**Abstract**

The material harvested during liposuction is discarded but the fat used for fat grafting must be preserved and not polluted by the products used for tumescent anaesthesia. The "Island technique" used for decades during the FAMI procedure (Fat autografting Muscle Injection), provides samples of fat which had no or little contact with the lidocaine. The first step of the injection is made between the muscle and fat deposit and the second step between the deep skin layers and the same fat deposit. It is one important factor of the successful outcome of our adipose SVF grafting in hundreds of cases of reconstructive and aesthetic surgeries since 1998.

**Keywords:** liposuction, harvesting fat, fat transfer, FAMI
