Scalp Lipofilling

Scalp Lipofilling

dancraig975  |  visitor  |  London, City of
Hello everyone,

I am new to the forum.
I was wondering if it is possible to use the lipofilling tecnique to shape your head?
I am 30 years old and losing my hair, my head due to an accident of a few years ago it is not perfectly rounded but presents a small concave area which was previously covered and now I would like to fix this before shaving my head.

Do you know if lipofilling can apply to the scalp skin?
Would the cost of the procedure be around the average?
Would it be permanent?

I am looking forward to hearing form you.

Many Thanks !!!

Dr. med. Wolfgang Thriene  |  Basic member  |  General Practice for adults  |  Munich
  • 224 answers
According to my opinion lipofilling is not suitable for shaping your head.

Best regards!

Dr. Thriene
Prof. Franco Migliori  |  Basic member  |  Plastic surgery  |  Genoa, Cuneo, Milano
  • 123 answers
At the time being nothing has been scientifically tested and published about the use of lipofilling on the scalp.
But lipofilling has been widely used on the face for hemiatrophies, palsies, rejuvenation. More than that, it has been widely used for scar treatment and restoring, and it is sperimentally tested for baldness treatment. Last but not least, scalp is a very well vascularized anatomical district, which provides good feeding for the fat to survive.
So, answering your questions:
1) Lipofilling is reasonably supposed to apply to the scalp skin;
2) There shouldn't be any significant difference in the cost of the procedure, it depends on the number of treatment requested (2/3?);
3) The amount of fat survived (30%?, 50%?, 70%?, that's unpredictable) is reasonably permanent, because it is a well integrated tissue of yours.
29kiska  |  visitor  |  California
  • 2 answers
Please Help
29kiska  |  visitor  |  California
  • 2 answers
Hello Prof. Migliori,
I am sorry, I have been struggling with the site, and not sure if you got my email. But I am sending one more just in case you did not. Plus I didn't leave my email address in the last one since I thought it will be posted publicly.
I was researching a hair loss problems, (I am Russian female 31 years old, loosing my hair for the passed 4 years) and came across scalp lipofilling. It was on some Russian site, and they mentioned this theory:

"The gravity with periode of time makes our skin thinner and follicules can not get enough blood supply, what eventually cause hair loss. And possibly if you do fat lipofilling in the scalp it will provide better "Soil" for growing back healthy hair."

I don't think they did the procedure, it was just a theory...
So I started to research that topic, and came across your respond to a question from Craig about scalp shaping.
You are saying there were experimental testing of a scalp lipofilling have been done for baldness treatment.

Have they came to conclusion? How long ago were they testing it? Any results? Positive? Negative?...

It is so devastating! I am a afraid I won't be able to find a husband in few years.... My part is getting wider.
All my blood tests coming back normal. Testosteron is good, hormon level - good. Vitamin level too. Except my cholesterol is slightly higher (cause I love butter) - I AM HEALTHY!!!

I hope to hear from you.

Please respond to

Thank you for your time.



Reply to 29kiska

Dr. Alfredo Harris Dominguez  |  Basic member  |  Plastic surgery  |  Tijuana
  • 310 answers
Except for the first reply, everybody else is missing the real question. She is asking for lipofilling to prevent hair loss, baldness. Elena is not deformed or looking to reshape her head structure.

Good luck to you Elena.

Reply to 29kiska

CSSC International +  |  Basic member  |  Lahore Stockholm
  • 603 answers
Scalp lipofilling has been done in the past. Harsh et al reported on the use of layers of abdominal fat, with fibrin glue, and fascia lata graft to cover the exposed dura, following removal of clival chordomas in 10 patients. We have been performing fat transfer for decades, and recently, I pioneered the Quick Fat Transfer, which has superior aesthetic results to all previous fat transfer techniques, with prolonged fat survival. Scalp lipofilling has been discussed in our book chapter, in our book, Autologous Fat Transfer by Springer; chapter: Fat Transfer for Non-Aesthetic Procedures. Two to three sessions may be required in the scalp for adequate filling. Regarding female hair restoration, we use not scalp lipo-filling, but injection therapy, and topical, and oral medicines. This has 100% result in the females, as well as males, and in females, all fallen hairs, come back. the intensive treatment may last a few weeks. Hair transplant is the other option. It takes only few hours under local anesthesia, and you can fly back to your country, as early as 3rd day, after the procedure.

with Best Wishes

Dr.H.A.Khawaja, MD; Diploma Approved BY:American Board of Cosmetic Surgery
Cosmetic Plastic Surgeon & Dermatologist
Priv.-Doz. Dr. Georg M. Huemer MSc, MBA  |  Basic member  |  Plastic surgery  |  Linz
  • 168 answers
Dear Daniel,

Lipofilling on the scalp is of only limited valua since it is a very tight anatomical structure. The amount of fat that can be injected is very small and from that portion a significant amount will fade over time.
The reuslt that you will get from it is thus very limited.
Knowing this now, it is a reasonable procedure if your expectations match the above mentioned facts!

best regards,
G Huemer
Dr. Alfredo Fernández Blanco  |  Basic member  |  Plastic surgery  |  Madrid
  • 3 answers
I don't think that is a good idea to use fat to feell the concave. Usually there are not fat under the scalp. It will be better to fix a silicone prothesis.
Yours faithfully Dr. Fernández Blanco
Dr. Carlos Cordoba  |  Basic member  |  Plastic surgery  |  Montreal
  • 146 answers
hello daniel

unfortunately i must disagree with all but one of the above doctors on this forum. i do fat grafting to many areas of the body:breast, buttocks, hands, face, nose, post breast mastectomy, congenital deformities and yes the head. yes we can use bone, prosthesis, & metal implants, to reconstruct the cranium. i do lipofilling to reshape the skull. it is not for everyone and may require more than 1 procedure.

ifyou do not want implants or donate bone from other aress of your body and you have some adipose tissue reserves then you may be a good candidate.
Dr Cordoba

4055 Ste-Catherine Ouest
Suite 100
Montreal, QC
Canada H3Z3J8

Dr. med. Thomas Rappl MD  |  Basic member  |  Sports Medicine  |  Laßnitzhöhe, Klagenfurt Paris
  • 70 answers
Good morning,
there are several procedures which are more promising than fat grafting in this area. Of course you can achieve some result with fat frating, but you should know that one procedure will not be enough to get a sufficient result. An other therapy would be to use fillers like Radiesse. This is a log lasting, but nervertheless resorbable filler, which gives good results. The third option would be to use implants,or even a free flap if there is a huge contour defect.

Kind regards

Thomas Rappl
Prof. Dr. med. Nektarios Sinis  |  Premium member  |  Plastic surgery  |  Berlin
  • 685 answers
Lipofilling is an excellent method for small defects and deformities in the face area. However, in order to meet what you are looking for I would not recommend lipofilling. Without knowing your particular situation it sounds to me that you could need a custom-made silicon implant for that area. However, if you want to share your images depicting your problem please get in contact via my homepage:
dcssalman  |  visitor  |  Islamabad
  • 41 answers
  • 1 Like
very use full information

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