January 20th, 2012 Dr. Coleman
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
Posted in Fat Grafting Research, Home, Media | No Comments »
January 9th, 2012 Dr. Coleman
While fat grafting to the female breast has been growing in popularity, chest enhancement with fat grafting is available to men as well.
Before Dr. Coleman ever placed fat into the breast of women in 1995, he performed successful fat transplants to the male chest to enhance shape and size of the pectoralis muscle. These procedures were usually performed on men who were already muscular through weight training and diet, but had reached a plateau. Not only can fat grafting to the pectoral muscle increase chest size, it can also improve definition of the inner and lower lines of the chest.
The donor fat is usually harvested from the patient’s lovehandles, flanks or abdomen and is transplanted to the chest muscles. Most people can return to work in a few days, and return to their gym routine between one and two weeks after surgery. The patient will like the way they look a few days after the procedure, the bruising and swelling takes months to completely resolve.
This 29-year-old man (left) presents for enhancement of his chest, both enlargement and increased definition. He had considered the use of silicone implants, but felt that they gave fullness but not definition. One year after one fat grafting to the medial chest and lower chest he returned delighted with the enlargement and defined shape of his chest.
Fat Grafting can also be performed to the male chest to repair muscle tears and create a healthier appearance.
–Written by the 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:
Further reading:
Dr. Coleman of New York featured in an Article in The Times Magazine
Vogue Magazine Explains Coleman Fat Grafting
Fat Injection: From Filling to Regeneration
In Dr. Coleman’s book Structural Fat Grafting
Dr. Coleman’s book Fat Injection: From Filling to Regeneration
NY Times shows photos of progressive improvement in skin quality with Coleman Fat Grafting
© Coleman 2012
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March 20th, 2011 Dr. Coleman
A New Report of United States Department of Defense Project 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
Further reading:
The first report in the Post-Gazette back in November 2010
Update on Coleman Fat Grafting to the Nose
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
Coleman Structural Fat Grafting to the Nose
Posted in Facial Reconstruction, Fat Grafting Research, Home, Media | No Comments »
March 14th, 2011 Dr. Coleman
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.””
Posted in Body Fat Grafting, Breast LipoStructure, Fat Grafting Research, Home, Liposuction deformities, Media | No Comments »
March 9th, 2011 Dr. Coleman
Although the technique of fat grafting that Dr. Coleman introduced in the early 1990’s was a powerful tool, he is constantly working to improve the technique. Over the last six years, Dr. Coleman has refined his version of fat grafting to not only create a more predictable fullness, but also to regenerate aging, radiation-damaged, sun-damaged and scarred skin much more dependably.
Dr. Coleman is currently participating in research at the University of Pittsburgh Medical Center and NYU Langone Medical Center, as well as collaborating with several foreign projects. He is committed to improving the care of patients by constantly striving to advance our knowledge of fat grafting and especially of its regenerative potential. Today’s version of Coleman fat grafting is more reliable compared to ten years ago, or even four or five years ago.
As a result of the improvements in the Coleman technique, he has been teaching a great deal recently all over the world. We recently updated on his blog almost two years of the lectures, panels, conferences, seminars, and workshops he has given Worldwide. We are proud of his contributions to plastic surgery and medicine as he continues to advance and study the use of fat grafting. Please click on “Recent Lectures Given by Sydney Coleman MD“ for a list of the lectures.
Posted in Fat Grafting Research, Home | No Comments »
March 8th, 2011 Dr. Coleman
Dr. Coleman in New York City Seeing an Increase in Fat Grafting to Buttocks in Men
Dr. Coleman began enlarging female buttocks in the late 1980’s but recently witnessed an increasing demand in men. The procedure involves three steps: harvesting fat, refining fat, and meticulous placement. Removing fat from the love handles, sides or abdomen and transplanting it to the buttock changes a flat contour into a more athletic silhouette.
This man presented with a flat backside(left). Eleven months (right) after one procedure of removing the fat from his love handle/back area and layering into the buttock, re-shaping a flat backside into a much more athletic appearing profile.
Before (left) and eleven months (right) after one fat transfer from the lovehandle to the buttock. This demonstrates the potential to dramatically re-shape the back and buttock with one procedure. Note the improvement in the buttock crease.
Removing from the back, side and abdomen combined with addition to the buttock transforms this man’s body in one procedure with tiny incisions.
–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:
© Coleman 2011
Posted in Body Fat Grafting | 2 Comments »
March 7th, 2011 Dr. Coleman
You may remember this person who I showed you on my blog 2 ½ years ago (at that time she was only one year after her first procedure). She returned to my office for a Zeltiq treatment, extremely satisfied with her appearance now. I was able to obtain photographs of her that are now one year after her second (and final) nasal procedure with me.
She had been operated upon by some of the most famous nasal surgeons in the world. One year after her second procedure, you can see remarkable softening of the irregular cartilages along with an apparent thickening of the skin over the entire nose.
Patient presented after 12 procedures which left her as a nasal cripple (left) with irregular cartilage, bone and GorTex visible through her thin nose skin. Placement of LipoStructure® over the entire surface of the nose from brows to the tip transforms her nose (right)
- One year after her second fat grafting procedure her nose finally looks normal (right)
A thin layer of fat placed immediately beneath the skin creates support for the skin and covers irregularities from visible pieces of cartilage and bone. Concentration of the fat grafts into specific areas may improve the light reflex down the middle of the nose or change the proportion of one part of the nose to another.
. 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:
© Coleman 2011
Posted in Facial Reconstruction, Home | 2 Comments »
October 12th, 2010 Dr. Coleman
In October’s Vogue Magazine Catherine Piercy Reports How Coleman Fat Transplantation 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.’”
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:
Posted in Forearm and Hand Rejuvenaton, Home, Media, Natural Facial Rejuvenation | No Comments »
October 7th, 2010 Dr. Coleman
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
. 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:
Posted in Breast LipoStructure, Home, Liposuction deformities, Media | No Comments »
September 16th, 2010 Dr. Coleman
This is the beginning of an article in Vogue Magazine October 2010, about innovations in aesthetic surgery featuring the developer of LipoStructure, Sydney Coleman, a New York City Plastic Surgeon.
Blow Up
by Catherine Piercy
“If a definitive picture of twenty-first-century aesthetic medicine is beginning to emerge, its one in which the boundaries between science fiction and reality are slowly giving way. Take, for instance, Sydney Coleman, M.D.’s TriBeCa practice. Inside his sleek state-of-the-art facility, the Manhattan plastic surgeon holds the tools to erase, retouch and even rescale your most stubborn problem areas. It’s like stepping into fantasy Photoshop—and the possibilities for redesigning your body are endless.
Your options include:
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the C cup you’ve never quite been able to fill out (or that has fallen with age);
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the rounder, fuller backside of your 20s;
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the ability to retouch cellulite dimples and sunken scars;
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all of the above.
What’s novel here is that his weapon of choice isn’t a scalpel, a laser or a silicone implant. It’s a syringe.”
We will post more excerpts from the article soon, so stay tuned!
. Brought to you by the office staff at TriBeCa Plastic Surgery
Before (left) and after (right) Dr. Sydney Coleman placed about 200 cc of fat into each breast
2 years after one LipoStructure by Dr. Coleman to correct over-suctioning of the thighs
Read about Dr. Coleman’s development of these special procedures in Cosmetic Surgery Times.
For more information please refer to earlier posts:
Posted in Breast LipoStructure, Facial fillers, Home, Liposuction deformities, Media, Natural Facial Rejuvenation | No Comments »
