March
2009
Size of the Forearms Enhanced by Coleman Fat Grafting2
Undersurface of forearm before (a,c) and 20 months after (b,d) one session of Coleman fat grafting
Back of forearm and hands before (above) & 20 months after (below) one session of Coleman fat grafting.
Whether forearms are small from birth defects, have missing areas as result of scarring from an accident, or have not grown enough despite a bodybuilder’s efforts, there are alternatives. One of the alternatives is structural fat grafting.
A 36 year old amateur bodybuilder presented frustrated because his forearms had not developed as well as the rest of his body after years of trying.
For this patient a thin layer was placed under the skin over a large portion of the forearm and back of the hand. In addition, some of the fat was used to sculpt the appearance of the forearm by filling in areas which the patient felt were especially deficient. A total of 201 ml of refined fat was placed in the right forearm and 192 ml on the left. In addition 29 ml was placed over the back of each hand (30 ml is an ounce). For safety reasons, no fat was infiltrated deeply into the muscles or around the muscles.The patient returned 20 months after the procedure, thrilled with the results, but desiring more volume still. He has obviously continued to exercise, but he feels that most of the change is from the fat grafting. Of particular note, he is surprisingly more vascular in appearance despite the superficial placement of the fat.
It’s great that you can correct a forearm deformity with fat grafting. I was in an car accident four years ago. During my reconstruction surgeries, the plastic surgeons removed part of my forearm to cover the injured area. This has left me with a noticeable defect in my forearm, depressed and the skin is darker. Could you apply this technique to my problem?
Chuck,
Fat grafting is potentially a solution for you. Injected fat graft can fill in depressed areas and can help lighten dark pigmentation. Depending on how the donor site in your forearm was closed after your procedures, you will definitely have some scarring present, which may limit the amount of improvement possible. After examining you in person, I will be better able to advise you. Please call Renee in our office and she can help you more.