Sydney Coleman Video on Fat Grafts, Stem Cells & Regenerative Surgery
Written by Dr. Coleman on August 20th, 2013
Interview with Sydney Coleman, MD
Sydney Reese Coleman is the physician who first observed and announced to the scientific community the amazing regenerative ability of fat grafts and the associated stem cells. Beginning in 1987, he has developed procedures that utilize transplanted fat to not only fill faces and bodies, but also to harness the powerful rejuvenating and reparative abilities of fat. He is a board certified plastic surgeon practicing in Manhattan, New York City, and is an assistant clinical professor at New York University (NYU) and also at the University of Pittsburgh Medical Center (UPMC). He is best known as the originator of a successful method for grafting fat. To describe his technique of fat grafting he trademarked the term LipoStructure® (alternatively referred to as Structural Fat Grafting, Coleman Fat Grafting or the Coleman Technique).
Involvement in Regenerative Medicine and Surgery
Since 1988, Dr. Sydney Coleman has given presentations on fat grafting at scientific meetings throughout the world and has published extensively. Soon after his first successful attempts at fat grafting, he observed an improvement in the quality of aging or sun-damaged skin. Later he witnessed the reversal of pathological conditions after fat grafting of scarring, therapeutic radiation injury, scleroderma, steroid atrophy and other skin conditions. There is now evidence that the stem cells or messengers in all fat tissues aid in the repair of tissues by bringing in a new blood supply or by directly affecting damaged or aging structures. As such, your fat is a repair organ for the body, and moving fat into an area of your body can repair diseases and conditions (such as sun damage and scarring). This is the basis of an entirely new approach to medicine and surgery in which your own body can be used to cure diseases and conditions rather than using drugs or invasive procedures
Sydney Coleman’s Research and Academic Pursuits
To study the regenerative potential of adipose tissue, Dr. Coleman is actively involved in research projects to quantify the regenerative ability of fat grafting and stromal vascular fractions in battle injuries. Armed Forces Institute of Regenerative Medicine Biomedical Translational Initiative at the University of Pittsburgh Medical Center (UPMC)
Co-Investigator with Peter Rubin on four projects funded by the Department of Defense through the Office of the Assistant Secretary of Defense for Health Affairs.
- *Study to investigate the “use of concentrated endogenous autologous adipose stromal cells in fat grafts for craniofacial trauma” in 20 soldiers; plus another study project to re-treat subjects in five selected cases.
- *Controlled study “to investigate the effect of adding stromal vascular fraction into the grafted fat for facial and cranial war injuries.”
- *Pilot study on “enriched autologous fat grafting for treating pain at amputation sites.”
In 2013 Coleman regenerative surgery meetings.
++Secretary General of the International Society of Plastic Regenerative Surgery (ISPRES) http://www.ispres.org, and the President of the meeting in Berlin just held June 2013 http://ispresberlin2013.com
++Co-Chairman of the 5th International Symposium of Fat Injection and Tissue Regeneration at the Fondazione G. Sanvenero Rosselli in Milan September 14, 2013 http://www.fondazionesanvenero.org/i-corso-140913.html
++Co-Chairman of the Plastic Surgery section of the Cell Society Europe Meeting November 1-2, 2013 http://www.plastie-aphm.fr
++Co-president of the International Federation for Adipose Therapeutics and Science (IFATS) and of their annual meeting which will be held next in New York City November 21-24, 2013 http://www.ifats.org
++Co-President of the Fifth International Conference of Regenerative Surgery to be held in Rome December 13-15, 2013 http://www.regenerativesurgery.it.
++Member of the Regenerative Medicine Task Force of the American Society of Plastic Surgery and on their Research Workgroup as well as on the committee that organized the first ASPS Regenerative Medicine Summit in Miami, March 14-17, 2013 http://www.plasticsurgery.org/For-Medical-Professionals/Resources-and-Education/Meetings/Regenerative-Medicine-Summit.html.
© Coleman 2013
Neck Rejuvenation Revolution Combining Coleman Fat Grafting & Ulthera
Written by Dr. Coleman on July 16th, 2013
Neck Rejuvenation: New Natural Necklift with FDA Approved Non-invasive Ultherapy combined with Coleman Fat Grafting results in lifting, tightening & thickening of the skin
Natural Neck Lifting with Ultherapy and Coleman Fat Grafting
A revolution is about to take place in neck rejuvenation: The FDA has just approved the perfect complement to the natural rejuvenation of Coleman fat grafting: Ultherapy, a treatment that uses non-invasive, micro-focused ultrasound. The Ulthera device is the only noninvasive technology approved by the FDA for lifting. Ultherapy lifts by tightening the deep layers of the neck. This is unlike traditional necklifts in which the skin is pulled behind the ear, altering the natural anatomic relationships present in the youthful neck. Ultherapy lifts without deforming the natural skin position. This lifting is a great way to complement the natural rejuvenating fullness and skin thickening provided by transplanted fat. For details on the Ultherapy procedure and recovery, please look at our recent Ultherapy Blog.
3 months after one Ultherapy treatment before fat grafting
Neck Rejuvenation with Coleman Structural Fat Grafting
A smooth neck with naturally thick, taught skin represents youth and beauty. Coleman structural fat (LipoStructure®) can provide underlying structural support to aging neck skin and underlying structures to restore youthful fullness. In addition, fat grafting thickens neck skin by increasing collagen and elastin, decreasing crêpiness and wrinkling. By restoring structural fullness and skin thickness, the neckbands (turkey neck) can be softened. Please go to the LipoStructure.com website for more examples of neck rejuvenation with fat grafting.
What happens to the neck as we age?
The skin of the neck often shows the first signs of aging. As we mature, fullness immediately underneath the skin disappears, while the neck skin thins and collagen diminishes. Eventually, the deterioration of the skin texture and loss of fullness leads to wrinkling and crêpiness. Another problem occurs as well: the underlying structures of the neck become more visible and the superficial neck muscles (the platysma) become more obvious as bands. Over time, a waddle or double chin can develop.
One year after one Coleman fat grafting. Ultherapy would have improved her result.
Traditional necklifts act by distorting tissues to unnatural positions
For decades, physicians have tried to reverse the sagging neck using a necklift. Unfortunately, a necklift lifts and tightens by deforming the skin and underlying tissues of the neck. The “lifting” is accomplished by pulling and distorting skin in an unnatural direction, amputating the skin, and then tying the stretched, displaced skin up to a less than anatomic location behind the ear. Coleman fat grafting and Ultherapy rejuvenate while leaving the skin in its natural position.
Coleman Structural Fat Grafting to the Neck
Fat grafting to the neck is a simple procedure. First, under intravenous sedation similar to what one has during a colonoscopy, a small volume of fat (about 300cc or 10 fluid oz) is harvested (gently suctioned by hand) from donor sites such as the abdomen or inner thighs. The fat is specially processed to separate out the fluids that are not needed, and super-concentrate the fat, with its inherent stem cells and associated biological anti-aging messengers. Using specially designed mini-cannulas (injection tubes), the fat is then meticulously placed through tiny puncture sites in a thin layer between the surface of the skin and the neck muscles. Individual lines and creases may be treated separately by injecting fat directly beneath them as well. The procedure takes about 90 minutes, and recovery is usually minor.
Recovery after Fat Grafting
The donor sites are sore and bruised, and the treated areas will be mildly swollen and bruised as well. Patients can usually return to normal activities within a few days, although it may take up to 3 weeks for the bruising to completely resolve. Strenuous exercise must be avoided for about 10 days. We like to say that “what you see is what you get” at 3 months; however, stem cells in the transplanted fat continue to rejuvenate the skin for years to come, resulting in softer, smoother, firmer and often more even-toned skin.
Timing of Neck Ultherapy and Fat Grafting
We strongly recommend that Ultherapy from Ulthera, be used to lift and tighten the skin of the neck before neck fat grafting. It is the only non-invasive FDA-approved treatment for lifting and tightening of skin. Ultherapy and Coleman fat grafting go hand and hand to provide the most successful and natural neck rejuvenation possible.
Call us today for a consultation: 212 571-5200 or email at email@example.com
3 months after one Ultherapy treatment to the Neck now ready for fat grafting to the neck
Photo courtesy of Ulthera
3 years after one Coleman fat grafting to the Neck. Ultherapy has not yet been performed on this patient
3 months after one Ultherapy treatment to the Neck with no fat grafting
Photo courtesy of Ulthera
Please go to the LipoStructure.com website for more examples of neck rejuvenation with fat grafting
Photos of Ultherapy treatments are the courtesy of Ulthera.
© Coleman 2013
ULTHERAPY Non-Invasive Facelift at TriBeCa Plastic Surgery
Written by Dr. Coleman on July 9th, 2013
Ulthera: Non-Invasive FDA-approved Lifting Technology
What is Ultherapy?
ULTHERAPY is a non-invasive procedure that lifts and tightens the face and neck by focusing sound waves deep under the skin.
Is Ultherapy safe?
The FDA approved Ultherapy in 2009, and it is the first and only non-invasive procedure approved by the FDA to lift skin on the neck, chin and brow. The company claims that over 80,000 treatments have been administered worldwide.
How Does Ultherapy Work?
ULTHERAPY focuses sound waves (ultrasound energy) to target the layers under the skin – the same layers that plastic surgeons focus on during facelift surgery. Other technologies such as lasers and Thermage can only treat the most superficial levels. Ulthera’s focused ultrasound waves stimulate collagen synthesis at a much deeper level below the skin surface, resulting in a more significant lifting effect.
How long does it take for Ultherapy to work?
Results can be seen as early as the first few days. Over the next couple of months, as the new collagen is gradually reorganized, the lifting and smoothing of the skin becomes more obvious.
Who is the best candidate?
This procedure is particularly good for patients with some laxity of the jawline and neck, jowls and droopy upper eyelids who are not yet ready for a facelift, forehead lift or eyelid surgery or who don’t want any down-time.
How long is the procedure and what is the recovery?
The procedure takes from 45 minutes to 2 hours, depending on how much of the face is treated, and patients may return to normal activities a few hours after the treatment. The face may be slightly swollen and sore for a few days. Occasionally, patients may experience mild bruising or have an area of temporary numbness. Other side effects are rare.
Call us for a consultation for this exciting new technology, and visit the Ulthera website for additional info.
Before (left) and 150 days after (right) Ultherapy treatment (courtesy of Ulthera)
Before (left) and 1/2 year after (right) Ultherapy (courtesy of Ulthera)
© Coleman 2013
Skype Consult with Sydney Coleman at Tribeca Plastic Surgery
Written by Dr. Coleman on July 2nd, 2013
Skype Consult used now by TriBeCa Plastic Surgery
For those of you who do not live in the vicinity of New York City, it is now possible to have a preliminary consult with Dr. Coleman via Skype. This can facilitate the initial patient-doctor contact and will allow Dr. Coleman to not only evaluate your situation, but also formulate preliminary recommendations for treatment.
Many of our patients live outside the metropolitan area of New York City. In fact, our patients come from Canada, Latin America, the Middle East, Europe, Australia, India, Asia, Africa and every part of the United States. In the past, contact has been initiated with long-distance patients through letters, emails, and telephone conversations. These are almost always supplemented with photographs. However, over the last year, patients have been requesting that the initial interaction include a more visual, real-time assessment of their situation such as Skyping.
Now, after our office receives your completed paperwork (patient intake questionnaires) and photos of your areas of concern, we can make an assessment and inform you if you are a good candidate for a procedure. If you wish to speak to Dr. Coleman before coming for a consultation in New York, we can offer an initial patient-doctor contact and evaluation using the technology of Skype.
The Skype consultation is not intended to completely replace the face-to-face consultation process, which in Dr. Coleman’s practice is extensive and emphasizes a through informed consent. (Please click here to read about the LipoStructure Consultation.) For simple, straightforward procedures, it may be possible to schedule and reserve a date for your procedure using Skype before seeing Dr. Coleman in person. However, the Skype consultation and emailed photos are not intended to replace the usual consultation process. Dr. Coleman believes that extensive high quality photographs are essential tools in the evaluation of facial features and body contours prior to and during the procedure. Non-professional cameras can yield distorted photos, and Dr. Coleman will require many specialized views to aid him during the procedure. It is imperative that you have a complete, thorough and unhurried consultation at Tribeca Plastic Surgery prior to any procedure. We prefer that you arrive several days prior to the scheduled procedure so that the plan can be fine-tuned and thoroughly understood by both you and Dr. Coleman.
If it is determined that surgery is feasible, all the routine requirements (medical clearance, blood tests, EKG, mammogram, etc.) must be obtained in a timely fashion. We usually recommend that patients traveling long distances arrive in New York at least 2-3 days prior to surgery to reduce the risks of DVT (deep vein thrombosis, or blood clots). We like patients having facial procedures to stay in New York for at least 3 days after surgery, and patients having body procedures are usually asked to remain in the area for at least six days. We like to be able to remove sutures ourselves and track the recovery process.
Please feel free to contact our office to set up a SKYPE consult by calling us at 212 571-5200 or emailing us at firstname.lastname@example.org.
What is Skype? Skype is an Internet telephone and video calling service from Skype Limited, Luxembourg (www.skype.com), and a division of Microsoft. Calls from Skype subscribers originate from their computers or mobile devices, and if the recipient is using a computer or mobile, voice and video calls are free.
© Coleman 2013
Coleman habla de lipofilling y su capacidad para reparar y rejuvenecer
Written by Dr. Coleman on June 30th, 2013
Lipofilling (Coleman injerto de grasa, lipoestructura) y su increíble capacidad para reparar, renovar y rellenar explicado en una entrevista en español con Sydney Coleman de BellezaMÉDICA Revista de España.
Para leer el artículo de la revista en español, por favor haga clic aquí!
Lipofilling (Coleman Fat Grafting, LipoStructure) and its amazing ability to repair, rejuvenate and fill explained in an interview with Sydney Coleman the Spanish magazine, BellezaMÉDICA. The English translation follows at the end of this posting.
The English translation of the first paragraphs of the article in BelleaMÉDICA:
Dr. Sydney Coleman, a plastic surgeon originally from the University of Texas, is known worldwide for his research on fat transplantation. Dr. Coleman is the pioneer in fat grafting techniques and the inventor of LipoStructure ® a technique of autologous fat transplantation to restore volume, to reshape, to rejuvenate and repair skin and other tissues and to correct defects from defective surgeries. Dr. Coleman explains in this interview, the past, the present and the future of these procedures.
Sydney Coleman Interviewed in Spanish
Cover of BellezaMEDICA
ENGLISH TRANSLATION Question and Answer
- What was the significance of the discovery of the existence of stem cells in adipose tissue?
- Around the year 2000, it came to the attention of plastic surgeons that fat contains many stem cells…far more than in any other tissue in the body, including bone marrow. We came to realize that the stem cells resident in fat somehow “repair” damaged tissue into which it is injected or placed. New studies show the following:
- a. Grafted fat causes the blood supply to improve by increasing the number of normal blood vessels and capillaries in damaged tissues.
- b. Collagen increases in the skin after fat grafting, thickening the skin.
- And still other studies have shown that fat grafting slows or even prevents scarring. Every month we are discovering new therapeutic possibilities for transplanted fat, and gaining a better understanding of the mechanisms.
We know that fat can do these things, and are discovering many more exiting repair abilities of fat grafting. But how much of these effects are the result of stem cells, and how much are a result of growth factors, hormones or other mechanisms has yet to be determined
- What are the applications in aesthetic medicine and plastic surgery?
- Fat grafting can obviously fill in defects and lines as well as create new contours and structures. However, the more exciting indication is the repair of tissues which are aging, sun damaged, scarred, ulcerated, chronically inflamed.
- What are the main advantages in lipofilling versus other fillers?
- Using your own body’s tissues to restore fullness or change a shape decreases the chance in the immediate and distant future of having an untoward reaction. We do not know the long term effects of many artificial fillers, but surgeons have been injecting fat through a needle for filling or repairing for over 100 years. Also, structural fat grafting often changes the tissue into which it is injected, repairing and rejuvenating for years after placement.
- What is new in using stem cell-enriched fat for lipofilling?
- Supplementing fat with stem cells is now the object of much interest worldwide since it may provide fat with a higher concentration of fresh stem cells to transplant with the fat. Many people think adding stem cells might aid in repairing tissues and organs into which fat is injected or at the least make the correction or filling more predictable. Legitimate scientists and physicians are now studying many aspects of adipose derived stem cells to treat many diseases. Treating illnesses by using our own body’s repair system has captured the imagination of the world.
Unfortunately, many physicians have begun using the phrase “stem cells” as a marketing ploy without much more than anecdotal evidence of any legitimate results or cures. The most obvious examples are those in which people inject fat with no isolated stem cells, and claim to be doing a “stem cell facelift” or a “stem cell breast augmentation.” They have taken the same old operations they did before, and simply re-branded the procedures with new terminology in order to market themselves.
- Your procedure of centrifuging fat before lipofilling is used by thousands of doctors around the world. Have you made any changes to this procedure throughout the years?
- I began centrifuging fat in 1989, and have basically kept the spin force (1200g) and duration ( 2-3 minutes) the same since that time.
- Is there any area in face or body for which lipofilling is contraindicated?
- Structural fat grafting is used primarily for subcutaneous placement, although it is possible to augment an area with placement into the muscles and even deep to the muscles. Some areas of the body such as the calves and forearms have muscles located in compartments. Injecting fat into those compartments can result in problems.
- Does infiltrating fat –enriched or not- have any risk of producing cancer in breast or any other area of the body?
- There is no evidence of fat grafting in general causing cancer. Current studies have so far shown no increase in the incidence of breast cancer after fat grafting; but studies are currently underway worldwide to confirm that opinion. What are the main uses of lipofilling in facial rejuvenation? How can you infiltrate fat in bags under the eyes? What results can you obtain?
- Please refer to my website, www.lipostructure.com. If you desire any printable pictures from the website let me know. The obvious use of structural fat is to change the shape of an area. The way that I use structural fat to get rid of lower eyelid bags is to increase the size and structure of the cheek to more or less “overwhelm” the lower eyelids.
- In your opinion, what is the future of lipofilling? What are the open areas of study at this moment?
- The future of structural fat grafting is bright. We are finding new uses in rejuvenation and reconstruction every day. Filling, changing structures, repairing and rejuvenation with your own body’s tissue (which we call Regeneration) is the future not only of surgery, but of the entire scope of medicine.
Restoration of Missing Facial Tissue Important Alternative to Traditional Surgeries
The treatment of face and neck scars with structural fat grafting
Dr. Sydney Coleman presents LipoStructure to maxillofacial and craniofacial surgeons
Fat Injection: From Filling to Regeneration
In Dr. Coleman’s book Structural Fat Grafting
In Chapters 17 & 18 of Dr. Coleman’s book Fat Injection: From Filling to Regeneration
Treatment of the aging hand with LipoStructure
NY Times shows photos of progressive improvement in skin quality with Coleman Fat Grafting