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The Benefits of Fat Grafting in Facial Reshaping Surgery

Facial skeletal surgery, what I often call facial structural surgery, offers many options for changing the form of the face. From jaw repositioning to bone reshaping to implants, significant foundational changes can be done. While much of facial skeletal surgery is done in the young (under age 45), this does exclude older patients as well. Read More…

The Art and Science of Fat Grafting – Part 3. Graft Injection

The third and final part of the fat grafting process is that of the injection technique. Injecting the fat into the desired site seems the simplest part of the process and has very little dependence or devices or any mechanized methods. It is a purely manual process. that represents the most ‘artistic’ part of the Read More…

The Art and Science of Fat Grafting – Part 2. Graft Preparation

Much focus has been on fat graft concentration which is the singularly most studied factor on graft survival. Like fat graft collection, it is most often a device-driven part of the process. Three main techniques exist for graft concentration including gravity separation, washing, and centrifugation. Each method has their own advantages and disadvantages. Centrifuges have Read More…

The Art and Science of Fat Grafting – Part 1. Graft Harvest

It has been shown in numerous experimental studies that fat graft survival and the volume retention that results is from the number of fat cells (adipocytes) surviving the transplantation process. While accompanying stem cells and other companion cells may have a contributing role in creating some of the augmentative effect (preadipocyte conversion), this cellular event Read More…

Recipient Site Behavior of Fat Grafting

Fat grafting has become a very popular method of soft tissue augmentation. While it is not always completely effective due to post-transplant absorption, it is always very safe given the natural composition of the graft. When effective the initial augmentation result can be quite good but its long-term effects are not really known given its Read More…

Options in Cheek and Midface Enhancement for the Aging Face

The one facial feature that is most associated with a youthful looking face is that of the cheeks. Firm uplifted and rounded cheeks are what is seen in younger people, flat deflated cheeks are usually seen as many people age. It is the loss of cheek volume that contributes to a tired looking and aged Read More…

Fat vs. Implants for Buttock Augmentation

While implants offer a permanent buttock augmentation effect, they are associated with a much longer recovery period. One must be very selective in choosing patients for implants while one can be a lot more lax about who opts for fat grafting. If there is an equivocal choice between fat or implants for buttock augmentation, I Read More…

Tracheostomy Scar Revision Using Fat Injections

  A tracheotomy is a life-saving operation but will usually leave a scar deformity when it is removed. This is due to the sustained pressure of the tube through the neck tissues and that, when the tracheostomy is removed, the wound is allowed to heal by secondary intention. Thus it is not surprise that wide Read More…

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