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Fat Injections for Lower Eyelid Retraction

The use of fat for soft tissue augmentation and in various reconstructive problems is now widely used. While it may not always survive as well as often as would be desired, and occasionally survives and grows too well, its easy accessibility and introduction into tissues lends itself to broad applications. One of the now very Read More…

Facelift Approach in the HIV-Positive Patient

Facelift surgery is performed on a wide variety of patients, regardless of age, gender, race or medical condition. There are nuances in facelift surgery for all of these differing patient considerations that can alter the technique and the tissues manipulated to optimize outcomes. The greatest nuances amongst facelift techniques is in what tissues below the Read More…

Plastic Surgery’s Did You Know? Fat Cell Biology

Other than skin, fat is the most commonly manipulated tissue by plastic surgeons. Most people think of fat removal by liposuction when they think of plastic surgery by fat transplantation by injection is becoming increasingly popular. But when fat cells are removed or transplanted the questions are whether they will come back or do they Read More…

Fat Injections in the Hand for Raynaud Phenomenon

For those who are afflicted with Raynaud phenomenon, the influence of cold weather on their hands or feet  is all too well known. It is estimated that up to 2% of the population has Raynaud phenomenon in varying degrees and amount of symptoms. This is seen as vasoconstriction of part or all of the digits Read More…

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…

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