Condensed Rich Fat Transfer
A procedure that purifies your own fat through centrifugation to high concentration, removes impurities, and injects only living fat cells to naturally and sustainably improve wrinkles, hollows, and volume deficiency.
Recommended for
- Those seeking natural volume that cannot be achieved with hyaluronic acid and other fillers
- Those worried about allergies or foreign-body reactions and concerned about synthetic fillers
- Those who want to address multiple aging signs—Sagging (skin laxity), hollowness, wrinkles—all at once
- Those who wish to undergo liposuction simultaneously, remove excess fat, and repurpose it for other areas
What is Condensed Rich Fat Transfer
Condensed Rich Fat Transfer is a treatment in which fat (autologous fat) is harvested from the patient, processed through a dedicated centrifuge to remove impurities, excess fluid, and necrotic fat cells, and living fat cells with high viability are condensed at high density and injected. The name "Condensed Rich" refers to highly concentrated fat that is rich in living fat cells. Unlike synthetic fillers such as hyaluronic acid, because it uses the patient's own tissue, allergy risk is minimal, and once established, volume can be maintained long-term.
Medical Evidence: Fat Cell Survival and Integration Mechanism
The integration rate of autologous fat grafting is significantly influenced by each step of harvesting, purification, and injection. A 2017 review in Plastic & Reconstructive Surgery reported that for fat cells to take, ribbon-shaped injection of small volumes into the graft bed and reconstruction of capillaries are essential, and dispersing the fat in thin layers of 1.6mm or less is key to improving survival rate (doi: 10.1097/PRS.0000000000003648). Furthermore, a 2017 systematic review in Annals of Medicine and Surgery concluded that harvesting with low negative pressure aspiration and large-diameter cannulas minimizes damage to fat cells, and purification by centrifugation efficiently removes impurities (doi: 10.1016/j.amsu.2017.06.059). Condensed Rich Fat Transfer is a technique that optimizes the purification process based on these scientific findings.
Synergistic Effect with Stem Cells (Stromal Vascular Fraction)
Adipose tissue contains not only fat cells but also a rich population of cells called stromal vascular fraction (SVF). A 2017 study in Stem Cell Research & Therapy demonstrated that SVF contains diverse tissue-regenerating cells including adipose-derived stem cells (ADSC), vascular endothelial progenitor cells, and immune cells, which promote angiogenesis and tissue regeneration after transplantation (doi: 10.1186/s13287-017-0598-y). Additionally, a 2019 review in International Journal of Molecular Sciences evaluated that ADSC among fat stem cells is easy to harvest and superior in proliferation and multi-differentiation capacity, with high promise for clinical application (doi: 10.3390/ijms20102523). The centrifugation process of the Condensed Rich method purifies while preserving these beneficial cellular components, allowing for higher integration rates and skin quality improvement effects compared to standard fat injection.
Treatment Flow
The procedure is completed in approximately 1–2 hours. First, under local anesthesia, fat is aspirated and harvested with a fine cannula from inconspicuous areas (abdomen, thighs, buttocks, etc.). The harvested fat is processed with a dedicated centrifuge to remove impurities, blood, necrotic fat, and excess fluid, and is refined into "Condensed Rich Fat." After purification, using a fine cannula, the refined fat is injected in small amounts in multiple layers into desired areas (forehead, temples, under the eyes, cheeks, nasolabial folds, chin, etc.). Injection is performed carefully in one procedure to avoid over-injection, aiming for a natural result.
Downtime and Postoperative Course
Immediately after the procedure, swelling, bruising, and puffiness may occur at the injection and harvest sites. For facial injection, swelling typically subsides within 2–7 days, and bruising is reabsorbed within 1–2 weeks. The harvest site is secured with compression garments for approximately 1–2 weeks. Fat integration rates vary among individuals, but some of the injected fat is absorbed by the body, so the final result stabilizes at 1–3 months post-procedure. Integrated fat is maintained long-term and retains a natural feel and appearance. Multiple treatments can be performed to approach more ideal results.
Main Treatable Areas
Forehead and temples: Add fullness for a youthful contour
Under the eyes and Lower-lid love band: Improve Under-eye dark circles and hollows with fullness
Cheeks and nasolabial folds: Restore volume for three-dimensional definition
Chin and jawline: Shape a sharp facial contour
Back of hands and décolletage: Correct age-related volume loss
Features
High-concentration purification improves graft survival rate
Fat is purified using a dedicated centrifuge to remove dead cells, blood, and excess fluid. By concentrating fat cells with high viability, the graft survival rate is improved compared to conventional fat transfer. A systematic review in Aesthetic Surgery Journal (2022) also demonstrated that optimization of the purification process significantly improves graft volume in facial fat transfer.
Natural feel and no allergy risk
Only your own fat tissue is used. Since no foreign materials are introduced into the body, the risk of allergic reactions and foreign-body granulomas is minimal. After engraftment, it maintains natural softness, and there is no artificial feel when touched.
Stem cell components improve skin quality
The stromal vascular fraction (SVF) contained in fat tissue is rich in adipose-derived stem cells, which promote neovascularization and tissue regeneration after transplantation. Beyond volume correction, improvements in skin firmness and radiance can also be expected (Stem Cell Research & Therapy, 2017).
Long-lasting results and repeatable procedure
Engrafted fat cells remain viable and persist long-term without disappearing in months like hyaluronic acid. Results also change naturally with weight fluctuations, making unnatural appearance unlikely. Multiple procedures are possible if you wish to enhance graft survival rate.
Pricing
Condensed Rich Fat Transfer - Harvest and Processing Fee
| Treatment | Price (incl. tax) |
|---|---|
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Condensed Rich Fat creation only
| Treatment | Price (incl. tax) |
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Additional fees by treatment area
| Treatment | Price (incl. tax) |
|---|---|
| Mouth corners (marionette) |
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| Nasolabial folds |
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| Tear troughs (Gorgo lines) |
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| Under the eyes |
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| Chin tip |
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| Lips (upper or lower) |
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| Lips (upper and lower) |
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| Under eyes to tear troughs |
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| Cheeks |
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| Temples |
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| Forehead |
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| Backs of hands |
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※ All prices include tax.
FAQ
How does this differ from hyaluronic acid injection?
Hyaluronic acid is a synthetic filler that is typically absorbed and disappears within 6–18 months. Condensed-rich fat transfer uses your own fat cells, so the engrafted portion lasts long-term. Hyaluronic acid carries allergy risk and over-correction risk, whereas autologous fat has no allergy concerns and tends to produce natural results. However, fat transfer involves slightly longer downtime and longer procedure time, so we will discuss the merits and demerits of each approach and propose the optimal method.
ZetithAIに続けて聞く →What is the fat graft survival rate?
Graft survival rates vary among individuals, but with the Condensed-Rich technique, centrifuge purification removes impurities and concentrates living fat cells for injection, allowing more stable engraftment compared to conventional methods. Medical literature reports autologous fat transplant survival rates ranging from 20–80% overall (Aesthetic Surgery Journal 2022 systematic review), but improved purification technology is stabilizing survival rates. The final engraftment status stabilizes 1–3 months post-procedure, after which you can assess whether additional treatment is needed.
ZetithAIに続けて聞く →How much downtime is involved?
Swelling at injection sites (such as the face) largely subsides within 2–7 days post-procedure, and bruising typically resolves naturally within 1–2 weeks. The fat donor site (abdomen, thighs, etc.) requires compression garment wear for 1–2 weeks post-procedure. Severe pain is minimal and most patients manage well with pain medication. Most return to daily life and work with minimal disruption within 1–2 weeks, though intense exercise and prolonged bathing should be avoided for 1–2 weeks.
ZetithAIに続けて聞く →What precautions and contraindications should I be aware of after treatment?
On the day of the procedure, avoid strong pressure or massage on the injection sites. For one week post-procedure, avoid alcohol, intense exercise, and prolonged bathing; also avoid sun exposure. The fat donor site requires compression immobilization, so proper garment wear is necessary. Patients who are pregnant or breastfeeding, those with blood clotting disorders, or those with severe systemic disease may not be candidates for this procedure. Details will be provided by the physician during consultation after confirming your physical condition. Please feel free to schedule a consultation via LINE or phone.
ZetithAIに続けて聞く →Consultations about this treatment are free.
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