27
July
2010
Sydney Coleman, a plastic surgeon in New York City, continues to improve fat grafting methods
Dr. Sydney Coleman is recognized as the world’s leading expert on fat grafting. It has been through his perseverance and insight over the last 22 years that fat grafting is becoming an important part of medicine. In the last four years, Dr. Coleman has improved dramatically the method he uses for fat grafting. The advanced methods he now uses for fat grafting not only increase the predictability of fat graft survival; but also, more importantly, the new techniques maximize the reparative effect of grafted fat on the tissue around which it is placed. Using his newly developed method, fat grafted under sun damaged and aging skin repairs the overlying skin. The eyelid of the patient below demonstrates the dramatic change that grafting fat in one procedure can have on overlying wrinkles.
Before (above) and two years after one procedure to lower eyelids in a 76 year old with no other treatment to her lower eyelids
Fat grafted under skin in the lower eyelid repairs the skin to a more radiant, youthful appearance
Probably through the same mechanism of repair, grafted fat has been shown to repair the tissue damage caused by radiation from cancer treatment. Dr. Coleman has been actively participating in laboratory research at NYU Medical Center, which has enabled him to verify his new advances in grafting fat. This new way of grafting fat increases the predictability of the volume of fat grafted, but more importantly, it maximizes the effect of grafted fat on the tissues around which it is placed.
Dr. Coleman has been speaking at meetings worldwide over the last few months to relate the advances that he has made in the last five years in fat grafting. In June alone he has given lectures in Manchester, UK; Ghent, Belgium; Aachen, Germany; Iceland; and Halifax, Nova Scotia. Earlier this year, he gave a series of lectures at a maxillofacial/craniofacial meeting in Baltimore, at the Egyptian Society of Plastic Surgery meeting outside of Cairo, at an international hand meeting in Paris, at a meeting in Los Cabos in Baja California, at a symposium of the Plastic Surgery Education Foundation meeting in Snowbird, Utah, at a breast meeting in Miami, at the American Alpine Workshop in Plastic Surgery meeting in Jackson Hole, Wyoming, and at a Regenerative Surgery meeting in Rome.
And Dr. Coleman continues to travel to Pittsburg monthly to use fat grafting on soldiers with facial war injuries. This is part of an Armed Forces project at University of Pittsburgh Medical Center supervised by the US Department of Defense.
. Written by the office staff at TriBeCa Plastic Surgery
To read the Cosmetic Surgery Times article on the use of fat grafts with stem cells for rejuvenation, please click here.
For further articles about this subject
Posted: Breast LipoStructure, Facial Reconstruction, Fat Grafting Research, Home, Natural Facial Rejuvenation
6
July
2010
New York City Plastic Surgeon Sydney Coleman Discusses His Experience with the “Stem Cell Facelift”
A recent article in Cosmetic Surgery Times discusses the effect of concentrated, grafted fat to repair aging and sun-damaged skin. In the article, Dr. Coleman, the pioneer in structural fat grafting, noted that “grafted fat not only provided added volume, but also appeared to reinvigorate surrounding facial tissue, seemingly making it thicker, rosier and generally more youthful-looking.”
Dr. Coleman first began discussing this effect in 1994 at national and international plastic surgery meetings. Today, there is evidence that the effect of the fat is at least in part due to the presence of stem cells in the fat designed to repair injuries to our body. The article notes that Dr. Coleman prefers to think of these hard-working cells as repair cells rather than stem cells. “Fat is not just a storage organ, it is a repair organ. It supplies repair cells that mend bone or skin or whatever part of the body it is called on to help,” Dr. Coleman says in the article. “If you put fat under sun-damaged, aging skin, then (apparently) it perceives that there is a problem, and it is directed by messengers or growth factors to repair the aging skin.”
Before (left) and 3 years & 6 months after (right) one facial fat grafting
In the article, he further said that “A facelift removes the signs of aging, whereas, fat grafting — by restoring volume and then by repairing the damage that is present — actually moves a patient closer to youth than often a facelift does, because the absence of a wrinkle is not the presence of youth.” He further points out that this a completely natural method of rejuvenation without any scars or medications.
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.
Furthermore, through scientific research, Dr. Coleman has verified a method of concentrating fat to remove the oily components and increase the concentration of stem cells and growth factors. This gives the effect of rejuvenation of the skin with only a very thin layer of refined fat. Dr. Coleman has used the same effect to treat radiation injuries as well as trauma to the arms, legs and head.
The New York Times wrote about the effect that a thin layer of fat has on the back of hands, and the photographs in the article demonstrate progressive improvement of the quality of skin over eight years after only one treatment of fat grafting. For more information on the effect of a thin layer of fat grafts to rejuvenation and repair hands, please click here.
To read the Cosmetic Surgery Times article on the use of fat grafts with stem cells for rejuvenation, please click here.
For further articles about this subject
Posted: Home, Natural Facial Rejuvenation
19
November
2009
The Department of Defense just awarded a $1.6 million grant to help soldiers recover from devastating facial injuries using innovative surgical technologies based on the biology of fat tissue. Peter Rubin a noted scientist and plastic surgeon, will head up a surgical team that will use the fat grafting techniques developed by Sydney Coleman to reconstruct 20 American veterans.
In a news article released on Veteran’s day last week, Dr. Rubin noted that to counteract certain basic biological challenges the surgical “team will use techniques and innovative equipment developed by Dr. Sydney Coleman, a New York plastic surgeon who will be part of the research group.” The news article goes on to say, “Dr. Coleman has developed a centrifuge …that concentrates the fat…and raises the proportion of stem cells…that can help the fat tissue grow new blood vessels. Dr. Coleman has developed special surgical tools for facial reconstruction work, Dr. Rubin said, particularly tiny tubes called cannulas…that can be used to implant the fat cells beneath the facial skin.”
Dr. Sydney Coleman used three sessions of fat grafting to reconstruct the missing portion of this man's face. Similar techniques will be used to reconstruct the war casualties
“As many as 26 percent of wounded soldiers suffer some kind of facial injury, which can have a huge impact on quality of life,” said Dr. Rubin in a recent press release. “While we can reconstruct bony structures very well, it is the surrounding soft tissues that give people a recognizable face. This project will investigate how soft tissue grafting can more precisely restore facial form and improve the lives of our wounded soldiers.”
The use of fat grafting for serious facial injuries, such as those resulting from roadside bombs is facilitated in this project by using specially designed devices and instruments for harvesting fat tissue and implanting it into regions of scarred tissue.
“Fat grafting, or moving fat tissue from one part of the body to another, has been used as a cosmetic procedure for decades,” said Dr. Rubin. “We are now applying these same techniques for reconstructive surgery to accurately restore facial form after battlefield injuries.”
© Coleman 2009
More examples of reconstruction using Dr. Coleman’s specific technique can be found at www.lipostructure.com.
Further reading:
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: Facial Reconstruction, Home
21
October
2009
Cryolipolysis Developed by Zeltiq for Cooling Fat
Zeltiq is a new technology developed to reduce body fat by cooling bulges in your body (cryolipolysis) but currently used for a variety of indications. Dr. Sydney Coleman, author of the only peer-reviewed paper on Zeltiq, has been using the Zeltiq cooling device since February 2008. Four months ago, a new advanced version of the initial machine arrived in his office.
Before (left), 2 months after (middle) & 3 months (right) after application to lower abdomen
Closeup of above pictures before (left) and two months after (right)
The Zeltiq procedure is performed under Dr. Coleman’s supervision at TriBeCa Plastic Surgery at 44 Hudson with a non-invasive applicator that delivers precisely controlled cooling through the skin surface over fat bulges. Studies have shown that this noninvasive procedure results in a noticeable, natural-looking reduction in the treated areas without the need for needles, incisions, anesthesia, pain, medication, or recovery time. In just a few months following the Zeltiq Procedure, the study demonstrated that there is a gradual reduction in the thickness of the fat layer, resulting in cosmetic improvement of fat bulges.
Less fat can be pinched in this patient at 3 months after Zeliq procedure by Dr. Coleman
Ideal candidates are men and women who are relatively fit, but have some modest-size fat bulges that are resistant to diet and exercise. Clinical studies show that, for properly selected patients, the Zeltiq Procedure is an effective way to reduce the fat layer, without the pain, risk, and recovery time of invasive procedures. The result is noticeable, natural-looking fat reduction in the treated areas. To date, the Zeltiq Procedure has been performed on hundreds of patients in clinical studies.
Harvard Medical School dermatologists at Massachusetts General Hospital in Boston, MA developed the science behind the Zeltiq Procedure, called CryolipolysisTM. Their research showed that fat cells are naturally more vulnerable to the effects of cold than other surrounding tissues, and that fat cells can be safely eliminated without harming the skin.
Dr. Coleman’s clinical study validated that cryolipolysis for fat layer reduction of love handles and back fat pads in men and women is well-tolerated and produces a visible contour change in the majority of subjects. Based on ultrasound assessment, an average fat layer reduction of 22.4% was demonstrated after only one procedure.
Zeltiq cooling device applied to abdomen of above patient
The Zeltiq device has already been cleared by the FDA for various applications related to skin cooling during dermatologic treatments and temporary treatment of cellulite. There is a pending application for non-invasive fat layer reduction.
A preview of the article authored by Dr. Coleman can be viewed as a pdf from APS. Or the article can be seen in full by accessing the Journal of Aesthetic Plastic Surgery.
For a review of the paper check out Aesthetic Device Review.
For background on Zeltiq and Cryolipolysis, please refer to previous postings entitled Freezing Fat for Natural Body Sculpting, Zeltiq device approved by FDA for Several Uses, and Noninvasive Liposuction Alternative.
Please call Tribeca Plastic Surgery at 212 571 5200 for more information.
© Coleman 2009
Posted: Home, Minimally Invasive and Non-Invasive Fat Removal
20
October
2009
Description of Dr. Sydney Coleman’s Method of Fat Grafting to the Breast including Consultations, Procedure, and Pricing
My office has received many inquires about the cost and the procedure of fat grafting to the breast. I have therefore written up the following description of my consultation, some important points of my procedure and some explanations of the cost.
Planning Consultation: The most important first step for fat grafting to the breast is for you to help me design a procedure that will give you the shape and size that you desire for your breasts. I do that by first examining and photographing your body. Then I study the photographs with you. Together we design an individualized plan to change both your breasts and to enhance your body with the harvesting of fat. I draw out blueprints of your unique procedure using pencil tracings that depict your specific body and the changes you seek. I like to color code the blueprint to indicate where I plan to remove the fat, where you desire specific changes in size or shape, and where the tiny entrance sites will be placed (see below). I use the same sheet to make notations as I review your informed consent.
Color-coded blueprint aids the patient in her understanding the procedure and enables the patient to help design the procedure. (Click on the image for a larger version)
Special Considerations: The decision to use the BRAVA system should be made weeks before the procedure. Please refer to my last post for comments.
Marking: On the day of the procedure, I follow the blueprint to mark your body with a color-coded system (see below). This lets you understand from where I am removing fatty tissue and how I am placing it into your breast to improve your shape and increase your breast size.
On the day of the procedure, Dr. Coleman marks the patients with the patient actively participating in the selection of harvest areas as well as the design of her breast augmentation.
Harvesting & Refinement: The procedure for breast augmentation with fat involves first harvesting fat from the body. Some women have enough fat in one location (outer thighs or lovehandles), which makes removal much simpler. However, many women have had liposuction to their outer thighs and lovehandles, or simply do not have enough fat in one area. In those women, I consider numerous areas for harvesting (abdomen, flanks, inner thighs, knees, calves, arms, et cetera). Obviously, this is an important part of the procedure, and you and I will want to design the removal so that your body shape is enhanced and problems are avoided. Because of the amount of fat tissue that needs to be removed, I usually perform the procedure under general anesthesia. However, for much smaller procedures, I use local anesthesia with sedation.
Grading the fat for selective placement: After the fat is harvested, I refine and concentrate the fat tissue using a centrifuge to remove any non-living components (oil, water, blood, et cetera). My experience has taught me to grade the fat into different qualities, depending on density and other factors. I use the graded densities to attain different effects. This is one of the keys to successful fat grafting.
Sculpting while layering in the graded fat: I use the concentrated fat tissue to meticulously sculpt the breast. The technique I developed alters the shape and size of the breast by placing miniscule amounts in thousands of passes through three or four tiny entrance sites located in the lower fold of the breast and the areola. The sculpting requires a three dimensional vision that must happen while the fat is being placed into the breast. Many surgeons place fat then try to move it around.
Price: How is the price determined? First of all, price varies depending on the difficulty of removing fat from select parts of your body, processing and concentrating the fat. If it is going to take me one hour to harvest the fat, then I am able to charge much less than if it will take me two or three hours. Then the difficulty of the meticulous placement into the breast needs to be considered. Previous scarring from implants or surgery will make the procedure more difficult. The more fat I harvest and place, the more that I need to charge. Simple, uncomplicated augmentations start at $20,000. Treating the problems of breast implants with fat grafting is usually less depending on the amount of fat needed to be placed and the amount of scarring present. Reconstructive procedures after breast cancer or from birth defects can often be covered at least in part by insurance.
If you call my office at +1 212 571 5200 my office staff can give you a better idea of the cost if you describe your breasts and body. If you send photographs with a description of your goals, we can give you an even better estimate of the cost.
Check out these links for more information on fat grafting to the breasts:
Combining the BRAVA system with Fat Grafting to the Breast
Fat Grafting to solve problems with Breast Implants
Safety concerns with fat grafting to the breast
The American Society of Plastic Surgery’s Position of Fat Grafting to the Breast
Dr. Sydney Coleman demonstrates Breast Reconstruction with LipoStructure on The Doctors
Coleman lectures on fat grafting for breast reconstruction at the American College of Surgeons
Lipofilling: a role in breast reconstruction surgery From “Behind the Medical Headlines” produced by the Royal College of Physicians of Edinburgh and Royal College of Physicians and Surgeons of Glasgow
Breast Augmentation Via Fat Grafting From “Plastic Surgery Practice”
Breast Implant Problems Solved with Coleman Fat Grafting
Fat Grafting to the Breast Revisited: Safety and Efficacy. Plastic & Reconstructive Surgery. 119(3):775-785, March 2007. Coleman, Sydney R. M.D.; Saboeiro, Alesia P. M.D.
© Coleman 2009
Posted: Breast LipoStructure, Home
22
September
2009
Dr. Sydney Coleman presented his experience with using the BRAVA system before and after fat grafting to the breast at three conferences in the last week:
Dr. Coleman showed examples of breast augmentation and reconstruction using autologous fat combined with the BRAVA system. He felt that the BRAVA system of reverse tissue expansion has been improving the excellent results he has already been obtaining with fat grafting to the breast.
Before (left) and after (right) Dr. Sydney Coleman placed about 200 ml of fat into each breast
Breast Augmentation with only one session of Structural Fat Grafting
The patient in these photos presented for an enhancement in the shape of her breast, and an improvement in the size of her lower breasts. Before and after about 200 ml of refined fat into each breast. She wore the BRAVA before the procedure, but not afterward.
Patient's primary goal was increasing the size of her lower breasts
For more detailed information about fat grafting to the breast, please refer to LipoStructure.com.
Check out these links more information on fat grafting to the breasts:
Dr. Sydney Coleman demonstrates Breast Reconstruction with LipoStructure on The Doctors
Coleman lectures on fat grafting for breast reconstruction at the American College of Surgeons
Lipofilling: a role in breast reconstruction surgery From “Behind the Medical Headlines” produced by the Royal College of Physicians of Edinburgh and Royal College of Physicians and Surgeons of Glasgow
Breast Augmentation Via Fat Grafting From “Plastic Surgery Practice”
Breast Implant Problems Solved with Coleman Fat Grafting
Fat Grafting to the Breast Revisited: Safety and Efficacy. Plastic & Reconstructive Surgery. 119(3):775-785, March 2007. Coleman, Sydney R. M.D.; Saboeiro, Alesia P. M.D.
© Coleman 2009
Posted: Breast LipoStructure, Home
20
July
2009
Restoration of Missing Facial Tissues Important Alternative to Traditional Surgeries
NEW YORK CITY, NY - Sydney Coleman, a Plastic Surgeon in New York City, has demonstrated that fat grafting has an important place in facial reconstructive surgery. Dr. Sydney Coleman has shown at international meetings throughout the world that fat grafting can replace many more complicated, less effective methods of reconstruction. A patient whose case was published previously in Plastic and Reconstructive Surgery returned recently 18 months after his last procedure with an exciting result.
BEFORE FAT GRAFTING Radiation and surgery cured this young man of cancer, but left him missing one quarter of his face.
This 23 year old patient was discovered to have a rhabdomyosarcoma cancer of the masseter muscle (the muscle on the side of the face used for chewing) when he was eight years old. He was successfully treated with removal of many of the muscles of his face and therapeutic radiation to the left lower face. In the areas of the radiation, his facial and skull bones did not grow normally, and he was left with a severely deficient lower left face (see above). In addition, the skin of the irradiated area was extremely fragile and beard growth abnormal. He had had no procedures done since his original cancer surgery.
BEFORE (left) and AFTER (right) Three sessions of Coleman fat grafting.
Between 2004 and 2008, three Coleman fat graft procedures were performed to arrive at the above result (which is eighteen months after the third procedure. The fat was layered through tiny incisions over the lower one-quarter of this young man’s face and over the lower part of the skull (mastoid) using special tools developed by Dr. Coleman. The layering started at the bone each time and extended out to the skin.
BEFORE (left) and AFTER (right) Tilted views reveal more of the profound loss of structure.
BEFORE (left) and AFTER (right) Oblique views further demonstrate the extent of missing bone and muscle.
One of the most important reasons for using fat grafts in such situations is that the stem cell and growth factors present in fat grafts may promote healing of the damaged tissues.
Surgeons are hesitant to operate on body areas which have been treated with radiation because they heal poorly or not at all after a surgical procedure. Recent evidence points to the healing of radiation injury and even improvement in the appearance of aging skin by fat grafting to an area. The healing most likely takes place by bringing in stem cells (or repair cells) which build new blood vessels and capillaries to the irradiated skin, muscle and bone.
In addition to treating acquired deformities from radiation therapy or accidents, Dr. Coleman has successfully treated facial deformities such as birth defects, Romberg Syndrome, Treacher Collins Syndrome, problems from childhood cancers, radiation damage, vascular tumors and cleft lip deformities with Coleman fat grafting.
© Coleman 2009
More examples of reconstruction using Dr. Coleman’s specific technique can be found at www.lipostructure.com.
Further reading:
The treatment of body scars with structural fat grafting
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
Posted: Facial Reconstruction, Home
24
June
2009
Noninvasive Fat Reduction with Cryolipolysis effective and safe in recent study
NEW YORK CITY, NY – Sydney Coleman, a Plastic Surgeon in New York City, is the lead author on the first clinical study published on the effectiveness and safety of cryolipolysis. The study demonstrated significant and safe reductions in fat deposits of humans treated with the new non-invasive fat technology cryolipolysis.
Cryolipolysis treatment causes substantial reductions in subcutaneous fat volume and changes in the contour of the treated love handle without damage to the skin or underlying tissues. The innovative technology brings the temperature of the targeted fat down to above freezing. This apparently programs the fat cells to die over the next two or three months.
View of flanks from the front before non-invasive cryolipolysis (left) and three months after one treatment (right) demonstrate significant change in contour to the flank or "muffin-top".
Lines help to better distinguish the change in contour.
View of “lovehandle” before non-invasive cryolipolysis (left) and three months after one treatment.
Lines help better distinguish the volume changes. Ultrasound studies confirmed about a 25% reduction of fat after one treatment.
The study examined the effect of cryolipolysis on nerves. The treatments were not painful, and temporary “funny feelings” after the treatment resolved quickly. The study concluded that cryolipolysis is not associated with obvious nerve injury.
One patient recently reported at one year after the treatments: “Dr. Coleman, I wanted to tell you that the procedure that you performed on me really works – I can not believe that all of my clothes are big on me – and Ihave not been dieting. This is very exciting, when are you doing the “pouch”? Thanks again,”
In summary, the study demonstrated that cryolipolysis treatment can cause substantial reductions in subcutaneous fat volume and changes in the contour of the treated love handle without damage to the skin or underlying tissues.
Dr. Sydney Coleman received an updated, advanced version of the Zeltiq Device and has been using this version for several months. Click here to read more.
A preview of the article can be viewed as a pdf from APS. Or the article can be seen in full by accessing the Journal of Aesthetic Plastic Surgery.
For a review of the paper check out Aesthetic Device Review.
For background on Cryolipolysis, please refer to previous posting entitled Freezing Fat for Natural Body Sculpting.
© Coleman 2009
Posted: Home, Minimally Invasive and Non-Invasive Fat Removal
1
June
2009
Injuries, birth defects and even surgeries can leave scars, depressions and significant deformities to the fat, skin and muscles of the legs, thighs, buttocks, arms and forearms. The type of fat grafting pioneered by Dr. Sydney Coleman is a new tool that is being used more and more by plastic surgeons for reconstruction of the limbs. Fat grafts can be used in the treatment of not only volume deficiencies, but also scars and even functional muscle problems.
Coleman Fat Grafting used to correct depressed scar on thigh
Obviously, simple depressed scars and volume deficiencies can often be treated with structural fat grafting, with not only an improvement of the missing volume, but also an improvement in the surface scar. Even more complex injuries resulting in missing muscle or fat from major accidents or injuries can be treated with fat grafting. Examples of devastating injuries which can be treated with fat are motor vehicle accidents or even attacks from dogs or other animals. Traditional surgical correction of such injuries can be amazingly complex, sometimes resulting in even deeper scars, re-positioned muscles and new deformities. A prime example of such an elaborate reconstruction was recently performed by Dr. Sydney Coleman in New York City on a dog attack victim.
One of potentially important reasons for using fat grafts in such wounds is the stem cell and growth factors present in fat grafts. Not only can the structural fat replace the missing fullness, but also there may be a component of accelerated healing mediated by fatty tissue.
© Coleman 2008
More examples of correction of limb deformities using Dr. Coleman’s specific technique can be found at www.lipostructure.com.
Further reading:
Dog Attack Victim Reconstructed with Coleman Fat Grafting
The treatment of body scars with structural fat grafting
Fat Injection: From Filling to Regeneration
Treatment of liposuction deformities?LipoStructure for Correction of Liposuction Deformities ?
In Dr. Coleman’s book Structural Fat Grafting Chapter 6: Iatrogenic Corporal Deformities.
Lower extremity Reconstruction?LipoStructure for Correction of legs, arms and buttock injuries?
In Chapter 24 of Dr. Coleman’s book Fat Injection: From Filling to Regeneration
LipoStructure® for Correction of Liposuction Deformities
Treatment of the aging hand with LipoStructure
NY Times shows photos of progressive improvement in skin quality with Coleman Fat Grafting
Posted: Extremity reconstruction, Home
10
April
2009
An unattractive buttock crease created by suctioning of the buttock/thigh juncture. This can make a leg look shorter and a buttock look deformed.
As liposuction developed in the late 1970s to the mid-1980s, new problems were created which the world had never seen before: liposuction deformities (deformities created by the suctioning of fat). One of the early liposuction deformities Dr. Sydney Coleman confronted in the mid 1980’s was the purposeful lengthening and deepening of buttock creases in order to create a supposedly more aesthetic appearing buttock. Women were told that a “smiling” buttock was more attractive, so their surgeons would gouge out a long depression running from the lower buttock out to the outer thigh.
Unfortunately deepening the crease below the buttock and extending it out onto the thigh does not usually improve a woman’s appearance. Lengthening and deepening of the buttock creases interrupts the continuous flow of the outer thigh into the buttock, which can create an unnatural looking buttock and the illusion of a shorter leg.
To correct those deformities Dr. Coleman first started injecting fat in 1986. By restructuring the buttock crease with fat grafts, the continuous flow of the buttocks into the thighs can be restored to create a more attractive and youthful line of the leg. In fact, restoration of this buttock-thigh interface can have profound effects on the appearance of the lateral thigh as well as the buttocks, with smoothing of apparent irregularities.
6 years after one injection of fat into the left buttock crease, a remarkable filling in is apparent between the thigh and the leg is created.Side view demonstrates the subtle "lift" that restoring the normal proportion of the buttock crease to the thigh can create.
The left buttock crease correction before (left), one year after (middle) and four years after (right) one fat injection to the buttock crease extending out over to the left outer thigh. Note the remarkable improvement in texture and color of the skin over time. That is a consistent finding with fat grafting close to the skin.
© Coleman 2008
More examples of correction of liposuction deformities using Dr. Coleman’s specific technique can be found at www.lipostructure.com.
Fat Injection: From Filling to Regeneration
Treatment of liposuction deformities
LipoStructure for Correction of Liposuction Deformities
Dr. Coleman’s book Structural Fat Grafting Chapter 6: Iatrogenic Corporal Deformities.
Posted: Home, Liposuction deformities
