Trifecta Facelift: Next-Level Face and Neck Rejuvenation

Trifecta Facelift is Dr. Lacerna’s signature surgery. The Trifecta Facelift is a safe and effective procedure that combines three great cosmetic techniques for long-lasting, transformative rejuvenation.


Fat Grafting

The second component of the Trifecta Facelift is regenerative medicine, where Dr. Lacerna uses the body’s own healing powers to enhance the results while accelerating recovery. Two of the most effective treatments are platelet rich plasma (PRP), derived from the patient’s own blood, and fat grafting, which borrows mesenchymal stem cells (which are rich in regenerative properties) from adult fat cells. Finally, serums with exosomes (used in cell communication) are applied to the skin immediately after the treatments to enhance healing and improve overall skin quality.

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The Benefits of fat grafting

Fat Grafting. There are many different reasons someone may choose to undergo a fat grafting. Patients looking for this procedure may choose to do so for these common reasons:
    • Natural and long-lasting results: Fat grafting uses the patient’s own body fat, making it a natural and safe option. Since the transferred fat is living tissue, it integrates well with the surrounding tissues and can provide long-lasting results. Foreign substances like fillers can be rejected by one’s body or can cause prolonged inflammation such as nodule formation, or may trigger allergic reactions. Since these are your own cells, they are recognized by your body and will therefore not activate these reactions. 
    • Enhanced appearance: Fat grafting can improve the contours and shape of various body areas. It is commonly used for facial rejuvenation, breast augmentation or reconstruction, buttock augmentation (Brazilian butt lift), and correction of deformities or defects. Fat grafting improvement of radiated skin and tissue from cancer treatment is a well known effective procedure that has been recognized for decades!
    • Minimal scarring: Fat grafting requires only small incisions for both fat harvesting and injection, resulting in minimal scarring compared to other surgical procedures.
    • Reduced risk of allergic reactions: Since fat grafting uses the patient’s own fat, there is no risk of allergic reactions or rejection.
    • Multi-dimensional improvement: Fat grafting not only adds volume but can also improve the quality of the overlying skin. The transplanted fat contains stem cells and growth factors that can rejuvenate the skin and improve its texture and tone.
    • Customization and versatility: Fat grafting allows for precise and individualized contouring, as the surgeon can sculpt and shape the transferred fat to meet the patient’s desired outcome.
    • Improved body symmetry: Fat grafting can help correct asymmetry or irregularities caused by factors such as congenital defects, trauma, or previous surgeries.
    • Adjunct to other procedures: Fat grafting can be performed alongside other surgical procedures to enhance their results. For example, it is commonly used in combination with facelifts, breast augmentations, and reconstructive surgeries.
    • Donor site improvement: The fat harvested for grafting is typically taken from areas with excess fat, such as the abdomen, thighs, or hips. This can lead to an improved body contour in the donor site, providing a secondary benefit.
    • Better cost ratio than fillers: Fillers can have a hefty cost as these are charged per 1 cc syringe, while fat grafting is charged per session. Typically, 30-50 cc of purified fat are utilized during a facial rebalancing procedure with fat grafting.
    • The gift that keeps on giving: While fillers dissolve over time, fat grafting sites settle, but do not go back to baseline. These are transplanted living cells that continue to enhance and regenerate for years to come.

Dr. Lacerna’s state of the art facility in Sarasota & Bradenton is THE one stop center for facial and skin rejuvenation, and anti-aging. Our 9,000 SF brand new facility is the home of LA PLASTIC SURGERY,  LA SKIN SPA, and ELITE AESTHETIC SURGERY CENTER.  In addition, our sister practice ORCHID DERMATOLOGY is in the same location for all your medical and surgical dermatology needs. We employ only the best, kindest and most caring staff in the industry. In addition, we are equipped with only the latest and most advanced aesthetic and medical devices available.

Preparing For Fat Grafting

During your consultation, Dr. Lacerna will discuss your goals, medical history, and any concerns you may have. The she will evaluate your suitability for the procedure and provide personalized advice as needed. Dr. Lacerna will  review your medical history, perform a physical examination, and ordering relevant tests such as blood work or imaging studies as needed prior to your surgery.  If you smoke, it’s important to quit several weeks before the procedure as smoking can impair healing.


Additionally, inform Dr. Lacerna about any medications, supplements, or herbal remedies you are taking, as they may interfere with the surgery or recovery process. It is important to remember that any Cosmetic procedures can have emotional implications. Take the time to reflect on your expectations, motivations, and possible outcomes. Discuss any concerns or fears with Dr. Lacerna to ensure you have a realistic understanding of the procedure.

Fat Grafting





Postoperative Fat Grafting

Dr. Lacerna may recommend wearing compression garments after fat grafting. These garments help minimize swelling, provide support to the treated areas, and help the newly transferred fat cells integrate into the surrounding tissues. It is normal to experience some discomfort or pain after the fat grafting procedure. You may be prescribed pain medications to manage any postoperative pain. Swelling and bruising are common after fat grafting. To minimize these effects, keep your head elevated when lying down, take anti-swelling medications such as anti-histamines as recommended, and avoid activities that could increase swelling.


We strongly suggest attending all scheduled follow-up appointments. These visits are essential for Dr. Lacerna to assess your progress, monitor healing, and address any concerns or questions you may have. It is important to keep in mind that the final results of fat grafting may take time to fully reveal. Swelling can persist for several weeks or months, and it may take several months for the transferred fat cells to settle and integrate into the surrounding tissues. Be patient and maintain realistic expectations throughout the recovery process. Make sure to continue utilizing all the skin care products Dr. Lacerna and her team has provided and recommended for you.

beautiful before & afters

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