Bolitho MD

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9834 Genesee Ave Ste 311 La Jolla San Diego, California
Phone: (858) 458-5100

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19Jan, 2017

Plastic Surgery Consultation: Plan Ahead

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Plastic Surgery Consultation: Plan Ahead

For some individuals, a new year means new possibilities. One pathway of possibilities may be aesthetics by way of plastic surgery. When one has located a board-certified plastic surgeon, the next step is scheduling a plastic surgery consultation.

It’s completely normal for a patient to feel a blend of excitement and nervousness at this appointment. Nevertheless, there are some things that a patient can do ahead of time to make the most of their consultation.

Karen Martindale is a patient concierge for San Diego plastic surgeon Dr. D. Glynn Bolitho. Dedicating more than 25 years in the cosmetic surgery industry, Ms. Martindale brings a wealth of knowledge to patients preparing for a consultation.

Ms. Martindale’s sage advice is to plan ahead.

Top plastic surgeons like Dr. Bolitho are going to be booked about four to six weeks in advance. So most of the time, a patient will not be able to walk in and request surgery the very next week,” Ms. Martindale said. “With that said, it’s never too soon to come in for a consultation.”

According to Ms. Martindale, some patients who want to learn more about liposuction or tummy tuck may think that they need to be at their ideal weight before their consultation. Ms. Martindale shared that potential patients do not need to wait.

“It’s always a great idea to come in for your consultation three or four months ahead of time so future plans can be made. Even though you may not be at your ideal weight, coming in and having your consultation is a great start,” Ms. Martindale said. “Many patients have also explained how the consultation served as a great incentive to help them achieve their weight loss goal.”

In other instances, achieving a certain weight loss for a particular procedure may not be necessary. Ms. Martindale shared an example such as for those wanting a neck lift or surgical facial rejuvenation procedure.

“If you’re within 10 to 15 pounds of your ideal weight, having a facelift may not make that much difference,” Ms. Martindale said.

Planning ahead is also needed if one is smoking traditional cigarettes or inhaling e-liquid nicotine while vaping.  Ms. Martindale wants potential patients to know that they need to stop smoking four weeks before and after surgery. And on a side note, Ms. Martindale happily reported how many of their patients never returned to their cigarette use.

Writing down questions ahead of time was also mentioned by Ms. Martindale.

“These questions can vary, but generally they range from recovery, when they can resume their exercise routines, and when they can fly,” she said.

For marathon runners readying for a future event, planning ahead on the opportune timeframe for surgery is important to address.

“Busy moms also need to coordinate their surgery time with their children’s schedules and possible childcare assistance,” Ms. Martindale said. “Another thing a patient will want to inquire is if their plastic surgeon will be out of town during the time they are interested in having surgery.”

In many respects, a plastic surgery consultation can help turn a possibility into a reality.

6Oct, 2016

Methods to help reverse the signs of facial aging

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Methods to help reverse the signs of facial aging

As one becomes mature with age, they may notice over time that their skin appears less hydrated and fine lines are more apparent. While these signs may be normal, both women and men may very well want to take steps to facial rejuvenation.

There are various reasons as to why skin ages. For many, although they have been incredibly diligent with their sunscreen, over sun exposure may still have occurred triggering premature aging such as fine lines, wrinkles, and age spots.

While UV damage plays a role in aging skin, other factors contribute to it as well including a sluggish cellular turn over, loss of natural hydration, and repeated facial movements that cause dynamic wrinkles. For those unfamiliar with the term, “dynamic wrinkles,” this occurs from recurrent facial actions such as smiling which can develop wrinkles over time along the outer corners of the eyes and mouth.

While surgical facial rejuvenation such as a facelift or lower limited facelift can produce excellent results, some patients may decide to travel a nonsurgical pathway first. And on this road are the following aesthetic avenues.

Skin Care Regimen

One of the best investments an individual can make is to team up with a medical skin care professional. An example of this is an aesthetic nurse specialist who works alongside a board certified plastic surgeon. Partnering with such an expert will offer a springboard of skin care options such as being afforded medical grade skin care products which match a person’s needs.

While many plastic surgery offices offer specific skin care lines, one prescription product not to be overlooked is Retin-A. This topical appeared on the market nearly three decades ago and was intended for the use of patients with acne. Not long after it was on the market, users noticed another improvement in their skin: Rejuvenation.

Patients agreed that their skin appeared smoother, age spots had diminished, and fine lines and wrinkles were less noticeable.

A complete antiaging skin care regimen requires Retin-A.

In office visits with a medical specialist may also include chemical peels, dermaplaning, and micro-needling to enhance those skin care results.

Botox

As mentioned earlier, dynamic muscles occur due to the frequent use of facial muscles. One way to minimize their appearance is via Botox injections. A board certified plastic surgeon or their aesthetic nurse specialist can deliver this leading cosmetic injection. Finding a skilled injector who is adept in the facial anatomy is critical for one interested in receiving Botox. The results of Botox should be a refreshed and natural look.

It’s important to note that some individuals in their late twenties and/or early thirties utilize Botox to prevent these dynamic wrinkles from forming.

Fillers

The loss of hydration in one’s skin will have side effects. Some of these may include the following:

  • Less youthful fullness
  • Dull facial canvas
  • Fine lines and wrinkles
  • Skin sensitivity

While some topical and in-office treatments can help with hydration, a group of patients turn to hyaluronic fillers to help treat nasolabial folds and marionette lines. Conversely, fillers such as Juvederm can help augment the lips, while Voluma can augment the cheek area.

From skin care products and treatments to cosmetic injections, each one should be tailored to a patient’s aesthetic needs and desires.

17Aug, 2016

Changing the face of science

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Changing the face of science

Science continues to redefine itself in the area of facial rejuvenation. With an eye to the future, a recent article published in JAMA Facial Plastic Surgery has paved the way to new ideas and possibilities. And in the world of science, it’s all about new concepts.

While facial surgery such as facelifts, cosmetic injections, and even fat grafting have filled a vital niche for many patients opting for rejuvenation, researchers are testing to see if the human body can somehow perhaps be encouraged to stimulate facial tissue regrowth.

This area of science is called regenerative medicine.

In Vocativ, reporter Alexandra Ossola covers this recent article which was authored by Matthew Q. Miller, MD. Miller is a surgeon specializing in the head and neck regions from the University of Virginia Health System.

Ossola writes, “Though scientists’ interest in regenerative medicine has grown steadily since the early 2000s, interest in facial surgeries in particular isn’t reflected in the literature until 2010. Miller believes there are two reasons for this. Generally, facial surgeries have good outcomes—they heal quickly and have a low rate of infection, so there’s no need for dramatic improvement.”

Miller also shared that there is not “margin for error” in operative facial surgery.

“Even small imperfections can really stand out, as people’s eyes always focus on the faces of others in day-to-day interactions. Because of this, new techniques are a little slower to gain widespread acceptance among surgeons,” Miller said.

Also interviewed in the article was Richard D’ Amico who serves as the chair of the Regenerative Medicine Task Force which is a branch of the American Society of Plastic Surgeons.

D’Amico notes how hyaluronic acid fillers support facial structures. Fillers such as these are noted to add a more youthful appearance when volume or elasticity has dissipated due to age or premature aging. While injections of this type such as Juvederm offer a great outcome, the results are temporary lasting up to a couple of years.

While patient dependent, fat grafting is generally utilized during a facial surgery to add volume. Following liposuction of a small area such as the thighs, abdomen, or hips, the fat is then filtered via a centrifuge before the injections occur in the rejuvenation procedure

In the article, D’Amico described this process as labor intensive thus requiring it to be more expensive for the patient.

“If regenerative medicine works the way researchers think it could, patients could just get a quick injection, plus some localized anesthesia, to repair their facial tissues,” Miller writes. “And while it might not be able to repair tissues in a “Star Trek-like fashion” (that is, with a device that can heal wounds almost instantly), Miller and his co-authors write, these regenerative techniques could usher in a new age of plastic surgery for the face.”

The three levels scientists are currently focused on include the following:

  • Stem Cells
  • Platelet Rich Plasma (PRP)
  • Protein Matrix

While more research is underway and these above scientific avenues still require more answers, it’s interesting to know how science continues to play a role in facial rejuvenation in one form or another.

18May, 2016

Men are affording the benefits of cosmetic procedures

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Men are affording the benefits of cosmetic procedures

Over recent years, a number of men are not only learning more about minimally invasive facial rejuvenation procedures, but they are undergoing them. According to recent statistics retrieved from the American Society for Aesthetic Plastic Surgery, in 2015 noninvasive procedures soared over the last five years. It was estimated that one million men underwent these procedures.

While some may have their own theories on why this is so, psychology Professor Miles Groth of Wagner College in New York had his summation. His area of expertise is in gender studies for men. In his interview with the New York Times he shared with reporter, Alix Strauss, his own beliefs on how the views of men have shifted.

The article was entitled, Till Wrinkles Do Us Part: Introducing the Brotox Groom, because many men who are ready to wed want to look their best on their big day. It was cited that millennial grooms are older these days.

“For a very long time, emphasis was placed on what a man did, not how he looked, while women were judged on the opposite,” Groth said. He added, “We’ve gone away from that. Today there’s as much pressure on men to look good and take care of themselves as there is on women. That’s a new phenomenon.”

And they are feeling their own share of pressures as well.

“Men are now being judged on their job, on the quality of the bride, and on how they look, which is why these kinds of enhancements have become more acceptable and almost expected,” Groth said.

The article also highlighted how grooms-to-be are also seeking the help of facial rejuvenation before their big day. Like their female counterparts, areas that many want to rejuvenate appear to be squint lines around the eyes, lines along the forehead, marionette lines, the jawline and underside of the chin.

Many men are turning to Botox®, also referred to as ‘Brotox’ for men.

Understanding that more men are seeking these treatments to help maintain their youth, the recommendations of locating an individual such as a plastic surgeon or registered aesthetic nurse who understands the facial anatomy is still at the forefront. And following the “less is more” theory is also important when undergoing cosmetic injections.

The goal is to capture a natural appearance which makes the patient look refreshed. Conscientious medical professionals will deliver modest amounts of Botox. If after two weeks a patient desires a bit more, they can return for a cosmetic injection touch-up.

And this same protocol holds true for women as well.

During the consultation portion of the appointment, patients can convey what they want to rejuvenate. Many times, digital photos will be taken by a nurse and uploaded to a touch screen in the examining room so both the patient and plastic surgeon (or nurse) can exchange pertinent dialog relating to aesthetics.

Although these are minimally invasive procedures that many gentlemen seek, they must remember that these are still medical procedures. And the procedures should be performed in a medical setting to ensure safety and adeptness from a medical professional whose expertise is in facial anatomy.

23Dec, 2015

Holidays: Cosmetic Procedure Time

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Holidays: Cosmetic Procedure Time
When one thinks of the holiday season, they often conjure up images in their mind of shopping, decorating their home, office parties, and family gatherings. The holidays are a precursor to celebrating the New Year.

While these festivities move full steam ahead, a recent press release floating around cyberspace indicated that the month of December is also one where there is a marked increase in plastic surgery procedures.

Reporter, Rachel Gross from Slate, indicated to her readers that when she first saw the press release, she thought it was gag of some sort. But as she read on, she realized it was anything but a joke.

She wrote, “People really do get more plastic surgeries in December. Surgeons consistently report a surge in people coming to them for procedures at this time of year, with treatments and surgeries often increasing by 20 to 30 percent.”

So why is this so?

According to the research consensus on this subject, December affords so many people long stretches of vacation time, particularly toward the end of the month. For an operative facial procedure such as a lower limited facelift, temporal lobe lift, eyelid surgery, or neck lift surgery, there is some bruising and swelling which can last up to two weeks. Following this downtime, people can return to work with limited swelling and any residual bruising can easily be camouflaged with a touch of makeup.

And operative facial rejuvenation procedures are actually the most sought after during the month of December. During the holidays, avoiding co-workers and others during the recovery stretch can be done far easier than the rest of the year.

And for those interested in body contouring procedures such as a breast augmentation, a patient can be back to the workplace or even be part of the holiday festivities a week or so after her procedure.

And speaking of the holidays, gift buyers such as significant others are purchasing a “treatment gift certificate” for whatever procedure their recipient wants.

While operative procedures were mentioned in the research and media, it’s also important to point out the large role cosmetic injections have made in the world of plastic surgery. Many have opted to have either fillers or Botox done in the early part of the month to have them looking their best during the holidays.

Cosmetic injections require no downtime. Minimal redness and bruising may be apparent for some a couple days following the procedure. A skilled hand such as a board certified plastic surgeon or one of their highly skilled injectable nurses adeptly deliver fillers and Botox for optimal results and minimal side-effects such as bruising.

While one group has benefited from these liquid facelifts, others have chosen a series of chemical peels before the holidays so their facial canvas is smooth and luminous. Generally, it’s recommended to have a chemical peel about two weeks before an event.

The holidays are a time for celebration, but it also seems it is the time for someone to celebrate themselves through their own gift of aesthetics.

10Oct, 2015

Tips to Choosing a Plastic Surgeon

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Tips to Choosing a Plastic Surgeon

While the cosmetic surgery industry continues to soar with the demand for non-operative and operative procedures, the need for filtering out the best San Diego plastic surgeons remains of the utmost importance. There are a plethora of doctors who can perform plastic and reconstructive surgery, but it’s vital to note that one interested in a procedure should only use a doctor who is a board certified plastic surgeon.

Compared to other medical specialties such as cardiology, oncology, and dermatology, board certified plastic surgeons have undergone rigorous training in this field. Likewise, while they have been exposed to an array of specialties, each doctor truly hones in on their area of expertise.

While it’s important to make certain that a plastic surgeon is certified with the American Board of Plastic Surgery, it’s also crucial to see how far up the “professional chain” a surgeon is recognized. Areas in this category include researching if the plastic surgeon is a member in good standing with organizations such as the American Society of Plastic Surgeons and/or American Society for Aesthetic Plastic Surgery. These sites offer additional comprehensive information about plastic surgeons. As well, board certified plastic surgeons must be well regarded with their education, skill, and respected by their peers in order to become a member.

Often overlooked is logging onto the plastic surgeon’s website which is considered an extension of a doctor’s office. Peruse the site, research the doctor, and visit their patient gallery under particular procedures such as facelifts and mommy makeovers. While online, it’s also a sound idea to visit patient reviews.

When one is about to embark on booking a consultation with the plastic surgeon of their choice, play close attention to the front office. Remember, this part of the medical practice is the frontlines and the individuals a potential patient will be dealing with during their plastic surgery journey. If the front office seems to be unprofessional or unfriendly, do take this into consideration as to whether or not to move forward with the scheduling at this particular office.

At a consultation, this is an individual’s time to be thoroughly candid with their aesthetic desires. If possible, bring someone to the consultation as an extra sounding board and don’t neglect to have questions prepared beforehand for the doctor.

At a glance, here are some items to discuss during the initial consultation:

  • The doctor answers all questions
  • The doctor has a friendly demeanor
  • If the doctor is running late with the appointment time, that they extend a sincere apology
  • The doctor spends quality time during the consultation
  • The doctor explains in detail the procedure and technique(s) which will be used
  • The doctor explains pain control if a surgery is recommended
  • The doctor explains the recovery timeframe and risks
  • The doctor shares hospital privileges that they have
  • The doctor shares where the surgery will be performed (surgical suite or hospital)

Another item a patient may not ask but is privy to is whether or not the plastic surgeon has scheduled a vacation or conference around one’s surgery date. Generally, one will want to make certain their surgeon will be on hand about a month or so after surgery. Follow-up postsurgical appointments are necessary so do be sure one is being seen by their surgeon and not a doctor “on call” or “covering” for them while they are away.

During the course of the consultation, the plastic surgeon may have a patient concierge on hand to help navigate the appointment and offer more information about the surgery. Remember, this is a consultation and in no way should one feel pressured or “upsold” into any treatment or procedure.

Cosmetic surgery is just that….a surgery. Do collect all the necessary information, make preparations before and after the procedure, do research, and when the time is right, then schedule the surgery with the right board certified plastic surgeon.

 

23Sep, 2015

Halting the golden years with cosmetic surgery and procedures

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Sunset

It’s only natural that individuals want to look as youthful as they possibly can. However, coupling this desire with the need to look young in corporate America, there are a slew of baby boomers whose desire turns more into a necessity.

The corporate America playing field is rife with ongoing competition from recent college graduates. Those who have clocked in the years at their career want keep a strong foothold in their position as these new candidates polish their resumes.

While not necessarily politically correct, professionals in their forties and above are experiencing the need to have a younger looking appearance. From cosmetic injections to minimally invasive lower limited facelifts, patients are welcoming a newfound sense of youth.

In the Philadelphia Inquirer, reporter Erin Arvedlund crafted an excellent article related to this topic describing the above scenario as the “top anti-retirement expense.” People are investing in themselves in the workplace.

And this is a valid statement.

She interviewed a county assistant prosecutor who was incredibly candid about how she wanted to look her best in the presence of jurors. Appearance means a great deal to people “looking the part” from head to toe. It is what some professions require.

More importantly, some professionals don’t want to retire because they enjoy their work and current lifestyle. Their work may give them a sense of purpose.

On the flipside, as the cost of living and college tuitions continue to climb, workers may need to punch the time clock a little longer.

Frown lines and other wrinkles may give a stern expression which can be treated with popular cosmetic injections such as Botox and Juvederm. If one feels these injections are not providing an optimal aesthetic outcome, then a lower limited facelift and/or fat grafting is another excellent option.

A consultation with a board certified plastic surgeon can help navigate patients toward the right procedure(s).

In her comprehensive article, Arvedlund also interviewed a representative from the American Society for Aesthetic Plastic Surgery. Leigh Hope Fountain told the reporter, “Baby boomers are having a lot of work done to stay competitive in the workplace.” She continued, “It’s very ageist, but it’s the unfortunate reality.”

Over time, there has been a significant shift in patients. While women still predominately receive facelifts, men are now walking into the surgical spotlight. According to a plastic surgeon Arvedlund spoke with, the patient ratio of 15 women undergoing a facelift is compared to one man. Not too long ago, that ratio used to be 20 women for every man.

Realizing that cosmetic surgery for baby boomers is a consistent trend, it’s important more than ever in choosing the right plastic surgeon that specializes in facial rejuvenation. Microsurgical skills and advancements have been quite impressive over the years as are the swift recovery timeframes.

With that said, finding a qualified board certified surgeon through an organization such as the American Society of Plastic Surgeons (ASPS) is a great starting point for an individual just beginning their due diligence.

3Sep, 2015

Aging Population Considers Cosmetic Surgery

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Side view of smiling middle aged couple on beach looking off int

Polls and data are ever circulating revealing what is on the minds of Americans. One survey assessed how concerned individuals were with aging. In other words, what was their tolerance level in relation to the reflection in the mirror as the years pushed on?

For the most part, they weren’t quite lenient with themselves in this category. This self-perception branched out into areas of the workplace, romance, health, and more. While a breakdown of the survey is below, it appeared as if women were less accepting to the changes which went along with aging as opposed to their male counterparts.

Yes, while more men are seeking procedures for youthful rejuvenation, the percentages still remain higher for women.

The survey included a poll of 2,000 Americans and here were the findings:

  • 90 percent of females were considered to receive more pressure to appear more youthful.
  • Men received a 5-year gain for aging.
  • Results showed that women looked optimal at 30.
  • Results showed that men looked optimal at 34.

Allure Magazine championed this interesting poll. Their executive director, Kristin Perrotta wrote, “The survey definitely shows that aging, when we are talking about appearance, is a real emotional touch point for both men and women, no matter whether they are 20, 40, 60.”  She continued, “People overwhelmingly said they were concerned about the effects of aging. They were concerned about how it would affect their attractiveness to the opposite sex and particularly with women, how aging would affect their career.”

This type of survey truly gleans some helpful information not only for people with this mindset but for also plastic surgeons who are consulting with patients. They are able to intellectually and emotionally grasp what the aesthetic needs of their patients truly are.

Above all, people are taking great care of themselves through fitness, a healthy diet, and stress decompression tactics such as yoga and meditation. They are feeling younger than ever and they want that feeling to be expressed in how they look.

For many, cosmetic surgery is an extension of those personal goals and investment they want to make in themselves.

Some other survey results revealed the following:

  • One in 20 respondents did undergo cosmetic injections or plastic surgery.
  • Forty-two percent of women surveyed that they would agree to cosmetic injections or surgery to restore their youth.
  • Eighteen percent of men claimed they would consider cosmetic injections or plastic surgery.
  • Respondents thought they looked younger than their peers.

As mentioned earlier, while more women are seeking non-operative and operative facial rejuvenation procedures than men, the percentage of the male population is climbing.

For females, the operative roster includes eyelid surgery, liposuction, lower limited facelifts, and breast augmentation. Males leaned toward liposuction in the flank area (love handles) and also eyelid surgery.

As surveys continue to be published, the most important item to convey is that plastic surgery is a personal decision and no one should ever feel pressured. Being mindful and consulting with a board certified plastic surgeon is the first step in the aesthetic learning curve.

6Aug, 2015

Cosmetic surgery leads the way for Baby Boomers and Gen X

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FreeDigitalPhotos.net by Stock Images

FreeDigitalPhotos.net by Stock Images

Plastic surgery has presented youthful opportunities to numerous generations. Currently, generations which are benefiting from it are the Baby Boomers and those leading the pack for Generation X.

These two groups are looking to board certified plastic surgeons to regain a more youthful appearance. Considering that people are working longer in corporate America, it’s reasonable that they want to look as good as they feel.

Additionally, social media and all its nuances, including online dating, have triggered consultation appointments with plastic surgeons.

A solid source for reliability comes from the American Society of Aesthetic Plastic Surgery, also referred to as ASAPS. Annually, they compile data to glean a better understanding of age groups seeking plastic surgery and correlating that information with types of plastic surgery treatments most chosen.

Here is precisely what ASAPS collected for the Baby Boomer generation for 2014:

  • Ten million patients underwent both surgical and nonsurgical cosmetic procedures
  • Those between 51 to 64 years of age were part of this calculation
  • Twenty-four percent had cosmetic surgery
  • Thirty-two percent underwent minimally invasive procedures
  • Those 65 years of age and above accounted for 5 percent of surgical rejuvenation

 

For those in their 30s to late 40s, Generation X has begun to rely on minimally invasive procedures such as cosmetic injections like Botox and Juvederm for facial rejuvenation; however, one would be remiss if they did not pinpoint the leap in Mommy Makeovers. This is a highly popular procedure that helps mothers restore their post baby figure with a breast lift and/or breast augmentation, tummy tuck and liposuction.

Now, back to the Baby Boomers and what types of procedures they did undergo in 2014:

Patient expectations for these procedures should be natural appearing rejuvenation.

Mature patients in the Baby Boomer generation can be afforded an array of rejuvenation procedures. Operatively, microsurgical skills are unmatched and board certified plastic surgeons are incredibly adept.

And on the anesthesia front, pain management begins in the operating room which ultimately means that patients require less anesthesia during the course of the surgery, awaken less lethargic, and experience lower discomfort levels postoperatively.

While such impressive surgical achievements have been made, a consultation with a board certified surgeon will determine the best procedures for those aesthetic wishes. It’s also important to note that a plastic surgeon will take a comprehensive look at a patient’s medical history.

They will assess any high risk factors such as:

  • Smoking
  • Diabetes
  • Blood thinner medications
  • Heart disease history

If any risk factors are determined, then a plastic surgeon will proceed accordingly.

Consultations are an opportune time to discuss a patient’s aesthetic wishes, learn about the surgery they are interested in, while discovering if they have a genuine rapport with their potential surgeon.

If all goes well during the surgery, the next step in planning the surgery can be done. However, if there is any ambivalence, do take time to think it over and perhaps even meet with the doctor once again. Cosmetic surgery is an important decision, and one should always be mindful during such considerations.

6Jul, 2015

How Fat Grafting Enhances Facelift Surgery

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Woman Silhouette Watching Sun In A Sunset

Plastic surgeons have discovered the benefits of incorporating fat grafting methods as part of the protocol for operative facial rejuvenation surgery. In a recent issue of Plastic and Reconstructive Surgery, a medical journal published by the American Society of Plastic Surgeons (ASPS), they revealed some interesting data in how this technique is enhancing the world of facelift surgery.

In fact, it has swiftly become a common component to the surgery be it a limited incision facelift or a more comprehensive procedure.

The study which unveiled this information was championed by Dr. Sammy Sinno, a board certified plastic surgeon at New York University, along with the assistance of his colleagues.

Wolters Kluwer of Medical Xpress cited, “The researchers surveyed a random sample of ASPS members regarding their use of fat grafting for facelift procedures. In this technique, the surgeon performs liposuction to obtain fat cells from another part of the body—such as the abdomen or thighs—and carefully injects them to provide additional volume in selected areas of the face.”

More than 300 ASPS member surgeons took part in the survey.

Leaning on ASPS member surgeons provides an accurate base point. Those who are part of this organization are highly regarded for their education and expertise in their field of medicine.

The response from the study revealed that 85 percent of the respondents stated that they indeed utilize fat grafting during operative facial rejuvenation procedures, otherwise known as facelifts. It was suggested that the increase of this particular technique occurred within the last decade.

While operative facial rejuvenation addresses wrinkles, facial fat grafting is an excellent modality in addressing the loss of facial volume such as in the cheek area. This modality can be of great benefit to reverse this.

Leading up to fat grafting, the following occurs:

  • The collection of fat via gentle hand-harvesting (i.e., liposuction tool)
  • Process of purification
  • Delivery and transfer techniques

The study indicated that the common site where fat was harvested was the abdominal area. The amount of fat transferred into the facial area varied. The survey revealed that this small amount gathered ranged from 11 to 25 cubic centimeters, also known as cc’s.

While a degree of some fat from the transfer does have the potential to reabsorb, ASPS member surgeons agreed that the majority of the transfer was still visibly present one year postoperatively.

The common areas of fat grafting include the following:

  • Cheeks
  • Lower eyelids
  • Nasolabial Folds

In some instances, the study pointed out that fat grafting follow-up treatments were sometimes performed again four to six months after surgery to redefine specific areas. Nonetheless, both patients and their doctors were pleased with the aesthetic outcome.

Toward the end of the study, Dr. Sinno surmised, “The results of our survey demonstrate most surgeons currently believe that facial fat repositioning in combination with volume addition increases the ability to utilize these two complementary techniques to restore the volumetric highlights noted in youth, thereby enhancing facial shape.”

Frankly, volume restoration by way of fat grafting has added another level to facial rejuvenation and has invariably improved a youthful appearance for many patients. This additional phase has transformed into a more prominent role in facial rejuvenation surgery.