After Lip Augmentation
- The American Medical Association
- American Board of Plastic Surgery
- The American Academy of Facial Plastic Surgery and Reconstructive Surgery.
Dr. Body: It seems like every week a new fat-removal machine comes onto the market with heavy advertising My patients have read about them and wonder if I can offer them.
(Read the previous post on plastic surgery and marketing hype.)
Dr. Face: What do you tell them?
Dr. Body: I just state the facts; I already have an excellent machine with a 20-year history that’s easy to use, well tolerated by patients and is also one that provides great results. It’s the tried-and-true, basic tumescent liposuction procedure. Nonetheless, I’m queried weekly about laser, water-based, ultrasound, power-assisted liposuction machines and others that do not break the skin. Now, thanks to heavy advertising, I’m also hearing about cold-based liposuction. My impression is most of those devices have higher risks of hematomas – pools of fluids and blood trapped under the skin. Plus, most require larger entry ports to accommodate larger suction tubes.
Dr. Face: In procedures of the face, somebody, somewhere is always coming up with a “lunch time”, “30-minute”, “speedy” or some other surgery that provides fast, fast results. Unfortunately, when it comes to invasive plastic surgery, less is less and more is more; the more limited the surgical procedure, the more limited the result. So if a surgeon only spends half an hour on your face lift, the results probably won’t last six months.
Dr. Body: Correct; new technology does not always make for a better or quicker cosmetic plastic surgery.
Dr. Face: But one of the instances where technology has improved things for the better are the new facial injectors that have been developed by biotechnology. Now you’re really talking minimal downtime and faster recoveries!
Dr. Body: Such as?
Dr. Face: Filler products like Juvederm, Restylane, Radiance, Captique and Sculptra. And since there is no surgery than can remove wrinkles around or between the eyes, or on the forehead, Botox Cosmetic and Dysport. The effect is temporary, but the patient has the injection and goes back to normal activities with no downtime whatsoever. And results are visible in a couple of days.
Now, the so-called “smoker’s lines” — the vertical lines of aging above the lips of women (and men) are tough to erase. Even pulsed light lasers are not as effective in removing wrinkles. Only heavy-duty lasers or deep chemical peels do the job.
Dr. Body: How did all those soft tissue fillers ever become so popular?
Dr. Face: It started with collagen. But that’s comes from cattle skin so an allergy test was first required. That required a two-week waiting period. So the various fillers were first developed in the lab to speed things up a bit. Thus, we have true “no downtime” products for lip augmentation or reduction of deep lines around the mouth and lips and the so-called “drool lines” or “marionette” lines that run from the corners of the mouth down the chin.
Dr. Body: In cosmetic breast plastic surgery, some technology that looks promising is known as ADM, or allergenic dermal matrix. That’s a type of donor tissue that can be used in breast plastic surgery to support or cover breast implants. ADM has been used for years in lip augmentation so science pretty well knows the body does not recognize it as a foreign material, thereby causing rejection problems. What’s more, the strips of ADM become part of the patient’s body in time.
Dr. Face: What about new breast implants?
Dr. Body: Breast plastic surgeons are good to go with the ones they have on hand – saline or silicone breast implants. More questionable, however, are the so-called “gummy bear” implants that have been in testing for quite a few years and may remain in testing for many years. It appears there are problems with the shape of the gummy bears.
Dr. Face: Facial implants are great but not totally foolproof. Plastic surgeons must always think in terms of “what if”. One new facial implant, made of coral, is porous. The supposed benefit is the body grows through the porosity, making the implant more stable. But, what if the implant has to be removed? It would be very difficult. I prefer products and techniques that have a long history that we can study and learn from.
Dr. Body: Anything else new in facial surgery?
Dr. Face: Yet another new technology is platelet rich plasma. A small amount of blood is taken from the patient, while asleep, prior to the procedure. The platelet, or sticky-cell portion, is retained and mixed with other complimentary chemicals. Then, during surgery, we spray the platelet rich plasma on the layers of tissue, beneath the surface, as we are closing the incisions during, say, a face lift or neck lift. That results in quicker recovery with far less bruising and swelling because the platelet rich plasma helps shut off tiny blood vessels that might leak and thus aids tremendously in rapid healing. Another substance, fibrin glue, is also made from other patient’s blood and helps tissue layers to adhere and weld together better. That also generates faster healing.
Dr. Body: One thing’s for sure, though.
Dr. Face: What’s that?
Dr. Body: The more breathless the ad, the bolder the promises of “instant” and “effortless”, the higher the hype!
- Learning About Plastic Surgery in Westchester
- Plastic Surgery Implants for Face and Body
- Plastic Surgery by Two Surgeons – At Once!
- Plastic Surgery Inventors
- Plastic Surgery Beauty Wishes – by Ages