Posts Tagged "fat graft"

Buttock implants results will vary depending on the underlying anatomies, and the use of simultaneous procedures such as liposuction and/or fat graft, according to the California Surgical Institute website.


Due to the inherent position of the buttock implants—they are positioned above the bone where the patient sits—they can only augment about the upper half portion of the buttocks. The lower and the later aspect (or hips), meanwhile, will experience no improvement.


buttock implants results

Despite the “limitations” of buttock implants, they remain the best option for patients with little fat to spare for buttock augmentation via fat transfer, or more commonly referred to as Brazilian butt lift.


To achieve smoother and “sultrier” buttock implants results, they are commonly combined with liposuction, which is particularly helpful in reshaping the flanks and lower back. Its goal is to “curve out” a more feminine silhouette and to further improve the shape and projection of the buttocks.


Liposuction can also eliminate the unwanted fat in the posterior thigh to further achieve proportionate results.


Instead of throwing the collected fats during liposuction, these could be later used to further reshape the “backside,” a technique medically referred to as fat transfer or fat graft. As a stand-alone procedure, this can provide good results provided that the patient has sufficient amount of unwanted fats.


If fat transfer is incorporated into buttock implants, it must be performed separately lest the pressure from the prostheses can lead to low survival rate of the fat grafts. It is important to note that blood vessel ingrowth is critical to achieve long-term results from this procedure.


Since the implants will have very little effect on the lateral aspect of the buttocks (or hips), about a third of the fat volume is ideally injected into the area. The remaining is then used to “thicken” the soft tissue and prevent or at least minimize implant palpability.


Simply put, buttock implants results combined liposuction and/or fat grafting can be impressive provided that the surgical techniques take into account the patient’s underlying anatomies and personal preference.

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Lower and upper eyelid surgery is not just about removing the excess skin and fat. A more important objective is to rejuvenate one’s appearance without resulting in surgical stigmata such as visible scars and “skeletonized” eye socket.


Celebrity Beverly Hills plastic surgeon Dr. Tarick Smiley has recently posted a Snapchat video to demonstrate how the “right” techniques in lower and upper eyelid surgery can deliver natural-looking, rejuvenated results that are almost near permanent.


lower and upper eyelid surgery

The patient shown in the video has loose skin in her upper lid; this “heaviness” has some effect on her vision. She also has “crepe-like” skin and excess fat in her lower lid that further contributed to her aged appearance.


Dr. Smiley first performed the upper eyelid surgery by creating an incision pattern whose resulting scar would lie precisely at the existing eyelid fold to avoid surgical stigmata. He removed a larger amount of skin tissue (compared to “average” patients) because of her rather significant ptosis (droop).


Aside from removing the excess skin, the surgeon also excised a small piece of muscle and fat to further eliminate the “fullness.” It is important to note that the upper eyelid surgery has no margin of error—i.e., removing more than the intended amount of tissue can lead to “incomplete blink” and ultimate result in a wide range of problems such as lid retraction, dry eye syndrome, and irritation.


To prevent over-correction, the celebrity plastic surgeon highlights the importance of “proper patient marking.”


“Before surgery marking is done in standing position because everything shifts [when one is in supine position] so I can accurately assess how much skin removal is ideal,” he says.


After removing the excess skin, he also excised a small piece of muscle and fat. Nonetheless, some fat must remain after surgery to avoid the skeletonized appearance, which is nothing close to looking natural, he further explains.


Dr. Smiley then proceeded with the lower eyelid by creating a small incision very close to the lower lash line so the resulting scar would be perfectly concealed. In this procedure, he also removed a small piece of excess skin and “isolated” a tiny portion of fat that was later excised.


To prevent an abrupt transition between the lower eyelid and upper cheek, the surgeon injected fat graft into the tear trough. This additional procedure could also make the results more “stable” and would resist the effects of continuous aging.


Apart from proper scar placement, wound closure is also critical to hide any surgical stigmata. For this reason Dr. Smiley uses very fine sutures that are smaller than the human hair when closing the incisions.

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Facelift with cheek implants. Is it always necessary to combine the two procedures?


First and foremost, facial aging is not just about the loose skin and deep wrinkles, hence pulling and tightening the skin tissue does not always work as a stand-alone procedure if the goal is to achieve a more youthful and “refreshed” appearance.

facelift with cheek implants

Renowned Los Angeles plastic surgeons suggest that a multi-level approach works for many patients desiring to achieve a more youthful countenance. For this reason, facelift with cheek implants (or any other form of “volumizers”) has become a routine procedure.


A standard facelift rejuvenates the lower eyelid, mid face, jaw line, and upper neck by lifting the saggy skin and tightening the facial muscles. If needed, it will also reposition the saggy cheek fat pads, leading to a more angular or heart-shaped face, which is an improvement from its previous boxy appearance.


However, not everyone has sagging cheek fat pads. Naturally thin and “athletic” patients may lack facial fat, which can be compensated by cheek implants, dermal fillers, or structural fat grafting. It is important to note that the ideal volumizer will depend on two key variables: their goals and their underlying anatomies.


While dermal fillers injection could provide the same effects as cheek implants, their results only last four to six months, thereby they require regular touch-ups which in the long run will cost more.


Fat grafting is another alternative to cheek implants, although its results is highly variable because each surgeon has his own preferred technique. But basically this involves collecting donor fat from one area of the body, processing it to remove the biomaterials such as blood, and then re-injecting it into the recipient site.


Simply put, cheek implants are the ideal choice for someone seeking a more predictable and permanent solution for hollowed-looking mid face. Nowadays, most of them are made of solid silicone that can be easily extracted should the patients are not happy with the initial results.


Some patients may avoid or at least postpone facelift by filling in the cheeks with implants, fat graft, or dermal fillers, depending on their ultimate goals and expectations.


By filling in the hollowed cheeks, one of the leading Los Angeles plastic surgeons Dr. Tarick Smiley says it may soften the laugh lines, decrease the downturn of the mouth, minimize the hollowness of the lower eyelid, and provide some “lifting effect.” For this reason, some people choose to have cheek implant surgery and then wait for a few years before they resort to a more extensive procedure usually in the form of facelift, he further explains.


As long as the cheek implants have been properly secured onto the bone, a facelift in the future will not be able disrupt them, he adds.

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Mini facelift scars differ from patient to patient, although a good surgeon will make every effort to place them behind the hairline and within the ear’s contour, as suggested by Los Angeles plastic surgery experts.

In broad terms, a mini facelift uses shorter and/or fewer incisions than the traditional technique.

In traditional facelift, a continual incision that begins 2-3 inches above the ear in the temple area and goes in front and behind the ear is used. Sometimes, it is extended into the nape area still behind the hairline to hide the scars.

mini facelift scars

Mini facelifts, meanwhile, often use the same scar pattern although 3-4 inches shorter than the standard technique. Meanwhile, they are generally suitable for “younger” patients who just want to look refreshed, as opposed to a drastic change in their appearance.

Aside from the shorter mini facelift scars, they could also result in less bruising and swelling, and ultimately shorter [social] recovery.

Despite the use of shorter scars, it remains ideal to lift the deeper muscular layer, not just the skin alone, to make sure that the results will look natural and the scars will not spread or migrate because the skin receives very little tension. The consensus is that a properly executed mini facelift can last an average of 5-7 years.

Aside from better long-term results, going deeper also allows the incisions around the ear’s contour and behind the hairline to heal and fade into fine imperceptible scars after about a year.

Some studies have suggested that having facelifts while the skin has not yet sagged to a significant degree (late 40s and early 50s) may provide results that look more natural and last longer than surgeries at a more advanced age.

Mini lifts are also ideal for patients who want a “conservative” improvement and would only get minor corrections every 5-10 years to maintain their rejuvenated appearance.

Regardless of the facelift technique used, the surgery does not address all visible signs of aging, especially those related to facial volume loss or soft tissue atrophy (shrinkage). For this reason, a good number of patients will also benefit from adjunct procedures in the form of dermal filler injection and fat graft.

Dermal fillers such as Restylane and Radiesse are believed to favor patients with deep creases, while fat graft is more ideal for individuals with large hollowed areas such as the cheeks, according to some experts from Los Angeles plastic surgery.

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Liposuction and buttock augmentation, a combo procedure more commonly referred to as Brazilian butt lift, aims to reshape the patient’s derriere using her own donor fats, according to California Surgical Institute website.

Liposuction is the process of removing excess superficial fats (beneath the skin) to improve the body’s overall contour. But instead of throwing them away, they can be later used to reshape or augment the buttocks, breasts, cheeks, or any area that can benefit from additional volume.

liposuction and buttock augmentation

It is important to use “gentle” liposuction techniques—no laser or ultrasound devices that can destroy the cellular structures of fats—so the fat grafts can be later used to reshape and augment the buttocks.

To collect fats from donor sites, most doctors today prefer suction-assisted liposuction in which microcannulas are used.

Microcannulas are suction probes with an outside diameter of less than 3 mm, so they can fit into tiny incisions that fade into imperceptible scars about six months after surgery. In addition, they provide smoother results because they remove fats in smaller bits rather than in large chunks, thus giving surgeons better control, as opposed to the use of larger cannulas.

However, the real advantage of microcannulas in fat graft surgery is that they only collect the smallest fat particles, which have a high survival rate and can provide natural-looking, smooth results.

While the abdomen is often abundant in fat, making it a good donor site for most patients, it remains ideal to liposuction the areas around the buttocks so they will “stick out” more.

The buttocks may look flat in profile view if there is excess fat above them, so it always makes sense to contour the area with liposuction. Some patients will also need their thighs to be included to further create a curvy lower body.

Even without fat graft, sometimes liposuction around the buttocks and thigh is enough to improve their profile and overall appearance.

The average cost of liposuction and buttock augmentation (as a combo procedure) is $10,000, although some patients who need an extensive amount of work may expect paying up to $15,000 for their surgery.

The consensus is that the patients will mostly pay for their surgeon’s experience, which has a large influence on the success of their Brazilian butt lift surgery, a practice that combines art and science.

A properly executed Brazilian butt lift can provide natural looking and near permanent results.

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