“No, it works to lift the facial structures and remove excess skin but it really doesn’t address the real causes of the aging face.” “The effects of aging in the face consist of three elements: Loss of facial volume, we deflate, Loss of elasticity, especially in the neck, and Loss of the smooth texture of the skin, we have fine lines and rough surface. So pulling and stretching just results in a look that looks pulled and stretched. And doesn’t address the root causes of aging in the face”

What about the mini-facelift and fillers?

“ I was one of the first plastic surgeons in the area to adopt the concept of the mini-facelift and have been performing this procedure for more than 20 years The idea was to minimize the scar and yet to tighten the deeper layers to get the effect. It worked but didn’t address the effects of aging around the mouth, eyes and cheeks. Fillers such as Restylane® or Juvederm® work as well but are only temporary fixes and end up being very expensive.”  “In order to restore a more youthful appearance we had to find a very effective permanent way of restoring volume to the face, elasticity to the neck and an effective way to resurface the skin.”

Dr. Singer I understand that you have some exciting news to tell everyone about a new concept in plastic surgery.

Yes, “As a board certified plastic surgeon with more than thirty years of experience with facial rejuvenation, I realized that we had been missing some very important information. For years, we thought that the facelift, in which the facial skin and deeper layers had to be pulled and stretched upward, was the best way to make you look younger. Most plastic surgeons were performing very extensive surgical procedures such as deep plane facelift. No one realized that the reason the results looked pulled and stretched and didn’t last very long was that we weren’t really restoring youthfulness. Now there is a better more natural way”

You mean that a facelift really doesn’t work!

“No, it works to lift the facial structures and remove excess skin but it really doesn’t address the real causes of the aging face.” “The effects of aging in the face consist of three elements: Loss of facial volume, we deflate, Loss of elasticity, especially in the neck, and Loss of the smooth texture of the skin, we have fine lines and rough surface. So pulling and stretching just results in a look that looks pulled and stretched. And doesn’t address the root causes of aging in the face”

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Cjeck this out for Questions and Answers about plastic surgery

Q & A with Joel B. Singer, MD

Fat grafting is extremely technique dependent. The viability of the fat cell is a key ingredient to the sucess of this procedure. The injection technique can be performed to respect the integrity of the breast. Fat necrosis and calcification are less likely to happen with current techniques. Obscuring the diagnosis of breast cancer is a concern but scar tissue, breast implants and other factors can obscure the diagnosis. Is fat grafting more problematic than a silicone breast implant? I don’t think so.

Recent developments worldwide have given rise to a change of opinion about fat grafting to the breast and I believe it will become commonplace in the US in the near future.

Successful butt enhancement usually requires special techniques and consideration. For instance the areas surrounding the buttocks have to be sculpted in such a way as to enhance the buttock shape prior to the fat transfer. Hips, outer and inner thigh liposuction should be performed first. Quite often the area of the lower back just above the buttocks is an area that must be addressed.
Successful fat grafting depends upon the following factors:
1. Harvesting of viable fat cells
Fat can be harvested by syringe but that can be a very time consuming procedure. Using a traditional liposuction machine, laser lipo or ultrasonic lipo machine is a waste of time because the fat cells will die in the process.I have been thrilled with the use of the Body Jet machine for the initial lipo sculpting and harvesting of very viable fat. The fat is extracted in a gentle manner using the water assisted system set on low and the suction machine is used on half strength. The fat is collected in a special device that filters out unwanted particles, and extracts the water leaving intact concentrated fat cells that can be re injected.
2. Injection technique
The fat has to be injected using a 2-2.5 mm. cannula tunneling in a honeycomb manner at the appropriate level. The first level is in the gluteus muscle fascia and muscle itself. To achieve a lift the upper portion of the muscle is enhanced first. After the volumetric change has been achieved, additional fat is injected into the subcutaneous tissues to smooth out dimples, wrinkles and to give the buttocks a better shape. Approximately 300-500 cc of fat is usually necessary for each side.

O brasileiro Butt Lift e injeção de gordura para as nádegas estão descrevendo o mesmo procedimento. No entanto reforço bunda bem sucedida geralmente requer técnicas especiais e consideração. Por exemplo, o entorno das nádegas têm de ser esculpido em forma para melhorar a forma das nádegas antes da transferência de gordura. Hips, lipoaspiração na coxa externa e interna devem ser feitas primeiro. Muitas vezes a área da região lombar um pouco acima das nádegas é uma área que deve ser abordada.

enxerto de gordura bem sucedida depende dos seguintes fatores:

1. Colheita de viabilidade das células de gordura

A gordura pode ser colhido com seringa , mas que pode ser um processo muito demorado . Usando uma máquina tradicional lipoaspiração , lipo laser ou máquina de lipo ultra-sônica é um desperdício de tempo porque as células de gordura vão morrer no process.I ter ficado entusiasmado com o uso da máquina Jet Corpo de lipo escultura inicial e colheita de gordura muito viável . A gordura é extraída de uma maneira suave utilizando a água do sistema assistido de inserção baixa e da máquina de sucção é usada em meia força. A gordura é coletado em um dispositivo especial que filtra as partículas indesejáveis , e extrai a água deixando intactas as células de gordura concentrada que pode ser novamente injetado.

2. técnica de injeção

A gordura tem de ser injectado com uma 2-2,5 mm. cânula de encapsulamento de uma forma de favo de mel , no nível apropriado . O primeiro nível é na fáscia do músculo glúteo e do músculo em si. Para conseguir uma elevação da porção superior do músculo é maior em primeiro lugar. Após a alteração volumétrica tem sido alcançado , a gordura adicional é injetado no tecido subcutâneo para suavizar as ondulações , rugas e dar as nádegas de uma melhor forma. Cerca de 300-500 cc de gordura é geralmente necessária para cada lado.

El éxito de injertos de grasa depende de los siguientes factores:

1. La recolección de células viables de grasa

La grasa se puede cosechar con una jeringa , pero que puede ser un procedimiento muy laborioso. Usando una máquina de liposucción tradicionales, lipo con láser o ultrasonidos máquina de liposucción es una pérdida de tiempo porque las células grasas mueren en el process.I quedaron impresionados con el uso de la máquina Consejo de Jet para la lipo escultura inicial y la recolección de grasa muy viable . La grasa se extrae de una manera suave utilizando el sistema de agua asistida de implantación baja y la máquina de succión se utiliza en la mitad de la fuerza. La grasa se almacena en un dispositivo especial que filtra las partículas no deseadas , y extrae el agua que se mantengan intactas las células de grasa concentrada que se puede volver a inyectar.

2. Técnica de inyección

La grasa tiene que ser inyectada con una 2-2.5 mm. cánula túnel de forma de panal en el nivel adecuado . El primer nivel es en la fascia del músculo glúteo mayor y el músculo sí mismo. Para lograr un estiramiento de la parte superior del músculo es mayor en primer lugar. Después del cambio volumétrico se ha logrado, grasa adicional se inyecta en el tejido subcutáneo para suavizar hoyuelos , arrugas y dar las nalgas de una forma mejor. Aproximadamente 300-500 cc de grasa suele ser necesario para cada lado.

Successful fat grafting depends upon the following factors:

1. Harvesting of viable fat cells

Fat can be harvested by syringe but that can be a very time consuming procedure. Using a traditional liposuction machine, laser lipo or ultrasonic lipo machine is a waste of time because the fat cells will die in the process.I have been thrilled with the use of the Body Jet machine for the initial lipo sculpting and harvesting of very viable fat. The fat is extracted in a gentle manner using the water assisted system set on low and the suction machine is used on half strength. The fat is collected in a special device that filters out unwanted particles, and extracts the water leaving intact concentrated fat cells that can be re injected.

2. Injection technique

The fat has to be injected using a 2-2.5 mm. cannula tunneling in a honeycomb manner at the appropriate level. The first level is in the gluteus muscle fascia and muscle itself. To achieve a lift the upper portion of the muscle is enhanced first. After the volumetric change has been achieved, additional fat is injected into the subcutaneous tissues to smooth out dimples, wrinkles and to give the buttocks a better shape. Approximately 300-500 cc of fat is usually necessary for each side.

The trouble with fat grafting is that it is very technique dependent. The fat must be harvested in such a way as to preserve the integrity of the fat cells. Ordinary liposuction, laser liposuction and ultrasonic liposuction that disrupts the cell membrane of the fat cell will not produce living fat cells. Concentration of the fat and washing the fat will also affect the results. The injection technique is very important. Surgeons with a great deal of experience with fat transfer will tell you that the results are permanent. I think that the reports that the “fat didn’t take” are the result of procedures in which the technique was poor and the fat grafts were not viable. Of course as you age there will be loss of volume in your face and the fat grafting procedure may have to be repeated.

Fat grafts take better in more highly vascularized area such as the face and do not do as well in highly mobile areas such as the lips. I have had great results with fat grafting of the buttocks and breasts using the harvesting module of the Body Jet machine. The Body Jet harvests the fat very gently and results in 85% viability of the cells. The water pressure and well as the suction level can be adjusted to get the best results. The fat is washed, filtered and the water is extracted all at once.

Many women find themsevles with loss of the fatty tissue in the buttock area. This can happen as a result of hereditary factors, weight loss, anatomical variations or aging. What if you could have the unsightly bulges of your hips, lateral or medial thighs taken away and “recycled” and used to enhance the size and shape of your buttocks. Forget about artificial buttock implants that can get infected and extruded. Use your own fat.

The Body Jet fat harvesting cannister is just the answer to this problem. In a single procedure Dr Singer can give you a more shapely figure and a better butt. Just call the office and find out more about the amazing procedure.