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 performed. At The Acne Scar Center it is called the Rolling Scar Rewind Treatment. It is the best option of treatment.
Excision means to remove something by cutting around it. Incision mean to cut into something. To sub-cise is to cut below something. It is possible to perform subcision and filler on the face through a small hidden scar. A small incision may be hidden in places like the hairline or corner of the mouth where the scar will not be visible after healing. The Acne Scar Center has special needles are made for this purpose which are long, thin and strong. Rolling Scar Rewind Treatment cuts the scar under the skin.
After the underlying scar is released, a very special blend of fat/PRP/Stem cells is injected into the released space, helping to “push” up the skin. This is required in order to prevent the upper skin from returning to a depressed shape. Rolling Scar Rewind Treatment is the most 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.
At The Acne Scar Center, the low pressure hand held liposuction technique is used to extraction adipose fat cells. Care must be taken not to break the fat cells. The fat is then processed for purification and transfer of purified fat cells into the area that needs augmentation or improvement. The cells are mixed with platelet rich plasma prior to injection to increase the survival of the cells.
We do not use stem cells taken from the umbilical cord of a woman after birth of a baby. The fat cells we remove from our patients have their own living stem cells attached to the fat cells.
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 like Dr Sadove have extensively employed fat grafting to enhance the cosmetic appearance of breast, buttocks, face, hands, hips and feet. They have published the clinical applicability, therapeutic and reconstructive benefits of fat grafting procedures 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 the 1990’s, no reliable liposuction techniques were developed or standardized for fat purification and processing. Due to this limitation, the extracted fat was of inconsistent in 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, the 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 removed is not evident in the donor area 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, cleaning, and processing of the extracted fat Cells. Often a blood sample is removesr 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. Ultrasonic or laser liposuction is avoided in order to not damage the cells, 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. The discarded fat cells are usually dead cells. In certain cases, these cells harm the good cells and hence they are discarded.
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, it 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.
In conclusion, with fillers no place for injection of ice pick or box scars.
It’s time to get the skin you want.