The Medical Agency's Guide to Fat Filler - Tokyo Edition

Overview

Autologous fat transfer (aka fat graft) is a surgical technique that removes fat from one part of a patient’s body (usually by gentle liposuction), processes it, and re-injects it into another area to restore volume, improve contour, or enhance skin quality. It’s used in the face, hands, breasts, buttocks and for reconstructive purposes.

2) How It's being used

Fat transfer is a versatile procedure that can be tailored to many needs. It’s commonly used for facial rejuvenation, restoring youthful contours and softness, and for hand rejuvenation, where it helps reduce the appearance of veins and tendons. It can also be applied in breast contouring to enhance shape or correct irregularities. Beyond aesthetics, fat transfer plays an important role in reconstruction, offering natural-looking results for patients recovering from surgery or cancer treatment.


Procedures, Risk & Recovery

1) Main Procedural Steps

Step 1. Fat harvesting
A small amount of fat is gently removed from your own body, usually from areas like the abdomen or thighs. (In some cases, donor or processed fat products may be available.)

Step 2. Processing the fat
The fat is carefully purified to remove excess fluids, oils, and damaged cells, leaving behind healthy, viable fat for transfer.

Step 3. Re-injection
The refined fat is re-injected in tiny, precise amounts across multiple layers to achieve natural, even volume.

Step 4. Dressing the sites
Both the donor and recipient areas are dressed and cared for to support smooth healing.

2) Recovery

1. Swelling and bruising
It’s normal to experience some local swelling and bruising at both the donor and treatment sites for 1–2 weeks after the procedure.

2. Final results
The transferred fat gradually settles, and the final volume and contour typically become visible within 3–6 weeks.

3) Benefits

1. Volume retention - the results can last for years.

2. Use your own tissue - so low allergy risk

3. Feels natural

4) Risks

1. It's a surgical procedure so there are inherent risks with infection

2. Oil cysts or lumps could develop.

3. Fat could dissolve so may require repeat procedures.

Sources:

[1] https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/surgical-fat-transfer/?utm_

[2] https://www.mdpi.com/2227-9032/11/10/1391?utm_

[3] https://bmccancer.biomedcentral.com/articles/10.1186/s12885-022-09485-5?utm_


1) Main Procedural Steps

Step 1. Fat harvesting
A small amount of fat is gently removed from your own body, usually from areas like the abdomen or thighs. (In some cases, donor or processed fat products may be available.)

Step 2. Processing the fat
The fat is carefully purified to remove excess fluids, oils, and damaged cells, leaving behind healthy, viable fat for transfer.

Step 3. Re-injection
The refined fat is re-injected in tiny, precise amounts across multiple layers to achieve natural, even volume.

Step 4. Dressing the sites
Both the donor and recipient areas are dressed and cared for to support smooth healing.

2) Recovery

1. Swelling and bruising
It’s normal to experience some local swelling and bruising at both the donor and treatment sites for 1–2 weeks after the procedure.

2. Final results
The transferred fat gradually settles, and the final volume and contour typically become visible within 3–6 weeks.

3) Benefits

1. Volume retention - the results can last for years.

2. Use your own tissue - so low allergy risk

3. Feels natural

4) Risks

1. It's a surgical procedure so there are inherent risks with infection

2. Oil cysts or lumps could develop.

3. Fat could dissolve so may require repeat procedures.

Sources:

[1] https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/surgical-fat-transfer/?utm_

[2] https://www.mdpi.com/2227-9032/11/10/1391?utm_

[3] https://bmccancer.biomedcentral.com/articles/10.1186/s12885-022-09485-5?utm_


Dr Eri Clinic - Omotesando

Dr Eri Katagiri's clinic is located in the affluent Omotesando area. She has rich clinical experience with more than 150,000 cases, and it's a celebrity hotspot!

She was a cosmetic surgeon at Tokyo General Hospital for 10 years amongst these accolades:


  • Certified Doctor can train hyaluronic acid injection technique from Garderma company

  • COMPLETED THE GALDERMA FACIAL ANATOMY COURSE from Garderma Acquired “COMPLETED THE GALDERMA FACIAL ANATOMY COURSE” from Galderma

  • Certificate of “Expert Guidance” from Allergan Japan 2018

  • Commissioner of Japanese Internal Medicine Association

  • Member of Japan Association of Cosmetic Dermatology

  • Commissioner of Japanese Orthopedic Association

  • Commissioner of Japan Obesity Association

  • Commissioner of Japan Circulatory Society

  • Commissioner of Japan High Blood Pressure Association

  • Commissioner of Japan Anti-Aging Medicine Association



Dr Hiroshi Nomura

Aiming for the clinical application of regenerative medicine, He joined the Department of Plastic Surgery at the University of Tokyo. After launching a breast reconstruction project using adipose tissue-derived stem cells, he pursued basic research during a period of study abroad in the United States. Upon returning to Japan, he engaged in clinical and basic research in regenerative medicine while founding a university spin-off venture manufacturing cultured supernatant skincare products. As a plastic surgeon, he continues to practice internationally as an expert in Body Contouring Surgery. In 2021, he opened N2 Clinic Hotel Chinzanso Tokyo with the theme "Personalized Regenerative Medicine". He also serves as a researcher at Kyoto University and a special medical advisor to Gakken Holdings, participating in international academic projects.

Specialized Qualifications

· Medical specialist,Japan Society of Plastic and Reconstructive Surgery(JSPRS)

· Certified Regenerative Medicine Physician, Japanese Society for Regenerative Medicine(JSRM),

· Clinical Culture Technician, Japanese Society for Regenerative Medicine(JSRM),

· Medical specialist,Japanese Society for Wound Healing(JSWH)

· Instructor in Pediatric Plastic Surgery, Japan Society of Plastic and Reconstructive Surgery(JSPRS)

· Certified Physician, Japanese Society of Anti-Aging Medicine(JAAM)

· Certified Physician, Japan Society of Travel Medicine(JSTM)

· Certified Technician, Japanese Society for Bioinformatics

· ISAPS (International Society of Aesthetic Plastic Surgery) Surgeon

· LipoLife Certified surgeon

· LipoLife Instructor

· LipoLife International Instructor

· Responsible surgeon for Breast Reconstruction Expanders/Implants

· Responsible surgeon for Breast Augmentation Expanders/Implants

· Botox Training Completion Physician

· Hyaluronic Acid Injection: Juvéderm Vistal Training Completion Physician

· Testosterone Therapy Certified Physician

· Online Consultation Training Implementation Registered Physician

· Emergency Contraceptive Prescription Training Implementation Registered Physician

· Designated Physician for Intractable Diseases

· Molecular Holistic Medicine Fasting Advisor

· Cosmetic Concierge (Japan Cosmetic Licensing Association JCLA)

· Skincare Meister (Japan Cosmetic Association)

· Cosmetic Ingredient Specialist (Cosmetic Ingredient Certification Association)

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How Do I Book A Clinic?

What if I’m not sure which clinic to choose?

Does it cost more to book through The Medical Agency?

Is it normal to be asked for things like passport copies?

Do I pay you or the clinic directly?

What happens if I change my mind — is there a cancellation fee?

FAQ.

How Do I Book A Clinic?

What if I’m not sure which clinic to choose?

Does it cost more to book through The Medical Agency?

Is it normal to be asked for things like passport copies?

Do I pay you or the clinic directly?

What happens if I change my mind — is there a cancellation fee?

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