Home' Clinical Aesthetics : CA Issue 5 Contents The use of one's own fat as a filler for rejuvenating areas that
unattractively lose volume with ageing (eg. faces, backs of
hands) or for body contouring - such as butt enhancement
- sounds an ideal solution ... take fat from areas where there's too
much and re-inject it to plump up others for more youthful and
attractive contours. Win-win.
Using your patient's own fat is an enticing option for people who
are deterred for health reasons or simply personal choice from having
synthetic dermal fillers or neurotoxins. As their own body fat is the
donor material, the risks are very few.
Indeed autologous fat transfer has been used for cosmetic
rejuvenation and correction for several decades, with doctors and
scientists regularly attempting to improve techniques in a quest to
make it produce longer-lasting if not permanent corrections.
But it has had its drawbacks:
• The inability to guarantee permanency of correction. Over the
years, reports on the duration of correction have varied from a
few months to permanent. Basically, it all depends on the tissue
response at the recipient site.
• Failure of the transplanted fat to sur vive. In such instances the
correction slowly disappears as the fat is absorbed. This loss of
correction can be partial or total but in either event, the procedure can
be repeated. Sometimes, more than one transfer session is necessary
to eventually achieve the desired degree of correction if there is partial
loss each time. But each additional session incurs more expense.
• Irregular absorption of the transplanted fat can occur if some
of the transplanted fat sur vives and the remainder does not.
This could produce unsightly surface irregularities or shape
deformities that could be very difficult or impossible to correct.
But a new method, Adip'sculpt, is fast gaining traction in Australia,
claiming far greater percentages (around 80%) of adipose stem cells
that sur vive to thrive, thus more predictable and longer lasting results.
Its har vesting of, processing and re-injecting har vested fat with
finer instruments in order to minimise cell injury is claimed to
produce longer-lasting corrections.
It is a medical procedure (albeit no hospitalisation is needed for
Sydney cosmetic physician Dr Neal Hamilton, owner of Concept
Cosmetic Medicine in Sydney's Drummoyne, has been using the
system for almost three years.
"The seven doctors who work at CCM and I were looking for an
integrated solution to introduce activated Adipose Derived Stem
Cells aka Mesenchymal Stem Cells into the skin for rejuvenation.
"These are the normal but `hibernating' repair cells of the skin
that we all have but normally only `wake up' with trauma.
"We've now used Adip'scuplt on over 200 patients. The treatments
have been on face, eyes and neck to achieve superior rejuvenations.
We (and the patients!) couldn't be happier."
Dr Hamilton, who has 28 years' experience in laser dermatology,
cosmetic dermatology and minimally invasive cosmetic surgery, says
they came upon Adip'scuplt through a sales rep the clinic had dealt
with and trusted for a number of years.
"He suggested that we meet with the French owner/developer,
scientist Regis Roche. He was in Australia seeing various clinics
known to be doing fat-assisted stem cell transfers.
"Everyone had their own methods ... square wheels, triangular
wheels, you name it. But for me, what was the ROUND wheel?!
"We discovered that Regis had taken all the intermediate
steps in traditional fat transfer, of which there are many and, as a
scientist - not by gut feelings - determined how best to execute each
step so that we could take advantage of the stem cell's superior
rejuvenation properties without the high rates of complications
that had plagued the technique since around 1990."
Dr Hamilton reports "superb results in skin beautification (all
Microfill, Macrofill and Macrofill Medium one-use kits
have all necessary elements for infiltration, liposuction,
washing and the injection of adipose tissue
A new generation
of fat transfer is
ageing possibilities and providing breast
28 | CLINICAL AESTHETICS
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