Survey Finds Fat Grafting a Popular Technique in Facelift Surgery

Fat GraftingThe use of the patient’s own fat from areas such as abdomen, back or thighs to add volume to other areas is now a widely accepted modality in cosmetic surgery. The results of a survey which was reported in the July issue of Plastic and Reconstructive Surgery indicate that fat grafting is now a popular technique in facelift surgery.

The basic objective of a facelift is to smooth wrinkles and creases, and reduce sagging. The fat transfer method involves liposuction to obtain fat cells from another part of the body, such as the abdomen or thighs, and the injection of these cells into specific areas of the face to provide the desired volume.

The first-of-its-kind survey by NYU Langone Medical Center researchers covered 309 randomly selected members of the American Society of Plastic Surgeons. It aimed to determine the frequency and extent of plastic surgeons’ use of the injectable fat-grafting method for facelifts. The survey also collected information on different aspects of the fat transfer procedure such as

  • Popular sources of fat
  • Method of harvesting and processing
  • Volume of fat injected
  • Method used for injecting the fat
  • Most common injected areas
  • Overall efficacy of grafting as a facelift procedure

The key findings of the survey were summarized in a news report published by the American Society of Plastic Surgeons:

  • Up to 85 percent of the plastic surgeons used fat grafting during facelift procedures and more than 70 percent started using the method within the past ten years.
  • The most popular source of fat was the patient’s abdomen (80%) followed by the hips (10%)
  • To replace volume loss due to aging, the amount of fat injected into the face ranged from 11 cubic centimeters to 25 cubic centimeters (about 3 to 5 teaspoons)
  • The commonly treated facial areas were the cheek, the region below the lower eyelid, and the nasolabial folds or the creases between the nose and corners of the mouth

“Our survey results show that plastic surgeons across the country are quickly adopting fat grafting as the standard in facelift procedures,” said the lead researcher.

The investigators noted that even when creasing, wrinkling, and sagging could be temporarily treated with Botox or fillers, the facelift with fat grafts provides better results by restoring the plump, youthful quality of the face. With an improved understanding of the facial anatomy, cosmetic surgeons are now able to provide more consistent and longer-lasting outcomes.

Include These Terms in Your Cosmetic Surgery Glossary

Cosmetic SurgeryAre you in the early stages of planning a plastic surgery procedure? Then it would be good for you to know some common terms in the plastic surgery glossary.

  • Cookie-cutter plastic surgery: It is a frequent term you hear when in search of a plastic surgeon. Cookie cutter means using the same pattern, procedure and techniques for everyone planning for a cosmetic procedure. A good surgeon will never have a cookie-cutter plastic surgery plan but always prefer an individualized treatment option depending on your specific concerns and goals.
  • Back-alley plastic surgery: Looks sinister, doesn’t it? Never ever be a part of this trend which involves under trained or unqualified individuals offering plastic surgery procedures at a discounted price. You must always give priority to quality of care over the expense involved. Or else you may end up spending more in the long run.
  • Invasive and non-invasive: When you approach a surgeon, he/she may discuss both the invasive and non-invasive options for your aesthetic concern. In the invasive method, there would be at least a small surgery and the procedure would also involve anesthesia administration. Recovery would take some time. In a non-invasive procedure, there would be no cuts or surgery, and the procedure can be done on an outpatient basis. There would be little to no recovery period involved.
  • Words ending in ‘plasty’: When you search for a procedure, you may come upon words ending in ‘plasty’. If you see terms such as abdominoplasty or lipoplasty, don’t be intimidated. They are nothing but alternate usages for the very popular tummy tuck and liposuction respectively. Spend some time to understand the synonyms or similar usages for the procedures you are looking for.

Here are some other terms that you may come across when planning for popular procedures such as breast augmentation, tummy tuck or liposuction. These are just a few among the many terms in the glossary.

  • Areola: Pigmented skin surrounding the nipple.
  • Excision: To remove the skin.
  • External incisions: Surgical incisions made on the surface of your skin.
  • Graft: Tissue taken from other parts of the body.
  • Local anesthesia: A drug is injected directly into the site of an incision during an operation to relieve pain.
  • Collagen: The major structural proteins in the skin that give it strength and resilience.

It is advisable to familiarize yourself with the common terms associated with the procedure you are looking for before entering the decision-making phase. That would really be helpful in communicating well with your surgeon and taking a well-informed decision.

More Women are Expressing Interest in Mommy Makeover

Mommy MakeoverMost women love to stay young and presentable always, enjoying improved confidence and self esteem. Having children is indeed a blessing, which many women look forward to. However, pregnancy, childbirth and breast feeding can all take a toll on women’s appearance and their youthful looks may give way to a more aged appearance. For those who are looking to restore their pre-pregnancy body, advanced treatments such as mommy makeover are available now at select plastic surgery facilities in the United States. This unique aesthetic procedure combines certain procedures to address the concerns of multiple body areas affected by pregnancy. A new report in medicalnewstoday says that more women are expressing interest in plastic surgery to restore a more youthful figure after having children.

This combination of postpartum body contouring procedures shapes up the abdomen, breasts, and other problem areas safely and effectively. This mainly involves tummy tuck, breast lift, breast enhancement and sometimes liposuction. Present era women are keen about nutrition and fitness, and wish to maintain a youthful figure. Leading surgeons believe that the growing interest for mommy makeovers reflect the rise in pregnancies at later ages and the trend of multiple births.

A firmer and flatter abdomen and more youthful-looking breasts are the primary goals of most women looking for a mommy makeover. These could be addressed with tummy tuck and breast enhancement procedures respectively. Surgeons observe that “The postpartum patient often uses her pre-pregnancy appearance as a barometer for her post-pregnancy goals.”

In an analysis of 40 consecutive women undergoing tummy tuck, here are the findings of the researchers.

  • Half of the patients were between 35 and 44 years old
  • Those seeking the procedure between ages 35 and 54 had 50 percent more pregnancies than younger candidates

Additional procedures are also performed to fix issues in adjacent areas such as the pelvic area, back, hips, flanks, or legs. Skilled surgeons are aiming to complete the procedure in less than 4 hours to minimize any associated risks / complications. The women don’t look for just results but an optimal outcome with minimal scarring. A good surgeon would carefully plan the treatment and utilize only safe and advanced techniques to meet their goals. Importantly, they evaluate the patient’s psychological status before heading for the procedure, particularly during the emotionally vulnerable first postpartum year.

They say, “In the appropriate patient and context, multiple procedures can be safely and effectively combined to address the multiple regions affected by postpartum changes and thus deliver a synergistic improvement in postpartum body contour.”

Another interesting thing is that an increased demand for body contouring by men in the same age group is also seen, motivated probably by the increase in “mommy makeovers.” Men usually target the chest and abdomen area in the ‘Daddy Do-Overs.’

Global Medical Aesthetics Market to Grow at CAGR of 10.8% by 2020

Aesthetics MarketIt is an undeniable fact that plastic surgery is continually on the rise, not only in the U.S., but all over the world. With the arrival of more successful minimally invasive and non-invasive techniques, more people feel confident in reaching out to physicians and benefiting from their expertise. According to a report published by the International Society of Aesthetic Plastic Surgery (ISAPS) in July 2015, over 20 million cosmetic surgical and non-surgical procedures were performed worldwide in 2014. Considering surgical procedures, breast augmentation is the most sought after among women while eyelid surgery is highly prevalent among men. The leading non-surgical procedure among both men and women is Botulinum Toxin.

The June 2015 report from Markets and Markets estimates that the global Medical Aesthetics Market will reach $12,581.9 million by 2020, growing at a CAGR (Compound Annual Growth Rate) of 10.8% from 2015 to 2020.

Key factors that drive the growth of the market are increasing demand of minimally invasive as well as non-invasive aesthetic procedures, technological advancements in energy-based devices, and rapid growth in the number of cosmetic procedures. Factors that restrict the growth of the market are – strict safety regulations for aesthetic procedures and a social stigma associated with these treatments.

Based on the product, the market is divided into aesthetic lasers and energy devices, aesthetic implants, and facial aesthetics. The aesthetic lasers and energy devices segment is classified further as laser resurfacing devices, body-contouring devices, laser hair removal devices and aesthetic ophthalmology devices.

  • The body contouring devices segment comprises devices for liposuction, cellulite reduction, non-surgical fat reduction and non-surgical skin tightening. Liposuction devices include the following:
    • Laser assisted
    • Ultrasound assisted
    • Radio frequency assisted
    • Water jet assisted

    Non-surgical fat reduction segment includes cryolipolysis devices and devices that are laser based, radio frequency based, and ultrasound based.

  • The aesthetic implants segment is classified into breast implants (silicone breast implants, saline breast implants, cohesive semi-solid gel implants), and other implants (aesthetic dental implants, and soft tissue implants).
  • The facial aesthetics segment comprises categories such as botulinum toxin (BOTOX), chemical peels, microdermabrasion, and dermal fillers (absorbable dermal fillers, and non-absorbable dermal fillers).

As of 2015, North America is said to hold the largest share of the market. However, the Asia-Pacific region is poised to grow at the highest CAGR from 2015 to 2020. Catalysts for this growth are factors such as increasing middle class disposable income, aggressive marketing by leading U.S., and an increase in awareness about aesthetics in the region. Key players in the global aesthetics market include – Cynosure, Inc. (U.S.), Solta Medical, Inc. (U.S.), Syneron Medical, Ltd. (Israel) and ZELTIQ Aesthetics, Inc. (U.S.).

Four in Ten Brits Considering Plastic Surgery, says Study

Plastic SurgeryAccording to a recent poll conducted by a firm in the U.K., four in ten Brits are looking to have plastic surgery, with varying goals such as improving self-confidence, getting a partner and even looking like a favorite celebrity. The study found that millions of adults are contemplating plastic surgery and that a third of them are even serious about it. One in ten people believe that improving their appearance will spell romantic success! Here are some

A Western Daily Press article highlighted some of the interesting findings of the research which was commissioned by legal firm Irwin Mitchell to launch its new app:

  • One in ten Brits is considering plastic surgery to resemble someone famous. Women were inspired by Jennifer Aniston, Angelina Jolie and Michelle Keegan, and men by David Beckham, George Clooney and Brad Pit.
  • Four in ten people under 25s are already considering cosmetic surgery.
  • 33 per cent of the 2000 Brits who participated in the poll is seriously considering a procedure now or in the near future.
  • Breast enlargement is the most preferred procedures, followed by nose jobs, cosmetic dentistry, breast lifts and arm lifts.
  • Oher popular procedures include breast reduction, laser treatments, liposuction and ear pinning.
  • One in twenty people surveyed already had some kind of cosmetic surgical treatment.

Having plastic surgery to help improve something you dislike about your appearance or to boost your confidence are quite ‘legitimate’ goals. However, a lawyer at Irwin Mitchell expressed said that it’s worrying that people are considering cosmetic surgery to look like someone else or to get a partner.

He said “Any type of cosmetic surgery, no matter how minor, is a big decision and shouldn’t be taken lightly”.

In fact, the study revealed that among those who did have a cosmetic surgical procedure, up to 52 per cent wished they had done more research about the treatment and the doctor who would be performing it. Forty-three per cent even said they regretted having the surgery.

Industry experts universally agree upon one thing – that for an optimal outcome, people should do proper research on everything about the procedure they are considering including the plastic surgeon.

Eyelid Surgery the Top Cosmetic Surgical Procedure in 2014, reveals ISAPS Survey

Recently published results of a survey by the International Society of Aesthetic Plastic Surgery (ISAPS) reveal that more than 20 million cosmetic surgical and nonsurgical procedures were performed worldwide in 2014. The report shows that eyelid surgery ranks first in the list of top five cosmetic surgical procedures performed last year. The procedure rose in popularity from being the third most popular cosmetic surgery procedure internationally in 2013.

A total of 1,391 plastic surgeons from different parts of the world responded to the ISAPS questionnaire. In the country-wise distribution of the eyelid procedures performed in 2014, Brazil leads followed by Japan and the USA.

Eyelid Surgery

Other information on eyelid surgery revealed by this international survey of plastic surgeons:

Eyelid Surgery

Eyelid surgery involves removing excess skin, muscle and sometimes fat from the upper and lower eyelids, thereby rejuvenating the eyes and providing a more youthful looking facial appearance. The procedure can resolve a number of conditions such as puffiness or bags under eyes, sagging or loose skin that creates folds on the upper eyelid, excess skin and wrinkles on the lower eyelid, droopiness of lower eyelids and excess fatty deposits on the upper eyelid. An eyelid lift may be done as a standalone procedure or in conjunction with other facial surgery procedures such as face lift surgery and brow lift surgery.

Survey shows Women are Delaying Personal Milestones to Have Cosmetic Surgery

Cosmetic SurgeryBuying a house and a car and raising a family are high on the list of priorities of most individuals. However, people’s perceptions have changed quite dramatically in recent times. According to a recent report in The Street, a survey says that women in the U.S. are prioritizing cosmetic surgery even at the cost of other personal milestones such as getting married, buying a house or even child rearing.

The RealSelf survey polled 700 people about elective procedures. During the study period, women who approached a surgeon were asked whether they had put off any other matter when they made the decision to have plastic surgery. Interestingly, about half of them said they had postponed a major purchase or event in favor of cosmetic surgery! Let’s take a look at the findings:

  • About 44% of the participants said they delayed at least one big purchase or life event to save money for enhancing their body appearance
  • Delaying a holiday was the most common response for a third of the women
  • Home improvements were the second activity in the list of compromises made in favor of a cosmetic procedure
  • Fourteen percent said they postponed child bearing and six percent reported they put off marriage

Statistics from the American Society of Plastic Surgeons also indicate the preoccupation with cosmetic procedures – up to 15.6 million treatments were performed in 2014 with Americans spending $12.9 billion on them.

The survey notes that the key reasons why women are factoring cosmetic surgery into their life plan are:

  • A very strong cultural factor and personal factor, that is, the preoccupation with body image
  • Self-improvement is considered a cultural expectation
  • Cosmetic surgery has become more available and socially accessible
  • Improving the way you look provides the much-needed emotional boost

The respondents came from all over the country, all demographics, and all slices of household income, which indicated that cosmetic surgery is now acceptable and commonplace, and not just a privilege of the rich.

Another reason is that many procedures do not require surgery, and involve very little down time. Some Like CoolSculpting involve no time at all. In fact, of the 15.6 million procedures performed last year, around 13.9 million, was minimally invasive cosmetic procedures.

Nobody can question the manner in which you prioritize your personal interests. However, it’s important that you have cosmetic surgery for the right reasons and that your goals are realistic.

Radiofrequency-Assisted Liposuction Emerges As a Better Alternative to Aggressive Liposuction

Radiofrequency-Assisted LiposuctionArm liposuction is a fast, effective and minimally invasive way to make your arms look svelte. Individuals who have excess fat in the upper arm area that is resistant to diet and exercise can undergo arm liposuction to achieve excellent aesthetic results.

A study comparing radiofrequency assisted liposuction and aggressive superficial liposuction of the arms was published in the July 2015 issue of Plastic and Reconstructive Surgery -Global Open by plastic surgeons Dr. C T Chia and Dr. S J Theodorou. The results of both techniques were compared to identify a classification scheme that factors skin quality, skin laxity and Fitzpatrick type, and provide treatment recommendations.

Ten consecutive female patients aged between 18- 48 were chosen for the study. They underwent RFAL of one arm and SupL on the contralateral arm. The patients had Fitzpatrick skin types of III, IV or V,and an average body mass index of 26.0.Fluorescent tattooing was used to measure key points on the arm skin before and after the surgery to specify changes in the surface area.All operations were performed under general anesthesia with tumescent infiltration.

Results Observed

  • Both techniques- RFAL and SupL of the arms achieved soft tissue contraction and quantifiable and sustained reduction in skin surface.
  • At year 1, the measured surface area reduction averaged 15.0% for RFAL whereas for SupL it averaged 10.9% on the anterior arm skin.
  • RFAL showed 13.1% reduction and SupL showed 8.1% on posterior surface area.
  • Anteriorly, linear reduction for RFAL averaged 22.6% while it was 17.8% for SupL1 year after surgery.

RFAL and SupL showed sustained reduction in skin surface. RFAL exhibited soft tissue contraction and good contour, and is less demanding than the aggressive subdermal liposuction technique. The latter, while effective, is at a greater risk of causing contour deformities and has a steeper learning curve. It is also associated with complications such as skin necrosis, asymmetry, pigmentation changes and seroma in addition to skin irregularities.

RFAL Device Is Safer and Helps Achieve Good Aesthetic Results

The second generation RFAL device used has optimal features such as real-time temperature reading, automatic cut-off mechanisms, and a much deeper, controlled depth of thermal treatment. It has inbuilt safety features that allow it to be used also by less experienced operators and achieve good aesthetic results such as excellent soft tissue contraction and a lower complication rate. The device also minimizes uneven contouring.

Leading authors of the study Dr C T Chia and Dr S J Theodoruare plastic surgeons who utilize less invasive liposuction techniques to address various aesthetic concerns of their patients. They are consultants for Invasix Corporation. These surgeons provide BodyTite (RFAL technology) liposuction that liquefies excess fat, coagulates blood vessels to minimize bleeding, and tightens the skin. The results obtained from the study encourage them to postulate that surgeons utilizing RFAL of the upper arms may obtain comparable or even superior results to aggressive, superficial, subdermal SAL with minimal aesthetic complications and a favorable safety profile. RFAL can be an effective and safe option for upper arm liposuction in patients with lighter Fitzpatrick skin types I and II, for whom non-thermal techniques may be less effective in stimulating the dermis compared to patients with darker skin types.

Study: Cosmetic Lip Surgery Could Improve Lives of People with Facial Paralysis

Cosmetic Lip SurgeryFacial paralysis is a cosmetic concern that can have a psychological impact as well, if the patient develops low self-esteem and low confidence. Stroke, Bell’s palsy, muscular dystrophy, trauma and birth defects can all lead to this condition. Patients may struggle with drooling, find it difficult to eat or drink without spillage, or make sounds that need the lips to be completely closed. A study by researchers at Johns Hopkins and Stanford universities revealed that an effective cosmetic lip surgery using hyaluronic acid injections can serve both aesthetic and functional purposes.

A lead surgeon involved in the study said that the hyaluronic acid injections made on the lips tone the tissue surrounding the muscle. A report about the study was published in JAMA Facial Plastic Surgery.

22 patients were involved in the study, 14 women and eight men. These people had facial paralysis on one side of the mouth. Three patients with muscular dystrophy who had lost control of both sides of the mouth were also part of the study. Baseline measures of lip tone were performed using an instrument that measured pressure. The participants placed their lips around this device and readings were taken from the left, middle, and right sides of the mouth. The weakest points were identified by letting the participants blow air with pursed lips. The researchers injected the hyaluronic acid at points where the air escaped.

Here are the significant findings of the analysis.

  • The greatest improvement was noted for the three patients with muscular dystrophy. Their lip strength increased six to sevenfold from the original reading.
  • For others, lip strength increased at an average of 1.4-fold on the paralyzed side and 0.4-fold on the unaffected side.

A speech therapist was involved in the process to determine how these improvements reflected on their daily life needs. A before-and-after assessment of their ability to speak, eat and drink without spilling was made. All of the patients showed a marked improvement which made it clear that this cosmetic surgery could improve the lives of people.

Brazilian Tummy Tuck – The Procedure of Choice for Today’s Woman

Brazilian Tummy TuckSudden weight loss/weight gain, multiple pregnancies, and aging are some of the reasons for saggy skin in your abdominal region. Tummy tuck can help remove this excess skin and restore a natural abdominal contour. Tummy tuck is a popular cosmetic surgical option and is known for its effectiveness in providing a trimmer abdomen that makes you look fit and smart. Brazilian tummy tuck is an improvement on the traditional procedure and is different primarily from the latter in terms of the incision made for the surgery. Old types of tummy tucks have incisions made high up above the waist that give the patient a square look. For the Brazilian version, the scar lies very low on the pubic area that allows you to wear a low-cut bikini. Moreover, it makes the waist smaller as it pulls the waist and removes excess skin.

Combining Laser Lipo of the Waist for More Effective Contouring

Skilled plastic surgeons would combine this body contouring procedure with laser lipo of the waist so that it has a greater effect on making the waist smaller. It also pulls up the pubic area that is likely to sag with age and children, thus rejuvenating the inner thighs and pubis. Another advantage of the procedure as noted by many women is that following the procedure, the bouts of incontinence that occurs after pregnancy are less frequent if not gone.

New Looks in Lesser Downtime

The recovery time is just 10 days and you can start enjoying the procedure benefits. Reputable plastic surgery practices offer advanced pain management devices such as On-Q (pain pump) which delivers continuous local anesthetic to the treatment area, thus helping to ease the pain after the tummy tuck surgery. The patient experiences no pain for the first five days as the entire area is numb. After 5 days the pain would subside naturally and you can get on with your life more quickly. In fact, it is this system that helps reduce downtime by nearly 50%.