Author Topic: Cheekbone augmentation (Hydroxyapatite+fat transfer) with Dr. Joel Defrancq  (Read 15673 times)

earl25

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Re: Cheekbone augmentation (Hydroxyapatite+fat transfer) with Dr. Joel Defrancq
« Reply #45 on: February 01, 2017, 11:16:44 AM »
would fat even survive if placed over HA?

earl25

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Re: Cheekbone augmentation (Hydroxyapatite+fat transfer) with Dr. Joel Defrancq
« Reply #46 on: February 01, 2017, 12:22:27 PM »
Any kind of secondary op on a HA site massively raises infection risk, even if it's a second application of HA. It's not understood why but it's documented in papers.

is it because it punctures the pocket. is that temporary infection risk that can be controlled by anti biotics or long ter

Lestat

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Re: Cheekbone augmentation (Hydroxyapatite+fat transfer) with Dr. Joel Defrancq
« Reply #47 on: February 01, 2017, 12:37:50 PM »
I believe A&G mix it with something before slapping it on, could it be your own blood or am I seriously off track here...it's something more organic than just the raw stuff iirc.

No one uses the "raw" stuff. Mommaerts mixes it with fibrin and other stuff I can't remember. Arnett and Gunson does do something differently though since they're able to mold the HA for a long time after the surgery.

Also I had a consultation with Dr. van der Dussen who uses HA direct to permanently mould cheeks and he mentioned he mixes it with something to allow him time to shape it before it sets. I can't remember for certain but maybe it was with Bioalcamid (of which I have read very bad reviews from HIV wasting patients online, another quote found there was: ?Most [permanent] soft tissue fillers have not stood the test of time and thus should still be considered experimental.?

A later consultation with Dr. Daniel Sim?n (maxfac with Facial Team who worked with van der Dussen) said that they reviewed a few patients who had this HA mix and when they investigated the HA area it was still wet (not sure how long after, whether due to complications or not). Just food for thought on the matter, sorry I can't be more certain but maybe someone could clarify some of this

Indeed, especially when the results are said to be modest at best...was it CK that was less than impressed?

My HA augmentation is definitely very noticable although I don't like it much due to how it was placed.

Anyone has further information regarding this (mixing HA with something)?

earl25

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Re: Cheekbone augmentation (Hydroxyapatite+fat transfer) with Dr. Joel Defrancq
« Reply #48 on: February 01, 2017, 01:23:15 PM »
Anyone has further information regarding this (mixing HA with something)?

I know sinn mixes it with a blood clotting agent drug.

earl25

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Re: Cheekbone augmentation (Hydroxyapatite+fat transfer) with Dr. Joel Defrancq
« Reply #49 on: February 01, 2017, 01:23:47 PM »
Any kind of secondary op on a HA site massively raises infection risk, even if it's a second application of HA. It's not understood why but it's documented in papers.

Ive ever seen or heard of this can you post where its documented

earl25

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Re: Cheekbone augmentation (Hydroxyapatite+fat transfer) with Dr. Joel Defrancq
« Reply #50 on: February 01, 2017, 03:23:32 PM »
have you discussed that paper with dr. sinn.

I didn't see where it said what was used in the primary operation

earl25

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Re: Cheekbone augmentation (Hydroxyapatite+fat transfer) with Dr. Joel Defrancq
« Reply #51 on: February 01, 2017, 03:35:35 PM »
I've read the full paper, from memory it's HA both times. I haven't discussed it with Sinn because I'm not planning on getting repeated rounds of HA.

I have heard from both sinn and eppley Hydroxyapatite is a generic term with diff types etc. I'm curious if that plays a factor. did you ask sinn about repeated use and infection?

earl25

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Re: Cheekbone augmentation (Hydroxyapatite+fat transfer) with Dr. Joel Defrancq
« Reply #52 on: February 01, 2017, 03:36:08 PM »
I have heard from both sinn and eppley Hydroxyapatite is a generic term with diff types etc. I'm curious if that plays a factor. did you ask sinn about repeated use and infection?

but does that mean fat also increases the risk. was  the new ha cause of the infection or the old ha?

earl25

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Re: Cheekbone augmentation (Hydroxyapatite+fat transfer) with Dr. Joel Defrancq
« Reply #53 on: February 01, 2017, 05:32:54 PM »
I think the area the ha is placed also has an impact

temporeiches13

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Hello, did anyone get this procedure done? OP I sent you a PM :)