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Facial Fat Grafting Facelift offers Cost-Effective and Non-Invasive Solution to Facelift

By: RoyDavid April 17, 2015

fat transfer female fill in hollow eyesFor many mid-age adults considering a facelift procedure, many are now opting for fat grafting facelift procedure.  Dr. Roy David a San Diego facial plastic surgeon says “many patients are opting for fat transfer and liquid facelift procedure instead, due to the non-invasiveness of the procedures and the excellent results”.

The facial fat grafting procedure involves removing a small amount of fat from the mid-section region, purifying it and injecting it into the sagging, sunken-in areas of the face.  The fat is used to fill in cheeks, jawline, eye area and other facial areas where needed.  Dr. David says, “as we age we lose volume in the face, which leads to sagging, deflated skin and concave sunken areas around the eyes.  Fat transfer offers a more lasting solution to synthetic fillers and he believes that injecting ones fat enhances the skin and facial contours by increasing blood supply and overall skin health”.

Fat grafting is performed using a micro-cannulas.  This makes the procedure very safe, as well as artistic and nuanced;  the surgeon is able to sculpt the face in a natural way by gradually adding volume if diffuse increments.  This is a much different approach from most synthetic fillers- which are often placed in discrete aliquots.

Dr. David also recommends for anyone that is having a mini-facelift or full facelift that they should consider having fat grafting done at same time.  Skin tightening and lifting sagging skin and soft tissue does not produce the best and most natural results.  It is important to simultaneously correct areas of hollowness and fat loss so that the lifted skin appears well supported and obtains a youthful contour.

Dr. David recommends the fat transfer facelift for those that have thin aging faces.  It is not designed for an overweight face that already has excessive fatty tissue.  The procedure takes about 1 ½ hours and is done at Dr. David’s private surgical center.  The typical downtime is about one week in comparison to a normal facelift where the downtime is about 4 weeks.

Dr. David says, “fat grafting has come a long way in the past five years, the procedure is long lasting and the results are excellent.  At first there were doubts whether the fat cells would survive once transplanted but by adding tiny drops of fat ensures that the fat cells receive the blood supply they need to live.  The end result is a much longer lasting result then what you get with facial fillers to the face”.

San Diego facial plastic surgeon Dr. Roy David is a member of the American Academy of Facial Plastic and Reconstructive Surgery, and specializes in plastic surgery exclusively of the Face, Nose, Eyes, Neck, and Scalp. He has been in practice in San Diego for over ten years, helping thousands of patients to achieve their goals.

Dr. David is double-board certified by the American Board of Facial Plastic and Reconstructive Surgery, and theAmerican Board of Otolaryngology-Head and Neck Surgery. He is a fellow of the American College of Surgeons, the American Academy of Facial Plastic Surgery, and the American Academy of Otolaryngology-Head and Neck Surgery. Dr. David is one of a select group of plastic surgeons to complete a prestigious Fellowship in Facial Plastic Surgery under the auspices of the AAFPRS.

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Categories: fat transfer

Facial Fillers Non-Surgical Aging Solutions

By: RoyDavid April 13, 2015

liquid faceliftNon-Surgical Aging Solutions

Have you ever wondered what a non-surgical facelift really is?

Today, more than ever we are hearing the terms non-surgical facelift or liquid facelift.  Dr. Roy David, Double Board Certified Facial Plastic Surgeon in San Diego and Medical Director at La Jolla Aesthetic explains, “non-surgical facelift has become one of the more popular procedures we are now performing at our medical spa.  The procedure typically includes a program of botulinim toxin and dermal fillers to replace lost volume and manipulate muscle activity.  The treatment work on the pillars of the face to keep it lifted and the skin toned.  The ideal patients for this procedure are usually  in the age range of 30-50  with early volume loss and tissue laxity.”

The liquid facelift can have long lasting results but does require maintenance every 6 months.

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Categories: Injectable Fillers

How to Choose the Best Facelift Plastic Surgeon

By: RoyDavid April 07, 2015


iStock_000010297720_MediumAs we continue to live longer, healthier lives, it makes sense to want to “look as young as you feel.” For example, take a 65 year old project manager who hits the gym daily and mountain bikes on the weekend. He may not be willing to accept his 65 year old jowls and neck. If he’s in better physical shape than his 40 year old peers, why should they look at him as the “old timer?” Enter the modern facelift.

In the past, facelifts were stigmatized by unnatural results. No one wants to look like they had a facelift, but simply to look refreshed. Unnatural results come from too much skin lifting or stretching, from a failure to consider facial volume, and from poor aesthetic judgement-among other things. To avoid these issues, patients should choose a surgeon who can perform a “deep plane,” three-dimensional facelift.

The skin and fat of the neck, lower face, and cheeks are supported by a connective tissue called SMAS: or subcutaneous musculoaponeurotic system. The SMAS, when lifted as part of a deep plane facelift, will lift and reposition sagging cheeks, jowls and neck as one unit-thus giving the most natural result. In contrast, a “skin only” or “suture only” lift may tighten the jawline but not address the droopy cheeks, leading to a “swooped” look. In addition to giving a uniform, smooth lift, a deep plane lift also tends to hold up longer over time because the repositioned SMAS fibroses and builds support.

So how do you know what type of facelift your surgeon will perform? One option is to simply ask. Ask your surgeon how he will lift and tighten the deeper layers of the face. Ask if he will incorporate fat grafting, facial implants, or fillers to restore volume. Ask if he can perform a fractional (modern) laser peel to correct brown spots and fine lines at the same time as the lift.

Another option is to examine before and after photos. Look for significant but natural results; patients should look like younger versions of themselves, not like completely different people. A younger version of a person will usually involve replacement of volume, because in our 20s and 30s we have more fat around our eyes, jaw lines, and cheeks than in our later years. Volume, usually in the form of fat grafting, is what makes a modern facelift “3 dimensional.”

These are some of the nuances of choosing a facelift surgeon. Needless to say, the basics include reputation, training, years of experience, and certification by the American Board of Facial Plastic Surgery-for face specialists, or the American Board of Plastic Surgery-for plastic surgeons who work on the face and body.

Dr. Roy David is a facial plastic surgeon and facelift specialist from San Diego, California. His “La Jolla Lift” procedure was featured on the hit television show “The Doctors.”

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Categories: Facelift

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