Eyelid Surgery – Correction of Tear trough and Blepharoplasty
Tear trough is the hollowness that develops in the lower eyelid, as we age, and makes the eyes look older than they are. There is a sadness associated with these eyes, and surprisingly is also found in younger individuals. Correction of the tear trough deformity is a difficult issue, having said that remedial measures are available in the form of fat injections and actual blepahroplasty with vascularised fat transfer
Fat Injection
Autologous fat transfer is an established technique to correct the tear trough deformity. It is not very popular among plastic surgeons because a lot of us fear that fat tends to get absorbed and leaves a lumpy bumpy deformity; however, when properly done. This is not so common and gives good results. The important things here and issues that clinch the issue is the technique of fat harvestation. It is important to select fine canulas to harvest fat. It is said that fat around the knees is ideal for this problem, since here the amount of fibrous tissue is the minimum and fat tends to be smaller and looser in its consistency. Abdominal fat tends to have a lot of fibrous tissue, and the fat globules are much larger.
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Rejuvenative Health of the Face : Lip Augmentation & Facial Liposculpture
Introduction
Maintaining a rejuvenated face is todays social requirement and more so for personal psychological relief. The nagging though of not being good looking or the thought of being old is disabling, and particularly when today we can modify a person’s looks by the skillful use of Plastic Surgery. Some of the procedures we use are fat injection, restylane injections and botox
Facial Lipostructure
Dr Goldmann is famous for his work on fat injections and using fat for facial rejuvenation. The area of the face which is most responsive to fat injection are the nasolabial lines. Use of restylane and other fillers is common in the nasolabial lines, the naso-jugal groove, and other areas showing depression. But the problem with fillers is that they are expensive and are temporary. The latter aspect is also thought to be a beneficial aspect, since any irregularity is at most going to last for 5-6 months. However here fat scores very highly, in that the procedure is a one time affair, uses self fat (autologous fat transfer) and tends to be permanent. It is specially suitable for the nasolabial lines, which are notorious for their irresponsiveness to treatments. Special instruments are available for releasing the nasolabial lines and then injecting fat there to correct the depression.
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