If someone were to ask me what the most important revolution in plastic surgery has been in the last decade, there’s really only one answer. It’s the concept of natural fat transfer – taking fat from one part of the body and placing it in other areas. Like anything that’s relatively new, there’s going to be controversies, there’s going to be educational issues and nay-sayers. But actually, the concept of natural fat transfer has been around for a very long time. In my practice I’ve been doing this for over twenty five years. Well that’s a long time, and in that time is when you get the experience to really refine the techniques and realize that this is a very powerful and very wonderful procedure. Why does it work? It works because you’re taking something that’s a natural, healthy, living tissue, and you’re placing it somewhere eels where it can be accepted. The key points are to take the fat out in a healthy, gentle, way; to treat it in a healthy, gentle fashion while its being processed and concentrated; and then to inject it and place it into a bed where it will be accepted and thrive. If you don’t do all three of those together carefully and skillfully, it won’t survive. Patients do come in and say well we heard that it doesn’t work, that it all goes away. I have other patients who come in and they say we hear that it’s lumpy and it can be too much or uneven. Well, it’s hard to be both, and the answer is that it’s technique dependent. You have to pick a doctor who really knows their stuff; who really knows how to handle the fat, and how to place it in a very artistic fashion. If it’s done right it will survive and it’s permanent. If it’s done wrong it’ll either go away or it can be lumpy. But that doesn’t damn the procedure; it just provides the impetus to find the right person to do it in a safe and healthy way. I hope this helps. I’m Dr. Lawrence Koplin, and thank you for listening.