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Shrinkage of facial muscles is one of the primary manifestations of the aging process. Aging combined with diet and exercise can cause many people to develop a thinner face. In some cases a dramatic ?skeltonization? may occur. For these patients a lifting procedure alone may produce a ?masked? look. Restoring the volume of the atrophied muscles is an obvious method of facial rejuvenation. Augmenting the volume of the muscles in the forehead, cheeks, mouth, chin and jawline with fat restores the more youthful look of a fuller face.
What is FAMI?Dr. Roger E. Amar developed FAMI in 1991. FAMI stands for Fat Autografting Muscle Injections. It is a non-surgical approach to aesthetic surgery that facilitates the correction of facial deficiencies. FAMI is an outpatient procedure in which your doctor removes fat tissues from the lower part of your body with Liposuction and then refines this fat tissue by centrifugation and injects it into your facial muscles with the use of specially made instruments.
Fat Transfer, also called autologous fat transplantation, has been around since the seventies. This technique did not respect the facial vascular paths. The results were very inconsistent and for many patients asymmetric. The new FAMI bloodless technique respects the facial vascular network and places the fat into the facial muscles to provide long-lasting, symmetric results. FAMI is also the only procedure that uses specially-designed cannulas to place the fat autograft into the vascular facial muscle bed. The main facial muscle groups are injected with a maximum chance to integrate the host tissues.
Yes. Fat transfer procedures are performed by thousands of doctors worldwide. It is an outpatient procedure performed using local block anesthesia. FAMI has been demonstrated to have very few complications in the hands of doctors specifically trained in this procedure. Fat transferred to your face using FAMI can provide genuine facial rejuvenation without the presence of foreign bodies. FAMI injects your face with your own living fatty connective tissue, correcting asymmetry and restoring the fullness of youth. There is no risk of an allergic reaction since it is your own fat.
FAMI works better with muscles that have not been injected with Botox. Botox works by blocking the impulses to some of the facial muscles. This causes a paralysis of the treated facial muscles so that they are unable to contract. Over time, this can cause the underlying muscles to atrophy. As a result, the face may age more rapidly.
In general, your body weight may remain unchanged if your diet and exercise remain the same. The old rule that your face is the first place to show a weight gain or loss is no longer the case. Conversely, when patients gain weight, it inverts the aging process effects in the face.
The aging process can produce hollows and depressions in anyone?s face. Patients with skeltonization of the frontal, cheek, or chin areas, who are looking for rejuvenation without an open surgery, can benefit from FAMI. Patients with sagging jowls will likely need a full facelift to remove the excess skin, but once the folds are removed, these patients will benefit the most from FAMI. The procedure will give these patients a more thorough rejuvenation and a softer, younger appearance.
After your FAMI procedure you might have some bruising around the injection sites. This can be easily masked. There will be some swelling and it might last several days. Most patients resume all of their routine activities within two days and public or professional activities within two weeks. As the swelling subsides, you and your friends will begin to notice the rejuvenation.
Many patients are so excited with their results that they elect to have other facial areas treated in subsequent sessions. Patients can choose the area to be treated first and come back for more treatment in other areas at a later date.
http://www.byrdaesthetic.com/fami-facial-injections-atlanta.htm
Fat grafting to enlarge female breasts is done, not only for cosmetic reasons, but to reconstruct deformities like a mastectomy, a lumpectomy, a breast implant collapse, a tuberous breast, a condition in which the adult breasts fail to develop in puberty and result in extremely small, narrow and sagging breasts or for the correction of Polands Syndrome, rare birth defect characterized by underdevelopment or absence of the chest muscle (pectoralis) on one side of the body.
Coleman and Saboeiro compiled statistics a series of fat injection breast augmentation patients and reported that improvements in the size and shape of the breasts are possible with a fat grafting technique.
In that procedure, the doctors harvest donor fat, centrifuge it for refinement and to screen out impurities. Then, in a four to five hour procedure, they inject the fat into the layers of the breast through six to eight, two millimeter incisions in each breast. (One millimeter is the width of a single line drawn by a ballpoint pen.) Blunt syringes and cannulas are used to place the fat so that no damage is done to blood vessels ornerves. The fat is layered from the pectoralis major muscle up through the top of the breast; the surgeons rely on the fat injections to shape the breasts for an aesthetic, natural-looking result.
Despite the reports of some small clinical studies (clinicaltrials.gov), no current, standard method exists among physicians for preparing donated fat before injection back into the patient. For this and other reasons, the American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgeons (ASAPS) are advising their surgeon members and the public against the fat transfer procedure, at least, fat grafting to augment breasts, unless the patient is part of an ongoing clinical research study.[10]However, an earlier report in 2001 by ASAPS found fat grafting "safe and effective" for augmenting buttocks.
The ASPS issued a new policy paper on Fat Transfer/Fat Graft and Fat Injection (March 11, 2009). In it, the Executive Committee approved the policy paper, "Fat Transfer/Fat Graft and Fat Injection ASPS Guiding Principles". The paper offers background information on the applications, risks and complications, and techniques of fat transfer procedures. The paper also summarizes scientific evidence. Additionally, four guiding principles are stated, based on the conclusion that fat grafting is a safe procedure in select cases; and that results are dependent on a surgeon's technique and expertise. Indications for fat grafting included: Micromastia; Post breast augmentation deformity, with or without removal of implant; Tuberous breasts; Poland's Syndrome, Post lumpectomy deformity; Post mastectomy deformity; Deficits caused by conservative treatment or reconstruction with implants and/or flaps (latissimus dorsi or TRAM); Damaged tissue resulting from radiotherapy and nipple reconstruction. (see full text on www.plastic surgery.org and select Health Policy and Advocacy) There is at least one registered clinical trial, ID:NCT00466765, currently with open enrollment.
In addition these referenced reconstructive procedures fat transfer was introduced for use in the high risk breast cancer patient. The patient undergoes standard bilateral nipple sparing mastectomy and liposuction. The lipo-aspirate is stored using known biological tissue storing techniques in liquid nitrogen. After a suitable healing period, the lipo-aspirate is injected in serial treatments to build to a natural contour. Given a relatively small breasted woman with sufficient donor fat, the breasts may be enhanced in size over the preoperative state.
Dr. Roger E. Amar developed FAMI in 1991. FAMI stands for Fat Autografting Muscle Injections. It is a non-surgical approach to aesthetic surgery that facilitates the correction of facial deficiencies. FAMI is an outpatient procedure in which your doctor removes fat tissues from the lower part of your body with Liposuction and then refines this fat tissue by centrifugation and injects it into your facial muscles with the use of specially made instruments.
First described by a Brazilian plastic surgeon several years ago. The number of plastic surgeons employing lipoabdominoplasty in the United State is growing. This is a technique advised for more experienced surgeons as it requires combining liposuction with skin removal and muscle tightening.
New procedure that combines aggressive liposuction of the abdomen with many of the principles of a Classic or Traditional Abdominoplasty.
May be combined with other procedures such as liposuction of hips, back and extremities, body lifts, aesthetic breast and/or facial surgery.
Should be delayed if future pregnancies are planned. Although pregnancy can proceed normally after surgery,the benefits of the procedure may be lost.
This procedure, which has combined traditional liposuction with a traditional abdominoplasty, has allowed surgeons to transform patients' tummies after child birth and/ or weight loss into a beautiful shape.
Males and females are candidates for lipoabdominoplasty, and it may be performed as an ambulatory procedure or with hospital admittance for the period of one day, under epidural or general anesthesia.
Postoperative pain is easily controlled with common painkillers.
The procedure leaves a horizontal scar near the pubis that extends laterally. It is easily hidden beneath the tan line and it is usually barely noticeable.
When compared to abdominoplasty, lipoabdominoplasty is a less invasive procedure, with a faster healing time. Patient may need post-op physical therapy sessions for better and faster healing, and to obtain better final results.
Result durability will depend on the individual characteristics of the patient, of weight maintenance, and of the skin and muscular aging process.
The Lipoabdominoplasty procedure begins with liposuction of the entire abdomen. The skin below the umbilicus is excised similar to a classic abdominoplasty, although lymphatic vessels are preserved to minimize postoperative swelling and promote a more rapid recovery from surgery. Next, limited undermining of the upper abdominal skin flap is performed, preserving many blood vessels and nerves to the abdominal wall. The rectus muscles are then plicated. Finally, the upper abdominal flap is advanced and closed with multiple layers of dissolvable sutures that minimize scar tension and postoperative scar spreading.
- Improved abdominal shape due to aggressive liposuction.
- Lower rate of postoperative complications such as seroma.
- Less likelihood of postoperative numbness.
- More security for smokers and post weight loss patients.
- Shorter scar in many patients.
- Quicker postoperative recovery with less swelling, bruising and pain.
incredible new surgical technique.
Lipoabdominoplasty is as Near Perfect as a Belly-Banishing Plastic Surgery Procedure Can Be. How can they make this claim?
It's easy. With a lipoabdominoplasty, the doctor uses liposuction first to get rid of the fat. This way, they can get to the tissue easier, which means more control over shape and contouring, a smaller incision, less blood (yuck!) and a shorter recovery time.
How did it take so long for these two procedures to get put together? It was pioneered in Brazil, but doctors in the USA wanted to make sure it was totally safe and effective before they started doing it.
Not Every Doctor Can Do It
Here's the downside: It's new and not everybody can do it. Right now the medical journals are full of articles on lipoabdominoplasty, and plastic surgeons across the country are adding it to their repertoire. Someday it will be available everywhere, but until then you may have to look a little for a surgeon who can do it.
Smokers? Okay! Moms? Okay!
This operation is ideal for smokers because it ensures a shorter and easier recovery time. Smokers usually have more trouble recovering from operations, but since this is a more streamlined procedure with a smaller scar, less blood and shorter recovery, it is ideal for smokers.
It's also great for moms who want to get back into shape after having their bellies stretched from carrying their precious little babies. That leftover tissue and flab is especially tough to get rid of, and this highly effective procedure is just perfect.
One warning though: Don't get a lipoabdominoplasty before you have kids. All that work will go to waist (I mean "waste") and you'll have to do it all over again.
Men Can Get One Too!
This operation is ideal for me. Why? Because guys have a habit of indulging in too much in beer, fried foods and sitting on couches yelling at football games. Unfortunately, yelling doesn't burn enough calories to reverse the effects of the beer and fried foods.
Men all over the country have been waiting for an operation such as this to get rid of their spare tire and make more room for more beer and fried foods. However, if you do not exercise a little and make the effort to eat right, you'll end up with the gut again, no matter how many tucks and liposuctions you get! But the tucks can give you a head start.
Actually, plastic surgery is the best option to get rid of those extra bits that never seem to go away no matter what you do. Lipoabdominoplasty is the newest and best that plastic surgery has to offer. Let it bust your belly flab and get you started on your new life as a fit, trim, sexy young thing.
First, after consulting with plastic surgeons from California at this year's ASAPS meeting, he began using the VASER (Vibration Amplification of Sound Energy at Resonance) ultrasonic liposuction system instead of traditional liposuction to shape the upper portion of the abdomen. Using ultrasonic liposuction selectively emulsifies fatty tissue and maximizes fat extraction. This has allowed him to achieve even better sculpting and definition in the upper portion of the abdomen and has hastened patient recovery. Second, he began using a newly developed suture known as the Quill suture for repair of the separated abdominal muscles and for final skin closure. The Quill suture is a sophisticated, bi-directional barbed suture, which adjusts its tension with each stitch. This locks tissue in place for a snug and secure closure. This type of suture material is a marked improvement over traditional sutures. Prospective tummy tuck patients who visit Dr. Parker are sometimes surprised to learn that removing the excess skin is only one step of the procedure. The same factors contributing to lax skin also cause the muscles to separate. Tightening these muscles internally is very important, but the technique is tricky on several levels. In order to tighten the muscles, one must put stitches in the fascia--a sheath of connective tissue that envelopes and supports the muscles. Traditional stitches can tear through the fascia if they are too big or tight. Making the stitches looser accomplishes nothing because the muscles will be inadequately corrected. The Quill suture adjusts its tension with each stitch and locks the tissue in place for a snug and secure closure.
After Dr. Parker has tightened the loose ab muscles, he then removes the loose skin and closes the skin with stitches. Once again, he has found the tension-adjusting Quill suture has allowed his incisions to heal with scars that are more imperceptible than ever.
Patients are observed in Dr. Parker's fully certified on site surgical facility overnight following lipoabdominoplasty. This is part of the Parker Center's Rapid Recovery Protocol in order to break the pain cycle before it ever gets established. Patients are up and walking around at home the following day, may shower and perform light activities. They may drive when they feel comfortable driving. The patients return to see Dr. Parker in his office for their first postop check 3-4 days after surgery. Most are back at work in 7-10 days. Remarkably, most are at the gym 10-14 days following their procedure.
The Rapid Recovery program at the Parker Center for Plastic Surgery, New Jersey, has been designed specifically for the patient's quick recovery after cosmetic procedures. This includes a tested combination of pre-operative vitamins and anti-inflammatory medications, in addition to post-operative lymphatic massage therapy and a tailored regimen of pain medication.
For Dr. Parker, his updated lipoabdominoplasty is clearly the procedure of choice for patients opting for tummy tuck. It offers a greatly improved abdominal appearance due to the aggressive liposuction and muscle tightening, a shorter, less noticeable scar for many patients, quicker recovery, and more security for riskier patients such as smokers or post weight loss patients.
Lipoabdominoplasty is often combined with liposuction of hips, back and extremities. This combination provides an ideal cosmetic surgery solution after weight loss, pregnancy, or aging.
Parker Center for Plastic Surgery, New Jersey, offers more information and lipoabdominoplasty photos online at http://www.parkercenter.net.
About Parker Center for Plastic Surgery In Paramus, New Jersey, the Parker Center for Plastic Surgery is an AAAASF and Medicare certified surgical center with state of the art medi-spa and circuit training gym.
Dr. Paul M. Parker graduated from George Washington University of Medicine in Washington, DC, where he was the recipient of the distinguished CV Mosby Award of Excellence.
He completed residencies in both General Surgery and Plastic Surgery at New York University Medical Center, where he received the Theodore Barnett Award for Excellence in Teaching. He also completed a fellowship in Microsurgery at New York University Medical Center's Institute of Reconstructive Plastic Surgery with heavy emphasis on innovative methods of breast surgery and breast reconstruction.
Dr. Parker is certified by the American Board of Plastic Surgery and is a Fellow of the American College of Surgeons and an active member of the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, the Northeastern Society of Plastic Surgeons, the American Society for Laser Medicine and Surgery, and the New Jersey Society of Plastic Surgeons.
Consumer's Research Council of America has selected him as one of the top surgeons in his field, and Castle Connolly named him one of "America's Top Doctors."
