The Ranking of Autologous Fat Full - Face Rejuvenation in New York City + Doctor Introduction + Liposuction Cases!

Introduction to Autologous Fat Full - Face Rejuvenation

Autologous fat full - face rejuvenation, also known as facial fat transfer or facial fat grafting, is a minimally invasive procedure that has gained significant popularity in recent years, especially in a bustling metropolis like New York City. As we age, our faces tend to lose subcutaneous fat, resulting in a hollowed - out appearance, fine lines, and wrinkles. This procedure offers a natural and long - lasting solution by using the patient's own fat to restore volume to areas of the face that have lost it.

One of the key advantages of autologous fat full - face rejuvenation is that it uses the patient's own body fat, eliminating the risk of allergic reactions or rejection. Additionally, it can provide multiple benefits, including facial rejuvenation, lip enhancement, facial sculpting, and the improvement of surface depressions.

The Ranking of Autologous Fat Full - Face Rejuvenation in New York City

Determining the exact ranking of autologous fat full - face rejuvenation providers in New York City can be challenging as it depends on various factors such as patient satisfaction, doctor expertise, and the number of successful cases. However, based on research and patient reviews, certain clinics and doctors stand out.

Some well - regarded clinics often top the lists for their advanced techniques and high - quality results. For instance, clinics associated with highly experienced plastic surgeons are more likely to be ranked higher. Newsweek's 2022 rankings of plastic surgeons in the US provide some insight. Although it includes rankings for multiple plastic surgery procedures, surgeons with high scores for liposuction and related facial rejuvenation techniques may also be strong candidates for autologous fat full - face rejuvenation.

Surgeons like Dr. Alan Matarasso with high scores in relevant areas may offer top - notch autologous fat full - face rejuvenation services. Other clinics that have a high volume of satisfied patients and positive word - of - mouth referrals also contribute to the rankings in the city.

Doctor Introduction

Dr. David Cangello

Dr. David Cangello is a renowned expert in fat grafting to the face in New York City. He had the privilege of being mentored by and sharing a practice with one of the pioneers of the fat grafting method, Dr. Sydney Coleman. After years of working with Dr. Coleman and performing multiple fat transfer procedures together, Dr. Cangello has mastered the skills necessary to deliver long - lasting and natural - looking fat transfer results.

He co - authored the chapter on fat grafting of liposuction deformities in the latest edition of Dr. Coleman’s textbook. Dr. Cangello uses his specialized training and extensive experience to produce superior results for those seeking a fat transfer procedure in NYC. He is known for his ability to create customized treatment plans based on the patient's goals and cosmetic tastes. For example, patients with more advanced signs of age may have a facelift, necklift, or eyelid surgery performed in conjunction with fat transfer for optimal rejuvenation under his guidance.

Dr. Adam R. Kolker

Dr. Adam R. Kolker is a well - known facial plastic surgeon in New York City. He believes that any facial rejuvenation plan should be carefully formulated based on the patient's particular anatomy and unique desires. Dr. Kolker offers a step - wise approach to facial rejuvenation, with treatments ranging from non - and minimally invasive techniques to more invasive methods.

When it comes to autologous fat full - face rejuvenation, he understands the importance of restoring facial harmony and a refreshed appearance. His facelift patients often choose to combine the procedure with fat grafting to achieve better results. He has a comprehensive gallery of before - and - after photographs, which can help patients understand the potential outcomes of their treatments.

Dr. Mark G. Albert

Dr. Mark G. Albert is a top - rated, board - certified plastic surgeon who is adept at performing facial fat transfer in NYC. His practice, conveniently located in Manhattan, specializes in facial fat grafting for New York City area clients as well as those traveling from out of state.

During the consultation, Dr. Albert examines the patient's physical characteristics and addresses their concerns before establishing a customized treatment plan. He has a deep understanding of facial aesthetics, which enables him to routinely create results that exceed his patients' initial expectations. The facial fat transfer procedure under his care can offer restored volume, minimized wrinkles, and decreased scarring, with minimal discomfort and a short recovery period.

Liposuction Cases in Autologous Fat Full - Face Rejuvenation

Case 1: A 45 - year - old woman

A 45 - year - old woman in New York City noticed significant volume loss in her face, especially around the cheeks and temples. She also had nasolabial folds and marionette lines that made her look tired and older than her age. After consulting with Dr. Cangello, she decided to undergo autologous fat full - face rejuvenation.

During the procedure, fat was harvested from her hips using liposuction techniques. Tiny incisions were made on the hips, and the appropriate amount of fat was gently suctioned out through a specialized cannula. The harvested fat was then processed and purified. A centrifuge was used to separate the fat from fluids and oils, ensuring that only healthy, viable fat cells would be injected into the treatment areas on her face.

The fat was injected into the cheeks, temples, nasolabial folds, and marionette lines. After the procedure, the patient experienced some swelling and bruising, which subsided within a couple of weeks. Three months later, she was delighted with the results. Her face looked more youthful, with restored volume and smoother skin. The fine lines and wrinkles were significantly reduced, and she regained her confidence.

Case 2: A 52 - year - old man

A 52 - year - old man had a gaunt appearance in his face due to a loss of facial fat. He also had some scarring on his face from previous injuries. He consulted Dr. Kolker and decided on autologous fat full - face rejuvenation.

The fat was harvested from his thighs through liposuction. Dr. Kolker used the tumescent technique, which involves injecting a dilute solution of lidocaine and epinephrine to control bleeding and reduce pain during the liposuction process. The harvested fat was processed and then carefully injected into the areas of his face that needed volume restoration, such as the cheeks, jawline, and the areas around the scars.

Over the next few months, the patient noticed a significant improvement in his facial appearance. The scarring became less noticeable, and his face looked fuller and more youthful. He was very satisfied with the results and the fact that the procedure used his own fat, reducing the risk of complications.

The Process of Autologous Fat Full - Face Rejuvenation

Pre - operative Planning

Pre - operative planning is crucial for the success of autologous fat full - face rejuvenation. During the consultation, the doctor will review the patient's medical history, medications, and allergies. The patient will be instructed to stop all medications that interfere with platelet function, such as aspirin, at least two weeks before the surgery. They can restart these medications one week after the procedure.

Appropriate laboratory tests, such as blood tests, are usually obtained approximately one week before the procedure. The doctor will also mark the donor sites (where the fat will be harvested from) and the recipient sites (where the fat will be injected) on the patient's face and body while the patient is in a standing position. This helps ensure accurate placement and distribution of the fat.

Harvesting Fat

Harvesting fat typically involves liposuction from areas such as the abdomen, hips, thighs, or buttocks. The most common donor sites are the lower abdomen and inner thighs because they often have a higher concentration of adipose - derived stem cells. A small incision is made at the donor site, and a cannula is inserted to suction out the fat.

There are different techniques for harvesting fat, with the atraumatic technique being popular among many surgeons. This technique emphasizes minimizing damage to the fat cells during the harvesting process. Some studies suggest that using a 2 - mm diameter cannula with a blunt tip and several side holes connected to a 10 - cc syringe can yield better fat cell viability compared to larger - diameter cannulas and larger syringes.

Processing the Fat

Once the fat is harvested, it needs to be processed to remove any fluids, oils, and non - viable cells. There are three primary methods used clinically: sedimentation by gravity, filtering technique, and centrifugation. Centrifugation at 3000 rpm (about 1289 g) for 3 minutes is often considered a better method as it can clear the fat from most blood remnants and possibly maintain the highest concentration of stem cells within the processed lipoaspirates.

After centrifugation, the layers in the syringe are separated. The yellow supernatant (fat) is carefully separated from the blood - stained infranatant, and the blood - stained fluid in the lower layer is removed before injection.

Injecting the Fat

Before injecting the fat, the recipient site on the face is anaesthetized. A regional nerve block or local anaesthesia may be used. A tiny incision is made, and a cannula is used to inject the processed fat into the treatment areas. The fat is injected in small amounts in an intermittent retrograde pattern at various different levels to obtain a harmonious result and restore the previous anatomy of the site.

The placement of fat grafts in different tissue planes can also affect their survival. Some studies suggest that placing fat grafts in the supra - muscular layer may result in higher survival rates compared to the subcutaneous or sub - muscular layer. However, many surgeons prefer injecting the fat in the subcutaneous layer as they believe it offers better survival of the grafts.

Benefits of Autologous Fat Full - Face Rejuvenation

Natural Results

One of the most significant benefits of autologous fat full - face rejuvenation is the natural - looking results. Since the procedure uses the patient's own fat, the injected fat integrates well with the surrounding tissue, creating a more natural appearance compared to synthetic fillers. The results look and feel like the patient's own facial tissue, and there is no risk of an "over - done" or artificial look.

Long - lasting Effects

The transferred fat cells that survive in the treatment area will generally stay there indefinitely. While the fat will continue to age naturally with the body, the results can last for many years. However, it's important to note that about 50 - 60 percent of transferred fat cells will survive after the procedure, and in some cases, the patient may need to undergo additional treatments to achieve ideal volume.

Minimal Risk of Complications

Using the patient's own fat reduces the risk of allergic reactions, rejection, and the transmission of viral infections. Complications from autologous fat full - face rejuvenation are relatively rare. However, potential complications may include over - correction, under - correction, asymmetry, post - operative erythema, oedema, bleeding, ecchymosis, and in rare cases, vascular occlusion or fat necrosis.

Multiple Facial Improvements

The procedure can address multiple facial concerns simultaneously. It can fill in hollow areas, such as under the eyes and in the cheeks, reduce the appearance of fine lines and wrinkles, enhance the lips, and improve the overall contour of the face. It can also help with the appearance of scars, whether from acne or previous injuries.

Potential Risks and Considerations

Absorption of Fat

One of the most common risks is the absorption of fat over time. Since not all of the transferred fat cells will survive, there is a chance that some of the injected fat may be absorbed by the body. This can result in the need for additional treatments to maintain the desired results. The amount of fat absorption can vary from patient to patient and depends on factors such as the patient's metabolism, lifestyle, and the technique used during the procedure.

Vascular Complications

Vascular occlusion or the development of emboli is a serious but rare complication associated with autologous fat full - face rejuvenation. This can occur if fat is accidentally injected into a blood vessel, which can lead to tissue damage, blindness, or even stroke. To minimize this risk, surgeons often use blunt - tipped cannulas and slow injection techniques, and they avoid injecting fat into pre - traumatized tissue.

Infection

Although rare, infection can occur after the procedure. The doctor will usually prescribe antibiotics post - operatively to reduce the risk of infection. During the pre - operative period, the patient's physician will screen for and treat any active, chronic, or recurrent infections, particularly in adjacent facial areas such as the sinuses, teeth, or eyes.

Contour Irregularities

There is a possibility of contour irregularities, such as depressions, asymmetries, or bulges, after the procedure. These can be caused by uneven fat distribution, fat necrosis, or over - correction. In some cases, additional procedures may be required to correct these irregularities.

Choosing the Right Doctor for Autologous Fat Full - Face Rejuvenation

Experience and Expertise

It is crucial to choose a doctor with extensive experience in autologous fat full - face rejuvenation. Look for a surgeon who has performed a large number of these procedures and has a proven track record of success. You can ask the doctor about their experience, the number of cases they have handled, and view their before - and - after photos to get an idea of their results.

Board Certification

Ensure that the doctor is board - certified in plastic surgery. Board certification indicates that the doctor has met the high standards of training, knowledge, and skills required in the field of plastic surgery. It also provides an assurance of the doctor's