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Fat Banking Takes Deposits to a New High

February 28th, 2014 Miguel A. Delgado Jr, MD

San Francisco, California-Liposuction patients are choosing to freeze their fat that has been removed during liposuction surgery. Saving the harvested fat allows the patient to use their own fat for future use for cosmetic enhancement.

Fat removal by liposuction

Fat cells contain a substantial amount of stem cells. Clinical trials using stem cells are showing promise for degenerative disease such as rheumatoid arthritis and multiple sclerosis. Tests to date are very preliminary but in the next few decades who knows what might be discovered, having stored stem cell loaded fat cells could prove to be very beneficial as fat can be stored for decades and be thawed as needed. By storing the cells now, the youngest possible cells are being preserved which have more proliferation than older cells.

The cells are cryopreserved in liquid nitrogen and should remain useful indefinitely. When the fat cells are frozen, the metabolism is greatly slowed down preventing deterioration and preserving the cells for future use.

Today, women are having breast augmentation and butt enhancement with their own fat. Many patients choose to have the cheek area filled out during a facelift, or aging hands smoothed out. Imagine taking more youthful fat cells that have been stored for years, thawing them out and using them to regenerate areas that have lost their fullness due to aging.  Having youthful stem cells for applications that haven’t been discovered yet is like having an insurance policy with your own autologous fat. Fat transplants don’t always take, but if they fail, the body will reabsorb the cells without any incident.

Before and After liposuction

This is a 35-year-old, female resident of Napa, California who presented to the Novato office in Marin County, California for evaluation for liposuction. She is 5 feet 6 inches and weighs 140 pounds. She underwent liposuction of the abdomen, flanks, inner and outer thighs at Marin Cosmetic Surgery Center in Marin County, California. She had a total of 5500 cc of fat extracted from these areas. Her photographs were taken one year after surgery. Note the much slimmer body appearance.

 

Fat injections and fat grafting have been around for a long time and have been used for cosmetic and reconstructive procedures. In addition to augmenting the body where fat loss has happened due to aging, it has been invaluable for reconstructive procedures such as correcting a “crater deformity” caused by too aggressive fat and/or tissue removal during a male breast reduction (gynecomastia) surgery. It can be the optimal choice as a dermal filler as the body will not reject it.

Realizing the incredible benefit to his patients, Dr. Delgado has arranged to have the option available for those having liposuction to have their fat banked through a company called AdiCyte. The costs for storage are dependent on the amount stored.

AdiCyte’s state of the art laboratory is at the University of Arizona Health Sciences Center in Tucson, Arizona. AdiCyte is registered with the FDA and is in full compliance as a tissue processing bank. The collection kits, transportation, processing and storage procedures insure optimal viability of the tissue.

Dr. Delgado is a Board Certified Plastic Surgeon, treating patients in the San Francisco Bay Area, San Jose and Sacramento, since 1988. Call today (415) 898-4161 for a consultation to discuss your fat banking options along with your liposuction surgery.

Facelift Surgery, Achieving a Nice Jawline

February 14th, 2014 Miguel A. Delgado Jr, MD

San Francisco, California-As evidenced by the many different results of facelifts, also known as rhytidectomy, the skill of the surgeon is critical. Beyond ascertaining that the surgeon of choice is Board Certified in Plastic Surgery, you want to know the surgeon’s experience and techniques for facelift surgery.

As a layperson, it can be difficult to know what you are looking for. Observing the surgeons before and after pictures, in many cases, will reveal the quality of work. Arming yourself with good questions can help you determine the level of skill. In addition to asking if the surgeon tightens the underlying muscle (SMAS), uses fat injections in areas that may need volume, ask the surgeon if the effect of the buccal fat pad is taken into consideration in surgical planning. The herniated buccal fat pad is one of the most common missed causes of the jowl. The jowl or jawline is one of the most bothersome areas of the aging face.

Before and After Facelift

This is a 54-year-old, male resident of San Francisco who presented to the San Francisco office at Union Square, California for evaluation of his aging face. He underwent an eyebrow lift and lower lid eyelid lift with a lower facelift. He had buccal fat excision, or cheek fat excision, of his cheeks and he also had 7 cc of fat injected into his right and left upper cheek. He underwent a prejowl chin implant.The lower facelift included a SMASectomy excision, which is excision of the deep tissue to thin his face as opposed to a SMAS plication, which would give more volume to his face. He had liposuction in the jowl region and a complete platysma transection in his neck. He had the eyebrow lift with 11-millimeter elevation bilaterally. His procedure was performed at Marin Cosmetic Surgery Center in Marin County, California. Note the herniated cheek fat that has caused a significant fullness in the jowl location.

The buccal fat pad is an area of fat located just below the cheekbone area, in the mid face. It can be as large as a golf ball or as small as a grape. Fluctuations in weight will cause a change in volume. The effects of aging may also cause the size to reduce. If the buccal fat pad descends or herniates inferiorly, it will add to the size of the jowl. If it is not removed during a facelift, the jowl will only be partially corrected.

It takes an experienced cosmetic plastic surgeon to diagnose and recognize the herniated fat pad in order to get the best result for the jawline.

Removal of the fat pad is most often done from the inside of the mouth. Sometimes during the facelift procedure it may be removed from the outside when the SMAS layer is exposed, however, this can be a little riskier due to the facial nerves in the area.

Right Buccal Fat Pad being removed

Right Buccal Fat Pad being removed

 

Today more  men are seeking cosmetic procedures than ever before, along with facelifts, popular procedures for men are: liposuction, gynecomastia (male breast reduction) and rhinoplasty (nose reshaping).

Dr. Delgado is a highly experienced top cosmetic plastic surgeon who has been in practice since 1988, performing the most up to date facelift procedures. Serving the greater San Francisco Bay area, including Sacramento, San Jose, and Los Angeles. Call or email today for a phone or virtual consultation at (415) 898-4161.