Board Eligible Plastic Surgeon
Recommended for: Board Eligible Plastic Surgeon +-1
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The following is my personal opinion: I have used vaser since 2004 when it first became available. It has allowed me to contour areas during procedures that the other 2 methods do not allow. Why? Because Vaser is selective for fat cells and leaves vessels and nerves and lymphatics for the most part undamaged IF the Vaser is used properly! Simply speaking: 1. Infuse an adrenaline containing solution into the fat 2. Let it sit for a minimum of 10 minutes! 3. Insert titanium probe that vibrates at around 40,000 times a second to create ultrasonic waves that are maximally absorbed by the fat and separate the cells from each other. 4. Use Vaser's Ventex cannulas which do not tear the tissues in order to suck out the emulsified fat liquid created by #3. 5. Place patient in a compression garment. Other methods can rip and tear vessels and nerves and soft tissues, and in the case of Smart Lipo, burn them as well. The fat from Vaser Lipo Selection is very suitable for Brazilian Butt lift - the injection of the strained fat into the buttock muscles for excellent long term augmentation!
The following is my opinion. I have lectured on this very point to plastic surgeons at international conferences. The MF lift is my favorite procedure due to its elegance and power in transforming the facial shape from aged deflation to curved youth. As we age,almost all of us lose facial fat. The pockets of fat in the face are not united, but rather separated by thin walls of collagen. As they go horizontally across our face in our youth, deflation results in the more vertical folds we see in age. High mid facial curves with a short lower eyelid vertical height is the characteristic of youth. The tightened flat cheeks and elongated lower eyelids of a face-lift that ignores the cheek lift is a sad sight to be hold! So, the options for effective rejuvenation number 2: 1. Re-inflate each pocket of fat with a substance such as Sculptra, OR 2. If there is enough remaining fat in the fallen face, elevate the fat pads back to their original position through a Mid-Face lift. Your question regards #2. I make incisions in the temporal (temple area) scalp and an incision inside the upper lip on either side of the mouth. Staying just on top of the mid face bones, the overlying soft tissue is re-suspended upward with sutures that dissolve in 6 months. The tissues heal to the bone in the elevated position and stay there until many years more of fat deflation occur. My patients find this procedure to be not painful and extremely effective. The "downside" if there is one is that the cheeks swell creating a mildly "alien" appearance for a variable amount of time... usually less than 2 weeks. It may take up to a couple months before the patient feels comfortable with the results. By 3 months post-operatively, about 95% of my patients tell me it was the best procedure they have ever seen!
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