jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: mehdreamer on June 28, 2017, 02:46:18 AM
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In my under eye and zygos..
This is the before picture. I will not post the after picture now as I am still a bit swollen. Maybe in a week or two.
https://fi.realself.com/full/b1d530cdd856b2aa335c792d387b50bc/b/6/1/userimage-2373556.png
I posted a while ago. I was hesitating between betwwen medpor/Ha paste and Fat tranfer. I finally opted for the later.
So far, so good. Still a bit swollen with few bruises remains...
My NCT is still there.I was hoping for a miracle. The doc was honest and told me it won't fix your NCT.
My sceleral show is better..the eyelids are elevated by 1 mm. Still not ideal but a bit better. The droopy appearance is till there..but less.
My buggy eyes are gone..now when I squinch, It looks more natural. I don't have the impression that my eyes are gonna explode from my orbitals.
My cheekbones are a bit better. More laterally projected but still not ideal. I don't know, maybe I had unreasonable expectations..
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Hi! :D I am Lestat 2nd.
Thank you for sharing your experience with us!
I myself am interested in getting a fat transfer for cheek augmentation.
Can you please tell me who was your surgeon? I am just curious. Did he tell you if the final result is permanent (the fat that survives the process)? Thanks.
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Hey thanks for sharing. You look good in your before so you don't have much to improve. You already have an overall slayer appearance. But yes I see your depression on either side and eyes would make you gorgeous. Have you thought about going to see Dr. Taban for canthoplasty? Please do share your after results after a month or so as I'm considering this procedure as well. And especially 3/4 before and afters would really be able to give us an idea. Good luck.
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In my under eye and zygos..
This is the before picture. I will not post the after picture now as I am still a bit swollen. Maybe in a week or two.
https://fi.realself.com/full/b1d530cdd856b2aa335c792d387b50bc/b/6/1/userimage-2373556.png
I posted a while ago. I was hesitating between betwwen medpor/Ha paste and Fat tranfer. I finally opted for the later.
So far, so good. Still a bit swollen with few bruises remains...
My NCT is still there.I was hoping for a miracle. The doc was honest and told me it won't fix your NCT.
My sceleral show is better..the eyelids are elevated by 1 mm. Still not ideal but a bit better. The droopy appearance is till there..but less.
My buggy eyes are gone..now when I squinch, It looks more natural. I don't have the impression that my eyes are gonna explode from my orbitals.
My cheekbones are a bit better. More laterally projected but still not ideal. I don't know, maybe I had unreasonable expectations..
U look good in the before. Which doctor did ypu use
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Hey thanks for sharing. You look good in your before so you don't have much to improve. You already have an overall slayer appearance. But yes I see your depression on either side and eyes would make you gorgeous. Have you thought about going to see Dr. Taban for canthoplasty? Please do share your after results after a month or so as I'm considering this procedure as well. And especially 3/4 before and afters would really be able to give us an idea. Good luck.
Hey, thanks.
Yes I skyped with him. Money and job are the issue as I have to travel to the US..and get a longer holiday.
I'll post updates soon.
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I saw a topic a while ago about the best fat transfer surgeons in Europe. Can't find it back :( . Who are the best fat transfer surgeons in Europe?
I have never seen that topic.
The best european surgeons for fat transfer are without any doubt L.Clauser and K.Überreiter.
The best fat transfer surgeons in the world are S.Coleman, S.Lam, A.Kornstein and St.Cohen.
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I have never seen that topic.
The best european surgeons for fat transfer are without any doubt L.Clauser and K.Überreiter.
The best fat transfer surgeons in the world are S.Coleman, S.Lam, A.Kornstein and St.Cohen.
You sir, are a wealth of information.
Im considering this procedure as well for labiomento fold reduction. It seems to be that fat needs to take to the local blood supply, and the ammount that takes is unpredictable. Dont be too upset if you need a second round to correct asymetry!
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The best european surgeons for fat transfer are without any doubt L.Clauser and K.Überreiter.
The best fat transfer surgeons in the world are S.Coleman, S.Lam, A.Kornstein and St.Cohen.
And the sample size of each of the data sets for the studies that support that "without any doubt" set of conclusions is . . . again, how many patients ?
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Who is St.Cohen?
http://www.facesplus.com/procedure/plastic-surgery/face/facial-fat-grafting/
He does mod.lefort 3 too. Always read my new threads! :P
http://jawsurgeryforums.com/index.php?topic=6659.0
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And the sample size of each of the data sets for the studies that support that "without any doubt" set of conclusions is . . . again, how many patients ?
Listen. I did tons of research. The surgeons i have mentioned did and are still performing pioneeric work in the field of structural fat grafting. I even had appointments and/or skype consultations with some of them.
Maybe we can add Raffaini to my list.
If you know better surgeons please let me know. And use the google search function first.
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Anyone know the long term stability of fat transfers?
From my knowledge, fat transfer to any part of the body is open to re-absorption into the bloodstream and could appear like ripples underneath the tissue.
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Anyone know the long term stability of fat transfers?
From my knowledge, fat transfer to any part of the body is open to re-absorption into the bloodstream and could appear like ripples underneath the tissue.
That is not the biology of the process.
The transferred fat - - either is "absorbed" by the body as dead tissue, or the transferred cells interact with the blood supply to secure oxygen and metabolism, in which case they survive and periodically undergo cell division just like they did in their original host site in the body.
The percentage of the fat cells that "take" and then remain and undergo normal cell metabolism at the implanted site depends on the following:
1) How the cells were "handled" and processed when they were harvested;
2) Where they are implanted and the condition of that local blood supply in the new host tissue;
3) The skill & experience of the surgeon doing 1 & 2.
Done right, more than 50% of the implanted cells will typically survive. Maybe 70% at most.
This is no different than transplanting any other human part - - if the transplanted tissue gets a blood supply and is not "rejected" as a foreign body, then it will survive.
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http://www.facesplus.com/procedure/plastic-surgery/face/facial-fat-grafting/
He does mod.lefort 3 too. Always read my new threads! :P
http://jawsurgeryforums.com/index.php?topic=6659.0
I consulted about the LF3 on "non-syndrome patients" you alluded to way back.
This f**ker is a liar. After months of back and forth, his assistant begging me to fly in, they finally admitted they had no intention of performing a Mod LF 3 or even Bimax. They wanted me to fly down there so they could tell that to my face. What a joke.
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I consulted about the LF3 on "non-syndrome patients" you alluded to way back.
This f**ker is a liar. After months of back and forth, his assistant begging me to fly in, they finally admitted they had no intention of performing a Mod LF 3 or even Bimax. They wanted me to fly down there so they could tell that to my face. What a joke.
yeah i f**king knew Steven Cohen was a liar when it came to MDLf3. First, Earl who had researched everyone never even heard of him, also I just have a spidey sense now when it comes to surgeons who are lying --(trust 99 percent all are telling somekind of lie).
Besides, he's not really a max fac. He may have done a few back in the day but now he just does cosmetic not plastic surgery and he's probably s**t at them. Only thing I might trust him with his fat grafting but you know he's a liar. so ....
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yeah i f**king knew Steven Cohen was a liar when it came to MDLf3. First, Earl who had researched everyone never even heard of him, also I just have a spidey sense now when it comes to surgeons who are lying --(trust 99 percent all are telling somekind of lie).
Besides, he's not really a max fac. He may have done a few back in the day but now he just does cosmetic not plastic surgery and he's probably s**t at them. Only thing I might trust him with his fat grafting but you know he's a liar. so ....
Who would you trust more with fat on your face? This Cohen or the one in NYC? Can't be bothered to fly to the latter if (when it comes to the top >99th percentile of surgeons) they all do pretty much the same damn job.
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I consulted about the LF3 on "non-syndrome patients" you alluded to way back.
This f**ker is a liar. After months of back and forth, his assistant begging me to fly in, they finally admitted they had no intention of performing a Mod LF 3 or even Bimax. They wanted me to fly down there so they could tell that to my face. What a joke.
This was dr. cohen?
Im not surprised, i had a lot of experiances like this with dr when it comes to lf3
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This was dr. cohen?
Im not surprised, i had a lot of experiances like this with dr when it comes to lf3
Yea. Took them 3 months to finally tell me. During that time they assured me i just need to come in for a consult first. I have all the emails. I kept pressing them until they gave up and said they would not perform a case on patients that are non-syndromic.
Unbelievable. Wouldn't even perform bimax while Gunson will.
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Bobbit
So your acceding that around 50% of the fat transfer will be flushed away overtime, meaning the OP has to go back and get another fat transfer operation. Seems redundant to me, and there are no empirical studies on the long term rejection/survival ratio based on all external factors you presented.
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Bobbit
So your acceding that around 50% of the fat transfer will be flushed away overtime, meaning the OP has to go back and get another fat transfer operation. Seems redundant to me, and there are no empirical studies on the long term rejection/survival ratio based on all external factors you presented.
That is not the biology of the process.
The transferred fat - - either is "absorbed" by the body as dead tissue, or the transferred cells interact with the blood supply to secure oxygen and metabolism, in which case they survive and periodically undergo cell division just like they did in their original host site in the body.
The percentage of the fat cells that "take" and then remain and undergo normal cell metabolism at the implanted site depends on the following:
1) How the cells were "handled" and processed when they were harvested;
2) Where they are implanted and the condition of that local blood supply in the new host tissue;
3) The skill & experience of the surgeon doing 1 & 2.
Done right, more than 50% of the implanted cells will typically survive. Maybe 70% at most.
This is no different than transplanting any other human part - - if the transplanted tissue gets a blood supply and is not "rejected" as a foreign body, then it will survive.
Not "acceding" that 50% will be reabsorbed. Done right, the long term "take" is more than 50%. 60-70% is not uncommon.
I do not understand the "redundant" criticism. Most patients whose surgeons are skilled at fat grafting do not need to have a second procedure.
The reason is that the skilled surgeon will anticipate the normal loss of fat cell volume and compensate for that during the first surgery.
It is not "redundant" if one anticipates the possible need for a minor 2nd round as part of the original surgery plan. Keep in mind that fat grafting is pretty low on the "invasive" surgery scale. Therefore, a 2nd round is not like a bi-max revision.
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Report frrom 2014 on calcification, oil cysts and inflammatory responses frrom fat grafting. Note the doctor says the inflammatory response (i.e. cancer causing s**t) and calcification (so f**k you if done to the face) can continue to happen for "several years" after the procedure. I dunno, been reading A LOT of stuff about this on the web lately:
"The cyst wall consisted of innermost and outermost fibrous layers and intermediate tissue that contained the regular adipose portion, a degenerated adipose portion, and a fibrous area. Eggshell-like macrocalcifications were seen in the inner surface. Numerous inflammatory cells, mainly MAC2/CD206 anti-inflammatory M2 macrophages, were observed in the degenerated adipose portion. Oil cysts with a longer history showed more calcifications in the innermost layer and a larger fibrous area adjacent to the degenerated fat portion than those with a shorter history. These histopathologic findings and clinical computed tomographic images revealed that oil cysts continued to be inflammatory and calcifications continued to develop over several years."
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Yea. Took them 3 months to finally tell me. During that time they assured me i just need to come in for a consult first. I have all the emails. I kept pressing them until they gave up and said they would not perform a case on patients that are non-syndromic.
Unbelievable. Wouldn't even perform bimax while Gunson will.
yes i had this done tons of times to me during my lf3 search. did u have to go in person?
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yes i had this done tons of times to me during my lf3 search. did u have to go in person?
No. I had a feeling they'd do that so I kept it all to email.
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No. I had a feeling they'd do that so I kept it all to email.
You don't look like an LF3 patient. Anyway, he probably just wanted to get you into the office and suggest fat.
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I lipoed my botched fat grafting the other week. Lazlo is correct.
During the surgery, it was like trying to remove hardened plastic under my skin. I have large rocks of scar tissue and many strands that feel like beads. I felt the cannula go into these areas and attempt to suction them out but they're still there.
Also when they remove grafted fat, I discovered that a lot of it is not actually fat. It's blood and fluids that they inject beforehand. So it's very difficult to actually remove the fat that caused the problem... even more so when it scars and calcifies.
There's some improvement and the doctor is very good but my face is still going to be a problem.
The newest type of fat grafting, nano fat, is much smoother than normal fat grafting. Case in point here: https://www.researchgate.net/figure/274349825_fig2_Fig-6-A-mock-injection-with-nanofat-upper-and-microfat-lower-Nanofat-could-make
Don't go to anyone who does traditional style fat grafting (big blobs injected and overfill - 95% of doctors do this) or even someone who divides up normal fat too much because this is very traumatic to the tissue (scarring). Also, the newer methods of fat processing decrease the size of the fat particles in advance of the procedure, making manual subdivision redundant.
Also read Giovanni Botti's article here. He talks a lot of sense when it comes to fat grafts and HA, etc.: http://boletim.med.br/boletim_ingles/artigos_ver.php?id=239
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I lipoed my botched fat grafting the other week. Lazlo is correct.
During the surgery, it was like trying to remove hardened plastic under my skin. I have large rocks of scar tissue and many strands that feel like beads. I felt the cannula go into these areas and attempt to suction them out but they're still there.
Also when they remove grafted fat, I discovered that a lot of it is not actually fat. It's blood and fluids that they inject beforehand. So it's very difficult to actually remove the fat that caused the problem... even more so when it scars and calcifies.
There's some improvement and the doctor is very good but my face is still going to be a problem.
The newest type of fat grafting, nano fat, is much smoother than normal fat grafting. Case in point here: https://www.researchgate.net/figure/274349825_fig2_Fig-6-A-mock-injection-with-nanofat-upper-and-microfat-lower-Nanofat-could-make
Don't go to anyone who does traditional style fat grafting (big blobs injected and overfill - 95% of doctors do this) or even someone who divides up normal fat too much because this is very traumatic to the tissue (scarring). Also, the newer methods of fat processing decrease the size of the fat particles in advance of the procedure, making manual subdivision redundant.
Also read Giovanni Botti's article here. He talks a lot of sense when it comes to fat grafts and HA, etc.: http://boletim.med.br/boletim_ingles/artigos_ver.php?id=239
Ragirlf thank you so much for this its very helpful. So I saw that Dr. COhen herre calls his method "microfat" and it seems that his CELUTION system is not "nanofat" grafting. Motherrf**ker. Who do you know who does nanofat???
http://thefatexperts.com/experts/s-cohen/
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But I have to say Dr. Cohen's method seems much better than this manual method which is also called "nanofatgrafting" I'm getting the feel nanofat might just be a BS marketing term.
This is someone who is making "nanofat"
https://www.youtube.com/watch?v=XHwDR_NryGM
Whereas this celution system by COhen which is called MICROFAT seems better
https://www.youtube.com/watch?v=xPEXyYXpnws
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Like I dunno, this seems better to me:
https://www.youtube.com/watch?v=s-eg5Aw9oUk