Robert Whitfield MD explains the SHARP method for fat transfer, which prioritizes careful patient selection, minimal tissue trauma, and strategic placement to reduce complications like oil cysts and necrosis. The approach focuses on preserving blood supply and avoiding overgrafting for predictable, lasting results.
We want to make the fat transfer process extremely predictable, and I feel like following the sharp method and the way we prepare patients does make that more predictable for patients. The the idea that fat transfers are either hard to do or they won't last or unpredictable is, I don't think, appropriate. I think it's not the right message to send the patients. I think it's more about identifications, patient selection, preparation, minimizing tissue trauma, really being respectful of the blood supply, placement of the fat. I avoid overfilling to avoid problems with oil cysts and necrosis. I try to be very strategic with my placement and don't. I don't over graft to try to avoid problems. Of course, it just needs to be done selectively and carefully in the cases and you can get really nice results.
