LEARN, SHOP & CHAT ABOUT PLASTIC SURGERY, BEAUTY AND ANTI-AGING
You're here: Home > Message Boards > Plastic Surgery > Find, Search, Choose Plastic Surgeon Forum

Plastic Surgery, Beauty, Skin Care Message Boards & Blogs

Our message boards are for all of us who want to talk, listen, share, and support fellow women and men interested in discussing plastic surgery, beauty treatments, pregnancy, gynecological concerns, aging, and various health conditions. You can read messages without logging in. To post a message, please log in or register. It's free...and being a member gives you access to important information. By using the Message Boards, you agree to the Message Boards Policies.

SUBSCRIBE: Sign up to get newsletter with weekly popular topics discussed on the boards  
 

Fat Graft / Fat Transfer great doc? anywhere or Florida?

Fat Graft / Fat Transfer great doc? anywhere or Florida?

Postby gooseyone » Tue Jun 12, 2007 4:28 am

when I research facial fat transfer or grafting... it seems a lot of it is an artistic thing combined with an understanding of a person's bone structure. Who is known for being great at it... where, for example, that is all they do and people fly in to them? Also, is there anyone like that in southern Florida?
gooseyone
 
Posts: 3
Joined: Mon Jun 11, 2007 3:32 pm



Postby Carissa74 » Wed Jun 13, 2007 6:10 pm

Virtually any plastic surgeon "in theory" can do fat transfers. I can offer you the name of my ps. I didnt have fat transfer procedure but it's worth a shot to at least call to see if he does it. He is in fort lauderdale.

Dr Palma (954)565-8282.

Hope this helps?!
Carissa74
 
Posts: 833
Joined: Tue Jan 10, 2006 12:11 am



Re: Fat Graft / Fat Transfer great doc? anywhere or Florida?

Postby MissJ521@aol.com » Wed Jun 13, 2007 8:56 pm

This is NOT a personal 'rec' from me but a doc known for f/g in Florida is Thomas Tzikas.


gooseyone wrote:when I research facial fat transfer or grafting... it seems a lot of it is an artistic thing combined with an understanding of a person's bone structure. Who is known for being great at it... where, for example, that is all they do and people fly in to them? Also, is there anyone like that in southern Florida?
User avatar
MissJ521@aol.com
 
Posts: 3306
Joined: Fri Jun 09, 2006 3:35 pm



Postby MissJ521@aol.com » Wed Jun 13, 2007 9:05 pm

Actually, a lot of PSs are not up with the times and have little CLUE on how to do f/gs. Some of them will have nothing to do with it because it is unpredicable and for others the '3-d' sculpting aspect is beyond them and just end up using the fat like 'spackle' to fill in wrinkles. Even among the pioneers of f/g who really 'believe' in it and have been doing it for a long time and doing sophisticated 3-d 'tricks' with it well beyond just using it as 'spackle' to fill in wrinkles, there are problems and issues. So I would say that f/g is beyond most PSs. Reason being that many PSs are still entrenched in the ideology that "gravity" is responsible for the face sagging and with that ideology attempt to 'pick up' the face. To do well at f/g, a doc needs to understand that INVOLUTION (volume loss) not 'gravity' is culprit in facial sagging and also understand WHERE the areas of volume loss occur and also understand that a 'push out' vector helps effect a 'pull up' bolstering of skin. Those concepts are beyond many PSs who are entrenched in DICTUMS that 'gravity' causes most aging. Hence I contend that most PSs "in theory" are NOT good or can't be good at f/g.


Carissa74 wrote:Virtually any plastic surgeon "in theory" can do fat transfers. I can offer you the name of my ps. I didnt have fat transfer procedure but it's worth a shot to at least call to see if he does it. He is in fort lauderdale.

Dr Palma (954)565-8282.

Hope this helps?!
User avatar
MissJ521@aol.com
 
Posts: 3306
Joined: Fri Jun 09, 2006 3:35 pm



Postby Carissa74 » Thu Jun 14, 2007 5:27 am

She asked for a recommendation for fat transfer to the face. Yes, in theory any ps who is board certified should know this procedure. Whether they do this procedure in their practice routinely is a different story all together. It cant hurt though for her to take some names, call their offices and find out. Even better would be a one on one consult with a surgeon to discuss concerns.


I dont overanaylze plastic surgery like some b/c it's not an exact science, but merely an art form. It should always be viewed as an improvement upon oneself and not exact measurements and stuff like that.
Carissa74
 
Posts: 833
Joined: Tue Jan 10, 2006 12:11 am



Postby MissJ521@aol.com » Thu Jun 14, 2007 8:38 am

F/g is basically somewhat of an 'extra-curricular activity' in the sense that being board certified, in no way, is contingent on knowing how to do f/g or much about it. It's something the doc would need to take a special interest in. An MD and/or board certification certainly gives doc 'licence' to try f/g if he/she wanted to. But in no way gives any assurance that the doc knows much about the procedure that is very contingent on seeing aesthetic or artistic relationships that may not be taught in medical school. Because f/g is more of an art form (because it involves setting out to construct certain curve formations on the face), you need to consider that medical certification alone, in no way assures the patient that a doc is 'artistically inclined' .

As to analyzing or the science of it, there are anthropomorphic distance relationships associated with normal measures of the face that can be used in aesthetic planning.

Outside of that, it all 'comes out in the wash' in the before/after photos. If one doc is more artistically inclined than the other and also observes good distance relationships when when planning a new 'look' for the patient, it will kick up an impressive result on the before after shots.

For f/g a patient definitely wants to look at photos of prior f/g patients. If there are none or very few, they should be cautious about assuming that the doc 'should' know how to do it 'because' he is board certified.




Carissa74 wrote:She asked for a recommendation for fat transfer to the face. Yes, in theory any ps who is board certified should know this procedure. Whether they do this procedure in their practice routinely is a different story all together. It cant hurt though for her to take some names, call their offices and find out. Even better would be a one on one consult with a surgeon to discuss concerns.


I dont overanaylze plastic surgery like some b/c it's not an exact science, but merely an art form. It should always be viewed as an improvement upon oneself and not exact measurements and stuff like that.
User avatar
MissJ521@aol.com
 
Posts: 3306
Joined: Fri Jun 09, 2006 3:35 pm



Postby DCNGA » Tue Jun 19, 2007 6:18 am

I finally understand, after your description below, MissJ your theory of why our faces "sag". It makes sense to me. Now, how does one go about finding "the" doc in their area who has this aesthetic understanding and can do fat graphs that are not distorting or who uses the type of f/g procedures (don't know the exact name of them) that are more long lasting (guess it has something to do with how the fat is treated after removed and then mixed with other entities then re-injected)? I read Dr. Naderi's response on this issue so I understand the careful treatment of the fat once it is extracted is of the utmost importance, but how does anyone know how a PS will handle that aspect of f/gs? Before and after pics, I understand, are a first step, but after that do you ask the doc how they treat the extracted fat and do they feel aging is caused by the force of gravity or by involution? Docs are a funny breed, especially PSs, whose egos are more often than not inflated and if they get the idea we've done too much homework, they begin to feel there will be no way to satisfy us. With all that said, any suggestions on who to look into in Atlanta? I'm thinking f/g may be a way to go rather than what the occuplast suggested for me.

Thanks,

D


MissJ521@aol.com wrote:Actually, a lot of PSs are not up with the times and have little CLUE on how to do f/gs. Some of them will have nothing to do with it because it is unpredicable and for others the '3-d' sculpting aspect is beyond them and just end up using the fat like 'spackle' to fill in wrinkles. Even among the pioneers of f/g who really 'believe' in it and have been doing it for a long time and doing sophisticated 3-d 'tricks' with it well beyond just using it as 'spackle' to fill in wrinkles, there are problems and issues. So I would say that f/g is beyond most PSs. Reason being that many PSs are still entrenched in the ideology that "gravity" is responsible for the face sagging and with that ideology attempt to 'pick up' the face. To do well at f/g, a doc needs to understand that INVOLUTION (volume loss) not 'gravity' is culprit in facial sagging and also understand WHERE the areas of volume loss occur and also understand that a 'push out' vector helps effect a 'pull up' bolstering of skin. Those concepts are beyond many PSs who are entrenched in DICTUMS that 'gravity' causes most aging. Hence I contend that most PSs "in theory" are NOT good or can't be good at f/g.
http://iplandlaserdamagesupport.prophpbb.com/
I no longer post on MMH. Please contact me via email.
DCNGA
 
Posts: 3182
Joined: Tue Apr 05, 2005 12:34 pm
Location: GA



Postby MissJ521@aol.com » Tue Jun 19, 2007 6:31 am

DCNA,

A lot of what the doc does and how with regard to f/g is 'insider info'. F.g depends on the case and I NEED to SEE the person's case before giving much info as to how to proceed or what to look for. Otherwise, it really can't be encapsulated into a 'one size fits all' piece of info that will do much good.

In general, my advice would be to get a visual as to what you want to achieve and to ask the doc if they can do that for you.
User avatar
MissJ521@aol.com
 
Posts: 3306
Joined: Fri Jun 09, 2006 3:35 pm



.... follow up....

Postby gooseyone » Sun Jul 08, 2007 6:24 am

thanks Carissa and Miss J. I have a consult with Dr. Tzikas on July 18.... he does seem to be the local name that comes up. I was aware of many of the issues that you bring up - which is why I was wondering who the top doctors are. The face is so critical... If one gets lipo and the belly button is two millimeters to the left after it is much less of a problem than something being "off" on the face.

So I wonder whether for something as tricky and artistic as fat grafting it makes sense to travel to have the right doctor... unless of course Dr. Tzikas is one of the best and I happen to live near him...

Does anyone know who has the best reputation and, for example, does this solely?
gooseyone
 
Posts: 3
Joined: Mon Jun 11, 2007 3:32 pm



Re: .... follow up....

Postby MissJ521@aol.com » Sun Jul 08, 2007 6:59 am

Board is running SLOW, so if I don't get back, that's why. Although it might take me a few minutes to write a response, wait time to transmit (board slow) is begining to exceed my capacity to wait.

The doc having a good reputation does not preclude the possibility of the patient having a problem with the procedure. This is not said for any one doc specifically. It's a general thing. In general, one has to really identify what the specific aesthetic to be should be and what the aesthetic problem is. Something that the doc might not have time to explain in detail to the patient since explanation of such would involve a lot of time and things like digital images showing proposed changes, not used to predict an outcome but rather to explain in detail the aesthetic situation. In my opinion targeting the right doc/procedure has more to do with analyzing the problem than deciding on who has the best rep.







gooseyone wrote:thanks Carissa and Miss J. I have a consult with Dr. Tzikas on July 18.... he does seem to be the local name that comes up. I was aware of many of the issues that you bring up - which is why I was wondering who the top doctors are. The face is so critical... If one gets lipo and the belly button is two millimeters to the left after it is much less of a problem than something being "off" on the face.

So I wonder whether for something as tricky and artistic as fat grafting it makes sense to travel to have the right doctor... unless of course Dr. Tzikas is one of the best and I happen to live near him...

Does anyone know who has the best reputation and, for example, does this solely?
User avatar
MissJ521@aol.com
 
Posts: 3306
Joined: Fri Jun 09, 2006 3:35 pm



Re: Fat Graft / Fat Transfer great doc? anywhere or Florida?

Postby YSFL » Sun Nov 22, 2009 11:19 am

_______"-"
Last edited by YSFL on Sun May 17, 2015 7:44 am, edited 1 time in total.
YSFL
 
Posts: 2
Joined: Sun Nov 22, 2009 10:23 am



Re: Fat Graft / Fat Transfer great doc? anywhere or Florida?

Postby danielle100 » Sat May 19, 2012 9:57 pm

Hi,
I have checked into facial fat grafting with Dr. Tzikas. I would really love to talk with someone who has had the procedure done by Dr.Tzikas. Please let me know if you know of any one, or if you have the procedure done by him. Thank you much.
danielle100
 
Posts: 1
Joined: Sat May 19, 2012 9:54 pm



Re: Fat Graft / Fat Transfer great doc? anywhere or Florida?

Postby Alyssa2053 » Sun Jun 03, 2012 12:29 pm

Danielle. What do you expect from your fat transfer? Do you want to plump up by filling up or do you want to restore your bone and muscle structure and get back the face you had in your 20's?
Currently Stem cell facelift, fat grafting or others, you name it, are mostly your own stem cells, lipoaspirated, processed through a centrifuge and reinjected subcutaneously in your face or on the surface of the muscle. These techniques are short term solutions and require re-injection because the graft doesn't live long.
My mother's friend just had a new stemcell facelift called FAMI, created by a French Plastic Surgeon, that differs in the fact that in order to have the cells living forever, the transfer (injection) is done deep into the muscle and under the periosteum. This way the muscle and bone structure are restored. Indeed the sagging face is not only due to flaccid skin but mainly by loss of muscle and bone mass. There is no scalpel involved, local anesthesia and most amazing, no scar and almost no bruising. After coming back from Marbella (Spain) where she had her procedure done by the master himself, I was stunned that she almost had no bruising and no scars at the site of injections.
Today she looks fabulous with the face she had 20 years ago, and she is very happy.
I would recommend you Danielle to do your homework, search for more info on FAMI and then make a decision. She gave me the link of FAMI website, this is how I educated myself about the procedure. http://www.amarclinic.com
I don't need it yet but when I will, this is what I'll do.
Alyssa2053
 
Posts: 1
Joined: Sun Jun 03, 2012 11:57 am



Re: Fat Graft / Fat Transfer great doc? anywhere or Florida?

Postby judy548 » Sun Jun 03, 2012 7:19 pm

Any feedback on Jason Posner in Boca?
judy548
 
Posts: 2
Joined: Thu Jan 23, 2003 6:43 am



Re: Fat Graft / Fat Transfer great doc? anywhere or Florida?

Postby jan-e » Thu Jan 22, 2015 9:20 pm

Dr. Trevor Born. I think he has an office in New York and one in Canada. I have used him and was very impressed. I had it done about 9 years ago. At four years out it still looked great. It is gone now but I got breast cancer and went through chemo so I don't know for sure but I think that may have affected it. I lost 35 lbs. If I ever have it done again I would use him.
jan-e
 
Posts: 76
Joined: Mon Oct 09, 2006 8:55 pm




Return to Find, Search, Choose Plastic Surgeon Forum

 

Featured Specialists











 
//test