W Magazine describes eyelid rejuvenation using Coleman fat grafting

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 .

A NOTE ON INTERNET HARASSMENT

While the Internet has made our lives easier, it also enables individuals to malign any person without legitimacy or retribution. Physicians, particularly plastic surgeons, have become frequent victims. The Internet allows anyone to post reams of undocumented accusations without any accountability. One person can anonymously post on many sites, often fabricating other “voices” that are actually fictitious. The casual observer might think that a physician has many patients making complaints, when it might in fact be a single person. Since there is no legal accountability, it is possible for someone to post outright lies and gross misstatements. Dr. Coleman has been a victim of such Internet harassment.

On the other hand, journalists are required to have reliable sources and documentation. Newspapers, magazines, radio and television are media that should report only what they believe is the truth. Dr. Coleman has been a frequent subject of articles and news stories in TV and popular magazines as well as professional journals and symposia. He has always been presented in a glowing, positive light. We encourage you to search for sources that can be trusted. Please review our media section (which we are currently updating) for authentic journalistic reports of Dr. Coleman’s research, innovations and surgical results.

As far as legal issues are concerned:

1. The New York Department of Health has no complaints against Dr. Coleman (verified most recently in December 2012).

2. Sydney Coleman has never had a malpractice judgment against him.

3. Dr. Coleman is a member in good standing of many prestigious Plastic Surgery organizations:

American Board of Plastic Surgery
American Association of Plastic Surgery
American Society of Plastic Surgery
American Society of Aesthetic Plastic Surgery
International Society of Aesthetic Plastic Surgery
International Federation of Adipose Therapeutics and Science (co-president)
International Society of Plastic Regenerative Surgery (secretary-general)

Dr. Sydney Coleman is a compassionate, hard-working, intelligent physician who has dramatically improved the world in which he lives. He has produced innovations over the last twenty-six years, which have revolutionized not only plastic surgery, but other areas of medicine as well. He frequently lectures worldwide and publishes extensively on plastic surgery.

For a more complete picture of Dr. Coleman, please refer to, his biography on our website, LipoStructure.com. In his biography page, you will find his CV, a list of his worldwide lectures, a list of publications, and patient testimonials.

Finally, review the blog, The Press Reports Internet Attacks on Physicians

Results from Coleman Fat Grafting in New Facebook LipoStructure Page

TriBeCa Plastic surgery is proud to announce that we have started a Facebook page devoted to before and after photographs that demonstrate the amazing results that patients of Dr. Coleman have witnessed with LipoStructure© (aka Structural Fat Grafting or Coleman Fat grafting) over the last 26 years.

The format will be casual, and we will alternate the postings between different applications and areas in the body and face, including aesthetic, rejuvenation and reconstructive applications. High definition watermarked photographs will be provided so that the viewer can see the change in the quality of the skin such a pore sizes, skin color and wrinkles.

While we are alternating with areas on this new site, the viewer can return to LipoStructure.com for a more organized collection of results with detailed descriptions.

We will also use the LipoStructure Sydney Coleman Facebook page to keep you informed about Dr. Coleman’s worldwide educational and scientific activities. In addition, we will from time to time review articles in the popular as well as the scientific press.

Please visit the Lipostructure Sydney Coleman Page and be sure to “like” it.

LipoStructure Website Adds New Examples of Coleman Fat Grafting

Improved LipoStructure.com Website Shows Many Indications for Coleman Fat Transfers

The following applications of fat injections were not on the previous website and have just been added to LipoStructure.com (please click on the link to take you to the page in the website):

>Nose enhancement or reconstruction

>Arms, Forearms and Legs (including muscle tears, scarring and atrophy)

>Scarring of the Face and Body

>Breast Reconstruction

>Tuberous Breasts

>Male Chest Enhancement

>Facial and Cranial Reconstruction

>Liposuction Deformities

The LipoStructure website demonstrates treatments of all of the above areas with the Coleman method of grafting fat. These new areas were not present on our old website. Check them out today.

And please give us your feedback concerning the new website!

Sydney Coleman Announces a New LipoStructure Website

TriBeCa Plastic Surgery has completely remodeled its LipoStructure.com website.

The new website features

> high definition photographs
> photographs imbedded in pages with photo gallery at the end of each section
> more photographs in the fat grafting photo gallery
> detailed explanations of the consultation process for LipoStructure
> detailed descriptions of the LipoStructure procedures
> Dr. Coleman’s blog imbedded in the website
> Entire website & blog now searchable from “Search for” on every page

Go to www.lipostructure.com

Please give us your feedback concerning the new website!

Sydney Coleman starts Tweeting

In Anticipation of New Website, Syd Coleman Starts Tweeting

The completely renovated lipostructure.com website will be online by early February. In anticipation, I will begin tweeting from on a regular basis at Syd Coleman @lipostructure to inform people of the potential of LipoStructure® and advances in the use of stromal vascular fraction (SVF) and adipose derived stem cells.

LipoStructure® is the particular brand of fat grafting developed by me in the late 1980’s and now used worldwide. As fat grafting has become more popular, people have noted that the fat does more than fill; it can repair and rejuvenate the tissues into which it is placed.

Recent scientific studies have determined that fat tissue has the highest concentration of stem cells of any tissue in the body. These “stem cells” appear to repair damage in our bodies. I have seen improvement in skin quality and scarring in my own patients over the last two decades.

Stromal Vascular Fraction (SVF) is the name for fat tissue with the fat cells removed. The SVF is composed of a very high concentration of stem cells. Research is ongoing to determine the benefits of SVF in treating a variety of conditions seen in plastic surgery and many other medical specialties.

Sydney Coleman, MD

Treating Facial War Injuries with Coleman Fat Grafts Update

The United States Department of Defense Project Continues to Study the Use of Coleman Fat Grafts in Facial War Injuries

Dr. Coleman continues to travel monthly to the University of Pittsburgh Medical Center (UPMC) to operated on soldiers with facial war injuries using Coleman Fat Grafts. The Sunday Pittsburgh Post-Gazette updated their previous report of the ongoing studies at UPMC. The following is an excerpt from the news article:

Sculpting with fat can restore faces (excerpt of original article)

New techniques use fat cells to smooth visages of veterans devastated by injury

Sunday, March 06, 2011
By Mark Roth, Pittsburgh Post-Gazette

Robin Rombach/Post-Gazette Jeremy Feldbusch lost his sight after a piece of artillery shrapnel tore through his skull in Iraq in 2003. He underwent a new procedure that transferred fat from other parts of his body to fill in the side temple area of his head

Jeremy Feldbusch lost his sight after a piece of artillery shrapnel tore through his skull in Iraq in 2003. He underwent a new procedure that transferred fat from other parts of his body to fill in the side temple area of his head.

Jeremy Feldbusch can’t see the results of the special cosmetic surgery he recently got — but he’s pleased when people tell him what a good job the doctors did.

Mr. Feldbusch is blind because a piece of artillery shrapnel tore through his skull in Iraq in 2003. In January, UPMC surgeon J. Peter Rubin took fat from his abdomen and thighs and injected it into cavities that his war injuries had left on his face.

Dr. Rubin, recently named chief of the Division of Plastic and Reconstructive Surgery at UPMC, has received $4.5 million from the Department of Defense for his fat resculpting project, and so far has performed the surgery on 11 injured veterans.

Using techniques developed by New York plastic surgeon Sydney Coleman, who has assisted on the surgeries here, Dr. Rubin’s team removes fat cells from a patient’s body, centrifuges them to collect the most active cells, and injects theminto injury sites using tiny tubes that can be as narrow as an intravenous needle .Fat injections have been used in cosmetic surgery for years, but the problem has been that in many cases, the fat is absorbed by surrounding tissues and the work has to be done over.

Dr. Coleman’s centrifuge technique is designed to prevent that by concentrating the fat cells, which helps them to thrive and grow new blood vessels once they are injected.

In a broader sense, Dr. Rubin’s project is part of a fast-growing movement around the world to use fat stem cells to generate new tissues for all sorts of conditions, from breast reconstruction to growing new bone.

Most human tissues contain stem cells that can generate new cells of the same type to promote healing. Fat stem cells can not only grow new fat cells, but in the lab, they have been turned into bone, cartilage, skin and muscle.

In Japan, doctors have now used fat stem cell injections in hundreds of women for breast enlargements, and report that the women think the results feel and look much more natural than synthetic implants, he said.

UPMC’s Dr. Rubin is also working with fat stem cells for reconstruction in women who have had breast cancer. Because stem cells can promote tissue growth and new blood supply, there has been some concern that these injections might trigger a recurrence of the breast cancer, he said, “but our best evidence now shows if you have dormant cancer cells present, they are not likely to be reactivated by fat stem cells.”

While some of the fat that Dr. Rubin injected into Mr. Feldbusch and the other injured soldiers consists of stem cells as well, the next step of his research will be to grow additional fat stem cells in the lab and “enrich” the mixture of fat cells that are put into the injury sites.

Fat stem cells, like those now growing in Mr. Feldbusch’s face, have two complementary benefits

In some cases, they remain fat cells when they are put in the body, but can promote blood vessel growth and healing in other tissues, which has been shown in experimental work on heart disease patients. In other cases, they can morph into completely different kinds of tissue

And they have one other advantage, Dr. Gimble said: People are happy to donate them. “There is no other tissue that someone will actually pay their doctors to take out of them,” he said.

First published on March 6, 2011 at 12:00 am

Read more: http://www.post-gazette.com/pg/11065/1130053-114.stm#ixzz1Gtdir2DF

Dr. Coleman of New York featured in an Article in The Times Magazine

An excerpt of the article written by Hermione Hoby for the London Times Magazine follows:

“The Surgeon Who Injects Women with Fat

Well, they do ask him to… Just when we’ve got used to fillers for the face, along comes a remarkable body resculpting technique”

Dr. Sydney Coleman holding a fat grafting cannula in his operating theater surrounded by his nurse, physician's assistant, and centrifuge Photo by Mike McGregor

“It is the last place in the world you’d expect to hear someone praising fat. But, in a chic Manhattan plastic-surgery clinic populated by impossibly lean women, Dr Sydney Coleman is doing just that, while explaining a new technique with radical implications for cosmetic and reconstructive work.

LipoStructure, or lipomodelling as it’s also known, involves taking a patient’s own body fat and reinjecting it to sculpt, fill, correct and enhance other areas. We may have got used to the idea of injectable fillers for the face; now it’s body recontouring that’s the growth industry. And, for more and more surgeons, fat is the tool of choice. In the right hands, the results are extraordinary: it can fill scars and hollows, smooth creases, retouch cellulite dimples, as well as plump and sculpt breasts and bottoms.

One of the most popular procedures Dr Coleman offers is taking fat from the abdomen and reinjecting it into the breasts, which is, as one surgeon puts it, “the answer to a maiden’s prayer” – weight loss, waist definition and breast enhancement all in one procedure.

But aren’t people squeamish about using their own fat? “They love it,” Dr Coleman says, with a big smile. “The abdomen and love handles are always my first choice because that makes the woman thinner.” Fat can, of course, be taken from anywhere it’s not wanted on the body and, as Dr Coleman says, “There’s no blood and no cuts. There are just these little puncture sites.”

Coleman first started investigating fat-grafting in the late Eighties when, he explains, “I’d go to a cocktail party and women would pull me aside and complain about their thighs and abdomens after liposuction. So that was the original motivation – to help these women who were coming to me saying, ‘What am I supposed to do now?’?”

Back when liposuction was a new procedure, many surgeons would remove too much fat from thighs, leaving them hollowed and irregular, he says. “I visited people in California and Virginia and spoke to people in France who were doing fat-grafting for the correction of liposuction deformities, but they’d never had good experiences. So I looked at what they were doing and tried to do it a little differently. I tried to bring it down to more basic principles.”

The principles may be basic, but the work is also extremely precise. Coleman’s technique involves harvesting fat very gently through low-vacuum cannulas before using a centrifuge to separate the oil and water. (Traditional liposuction techniques, which involve exerting a lot of negative pressure, can harm the fat and increase the chances of it dying once it’s been grafted, meaning it forms hard lumps.) The treated fat is then reinjected, one droplet at a time, in a lattice formation. It’s a delicate and painstaking process, with no room for error.

The surgery’s “two-for-one” aspect is not its only appeal. Unlike most conventional breast augmentation surgery, there is no scarring. There are also none of the aesthetic and practical problems that come with implants, and fat-grafting affords the surgeon more control – and room for artistry. “With silicone, you’ve got a bag and you make a hole and stuff it in the hole,” says Dr Coleman. “It’s a prefabricated volume. But with fat-grafting, you have to completely visualise everything in three dimensions. You can really shape the breast and improve projection and I’m able to go anywhere – to make cleavage, to feather into the side.” Some of the most impressive before-and-after pictures he shows involve subtle but radical changes to breast shape: an obvious implant, for example, is edged with fat and instantly becomes natural-looking.

Linda Francipane, a 44-year-old hairdresser from Queens, was an early patient of Dr Coleman’s and underwent breast augmentation surgery having spent “many, many months” researching her options. This included speaking to a lot of strippers about their implants. “I’d say 40 to 50 per cent had some kind of issue with them – whether they leaked, or the look, or the feel,” she says.

She was nonetheless determined to do something about her flat chest. “You’d be out clubbing,” she says, “and all the hot girls had tremendous boobs and I really had nothing, like nothing. This was the time when everybody was getting implants and I was like a little boy. I just wanted to get in the game.”

When a friend told her about Dr Coleman’s technique, “It seemed like a fabulous alternative to putting something foreign in my body.” She went from “below an A” to a 36C and says, “The way he did them, you can’t tell. It’s terrific. It changed my life.” She says she’s still receiving compliments.

Tal, a 36-year-old from Portland, Oregon, is another of Dr Coleman’s patients. She had implants when she was 19 but was so dissatisfied, she had them removed after just nine months. “I couldn’t breathe properly. It was just a very foreign feeling,” she explains.

As soon as she heard about breast augmentation by fat-grafting, she booked a consultation with Dr Coleman. “I thought nothing could be worse than what I had, so, even if he messed up, it would still be better. I had nerve damage from the breast implants, and stretch marks, and some scarring from under the nipple where it had been cut open. The tissue gets so stretched that I was actually flatter after breast implants.”

She wanted “breasts that were heavier at the bottom – a kind of Seventies look. I wasn’t comfortable being showy – my identity is really that of a flat-chested girl. It’s hard to create a natural-looking shape; I don’t know how he does it, but it’s just perfect – exactly what I wanted. He’s an artist. I don’t know if I’d trust anyone else.”

Tal also adds, “I don’t even wear a bra,” before laughing and reflecting, “I probably should, since I made such a large investment.””

Vogue Magazine Explains Coleman Fat Grafting

In October’s Vogue Magazine, Catherine Piercy Reports how Coleman Fat Transplanatation Works

“In a nutshell, here’s how it works: Fat is suctioned from the abdomen, love handles, or back—’anywhere there’s excess,’ says Coleman—using low-pressure liposuction, and is transferred to another area of the body through a series of precise injections with a syringe-like instrument. There, the tiny blood vessels within the fat will connect to the tissue around it and take up residence in their new environment. Once it settles into place, you may see more than an increase in volume. ‘The quality of the skin—its color, its texture—improves,’ says Coleman, who also notes a softening in the appearance of stretch marks and cellulite. That’s because fat is loaded with adult stem cells—as many as one million per cubic centimeter, by recent estimates—making it ‘a dynamic, living form of repair and rejuvenation.’”

This is an excerpt from an article named “BLOW UP” in Vogue Magazine October 2010, about fat grafting for changing body contours featuring the developer of LipoStructure, Sydney Coleman, a New York City Plastic Surgeon.

Fat grafted under skin in the lower eyelid repairs the skin to a more radiant, youthful appearance

Before (above) and after (below) a thin layer of fat grafts to the lower lids. Please note the remarkable improvement in texture, color and pore size of the skin.

Please read our previous posts on October Vogue’s article

Written by the office staff at TriBeCa Plastic Surgery

Read about Dr. Coleman’s development of these special procedures in Cosmetic Surgery Times.

For more information please refer to earlier posts:

Vogue Magazine Talks about Coleman Fat Grafting

This is an excerpt from an article named “BLOW UP” in Vogue Magazine October 2010, about fat grafting for changing body contours featuring the developer of LipoStructure, Sydney Coleman, a New York City Plastic Surgeon.

CREATING CURVES WITH FAT GRAFTING

by Catherine Piercy

“For bigger jobs, fat grafting by injection—reinjecting one’s own fat into areas that have steadily deflated with time—is emerging as an exciting recontouring tool.

Once something of a fringe procedure, fat grafting was pioneered by Coleman in the mid-eighties, when the emergence of liposuction meant that large volumes of fat were suddenly available. These days, surgeons travel from around the world to learn his trademark LipoStructure technique. And while pharmaceutical giants are racing to develop synthetic counter-parts for big-picture recontouring—like Macrolane, the hyaluronic acid-based filler that has received mixed reviews in Europe, where it’s approved for use—plastic surgeons agree that the unique advantages of fat, which is easily recognized by the body and, once grafted, may last anywhere from several years to a lifetime, make it

a particularly appealing body-sculpting medium.”

Buttock Augmentation before (left) and one year after one fat injection session

Before (left) and eight months after correction of liposuction deformity of the hips and abdomen

…in its present incarnation, doctors agree that fat grafting offers some uncommon advantages…to address common liposuction deformities, a corrective dose of fat can restore feminine angles and lost definition to overtreated arms, abdomens, or thighs…fat grafting to the posterior can add back some significant lift. For an extra boost, a few c.c.s in the crease where your bottom meets your thigh pushes everything out and up.”

6 years after one injection of fat into the left buttock crease, a remarkable change of the relationship between the thigh and the leg is created by LipoStructure

Please read our previous post on October Vogue’s article

. This post brought to you by the office staff at TriBeCa Plastic Surgery

Read about Dr. Coleman’s development of these special procedures in Cosmetic Surgery Times.

For more information please refer to earlier posts: