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Question:

How popular is the fat transfer procedure?  Do you have any statistics on the number of people getting this procedure every year?

Answer:

There are many different types of fat transfers and there are literally thousands of these procedures performed throughout the world every single year. It has become more and more popular and several of the Foundation for Hair Restoration and Plastic Surgery doctors do perform different types of fat transfer procedures.  For a list of our locations and doctors, please go to www.foundhair.com or www.plasticsurgeryoftheface.com for more information on the fat transfer procedure, which has become more popular and more prevalent over the last several years.

Posted by Jon Hoffenberg, Executive Vice President FHRPS

Question:

When it comes to laser skin resurfacing there seems to be a lot of talk about fractional resurfacing.  What is this exactly and how effective is it?

Answer:

With fractional  resurfacing, the laser beam is broken up over small areas and fractionated and,  in doing so, it is less aggressive but at the same time can get a noticeable  result depending upon the laser and the power that is used. The nice thing  about fractional lasering is it can usually be done in our office setting  without any anesthesia.  In my office right  now, we are using the Co2 Fraxel which I like better than the other old Fraxel  because it has enough power to get a good result and can still be done without  any anesthesia except for a topical cream that is placed on the skin. A  fractional laser will get a nice result for minor wrinkling and for  imperfections in the skin, but if you have very serious deep cut wrinkles, you  are looking at a more aggressive laser like an Erbium laser that is usually  done under anesthesia.

Question:

I would like to get laser hair removal on a couple of my body parts and my upper lip. I have heard varying things about whether or not the results are actually permanent. One of my friends say they are after several treatments and another said no they are not permanent. Can you clear this up for me?

Answer:

Laser hair removal is  an excellent procedure, especially for people who have visible hair  problems.  The reason it is an excellent  procedure is it does not traumatize the skin and, after a number of treatments  and depending upon the area, can if not permanently remove the hair cause it to  stay away for a significant length of time. Usually on the upper lip, after  three or four treatments, the hair thins out, the follicles begin to die and  the patient finds that they have very little re-growth of hair. Depending upon  the area, the treatments are sometimes permanent but it always takes an  extended number of treatments, usually in the area of four to eight depending  upon the area, before it may seem to be permanent.

Question:

I am getting Botox injections for the first time.  I want to ease the frown lines on my forehead.  Should I wash my face with any special soap beforehand such as antibacterial soap?

Answer:

There is no special pre-Botox or pre-injection treatment for the frown lines on the forehead before having a Botox injection.  Following your regular course of face cleaning in the morning should be satisfactory.  It does not make sense to do anything out of the ordinary like extra exfoliation or extra moisturizing or anything else directly before the treatment.  Simply ensure that your face and your forehead is clean before the treatment and the doctor will take care of everything else.

Posted by Jon Hoffenberg, Executive Vice President FHRPS

Question:

I have opted for injectable fillers rather than cosmetic surgery for the time being.  I would like to know if I can wear makeup right after the procedure to cover up any bruising.  I am planning to go right back to work afterward.

Answer:

Answer:
Each patient is slightly different so it does make sense to ask your specific doctor and/or nurse whether it is okay to wear makeup directly after having an injectable filler treatment. With that said, while most patients experience very brief pinkness or redness in the area of the injectable filler and in rare cases very light bruising or very light swelling for a very short time, the great majority of patients are presentable and comfortable in public within a couple of hours of having an injectable treatment. Light makeup to cover up any bruising or pinkness should be fine and should not cause any reactions or damage to the skin or to the results of the injectable filler treatment.

Posted by Jon Hoffenberg, Executive Vice President FHRPS

Question:

Is fat transplant a good option for plumping up the lips?

Answer:

Fat transfer is a  good option for plumping up the lips. However, over time, it will dissipate and  the lips will go back to their normal size. I have invented a procedure where I  take fat and dermis, which is a dermal fat graft, from the lower abdomen above  the suprapubic area and place it into the lips and you get permanently enlarged  lips that look very natural.  The  procedure is a little more extensive than simply injecting fat into the lips  but it is a one-time procedure and gets you an excellent result. The other  alternative is to use some sort of filler like Juvederm in the lips, but again  that would be temporary.

Question:

At 40 I have what I feel is already very unattractive low droopy eyelids. I know that this can cause vision issues and was curious as to what determines when this procedure should be done. Can you or does an ophthalmologist make the determination?

Answer:

If you wish to have work done on your eyelids and get third party reimbursement such as insurance or Medicare if that is the case, you have to get work done by an ophthalmologist with regard to lateral temporal field visual cuts. If it can be shown objectively by an ophthalmologist that you have restriction of vision or problems reading, sometimes you can get third party reimbursement. However, at 40 years old, it is probably unlikely that you are going to get reimbursement from a third party as the people who are involved with this try very hard to avoid any kind of payment if at all possible.

Certainly at 40 years old, if need be, we can do corrective surgery and make you look a lot better and improve your vision. Specifically, though, regarding the question, an ophthalmologist has to do visual studies to determine whether a third party involvement for reimbursement is needed.

Question:

I was told my one  doctor that I should get a chin implant along with my nose job.  I was not really planning on this.  I am open to the idea and would like to know  what sort of complications are associated with chin implants and how often they  occur.

Answer:

A chin implant is an  excellent operation to do with a nose job because, for the most part, you are  really are talking about effecting your profile entirely and making an  improvement to your whole look. A chin implant is usually inserted from  underneath the chin so that you do not have to worry about infection and the scar  is usually 1 cm to 2 cm in size, which is very small.  The chin implant is placed underneath the  periosteum of the bone and adheres to this area so that the implant itself does  not move when you move the chin and simulates just having an extended piece of  bone over the chin area. It is an absolutely excellent procedure, it heals over  about one week, it is permanent and the chance of infection is extremely  small.  The one particular possible  complication that we all pay attention to is to make sure that the mental  nerve, which is laterally out over the chin, is not disturbed so that you do  not get any numbness around the chin. In my practice of over 25 years, I think  I have not had more than one or two of the most minor complications with chin  implants, which is an absolutely excellent procedure.

Question:

I am very interested in getting a neck lift. I am a 38-year-old female with a turkey gobbler and the turkey gobbler seems to be very hereditary in my family regardless of weight. I am not overweight, very lean actually, but mine is already starting to make its appearance. When I have this procedure done, will I have to have it done again years later?

Answer:

A turkey gobbler problem is sometimes a difficult problem if it is hereditary in nature because the patient, like in your case, is appropriate in their size and shape, they just have a genetic tendency to develop problems in this particular area. An excellent procedure for this is a combination of liposuction and what we call a post auricular neck lift, which basically works on just getting the neck taken care of. It is very important if you have any liposuction to also have some secondary lifting if needed so that the skin does not droop. If you have liposuction and a post auricular neck lift, you should go for many years without recurrence of a turkey gobbler. You may, again, need to do some work in 10, 15 or 20 years as needed with age, however our experience and success rate with turkey gobbler and post auricular neck lifts on people with hereditary type problems is excellent with very long lasting results.

Question:

I love the look of high cheek bones but I definitely was not born with them.  I am considering cheek implants but know nothing about the procedure.  Can you explain how the surgery is performed and what it entails?

Answer:

Cheek implants are an  excellent procedure to give you higher and nicer cheek bones.  In my practice I use very soft Silastic cheek  implants that are put in from underneath the upper lip so there is no external  scar anywhere.  I make a pocket that  places the cheek implants mostly over the malar eminence or the lateral aspect  of the face and try to make the cheek implants look nice and natural as though  they are just part of your natural cheek bones.   The cheek implants are placed in a pocket that are just the right size  and do not have to be sewn in and the incision underneath the upper lip is  closed.  There are no bandages and the  results are absolutely excellent and can be done even under local anesthesia.



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