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General Category => Aesthetics => Topic started by: Lazlo on April 04, 2016, 05:14:23 PM

Title: any of you tried fat????
Post by: Lazlo on April 04, 2016, 05:14:23 PM
fat

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Title: Re: any of you tried fat????
Post by: Bobbit on April 04, 2016, 08:00:17 PM
fat

And a mole removed - -  and .... and .... some work on her neck below the chin . . .  and some make-up.   

With that all in mind :  fat grafting - -  using current technology for processing the self-donated fat tissue - - and in the hands of a very skilled and experienced surgeon - - can do a lot of good.   A whole lot of good.  And done right - -  it lasts .  Yes,  a portion will be re-absorbed,  but only a portion.  The rest will stay there.   

LOT better than fillers, etc.
 
Title: Re: any of you tried fat????
Post by: Lazlo on April 04, 2016, 08:47:02 PM
And a mole removed - -  and .... and .... some work on her neck below the chin . . .  and some make-up.   

With that all in mind :  fat grafting - -  using current technology for processing the self-donated fat tissue - - and in the hands of a very skilled and experienced surgeon - - can do a lot of good.   A whole lot of good.  And done right - -  it lasts .  Yes,  a portion will be re-absorbed,  but only a portion.  The rest will stay there.   

LOT better than fillers, etc.
 

have you tried it Bobbit? I thought maybe they reshaped her jawline with the fillers and that's why she doesn't have that loose skin. I found this example off of real self and there are some great examples there. I'm at the age where I definitely have some volume loss under my eyes and temple areas.
Title: Re: any of you tried fat????
Post by: Lazlo on April 04, 2016, 08:48:05 PM
she went from looking 46 to looking 30.
Title: Re: any of you tried fat????
Post by: JimmyTheGent on April 07, 2016, 01:34:12 PM
she went from looking 46 to looking 30.
  Wow those are some amazing results!!
Title: Re: any of you tried fat????
Post by: Tezcatli on April 07, 2016, 01:52:15 PM
And a mole removed - -  and .... and .... some work on her neck below the chin . . .  and some make-up.   

With that all in mind :  fat grafting - -  using current technology for processing the self-donated fat tissue - - and in the hands of a very skilled and experienced surgeon - - can do a lot of good.   A whole lot of good.  And done right - -  it lasts .  Yes,  a portion will be re-absorbed,  but only a portion.  The rest will stay there.   

LOT better than fillers, etc.
 

I agree itnis better than fillers but there are also problems. Fat can cause lumps which are very hard to remove. Fillers are completely reversible
Title: Re: any of you tried fat????
Post by: Lazlo on April 07, 2016, 02:16:55 PM
I agree itnis better than fillers but there are also problems. Fat can cause lumps which are very hard to remove. Fillers are completely reversible

So could you do your whole face as this woman did with fillers first to see how it might look and then a year later get fat? Dr. Sam Lam says to achieve the optimal look he does fat and fillers at the same time as fat lacks more refined sculpting.

Also I'm so unsure of how much fat stays. I have a friend who got fat done four different times by surgeons as seemingly experienced as Dr. Marten in san francisco and Dr. Guyron and it's never stayed. NOT ANY OF IT. And it's not like he's running marathons or something.
Title: Re: any of you tried fat????
Post by: Tezcatli on April 07, 2016, 06:59:10 PM
So could you do your whole face as this woman did with fillers first to see how it might look and then a year later get fat? Dr. Sam Lam says to achieve the optimal look he does fat and fillers at the same time as fat lacks more refined sculpting.

Also I'm so unsure of how much fat stays. I have a friend who got fat done four different times by surgeons as seemingly experienced as Dr. Marten in san francisco and Dr. Guyron and it's never stayed. NOT ANY OF IT. And it's not like he's running marathons or something.

In theory yes...but I don't know if it looks good in real life. I've seen people injecting fillers all over their faces, they look good in pictures but it must be weird in real life as they are putting fillers to simulate bone or muscle instead of natural fat pads.

About staying, fat stays better in places like under the eyes but tends to vanish in other areas of the face, also genetics.
Title: Re: any of you tried fat????
Post by: Bobbit on April 08, 2016, 04:02:16 PM
have you tried it Bobbit? I thought maybe they reshaped her jawline with the fillers and that's why she doesn't have that loose skin. I found this example off of real self and there are some great examples there. I'm at the age where I definitely have some volume loss under my eyes and temple areas.

I have not.   Some friends of my wife have tried fat grafting verses fillers.  From everything I see,  recent technology fat grafting, which includes some stem cell enhancement,  appears to work rather reliably. 

I am not sure,  but I think the right approach is to plan on at least  two procedures - -  an initial effort and then go back 6-12 months later to "trim out" was earlier done.   That way there can be a deliberate effort to not over do it initially - -   and to evaluate how much is re-sorbed before the final fat grafting.

Title: Re: any of you tried fat????
Post by: Bobbit on April 08, 2016, 04:13:45 PM
I am thinking about the same procedure because fillers don't seem to stick around the eyes for me. I have two shadows and they only got worse after fillers. But I'm really scared to go to the wrong doctor. Fat transfers are a real art form. The fat has to be removed from the right areas because only a specific type if fat will stick and last if injected.
Some women have horrible results and need to find someone to get fat removed from the whole face which can cost a fortune again. Over three times as much than getting the actual transfers,so be careful.

If anyone found one of those great doctors who can obviously do some miracles without a face lift, let me know.

Quote
But I'm really scared to go to the wrong doctor.
   Then go to the right surgeon !   (Sorry,   I know,  much easier said than actually achieved ! )

You are right,  fat grafting certainly does appear to be an art form.   As I mentioned above,  one can avoid the "over done" situation by planning on "under doing it"  or doing it "conservatively"   the first time - -  then planning on a second pass during a later procedure.

At that point,  the surgeon should be able to better assess how you,  the individual,  reacts to a given volume and  what fraction of the initial grafting is re-absorbed and what fraction is fully integrated into your face.

On the other hand, maybe the  best surgeons may not need to plan it that way. 


Title: Re: any of you tried fat????
Post by: Bobbit on April 08, 2016, 05:43:31 PM
So could you do your whole face as this woman did with fillers first to see how it might look and then a year later get fat? Dr. Sam Lam says to achieve the optimal look he does fat and fillers at the same time as fat lacks more refined sculpting.

Also I'm so unsure of how much fat stays. I have a friend who got fat done four different times by surgeons as seemingly experienced as Dr. Marten in san francisco and Dr. Guyron and it's never stayed. NOT ANY OF IT. And it's not like he's running marathons or something.

Laz,

Any more details or information  about the poor outcome with multiple sequential fat grafts by Dr. Marten ?    How long ago was that ? I have heard that there has been some improvement in the last few years in the way the donor fat is processed before being injected.

That guy (Dr. Marten) is really well respected in the plastic surgery world.  He does not post up before and after pictures.  He is one the few surgeons that is so well regarded that he does not have to get into that "game" .
   
Really curious as to what could have happened to result in four successive fat graft failures on one patient !
Title: Re: any of you tried fat????
Post by: Lazlo on April 08, 2016, 10:12:45 PM
yeah my friend had fat from him and all i know is, the fat dissipated after the swelling went down, in a bout 3 weeks.

i wonder if dr. sam lam is better, he writes books on fat grafting etc. and says his method sticks. I mean losing 20 percent is fine, but losing all of it is clearly a total failure.
Title: Re: any of you tried fat????
Post by: Lazlo on April 08, 2016, 10:14:56 PM
And yeah my friend had a facelift with Dr. Marten and the results were very very good. I think it's a good idea to get a facelift early if you need it cause my friends results are also not "done" or "stretched" looking but his face looks rejuvenated (he had lost a lot of weight so had loose skin). Only problem is that a bit of hair grows behidn the ears since the skin from the face is brought back behind the ear. You can get electrolosis or lasers or whatever for that.

I don't need any of that s**t, i just wouldn't mind a bit of fat under my eyes.
Title: Re: any of you tried fat????
Post by: Bobbit on April 09, 2016, 02:48:22 PM
yeah my friend had fat from him and all i know is, the fat dissipated after the swelling went down, in a bout 3 weeks.

i wonder if dr. sam lam is better, he writes books on fat grafting etc. and says his method sticks. I mean losing 20 percent is fine, but losing all of it is clearly a total failure.

Something unusual happened with your friend.   That fat has to be re-absorbed by the body.   The more typical 20-30% loss happens over a period of months, not weeks. 

But did i understand you to say that he tried it four different times  ???
Title: Re: any of you tried fat????
Post by: Lazlo on April 09, 2016, 02:51:58 PM
yeah he's had fat done four different times and it all got lost within a few months.
Title: Re: any of you tried fat????
Post by: Bobbit on April 09, 2016, 04:34:05 PM
yeah he's had fat done four different times and it all got lost within a few months.

Well - -  four different  fat grafting episodes with a world class plastic surgeon - -  and all of the fat re-absorbed in a few months after each surgery is so extremely rare and unusual,   - -  that his doctor should do a write up and get it published in the plastic surgery journal. 

Title: Re: any of you tried fat????
Post by: Lazlo on April 09, 2016, 04:49:59 PM
no it was with different docs: 2 with Guyron, Schendel and one with Marten.

Is it really that rare? I've heard from dozens of people that say the fat never stuck even a year. At least fat to the face anyway. Why don't you post some pics of some real success stories NOT from doctors websites. I mean I have no idea.
Title: Re: any of you tried fat????
Post by: Bobbit on April 09, 2016, 04:58:31 PM
http://messageboards.makemeheal.com/search/review-timothy-marten-san-francisco-t132876.html

One woman says he did a bad Facelift.

there are a few people online who claim he is facing several lawsuits because of botched surgeries. But I can't find the link anymore. It was on Yelp.
It is so so hard to make a right decision these days about your surgeon. Even the best can give you bad results

Ah...   that was about 5 or 6 years ago.  A single report from one patient.   

Compared to a lifetime of uniformly good or great results reported by countless patients.   Marten is one of those rare surgeons that other doctors send their wives to see for plastic work.   In fact,  that is one of he better ways to check out a surgeon.  Find one that other doctors go to !

 

Title: Re: any of you tried fat????
Post by: jusken on April 09, 2016, 05:26:01 PM
Based on my exhaustive research on fat grafting, generally the skill of the surgeon only amounts to how much they put into a certain area.  The amount that survives is becoming much less surgeon-specific.  Unfortunately, it's just sort of random atm, and usually anywhere between 10-80% survives.  There's a lot of improvement in predictability that needs to happen still - and I'm hopeful will happen in the next couple years.
Title: Re: any of you tried fat????
Post by: Bobbit on April 09, 2016, 06:44:00 PM
Based on my exhaustive research on fat grafting, generally the skill of the surgeon only amounts to how much they put into a certain area.  The amount that survives is becoming much less surgeon-specific.  Unfortunately, it's just sort of random atm, and usually anywhere between 10-80% survives.  There's a lot of improvement in predictability that needs to happen still - and I'm hopeful will happen in the next couple years.

I think some surgeons do have different techniques for how the fat is placed.   Some have guarded those techniques.  Most of the reports I have seen is that when it is done properly that almost always more than 50% survives and typically 60-70 % or so.  Ultimately,  it is likely still an art form in many ways.
Title: Re: any of you tried fat????
Post by: jusken on April 14, 2016, 09:36:44 PM
I think some surgeons do have different techniques for how the fat is placed.   Some have guarded those techniques.  Most of the reports I have seen is that when it is done properly that almost always more than 50% survives and typically 60-70 % or so.  Ultimately,  it is likely still an art form in many ways.

Just want to address this and say it's not a guarded secret, and the surgical field just doesn't work this way.  Everyone is using the Coleman method for surgical placement of harvested fat.  That is, small aliquots of fat placed a certain distance apart.   As far as fat harvesting, everyone does something slightly different - and time and time again, research papers confirm that harvesting techniques didn't affect the outcome.

Of course, surgeons themselves claim 50-80% survival, how can you trust their word alone?  Still, as a whole the approval rating of fat grafting has spiked recently and that might be good enough to prove it's working.  I'm still cautious, and with all the claims of fake reviews I'll wait for more scientific research papers to show the data.
Title: Re: any of you tried fat????
Post by: Lazlo on April 14, 2016, 10:10:28 PM
yeah well just recommend someone good please

talked to my friend again, he said actually it dissipates after 2 months, you can only really tell if it sticks two months later. but honestly, just by looking at him I can't really tell.
Title: Re: any of you tried fat????
Post by: Rico on April 15, 2016, 03:44:51 PM
the best way to damage your life ?  go to maxillo-facial surgeon when you really do not need it :(

Fillers are s**t.. I prefer osteotomy... but ....what if your surgeon make mistake in planning :(
Title: Re: any of you tried fat????
Post by: jusken on April 15, 2016, 08:58:57 PM
the best way to damage your life ?  go to maxillo-facial surgeon when you really do not need it :(

Fillers are s**t.. I prefer osteotomy... but ....what if your surgeon make mistake in planning :(

I've had an extreme lack of soft tissue volume around my eyes most of my life, osteotomies can't correct this obviously - just because it's right or best for one person doesn't mean you should throw around generalities this far off.
Title: Re: any of you tried fat????
Post by: molestrip on April 15, 2016, 09:21:13 PM
I've had an extreme lack of soft tissue volume around my eyes most of my life, osteotomies can't correct this obviously - just because it's right or best for one person doesn't mean you should throw around generalities this far off.

Cut Rico some slack, he's had a really rough year. Osteotomy is the right fix but it's the wrong surgery. There isn't a right surgery for this problem today, like many illnesses in life the best course of action is acceptance and management, makeup, strengthening other parts of the package, and getting eye lifts when older. Hopefully by that point surgeries with better risk profiles will exist to make it worthwhile to fix this problem. As a bonus, the longer you wait the more aging you get to write off. Unfortunately, it doesn't get you those rock hard erections back from when you were 17.
Title: Re: any of you tried fat????
Post by: Rico on April 16, 2016, 04:51:45 AM
ok let's imagine you have fat injection when your wieght is about 60kg  -average men -women  , so 50 - 70kg

what is going to happen when you loose 10kg ?  what is going with that inserted fat ? you become deformed ?
Title: Re: any of you tried fat????
Post by: PloskoPlus on April 16, 2016, 02:56:45 PM
ok let's imagine you have fat injection when your wieght is about 60kg  -average men -women  , so 50 - 70kg

what is going to happen when you loose 10kg ?  what is going with that inserted fat ? you become deformed ?
I've heard in some cases it can grow uncontrollably when gaining weight.

Title: Re: any of you tried fat????
Post by: jusken on April 17, 2016, 01:47:31 AM
I've heard in some cases it can grow uncontrollably when gaining weight.

I've heard the same, but with all the fat transfers being performed, you'd think this would be more well documented.  I'm inclined to think this has a small incidence.
Title: Re: any of you tried fat????
Post by: Lazlo on October 07, 2016, 02:28:32 PM
http://www.cellr4.org/article/1118

I found this online related to M. Raffaini from Italy.
I really hate fillers and if you have deep areas to fill on your face, they will cost you a fortune anyway so you need to do fat transfer

wow awesome, i like the sound of this I'd totally go to do it with him.
Title: Re: any of you tried fat????
Post by: Lazlo on October 07, 2016, 02:31:18 PM
I wanted to add, regarding fillers and any type of procedure.
Doctors should really start to show people's face movements after the procedure. Like a picture of them smiling, one talking and different angles.
These pictures before and after are only there to pull clients but don't give you any realistic idea of what the main procedure will look like.


My experience with fillers, they can look amazing as long you don't move your face. Same with this stupid Double Jaw Surgery. The chin and face look fine, but man my jaw looks huge when I smile and just not right. So it made me sort of insecure and I hate smiling which is really the best in every woman. Also my bottom teeth show when I'm talking---which is an aged look really and it wasn't there before.

Fillers can attract water and your face can look more puffy and awful in the morning, but very nice in the evening.
It is really difficult to inject fillers symmetrically and mostly it shows while you talk or move your face. The fillers then can slightly stick out and look as if they don't belong to the face. I really don't know about fat but think it should not be the case if done correctly.

ALSO: Careful with Under Eye Fillers. I seem to make every experience people want to avoid right now and I went to my Swiss doctor but regretted it later. The fillers have to be injected UNDER the muscle and not just into the eye are or they can be pulled to the side by the muscles. So the wrinkle or shadow in my case I was trying to hide looks even bigger now.
I have seen the worst results from Bad Eye Fillers leading to an aged look for most women. So that is particularly the most difficult area to inject and you really need someone who knows what he's doing.
same with lips. If you inject around the lip area, you will get the awful duck look while some women can actually pull it off. But it certainly looks done and as we know people in today's society judge and you will look insecure if they see you had plastic Surgery.
But it also depends on the people you surround yourself with, although it's like a mind programming and most normal people think that way.
\

interesting tip about needing the filler injected UNDER the muscle for good undereye results! thanks a  lot for that.

let us know if you find some really good people to get fillings with! But yes, I like the idea of fat grafting and i like that raffaini is a max fac so he knows where and what to do for jaw surgery patients.
Title: Re: any of you tried fat????
Post by: jusken on October 12, 2016, 09:45:03 PM
\

interesting tip about needing the filler injected UNDER the muscle for good undereye results! thanks a  lot for that.

let us know if you find some really good people to get fillings with! But yes, I like the idea of fat grafting and i like that raffaini is a max fac so he knows where and what to do for jaw surgery patients.

Okay, I've heard this under the muscle thing a lot now and I'm not sure what I think about it...

Logically, you want the fat/volume exactly where it's missing.  I think the majority of youthful soft volume is above the muscle, right?  I've only done a bit of research on this, so I'm not even sure if fat naturally resides under the muscle.  However, from the research I have done, I can tell you that in a healthy young person fat is superficially all around the eye (even behind it - that's what helps position the eye).  A person with very little fat around the orbit (like myself) will have a more recessed orbit as well. 

So, in short, I've heard a lot of doctors talk about different injection placement to get safe results, but I think the ONLY thing that matters to me is where the fat is SUPPOSED to be.  If it isn't possible to safely inject fat where it's supposed to be, I'm going to have to wait.

Honestly, I think a lot of people get unnatural results because we're treating WAY less than the whole picture a lot of times (which equates to too much volume in the wrong/isolated places).  Filler treatments are like bailing water out of a sinking battleship with a bucket in a lot of cases.  So don't expect perfection and under correct!
Title: Re: any of you tried fat????
Post by: A-V-P on January 21, 2017, 01:00:29 PM
fat

I had an operation with Dr Marten.... My before jaw picture looked as good as the "after" pic or better and my after picture looks worse than the "before" picture.
You can see pictures on yelp...
Title: Re: any of you tried fat????
Post by: Lazlo on January 21, 2017, 02:56:34 PM
I had an operation with Dr Marten.... My before jaw picture looked as good as the "after" pic or better and my after picture looks worse than the "before" picture.
You can see pictures on yelp...
Can you post the pics here?
Title: Re: any of you tried fat????
Post by: PopThemPills on January 27, 2017, 08:05:36 PM
I think some surgeons do have different techniques for how the fat is placed.   Some have guarded those techniques.  Most of the reports I have seen is that when it is done properly that almost always more than 50% survives and typically 60-70 % or so.  Ultimately,  it is likely still an art form in many ways.
50% survival over what time period? One thing I've been wondering about, is if virtually 100% always dissipates, but for some people it takes 6 months, and for some it takes 60 months.
Title: Re: any of you tried fat????
Post by: Bobbit on January 27, 2017, 09:30:02 PM
50% survival over what time period? One thing I've been wondering about, is if virtually 100% always dissipates, but for some people it takes 6 months, and for some it takes 60 months.

Once the cells survive the transplant and begin to divide reproduce and die in the manner consistent with normal metabolism - -  then they are retained indefinitely.   The cell volume loss is because a certain fraction of the transplanted cells do not survive the initial trauma of the transplant. 

This is why fat grafting is hugely better than injectables that ALWAYS are dissipated over time.

The good surgeons will put in an amount of excess fat cells that experience teaches them will result in a final survival fraction that is "good" but not excessive.   Then  9 months or a year later after the partial re-sorbtion has run its course - - then if the results are just short of optimal,  they can be "trimmed" up as the patient might desire.

That is one reason that after initial fat grafting some patients look like they have "too much".   But if done right,  the re-sorption results in "just right" or slightly less than "just right" volume.

The trick is to NOT over do it.   MUCH easier to "add more"  than to try to take out "too much".


Title: Re: any of you tried fat????
Post by: Lazlo on January 27, 2017, 10:08:29 PM
Once the cells survive the transplant and begin to divide reproduce and die in the manner consistent with normal metabolism - -  then they are retained indefinitely.   The cell volume loss is because a certain fraction of the transplanted cells do not survive the initial trauma of the transplant. 

This is why fat grafting is hugely better than injectables that ALWAYS are dissipated over time.

The good surgeons will put in an amount of excess fat cells that experience teaches them will result in a final survival fraction that is "good" but not excessive.   Then  9 months or a year later after the partial re-sorbtion has run its course - - then if the results are just short of optimal,  they can be "trimmed" up as the patient might desire.

That is one reason that after initial fat grafting some patients look like they have "too much".   But if done right,  the re-sorption results in "just right" or slightly less than "just right" volume.

The trick is to NOT over do it.   MUCH easier to "add more"  than to try to take out "too much".

Who are the best doctors for this?
Title: Re: any of you tried fat????
Post by: girl on January 28, 2017, 01:53:03 AM
Just don't do it. Body fat in the face is a terrible idea - your body will attack it and it'll harden.
Title: Re: any of you tried fat????
Post by: Bobbit on January 28, 2017, 09:01:03 AM
Just don't do it. Body fat in the face is a terrible idea - your body will attack it and it'll harden.

Do you have a reference to a peer reviewed paper that says the body attacks its own fat in facial fat grafts and hardens that tissue?

If you do,  it would be interesting,  in as much as there are at least 10's (maybe 100's) of thousands of patients who have had fat grafting to their faces - - with long term good results.  In addition, that process has improved with better technology over the last 5 to 10 years.

Title: Re: any of you tried fat????
Post by: stupidjaws on January 28, 2017, 10:29:12 AM
fat grafting sucks
Title: Re: any of you tried fat????
Post by: Bobbit on January 28, 2017, 02:44:01 PM
fat grafting sucks

Is that an opinion,  or a statement of fact?

If it is a statement of fact,  then please explain the factual basis that supports the statement ?
Title: Re: any of you tried fat????
Post by: Lord-of-the-Cartilage on January 28, 2017, 02:53:37 PM
It has its place but can't be used a substitute for bone or it will look off, especially in men.

When I talked to a surgeon about orbital rim implants, she said that as my skin is thin and I have no fat in that area, it would be a good idea to graft some fat over the implants to blend them in or something along those lines. That is an instance where fat grafting could be useful.
Title: Re: any of you tried fat????
Post by: girl on February 02, 2017, 05:00:34 PM
Do you have a reference to a peer reviewed paper that says the body attacks its own fat in facial fat grafts and hardens that tissue?

If you do,  it would be interesting,  in as much as there are at least 10's (maybe 100's) of thousands of patients who have had fat grafting to their faces - - with long term good results.  In addition, that process has improved with better technology over the last 5 to 10 years.

I have a few:
Delayed lipogranuloma of the cheek following autologous fat injection: report of 2 cases
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4203268/

Periorbital Lipogranuloma after Autologous Fat Injection for Forehead Augmentation
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828391/

Sepsis with multiple abscesses after massive autologous fat grafting for augmentation mammoplasty: a case report.
https://www.ncbi.nlm.nih.gov/pubmed/21057949

Mycobacterium conceptionense infection
complicating face rejuvenation with fat grafting http://www.microbiologyresearch.org/docserver/fulltext/jmm/60/3/371.pdf?expires=1486084422&id=id&accname=guest&checksum=5CB10EC6947DF3292EEEA0B883818690

I have at least 10-15 articles saved. The infections are the worst; you will end up severely disfigured, permanently, if you get an infection after fat grafting.

Most of the complication-related articles are coming from Korea. The lipogranulomas are very hard, cyst-like masses under the skin that cause chronic swelling.
Title: Re: any of you tried fat????
Post by: earl25 on February 02, 2017, 06:32:03 PM
I have a few:
Delayed lipogranuloma of the cheek following autologous fat injection: report of 2 cases
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4203268/

Periorbital Lipogranuloma after Autologous Fat Injection for Forehead Augmentation
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828391/

Sepsis with multiple abscesses after massive autologous fat grafting for augmentation mammoplasty: a case report.
https://www.ncbi.nlm.nih.gov/pubmed/21057949

Mycobacterium conceptionense infection
complicating face rejuvenation with fat grafting http://www.microbiologyresearch.org/docserver/fulltext/jmm/60/3/371.pdf?expires=1486084422&id=id&accname=guest&checksum=5CB10EC6947DF3292EEEA0B883818690

I have at least 10-15 articles saved. The infections are the worst; you will end up severely disfigured, permanently, if you get an infection after fat grafting.

Most of the complication-related articles are coming from Korea. The lipogranulomas are very hard, cyst-like masses under the skin that cause chronic swelling.

I wonder if this is related to how Koreans do it . coleman beens doing this for 20+ years
Title: Re: any of you tried fat????
Post by: earl25 on February 02, 2017, 06:32:43 PM
I have a few:
Delayed lipogranuloma of the cheek following autologous fat injection: report of 2 cases
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4203268/

Periorbital Lipogranuloma after Autologous Fat Injection for Forehead Augmentation
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828391/

Sepsis with multiple abscesses after massive autologous fat grafting for augmentation mammoplasty: a case report.
https://www.ncbi.nlm.nih.gov/pubmed/21057949

Mycobacterium conceptionense infection
complicating face rejuvenation with fat grafting http://www.microbiologyresearch.org/docserver/fulltext/jmm/60/3/371.pdf?expires=1486084422&id=id&accname=guest&checksum=5CB10EC6947DF3292EEEA0B883818690

I have at least 10-15 articles saved. The infections are the worst; you will end up severely disfigured, permanently, if you get an infection after fat grafting.

Most of the complication-related articles are coming from Korea. The lipogranulomas are very hard, cyst-like masses under the skin that cause chronic swelling.

would you mind if I copt the links and post on missj I want to hear their opinion
Title: Re: any of you tried fat????
Post by: girl on February 05, 2017, 11:48:05 AM
The Koreans are using plain old fat and they probably use it the most out of every country. They do so much PS and maxillofacial surgery though that they're less financially motivated by fat grafting than the American doctors are and therefore, it doesn't surprise me that they are the main group who are publishing critical literature on its safety.

The really disfiguring problems relate to Mycobacterium infections that are actually quite common after fat grafting (at least a percentage of people get some form of infection afterwards). With an implant, if you have an infection, it will be localised. Same with dermal fillers - it's like a gel and can be expressed. With fat grafting, a bacterial infection spreads very rapidly around the face. Because they do such large areas and put it everywhere, that heightens the risk - as well as the fact that bacteria probably thrives in fat (and it's not injected in as sterile a manner as dermal fillers are). No method of extracting it in the event of emergency exists. In fact, they usually say... 'add more fat'.

Here are several more articles about that:

Treatment of the Mycobacterium chelonae Infection after Fat Injection
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4297809/

Management of Infections with Rapidly Growing Mycobacteria after Unexpected Complications of Skin and Subcutaneous Surgical Procedures
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3385308/

Mycobacterium abscessus infection complicating hand rejuvenation with structural fat grafting
http://www.jprasurg.com/article/S1748-6815(08)00203-9/abstract?cc=y=

Empirical Treatment of Highly Suspected Nontuberculous Mycobacteria Infections Following Aesthetic Procedures
http://e-aps.org/search.php?where=aview&id=10.5999/aps.2014.41.6.759&code=2023APS&vmode=PUBREADER

A.I. Rubin S.M. Hoefflin, The Case Study of Mycobacterium Chelonae Infections After Fat Injections in Cheek and Lips Areas (don't have the link for this one)

Title: Re: any of you tried fat????
Post by: girl on February 05, 2017, 11:57:40 AM
I wonder if this is related to how Koreans do it . coleman beens doing this for 20+ years

I spoke to a woman last week who went to him and the fat grew. A doctor corrected it for her and she looks great now.
Title: Re: any of you tried fat????
Post by: earl25 on February 05, 2017, 01:29:23 PM
I spoke to a woman last week who went to him and the fat grew. A doctor corrected it for her and she looks great now.

Im curious about his partner saboeira. i heard great things about her. When I saw a occuloplastic in la i asked him about fat , he said he  has seens tons of coleman  horror cases, a lot of times the fat looked  great at first but then it grew.
Title: Re: any of you tried fat????
Post by: Lestat on February 05, 2017, 01:46:31 PM
Im curious about his partner saboeira. i heard great things about her. When I saw a occuloplastic in la i asked him about fat , he said he  has seens tons of coleman  horror cases, a lot of times the fat looked  great at first but then it grew.

Yes but only if you gain weight. If you dont gain weight it is impossible.

S. Lam told me he does not recommend fat only in one part of the face, because it could bulge if you gain weight, and sometimes even if you dont.

I am pretty sure it is bulls**t.
Title: Re: any of you tried fat????
Post by: earl25 on February 05, 2017, 02:12:41 PM
Yes but only if you gain weight. If you dont gain weight it is impossible.

S. Lam told me he does not recommend fat only in one part of the face, because it could bulge if you gain weight, and sometimes even if you dont.

I am pretty sure it is bulls**t.

i heard mixed things on lam
Title: Re: any of you tried fat????
Post by: Lestat on February 05, 2017, 02:45:46 PM
i heard mixed things on lam

F.e.? (You can also send me a pm please).
Title: Re: any of you tried fat????
Post by: girl on February 05, 2017, 07:53:35 PM
It's possible for fat to grow without weight gain. Fat cells often expand as you get older and fat cells are susceptible to hormonal changes.

Another cause of 'growth' is scar tissue development. As some of those articles have shown, chronic inflammation can bulk up the surrounding area too. This inflammation can also be 'low level' inflammation i.e. when it isn't a granuloma or infection.

By the way, the fat goes sloppy after a while. After about a year or so, it just looks a mess - like sludge. As the stuff sticks to the skin and muscles like glue, it contorts your facial expressions and makes your face look droopy in an archetypal 'plastic surgery' way. Fillers don't look as awful, simply because they don't 'ingrow' into your actual tissue. It's stupefying how PSs will say that this is what makes the fat grafting 'better' than fillers, when they cite this exact same thing as the root cause of aesthetic ugliness after other so-called 'permanent fillers'.

The people who *might* be happy with fat in the long term would have to be so aged - to the extent that they'd be prepared to overlook all of the horrible side effects. 

About Saboeira - I'd assume she'd be doing more or less the same as Coleman. If the fat grew after they saw him, then that basically proves that even someone like him can't actually predict a good long-term result.
Title: Re: any of you tried fat????
Post by: PloskoPlus on February 05, 2017, 08:14:35 PM
One PS told me that fat growing is a feature, not a bug. Lol.
Title: Re: any of you tried fat????
Post by: girl on February 06, 2017, 06:54:54 AM
One PS told me that fat growing is a feature, not a bug. Lol.

Who told you that?

Title: Re: any of you tried fat????
Post by: Lestat on February 06, 2017, 09:56:56 AM
It's possible for fat to grow without weight gain. Fat cells often expand as you get older and fat cells are susceptible to hormonal changes.

Another cause of 'growth' is scar tissue development. As some of those articles have shown, chronic inflammation can bulk up the surrounding area too. This inflammation can also be 'low level' inflammation i.e. when it isn't a granuloma or infection.

By the way, the fat goes sloppy after a while. After about a year or so, it just looks a mess - like sludge. As the stuff sticks to the skin and muscles like glue, it contorts your facial expressions and makes your face look droopy in an archetypal 'plastic surgery' way. Fillers don't look as awful, simply because they don't 'ingrow' into your actual tissue. It's stupefying how PSs will say that this is what makes the fat grafting 'better' than fillers, when they cite this exact same thing as the root cause of aesthetic ugliness after other so-called 'permanent fillers'.

The people who *might* be happy with fat in the long term would have to be so aged - to the extent that they'd be prepared to overlook all of the horrible side effects. 

About Saboeira - I'd assume she'd be doing more or less the same as Coleman. If the fat grew after they saw him, then that basically proves that even someone like him can't actually predict a good long-term result.

That is absolute nonsense. Every single word. It is SCIENTIFICALLY IMPOSSIBLE that fat cells grow without weight gain!
Title: Re: any of you tried fat????
Post by: girl on February 06, 2017, 10:59:33 AM
That is absolute nonsense. Every single word. It is SCIENTIFICALLY IMPOSSIBLE that fat cells grow without weight gain!

You're forgetting about visceral fat deposition. These areas do enlarge in some people with age and at the very least, can be more or less resistant to diet and exercise.

And the scar tissue/inflammation isn't 'nonsense' - take a look at the posted articles before drawing that conclusion.
Title: Re: any of you tried fat????
Post by: PloskoPlus on February 07, 2017, 03:46:00 AM
Who told you that?
Guyuron
Title: Re: any of you tried fat????
Post by: Lazlo on February 07, 2017, 05:07:42 PM
I have a good friend who has had several fat transplants from guyron to schendel to marten and the only problem he ever experienced was the fat not staying long enough. no infection or unevenness or anything. finally with his last fat transplant to his face some of the fat seemed to have stayed but it's not really noticeable.

I've never really heard of people having these complications but who knows.
Title: Re: any of you tried fat????
Post by: Lestat on February 08, 2017, 04:37:50 AM
I have a good friend who has had several fat transplants from guyron to schendel to marten and the only problem he ever experienced was the fat not staying long enough. no infection or unevenness or anything. finally with his last fat transplant to his face some of the fat seemed to have stayed but it's not really noticeable.

How long did the fat last? Longer than 6 months?
Title: Re: any of you tried fat????
Post by: earl25 on February 08, 2017, 07:51:37 AM
I have a good friend who has had several fat transplants from guyron to schendel to marten and the only problem he ever experienced was the fat not staying long enough. no infection or unevenness or anything. finally with his last fat transplant to his face some of the fat seemed to have stayed but it's not really noticeable.

I've never really heard of people having these complications but who knows.

Ive known ppl who got hard lumps
Title: Re: any of you tried fat????
Post by: The Quest for Aesthetics on February 08, 2017, 08:36:42 AM
I wonder whether resorption and clumping applies to the particular technique that uses Coleman used, where he transfers it surface level and according to him stem cells help regenerative the overlying skin tissue as well as giving small augmentation. He wrote an article on this technique, calling it 'unique' and explaining how he wanted to do more research on how the stem cells operate in this way