Rolling Scar Subcision & Fat Grafting
Unfortunately, there are many such scars that are held down so tightly that injection alone is not able to push up the skin. In such cases, a procedure called subcision is performs. So, Rolling Scar Rewind Treatment is the best to go with.
Excision is to remove something from the outside or to cut into it. To subscise is to cut something from below. It is possible to perform subcision and filler on the face through a small hidden scar. A small incision in places like the hairline or corner of the mouth where the scar will not be visible after healing. Special needles are made for this that are long, thin and strong. Rolling Scar Rewind Treatment is what allows to cut the scar under the skin.
After the underlying scar is released, filler material injects into the released
space, helping to “push” up the skin. It requires in order to prevent the upper skin to return to a depressed shape. Rolling Scar Rewind Treatment is the effective way for treating such problems.
Aggressive subcision is often required in severe scaring. The skill of an experienced surgeon is most helpful. The use of proper local anesthesia is essential. These both require experienced hands.
AutoFat Cells For Acne Scars
Fat cell grafting, also known as fat injections. It is a procedure that involves fat cell transfer from one area of the body (usually a hip donor site) to another.
Liposuction technique is the procedure of Autofat cells involves extraction of adipose fat. The fat processing for purification and transfer of purified fat cells into the area that needs augmentation or improvement. The cells you hear about in the press come from the umbilical cord of a woman after birth of a baby. These get mix with your fat cells and places into the scar area of your face.
Important characteristics of autofat cells are distinguished from other cell types.
- First, unspecialized cells capable of renewing themselves through cell division.
- Second, they can be induced to become specific cells like skin or fat, for example, with special functions.
Since the 1990’s, Plastic Surgeons extensively employs fat grafting to enhance the cosmetic appearance of breast, buttocks, face, hands, hips and feet. They publishes the clinical applicability, therapeutic and reconstructive benefits of fat grafting procedure in wound healing, and scar treatment.
History of Fat Grafting
Fat grafting is actually a century-old medical technique. After the first-ever fat transplantation event, fat grafting has not gained steam for the next 100 years due to procedure-related complications. Until 1990’s, no reliable liposuction techniques was developed or standardized for fat purification and processing. Due to this limitation, the extracted fat was of inconsistent quality and the therapeutic outcomes were poor.
A New York City-based Plastic Surgeon Dr. Sydney Coleman developed and standardized reliable analytic techniques for fat graft harvesting, processing and transfer of fat into the recipient site. This procedure gained popularity after he published his findings in reputable academic medical journals. Dr. R Sadove performs fat grafting since the 1990’s.
Who performs Fat Cell Grafting and where?
As a preliminary step, fat cell grafting procedure involves a small amount of liposuction. Therefore, the procedure is generally performed by trained Plastic Surgeons. The small amount of fat removes and not evident afterwards. Dr Sadove is trained to maintain the standards of care during this small liposuction procedure. Though, to manage the procedure-related adverse events/complications.
Fat Cell Grafting Process transfer involves three main steps:
• Liposuction – extraction of a small amount of adipose fat from the donor area- usually the side of the lower abdomen
• Processing or purification – decanting and processing of the extracted fat Cells. Often a blood sample removes at the same time, processed, and the platelet rich plasma mixed with the cells prior to re injection.
• Fat cell step of grafting involves extraction of fat cells (lipocytes). Special cells from the donor area by employing standardized liposuction methods. Manual techniques are the preferred choice of method. In which, thin liposuction cannulas inserts through the small holes to extract fat from the donor site. However, avoid Ultrasonic or laser liposuction. As, it can potentially destroy the lipocytes.
After extraction, the fat is often processed by carefully spinning the fat cells in a special centrifuge. Followed by washing to isolate the viable fat cells from debris, dead cells and excess fluid. Unlikely, the discarded fat cells are usually dead cells. In certain cases, these cells harm the good cells and hence it discards.
In conclusion, the purified fat cells are re-injected in small droplets into the subcutaneous tissues of recipient areas that need reconstruction/treatment. So, adequate blood supply to the transplanted cells and their survival (post-procedural) can be ensured.
The amount of injectable fat/special cells is generally measured in cc’s which varies from one patient to another. However, depends on patient’s requirement and the recipient site.
Types of Anesthesia Used
Fat/Special Cell grafting procedure performs by employing a variety of local anesthetic drugs. The choice of anesthetic drug depends on the volume of fat that needs extraction by liposuction technique. Under the influence of local anesthesia, small volumes of fat can be conveniently harvested.
Though, local anesthesia administration does not change your level on consciousness. It can be performed by Dr Sadove in the office. You are comfortable but awake. However, General anesthesia or IV anesthesia administers by a Board Certified Anesthesiologist at the Surgical Pavilion of NFRMC.
Auto fat is not for Ice Pick or Box Scars. But, very helpful in Rolling Atrophic Scars.
Face Acne Scar
• In total, injectable purified fat cells require 10cc –20cc.
• Efficiently repairs scar tissues including traumatic scars
• Restores youthful appearance by filling-in the hollow cheeks, temples and orbital area
• Corrects wrinkled areas including nasolabial folds and area below the eye(s).
• Enhances the appearance and texture of the skin.
“Off the shelf” filler injectable products improve the soft rolling scars. Rolling scars have smooth, sloping borders, and there are scar injection techniques capable of producing positive results. Rolling Scar Rewind Treatment will be performed on such scars.
Only injectable treatments which deal with the fundamental loss of thickness of the dermis. Though, underlying fat will raise the skin to the level of the surrounding skin.
Injectable fillers are best reserved for smaller areas of acne scar. Often the large size of the affected area makes fillers an unappealing financial option. If filler requires several syringes, it make more financial sense to use the patient’s own fat. So, they are able to push the depressed skin up to the level of surrounding skin in softer scars. Fillers become a desirable option.
–Juvederm Treatment for Acne Scar– Juvederm is a large sugar molecule commonly used for cosmetic injection in the face. Hence, an extremely safe material, but not permanent.
–Sculptra Treatment for Acne Scar– Dr Sadove has used Sculptra successfully in soft rolling scar treatment cases where subcision was not necessary.
In conclusion, with fillers no place for injection of ice pick or box scars.
It’s time to get the skin you want.