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Following the advent of liposuction
surgery, Lipo (fat) transfer, or fat recycling, was rediscovered and
utilized as a complimentary procedure uniquely suited to restore lost
facial and body contours.
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photos of Dr. Binstock's patients**
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lipo-fat transfer to cheeks and chin, liposuction
of jowls
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What is the history of Lipo(fat) transfer?
Lipo transfer was in vogue in the late 1890's into
the 1950's, but was abandoned with the discovery of injectable silicon
which in turn was replaced by an injectable collagen in the late 1970's.
In 1956 Lyndon Peer, M.D. who with others was transplanting fat to re-contour
facial and body depressions and deformities, proved that 50% of transplanted
fat cells establish blood flow within a few days and survive for a year.
Liposuction surgeons in Europe, South America, and the United States have
been recycling fat with much success. It seems that on average 30-35%
of fat transplanted, of any given session, will survive, depending upon
the surgeon, the patient, and other factors as yet not understood.
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photos of Dr. Binstock's patients**
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Lipo-fat transfer 2 sessions to cheeks
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How did Dr. Binstock learn the procedure?
The French surgeon, Pierre Fournier, M.D. reported
to the American Society for Dermatologic Surgery in the spring of 1985,
that he had re-injected fat into five hundred patients over a five month
period without ill effects. In 1983 and in 1986 Dr. Jeffrey Binstock visited
with Dr. Fournier in Paris to learn his methods. Dr. Binstock has been
refining and perfecting his techniques ever since.
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photos of Dr. Binstock's patients**
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Fat transfer to cheeks and chin, liposuction neck
& jowls
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What is Lipo(fat) transfer?
Lipo transfer offers a natural filler material,
i.e., ones own fat, that is harvested and re-injected into the individual
who donated the fat. It can be used to fill out the lines around the month
and between the brows, to restore fullness of the upper and lower lips
and help eliminate lip lines, to fill in cheeks and build up cheek bones,
to strengthen the jaw line and chin, to fill in temple hollowness, and
recontour and position the eyebrows, as well as support the lower eyelids.
This technique helps restore facial fat that is lost with aging. It can
be combined with liposuction of the jowls and neck, to create a more youthful
appearance.
Large quantities of fat can be used to recontour body
depressions, including the natural hollow occurring between the hip and
outer thigh, and to help correct unsatisfactory liposuction results.
How is the fat
harvested?
Fatty tissue can be collected during liposuction surgery for reduction
of facial or body bulges, as liposuction makes available large quantities
of fat. The fat is broken into sub units by low pressure suction, offering
greater surface area for fat cells to be nourished and supplied when transplanted.
Fat tissue can be easily harvested by using a syringe
under negative pressure created by pulling back on the plunger, and then
moving the syringe and micro Lipo (fat) extractor back and forth under
the skin to withdraw the fat into the syringe, i.e., micro liposuction.
In this way small amounts of fat can be harvested from the abdomen, hip,
or thigh, to be re-injected, i.e., micro-lipo injection, into the desired
areas.
What results might I expect to
see?
It appears that each lipo (fat) transfer session results in an average
of a 30-35% residual correction and that by doing a series of three sessions,
it is usually possible to achieve a substantial and often persistent long-term
correction. This depends on the body area or facial area grafted as well
as on each particular individual. For example, the filling in of cheek
hollows and body depressions will often last a long time, while lip augmentation
and frown line filling needs touched up more often as aging continues.
What happens
to the face as we age?
Aging is multi-factored phenomena with
progressive loss of supporting structure and subcutaneous tissue that
results in a hollowing out of the temples and cheeks, a thinning of the
lips, loss of jaw strength and chin definition etc. Pulling skin tighter,
i.e., a face lift, only addresses part of the aging process often leaving
the face gaunt and pulled. Lipo filling and contouring uniquely offers
the volume of natural filler substance necessary to improve and reverse
this aspect of aging which is usually ignored. The results can be quite
dramatic and a more youthful appearance regained, and can often postpone,
as well as complement facelifts.
What is the recovery time?
Both donor and recipient sites may bruise for 7 to
10 days. Swelling may be apparent for one to three weeks. There is some
loss of benefit over time even though approximately 30-35% of the grafted
cells on average survive. It is easy to re-inject, to obtain a better
contouring during multiple sessions, and as aging continues. Fat transfer
sessions can involve small quantities of fat, with little swelling and
bruising, and less correction per session. The benefit being manifest
after many sessions or, larger amounts of fat can be injected at one time,
if one is able to deal with swelling and bruising that may last 1-2 weeks.
What are the risks?
Risks of infection appears to be 1% or 2% as does the risk of total failure
due to the fat not taking (the fat may be reabsorbed by the body or very
rarely drains through the skin like a cyst). Other risks include scarring,
asymmetry, lumpiness, and embolism, i.e., fat inadvertently being injected
into a blood vessel. (Embolism resulting in skin loss, blindness, or stroke,
has been very, very rarely reported over the last twenty years in the
world's literature).
Lipo (fat) contouring, via fat transfer, is a unique,
exciting means of effecting Facial Filling & Rejuvenation. Unlike
collagen injections, lipo transfer is not associated with allergy problems,
and large quanties can be utilized at each session to recontour and restore
facial fullness. Modern Lipo (fat) transfer is a break through procedure
offering an opportunity to replace the loss of facial (fat) tissue that
occurs with aging.
Please call Dr. Jeffrey H. Binstock for further information,
and to schedule your consultation. Find out what Lipo Facial Rejuvenation
and Contouring can do for you.
** Benefits depicted are actual and
not retouched.
Patient results may vary. Each set of photos reflects the benefit realized
by the person in that set of photos, and not necessarily the viewers final
results.
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