W Magazine describes eyelid rejuvenation using Coleman fat grafting
Written by Dr. Coleman on April 30th, 2013
W Magazine May 2013 page 108, discusses Coleman fat grafts for facial and eyelid rejuvenation to smooth wrinkles & improve quality of skin & hide dark circles.
Under your skin: The latest injectables make Botox look like child’s play.
Joan Chen for W Magazine interviewed Sydney Coleman specifically about facial and eyelid rejuvenation with a specific type of fat grafting, the Coleman procedure. She discusses the improvement in the quality of skin, increased collagen and lightening of the skin:
“In expert hands, fat—usually softer and more fluid than fillers—can also brighten the thin skin around the eyes. An injection not only smooths wrinkles and fills hollows but also acts as a barrier between skin and underlying facial muscles and blood vessels, hiding dark circles, says the New York plastic surgeon Sydney Coleman. What’s more, researchers suspect that stem cells in fat can actually promote the production of collagen and elastin—and therefore eventually improve the quality of the skin. A session for the lower lids takes about 90 minutes and costs from $5,000 to $10,000.”
“Complications can arise, however—often due to overzealous injecting. When this occurs, little divots emerge where a dearth of oxygen has caused the fat cells to die. “You can’t do fat grafting casually,” cautions Coleman, who uses tiny increments and as many as 50 passes to complete a procedure around the eye.”
For a better understanding of facial and eyelid rejuvenation with Coleman fat grafting, please go to the following: ,
Dark eyelid circles a unique solution.
Upper Eyelids, Brows and Temples
Lower Eyelids & Cheeks
Improvements in Structural Fat Grafting
The possible role of stem cells in facial rejuvenation
To understand how these procedures came about, please refer to the following: ,
Read about Dr. Coleman’s development of these special procedures in Cosmetic Surgery Times
Recent in depth interview of Sydney Coleman in ISAPS Journal .
Posted in Face, Media, Natural Facial Rejuvenation | No Comments »
BRAVA Breast Expansion Device Reclassified by FDA
Written by Dr. Coleman on April 19th, 2013
FDA asks for Investigational Device Exemption for BRAVA Studies
The FDA, in a surprising move, has re-classified the BRAVA breast expansion device into a higher risk category for the ongoing BRAVA clinical trials. We want to assure our patients (those who are currently using the device, have used it in the past, or who contemplate future use) that we are not aware of any evidence of any safety issues regarding the use of the device, and there is no reason to discontinue or postpone its use.
In order to continue the studies with FDA approval, Brava submitted an IDE (Investigational Device Exemption) application to the FDA on March 28, 2013. In the meantime, any studies involving BRAVA have been temporarily curtailed until the FDA approves the exemption (probably 1-3 months).
We have recommended the use of the BRAVA device for several years, but did not enroll patients in the clinical study. We have been impressed with the ability of the device to expand the breast tissue, allowing us to place larger volumes of fat; and studies suggest that the use of the BRAVA device post-surgery enhances graft survival.
Dr. Roger Khouri, Principal Investigator in the study, has discussed this issue at length. He recently announced the following:
“Brava as a stand-alone device to enlarge the breast without surgery has a well established safety record. It has been used by tens-of-thousands of women for over the past 10 years with no significant complications whatsoever…… The American Society of Plastic Surgeons, the most important plastic surgery society condones Brava + Fat grafting. The Society just promoted it with a large teaching course with live surgery out of the Miami Breast Center operating room…… Over the past 8 years several hundred women were enrolled in this IRB study sponsored by Brava. Results show that fat grafting after Brava expansion allows us to successfully graft much more fat and achieve much better augmentation and breast reconstruction results than if Brava was not used. Most importantly, there were essentially no complications. Certainly less than the implant and flap alternatives.”
Should you have any additional concerns, please feel free to contact our office by asking questions on this blog site or one of the following:
For more information on BRAVA, please look at the following links:
Posted in Breast, Breast LipoStructure, Fat Grafting Research | No Comments »
Hand Rejuvenation with Coleman Fat Grafting Now More Affordable
Written by Dr. Coleman on February 4th, 2013
Fat grafting using one’s own body fat can improve the quality and thickness of skin on the back of the hand and hide those emerging veins and tendons (see previous blog posts and LipoStructure Website). It’s a simple, relatively painless hand rejuvenation procedure, made even easier recently, by advances in instrumentation and technique. Dr. Sydney Coleman has been rejuvenating hands with fat grafting since 1989, but by using a different approach to placement, he has been able to shave time off of the procedure and yet give the same rejuvenating effect on the back of the hand. Using the Coleman fat grafting technique (aka LipoStructure®) fat is gently harvested by hand from an appropriate donor site (usually the abdomen or thighs), processed to get rid of unnecessary fluids and to concentrate the stem cells and associated growth factors, and then threaded under the surface of the skin to “plump” up the hands and hide unsightly veins and tendons.
The hand rejuvenation procedure takes a little over an hour, and is usually done under light IV sedation (“twilight”). Pain after the procedure is usually minimal: none to very little in the hands, and mild in the donor site. There is usually little if any bruising, but there is some swelling. We advise keeping the hands at or above the level of the heart when possible for a few days after the procedure to help the swelling resolve. The instruments we use to place the fat are so small, that there is no need for stitches in the hands, but there may be one or two in the donor site.
It will take a couple of months before the last bits of swelling are gone and you can see the final contours of your hands. However, grafted fat continues to work on the skin for years to come, softening, thickening, improving texture and tone, and even decreasing redness and discoloration.
Younger hands are now more affordable. Call us to schedule a consultation at 212 571-5200.
Back of hands before (above) and three years after (below) Coleman fat grafting in a 48 year old woman. Note the subtle filling combined with the skin thickening dramatically obscures the tendons as well as lessening the wrinkling up onto the fingers.
Close-ups of opposite hand in the patient seen above before (above) and three years after (below) Coleman fat grafting with remarkably improved quality of skin. Note how subtle filling makes the knuckles appear less arthritic, by changing the relative proportions of the hand.
copyright 2013 Coleman
For more information for hand Rejuvenation, please refer to the following:
Hand Rejuvenation by Thickening Skin with Coleman Fat Grafting
Younger Hands with Coleman Fat Grafting and Light Therapy
Hands (in LipoStructure Website)
Posted in Hand and Forearm Rejuvenation | No Comments »
Hand Rejuvenation by Thickening Skin with Coleman Fat Grafting
Written by Dr. Coleman on January 29th, 2013
After our last post, readers have been asking how Coleman fat grafting works to rejuvenate aging skin of the back of the hand. The skin of youthful hands is smooth and even-toned. Tendons are barely noticeable and veins may be visible, but are not as prominent as veins seen in older hands.
As the skin of the hand ages, it loses collagen and elasticity causing the skin to thin…often dramatically. Without the thickness and elasticity of youthful skin, the colors and shapes of what lie beneath in the hand become obvious. White, linear tendons and large, ropey blue veins protrude through the thinning skin.
The hands above are of the same person when she was 20 years old (left) and now when she is 54 years old (right). The younger hand is not fuller, but has thicker skin, which hides the underlying structures. The key to hand rejuvenation is thickening of the skin with Coleman fat grafting.
A youthful hand is not necessarily plump. Thickening of the skin with Coleman fat grafting provides a better result than just using fillers for hand rejuvenation. After grafting a thin layer of a person’s own fat beneath aging skin of the back of the hand, collagen gradually increases over the next months. Under the thickened skin, veins and tendons become less visible and protuberant. Over time, the stem cells in fat help to repair the surface appearance and texture of the skin as well.
Some older hands have a dramatically thin and unhealthy appearance from loss of fat and muscles making the joints look larger and arthritic, even if they are not. In this situation, restoration of volume becomes paramount in creating a normal, healthy appearing proportion of the hand. A youthful proportion is essential for hand rejuvenation.
Artificial fillers such as Radiesse and hyaluronic acids can also be used to simulate hand rejuvenation. They create a fullness, which mimics the filling that one attains with Coleman fat grafting. However, the effect is not long lasting and does not result in actual thickening of the skin. Fat grafting, however, is not only long-lasting but also appears to create progressive improvement of the skin for years afterwards.
Back of hands before (above) and one year after Coleman fat grafting. Note the subtle filling combined with the skin thickening obscures the tendons and veins as well as lessening the wrinkling up well onto the fingers.
copyright 2013 Coleman
For more information for hand Rejuvenation, please refer to the following:
Younger Hands with Coleman Fat Grafting and Light Therapy
Hands (in LipoStructure Website)
Posted in Hand and Forearm Rejuvenation | 2 Comments »
Younger Hands with Coleman Fat Grafting and Light Therapy
Written by Dr. Coleman on January 21st, 2013
Remember that old dish washing soap commercial about the appearance of a mother and daughter’s younger hands? We all focus from the neck up – hair, skin care, makeup, Botox, fillers, fat grafting and facelifts, but it’s often the “forgotten” hands that can give your age away! As we age, not only do dark “liver” spots appear, the skin becomes thinner and wrinkled, and the hands become gradually shriveled from loss of volume under the skin as well. Ropey blue veins and stretchy tendons become more visible through the thinning skin, and all of a sudden, your hands remind you of a Grandmother!
But, there are relatively easy fixes to younger hands. Spots can be treated with Hand Rejuvenation with BBL, which not only eliminates or reduces discoloration, but also stimulates collagen production and helps to tighten the skin.Hands can also be restored using your own body’s fat. Coleman fat grafting to the back of the hand not only restore fullness or volume but also stimulates thickening of the skin which lasts for many years.
Coming soon: Technical Advances make Coleman Fat Grafting for Hand Rejuvenation more affordable.
For more information, please visit our website LipoStructure.com.
Call us for a consult at 212 571-5200, and show off your younger hands this spring!!
Hands before (above) and two years after (below) one fat grafting treatment.
Posted in Hand and Forearm Rejuvenation, Non Surgical | No Comments »
