FAMI
FAMI stands for Fat Autograft Muscular Injection, a highly specialised technique for autologous fat transfer developed by the French surgeon Dr Roger Amar.
In the field of autologous fat transfer for facial rejuvenation, there are constant advances aimed at achieving longer-lasting and more natural results. One of the most advanced, yet also most demanding, techniques is the FAMI method. It goes a decisive step further than traditional lipofilling and utilises the biological advantages of the facial musculature to achieve superior results.
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Important note
This article is for information purposes only and is not a substitute for a medical diagnosis or advice. If you are unsure, or if you require a personalised treatment plan, it is essential that you consult a qualified specialist.
High-risk procedure — the choice of surgeon is crucial
The FAMI technique is a high-risk procedure reserved for specialists. Choosing the right surgeon, with a proven track record of qualifications, is of crucial importance here.
Definition: What does FAMI stand for?
The acronym and its meaning
FAMI is an acronym that stands for two very similar terms:
- Fat Autograft Mmuscular IInjection (fat graft muscle injection)
- Facial Aautologous Mmuscular IInjection (facial injection using the body’s own muscle tissue)
Both terms describe the same, highly specialised technique of Autologous fat transfers, which was developed by the French surgeon Dr Roger Amar. The key feature of the FAMI technique is that the processed autologous fat is injected not only under the skin, but directly into the underlying facial muscles is injected to correct age-related volume loss in the deeper layers.
The mechanism of action: the muscle as the perfect breeding ground
The logic behind the FAMI technique is based on the biology of the tissue. Unlike the rather sluggish subcutaneous fatty tissue, facial muscles are extremely well supplied with blood. By injecting the processed fat and stem cells directly into this „nutrient-rich environment“, they are immediately provided with an optimal supply of oxygen and nutrients.
This is expected to result in a higher growth rate of the transplanted cells, as the muscles receive an optimal blood supply, and thus lead to a more stable and long-lasting result than with conventional lipofilling.
FAMI vs. traditional lipofilling: The key difference
| Characteristic | FAMI Technology | Traditional lipofilling |
|---|---|---|
| Injection site | Directly into the facial muscles | Into the subcutaneous fatty tissue (between the skin and the muscle) |
| Objective | Structural deep-layer restoration, correction of volume loss | Superficial volume restoration, smoothing of wrinkles |
| Growth rate | Potentially higher | Good, but lower than at FAMI |
| Requirement | Extremely in-depth knowledge of anatomy | A thorough knowledge of anatomy |
An experienced surgeon often combines both techniques in a single session in order to achieve a harmonious result both deep down (using FAMI) and on the surface (using traditional lipofilling).
Areas of application: Structural rejuvenation from within
The FAMI technique is not a method for treating fine lines, but rather a structural treatment to restore a youthful, plump appearance to the face. As we age, it is not only the skin and fat that lose volume, but also the muscles and even the bones. FAMI aims to compensate for this profound loss of volume.
Typical areas of application:
- Filling in sunken temples
- Restoring cheek volume
- Jawline contouring
- Correction of deep under-eye circles by supporting the underlying muscle
Risks & Requirements: Why expertise is vital here
Warning: This technique should only be carried out by absolute specialists!
Injections into the facial muscles carry enormous risks if performed incorrectly. The face is criss-crossed by very fine nerves (e.g. the facial nerve) and important blood vessels.
- Risks: An incorrect injection can lead to permanent nerve damage (paralysis, numbness), asymmetries or, in the worst-case scenario, the entry of fat into a blood vessel (Embolism), which can lead to blindness or a stroke.
- Requirement: The surgeon must be familiar with the exact location, depth and function of each individual facial muscle, as well as the precise course of all relevant nerves and blood vessels.
Given these extremely high risks, protection in the form of a Consequential Costs Insurance is particularly advisable for this type of specialist procedure. It protects you from the financial consequences of any complications that may require further medical treatment.
Frequently Asked Questions (FAQ) about the FAMI method
Only highly specialised consultants in plastic and aesthetic surgery or oral and maxillofacial surgery who have proven additional training and many years’ experience in this specific technique.
The results are very long-lasting. The fat cells that have developed remain in the body in the long term (>10 years), but continue to age naturally along with the patient.
The procedure itself is carried out under local anaesthetic or twilight sedation and is painless. The swelling and bruising may be slightly more pronounced in the days following the procedure than with a purely superficial treatment.
During your consultation, ask the doctor directly about their experience with the FAMI technique, how often they perform it, and about their training with the developers or recognised experts in this method.