appearance of my chin. Can I do that?
  5. My face is too thin.
  6. Where does the fat come from?
  7. There are so many fillers — collagen, fat, implants — how do I know which is right for me?
  8. Are the results from fat injection surgery permanent?
  9. Is fat injection surgery painful?
  10. Will I be awake during myfat injectionsurgery?
  11. How long does my plastic surgery take?
  12. Can I drive myself home after fat injection surgery?
  13. How long should I stay in Rochester following fat injection surgery?
  14. I’m from out of town. Where can I stay overnight in Rochester, New York?
  15. How long will bruising and swelling last after my fat injection procedure?
  16. When can I go back to work after fat injection surgery?
  17. When can I “work out?”
  18. Is my plastic surgeon qualified?
  19. I really want to have fat injection surgery but I’m nervous. What if I get stressed?
  20. How much is a fat transfer?

FAT TRANSFER PREOPERATIVE INSTRUCTIONS

  1. What do I do to prepare for fat transfer surgery?
  2. What happens at the preoperative fat grafting appointment?
  3. What does informed consent mean?
  4. What are the benefits and risks of the fat injection procedure?
  5. Will I have any incisions in my skin?
  6. What if I have a history of bad scars?
  7. What are some of the other things to do to prepare for fat injection surgery?
  8. What about my daily medications before fat injection surgery?
  9. I take vitamins and supplements. Do I need to stop them before fat injection surgery?
  10. Do I need any special prescriptions before fat injection surgery?
  11. Why will I be asked not to eat or drink after midnight before the fat injection procedure?
  12. I’m concerned about privacy.
  13. What happens when I check in for fat injection surgery?
  14. Does someone have to stay at the Lindsay House while I have my fat injection surgery?

FAT GRAFTING (Fat Injection) POSTOPERATIVE INSTRUCTIONS

  1. What do I look like when I wake up from fat injection surgery?
  2. What does it feel like when I wake up from surgery?
  3. Does someone have to stay overnight with me after surgery?
  4. Are there any dietary restrictions following surgery?
  5. Are there any instructions about regular daily activities?
  6. Will I need any special prescriptions following fat injection surgery?
  7. When do I start taking these prescriptions?
  8. How long will bruising and swelling last?
  9. Can I do anything to prevent bruising and swelling?
  10. When can I shower?
  11. When is my first postoperative fat injection appointment?
  12. When will I look normal?
  13. How long does healing take?

MICROFAT GRAFTING

1) I have very thin lips. Can you make them bigger (fuller)?
Lip enlargement is achieved through a variety of procedures including fat injection, dermal fat graft, Alloderm and V-Y lip advancement. Each approach has advantages and disadvantages. Details about each lip enhancement surgery are listed below. Determining which approach is best for you is achieved by learning a little about each alternative and clarifying your objectives. Consulting with a board certified plastic surgeon for his or her evaluation and expert recommendations would help determine exactly which plan is best for you.

Fat Injections
Some patients receive fat injections when the goal is to treat multiple areas, such as the lips and smile lines. Advantages of fat injections include a natural donor (from patient’s own body), unlimited availability and a very small donor site.

The fat is obtained from another area of the body (typically the abdomen) through a very small, hidden incision. Therefore, the minimal donor site is cosmetically acceptable and healing time is minimal.

Unlike collagen, which is totally resorbed in six to eight months, approximately 30-50% of the fat injected survives and lasts indefinitely, although patient experiences vary. Although uncommon, in some patients the fat can be totally reabsorbed. Rarely is the fat reabsorbed asymmetrically.

Dermal Fat Graft
In a dermal fat graft procedure, a thin strip of skin and fat is threaded through a tiny incision at each corner of the mouth. This approach is typically used if there is skin left over from a simultaneous plastic surgery procedure such as a facelift. However, a dermal fat graft can also be performed as an independent procedure (typically a low abdomen donor site) and is sometimes requested if fat reabsorbed from a previous fat injection.

The advantage of dermal fat grafting is again a natural donor (from your own body) and increased longevity when compared to collagen injection. With a dermal fat graft more of fat survives because the dermis (skin) acts in a similar fashion as a skin graft and nourishes the fat. Therefore, the likelihood of the fat surviving long-term is better. Disadvantages include a separate donor incision if not performed simultaneously with another plastic surgery procedure where skin is left over.

Unfortunately, dermal fat grafts are contraindicated in people with thick, heavy hair growth in donor areas. Dermal fat grafts can also have upwards of 30-50% resorption when final results are evaluated at one year’s time.

Alloderm
One advantage of Alloderm, a soft, pliable, artificial implant (not from the patient’s own body), is that there is no donor site, therefore, no secondary incision. Alloderm also has the advantage of safety because it is processed human skin where all the cells are removed and therefore, can not transmit disease.

Because of its pliability, it is easily threaded through the lip incision at the corners of the mouth. Like dermal fat grafts, Alloderm provides moderate augmentation and can reabsorb 30-50% over one year’s time. Rarely, as in the case of fat injections, Alloderm can be completely reabsorbed.

V-Y Lip Advancement
V-Y lip advancement is typically reserved for patients who want the maximal amount of result with long-lasting correction. In this lip augmentation procedure, small incisions are made inside (under) the lip and then closed in a fashion that rolls the lip outward a bit.

One advantage of the V-Y Lip Advancement procedure is no donor site. Patients are educated ahead of time to a temporary disadvantage; the lips can feel tight for several months. Also temporary is the numbness that is associated with V-Y lip advancement. V-Y lip advancement procedures result in more swelling, which takes about four weeks to resolve.

As with all lip augmentation surgery, final results are assessed at one year. Determining which lip augmentation procedure is best for you requires expert recommendation from your plastic surgeon.

2) Will fat transplantation improve my smile lines and wrinkles around my mouth?
One of the most common requests from patients is for fat transplantation into smile lines. It’s a less invasive procedure and uses an individuals own tissue for cosmetic improvement. Fat injection is one of several ways to address smile lines and lip wrinkles. However, if smile lines are due to excess skin and muscle laxity, fat injection surgery will not replace the benefits of a facelift (removal of excess skin). One of the most commonly requested procedures at the Quatela Center for Plastic Surgery is to harvest fat with neck liposuction during a facelift for injection into smile lines and lips. For superficial wrinkles and fine lines around the mouth, one could combine fat injection with a skin resurfacing procedure. Skin resurfacing is the removal of the outer layer of the skin — using dermabrasion, chemicals or laser — resulting in smoother, younger-looking skin with less wrinkles such as crows feet, face lines, lines around the mouth and laugh lines. Skin resurfacing is one of the most popular plastic surgery procedures because often the results enhance one’s natural beauty. Skin resurfacing results in a more youthful appearance.

For patients who want improvement in their smile lines and area around the lips but aren’t ready for plastic surgery, alternative options are available. Botox and Restylane are just two of the many ways to maximize your beauty temporarily for a special event or until you are ready for plastic surgery.

3) Do I need cheek implants or fat injections?
Cheek implants are placed to provide structural support. We do not recommend fat injection for cheek augmentation because of the reabsorption rate. Patients who want to augment the malar eminence (cheekbone area) should read about cheek implants. If you were trying to fill in some surface changes from acne scaring or trauma for example, or address puppet lines (smile lines), fat transplantation would be a better approach. While every patient’s request is unique, looking at some Before and After Photos is a good place to start.

Fat injection often requires over correction initially to compensate for the reabsorption of some of the fat. In other words, patients are made aware prior to the fat injection procedure that swelling can be excessive in the first week but then settles. Results are typically presentable by two weeks postoperatively. At approximately three months postoperatively you see about 90% of the final result. Due to refinements that take place as the body heals, the final result for fat injections is not to be determined for one year.

4) I want to dramatically change the appearance of my chin. Can I do that?
The best approach to a “weak” or ill-defined chin is chin implant for structural support. Fat injection serves best in smile lines and as soft tissue filler. Of course, this question can only be answered on an individual basis. A sign of a good facial plastic surgeon is one who can tell the difference between realistic and unrealistic expectations and one who will be truthful about meeting each patient’s desires. Our biggest referral source is from satisfied patients — ones who have had realistic expectations and were satisfied with results.

5) My face is too thin.
Whether your thin face is a result of intentional weight loss (changes in diet and exercise), unintentional weight loss (i.e. a disease process) or due to heredity, a gaunt or emaciated face looks unhealthy and can add years to one’s appearance. Fat injection — typically from an abdominal harvest — can significantly improve a “wasted” look to a much healthier appearance. It goes without saying that a complete health history and physical exam would precede any plastic surgery procedure to be certain that the underlying cause had been completely addressed.

6) Where does the fat come from?
Fat for transplantation is obtained either from abdominal or neck areas. In the abdomen, a tiny 12” incision is made in the belly button (umbilicus) so the cannula (tube with suction) can be inserted without a trace. Fat obtained from the neck requires tiny (about 12“) incisions immediately behind each ear lobe and a third incision tucked up under the chin. These incisions heal very well with minimal if any residual scaring. When combined with a facelift, fat is obtained from the neck area.

7) There are so many fillers — Restylane, fat, implants — how do I know which is right for me?
Fat transplantation is suited for “puppet” smile lines (nasolabial folds), lip augmentation or used in combination with a forehead lift filling in skin creases such as frown lines. Formed implants such as those appropriately used in the chin or cheek area provide foundation or structural support. Restylane, Radiesse, Juvederm and Perlane are used primarily for patients who are not yet ready for plastic surgery but wish to have temporary improvement obtained in the office setting.

8) Are the results of fat transplantation permanent?
Approximately half of the fat will be reabsorbed; however, this varies between patients. As with everything in medicine, there are trade-off’s to consider. Many patients prefer fat transplantation because tissue from the patient’s own body is used to make the requested improvements. Second, fat transplantation is commonly performed with some adjustments for over-correction at the time of plastic surgery to compensate for part of the resorption. Also, fat for transplantation is most often readily available without an additional incision or expense.

9) Is fat transplantation painful?
After any plastic surgery procedure, some discomfort can be expected. All patients are provided with prescriptions for pain medication. Patients typically use the prescription medication after surgery for a few days and then switch to Extra Strength Tylenol. It is uncommon for patients to report unmanageable pain after their plastic surgery procedure.

10) Will I be awake during  fat transplantation surgery?
Using IV sedation (medicine administered through an IV) and a local anesthetic (numbing medication administered in the operating room), patients are asleep during their plastic surgery. Patients do not hear or feel anything and are comfortable during fat injection surgery. Patients wake up very soon after the operation is completed. Intravenous sedation is a type of anesthesia; therefore all patients must have a responsible adult to stay with them through the night following their fat injection surgery. Patients may not drive for 24 hours after their procedure and this time may be longer, depending on the plastic surgery procedure.

11) How long does my fat injection surgery take?
The length of your plastic surgery procedure depends on several factors including the size and location of the area to be treated and the complexity of the underlying anatomy. Many patients who have previously had facial plastic surgery are referred to the Quatela Center for Plastic Surgery for revision plastic surgery. Revision surgery can take a little longer because of corrections that need to be made as a result of the initial plastic surgery.

12) Can I drive myself home after fat injection surgery?
NO. Because of the effects of anesthesia, patients are not able to drive themselves home after the surgery. Transportation and a responsible adult at home following your plastic surgery is required.

13) How long should I stay in Rochester following fat injection surgery?
Most patients stay in Rochester about seven to ten days following their plastic surgery. After that it’s ok to fly or travel long distances.

14) I’m from out of town. Where can I stay overnight in Rochester, NY?
Accommodations are comfortable and convenient for Quatela Center for Plastic Surgery clients. The Strathallan, located “just down the street” provides upscale, affordable accommodations for our visitors. For added convenience following ambulatory surgery, some patients elect to stay in our Carriage House, located adjacent to the Lindsay House. For guests without the benefit of family or friends in the Rochester area, our staff will be happy to assist you with arrangements for a smooth, restful experience following your plastic surgery procedures.

15) How long will bruising and swelling last after my fat injection surgery?
Postoperative bruising and swelling begins to resolve at the end of the first week of your fat injection surgery. Full resolution of swelling and puffiness may take two to four weeks. Any residual bruises camouflage fairly easily at seven to ten days with make-up.

16) When can I go back to work after my fat injection surgery?
Most patients take one to two weeks off work depending on bruising and over correction to compensate for future fat reabsorption. Patients who are more concerned with privacy return three weeks after fat injection surgery. Return to work depends on many factors including the nature of your occupation and your general state of health. Patients are asked to avoid any heavy lifting, bending and straining for two weeks following their fat injection surgery.

17) When can I “work out?”
While patient experiences vary, aerobic activities should be avoided for two weeks following fat injection surgery and heavy weight lifting or more strenuous workouts should be avoided for three weeks postoperatively. As we mentioned above, it’s important to avoid bending, lifting or straining during the postoperative period as these activities can increase swelling and delay healing.

18) Is my plastic surgeon qualified?
One of the best ways to feel confident about your doctor is to first learn how to evaluate a plastic surgeon.

19) I really want to do this but I’m nervous. What if I get stressed?
It’s ok to be nervous. (Frankly, we would be nervous if you were taking this step lightly!) One of the best ways to deal with nervousness is to see what other patients have gone through. Contact us to talk to a patient who has had fat injection surgery or to talk to one of our experienced staff members. As you learn in Selecting a Plastic Surgeon an educated patient knows when and if the time is right for plastic surgery.

20) How much is a fat transfer?
The cost of fat grafting varies, depending on your specific needs and goals. All prices quoted from the Quatela Center are all-inclusive and include pre and postoperative appointments, surgeon’s fees, surgery center fees, and anesthesia costs. For more information, see our page on Plastic Surgery Costs.

FAT GRAFTING PREOPERATIVE INSTRUCTIONS

1) What do I do to prepare for fat grafting surgery?
Although the preparation for fat grafting surgery is pretty simple, it is an essential element in a successful outcome. To prepare for your plastic surgery, a preoperative appointment will be scheduled with one of our experienced nurses.

2) What happens at the preoperative appointment?
Many things! To name a few, you will meet with our nurses to review your health history, answer your questions, instruct you on how to prepare for your plastic surgery, receive the prescriptions for use after surgery and tell you what to expect. Most of the instructions are listed here. This list of questions, however, will not take the place of a preoperative visit, which is essential in determining a patient’s understanding and readiness for plastic surgery. We will be sure you are signing for informed consent.

3) What does informed consent mean?
Informed consent means you have an excellent understanding about the benefits of plastic surgery as well as any risks, and all the preoperative and postoperative information. You are making an “informed” decision as to whether plastic surgery is right for you.

4) What are the benefits and risks of the fat injection procedure?
As part of your initial consultation, your plastic surgeon will review your expectations for plastic surgery. At that time, he can provide a realistic picture of what plastic surgery can and cannot accomplish. Depending on which plastic surgery procedures you are interested in, we will provide you with a list of any risks reported in the medical literature associated with any plastic surgery procedures you are considering. Although risks from cosmetic surgery are uncommon, every patient should be fully informed.

5) Will I have any incisions in my skin?
Patients who undergo fat transplantation will have one or two tiny incisions in the donor area that is typically closed with one to two sutures. Abdominal donor sites the incision is in the belly button. For neck liposuction incisions are behind each ear lobe and tucked under the chin. Most incisions heal very well. Frequently we hear that patients and family members do not notice them after a few weeks.

6) What if I have a history of bad scars?
If you have pierced ears, the way you healed there is a good indication of how you will heal from cosmetic surgery. Scars on the rest of the body typically are not an indication for how patients heal following facial plastic surgery. At the time of your consultation, it’s important to show your plastic surgeon any previous scars that are of concern so he can give you a realistic assessment of your healing potential following facial plastic surgery.

7) What are some of the other things to do to prepare for fat injection surgery?
We review your health history and any daily medications you may be taking. Because tobacco abuse impedes wound healing, you will be asked to stop for two weeks before your plastic surgery and two weeks following surgery. Our nurses will be happy to discuss over-the-counter aids to help you with this.

8) What about my daily medications before fat injection surgery?
You will have a preoperative appointment well in advance of your surgery when our experienced staff will review all medications with you. If you are on “blood thinners,” you will be asked to stop them approximately one week prior to surgery. We will provide you with a “Medication List” for medications and supplements to avoid prior to your plastic surgery.

9) I take vitamins and supplements. Do I need to stop them before plastic surgery?
Most vitamins and supplements have few side effects. However, there are some, such as vitamin E and ginkgo-biloba that can affect bleeding during fat injection surgery. Our “Medication List” reviews medications and supplements to avoid prior to your plastic surgery.

10) Do I need any special prescriptions before fat injection surgery?
Most patients do not need any special prescriptions before surgery. Please let us know of any special medical concerns you may have. We do ask you to start Vitamin C 1000 mg, which promotes wound healing, one week before fat injection surgery. We will discuss prescriptions needed after surgery below. We will ask you not to eat or drink anything after midnight the night before your plastic surgery.

11) Why will I be asked not to eat or drink after midnight before the fat injection procedure?
Anesthesia medications can cause stomach upset. The best way to prevent after effects from anesthesia will be to avoid food or drink from midnight the night before fat injection surgery. For patients with special concerns, such as a patient with diabetes, our anesthesia team will be happy to address special arrangements with you ahead of time.

12) I’m concerned about privacy.
During a recent independent study, privacy was found to be one of the advantages that attracted people most to the Quatela Center for Plastic Surgery. Because all consultations, office visits, surgical and nonsurgical experiences take place at the same address, the check-in process is completely confidential.

13) What happens when I check in for surgery?
Our nurses will help you get ready for surgery. Please let them know of any special needs you may have. Also, be assured that you have plenty of time for any last minute questions with your surgeon.

14) Does someone have to stay at the Lindsay House while I have my fat injection surgery?
No one needs to stay at the Lindsay House during your surgery. However, you must have someone available by telephone at all times during your plastic surgery.

15) What other instructions are there?
Glad you asked! See the postoperative instructions for fat grafting surgery below.

FAT GRAFTING POSTOPERATIVE INSTRUCTIONS

1) What do I look like when I wake up from fat injection surgery?
Following fat transplantation, most patients experience swelling and bruising, however, this typically is more pronounced 24-48 hours after the procedure. Swelling can take upwards of two to three weeks to resolve.

2) What does it feel like when I wake up from fat injection surgery?
You will be comfortable and groggy as you awaken. We will make sure you are not nauseated or queasy. Our nurses will be right there with you as you wake up from your fat grafting surgery to give you special attention.

3) Does someone have to stay overnight with me after my plastic surgery?
Yes. You must arrange ahead of time for a responsible adult to stay with you the first night following fat grafting surgery.

4) Are there any dietary restrictions following fat injection surgery?
Typically there are no dietary restrictions. Patients can eat whatever they want. Advance your diet from liquids to soft food to solids as tolerated. Please drink as much fluid as you can which will help you from becoming dehydrated. If for any reason there are incisions inside the mouth, your plastic surgeon may ask you to refrain from dairy products for four days following fat injection surgery.

5) Are there any instructions about regular daily activities?
Sleep with head of the bed elevated or use two to three pillows for one week. Lip fullness and disrupted sleep are very normal fat injection postoperative symptoms and will decrease as the healing process occurs. Absolutely no bending, lifting or straining for three weeks following surgery. If you have little children, bend at the knees or sit on the floor and let them climb on to your lap.

6) Will I need any special prescriptions following fat injection surgery?
Yes. Postoperative prescriptions are provided well in advance of your surgery day so you arrive home completely prepared. Postoperative prescriptions and over-the-counter medications for patients undergoing fat implant surgery include the following:

A) An antibiotic (typically Keflex/cephalexin) following fat injection surgery to prevent
infection.
B) Pain medication (typically Vicodin/hydrocodone) to minimize any discomfort following your plastic surgery. It is best to take pain medication with food.
C) Ointment (Polysporin/bacitracin), an antibiotic ointment, to place on sutures with
a Q-tip to keep them soft and lubricated so they are easy to remove.
D) Vitamin C 1000 mg with food for one week following fat injection surgery to promote healing.

7) When do I start taking these prescriptions?
Patients take their pain medication as needed. You will begin the antibiotic medication when you arrive home from fat injection surgery. Wound care instructions are provided at the time of discharge.

8) How long will bruising and swelling last?
For most patients, bruising at the site of transplantation is minimal. The donor site (abdomen, neck, etc.) may have bruising for about two weeks. Depending on the size of the surgical area, swelling lasts upwards of two to three weeks or more.

9) Can I do anything to prevent bruising and swelling?
Most patients will have a little bruising. We can minimize bleeding and bruising by avoiding aspirin and ibuprofen prior to the surgery. For many patients, arnica, an over-the-counter supplement, significantly lessens bruising. Adhering to activity restrictions postoperatively will help swelling disappear more quickly.

10) How long after my fat injection surgery can I shower?
If one has sutures at the donor site, they must remain dry and in place until your suture removal appointment. Therefore, you will be instructed to cover sutures with plastic wrap (saran, glad, etc.) before showering and remove after showering.

11) When is my first postoperative fat injection appointment?
The appointment for your first office visit (typically at five days postoperatively) will be arranged at the time of the preoperative appointment. This allows you to plan on transportation if it is required.

12) When will I look normal after my fat injection surgery?
You will be presentable at about two weeks. You will look great at six weeks and even better at six months as things settle and expressions become more natural. At two weeks you know you are well on the way to recovery. Final results are evaluated at one year.

13) How long does healing take?
Healing from cosmetic surgery in Rochester to evaluate the final result takes one full year. However, three months after fat injection surgery, most patients have about 90% of their final result.

Quatela Center
for Plastic Surgery

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