Au Naturel: Information on Natural Breast Augmentation in Las Vegas

It may seem too good to be true, yet breast augmentation procedures without artificial implants are now possible. There are several benefits to using fat over silicone and saline implants, so women should seriously consider using them. To undergo natural breast augmentation in Las Vegas, women will need to approach a highly skilled and licensed cosmetic surgeon to perform the operation. Natural breast augmentation via transplanted fat can result in a more natural looking bust versus augmentations done with silicone or saline implants. As mentioned in the article, the procedure also doesn’t interfere with the chest skin’s sensations, while artificial implants do. Additionally, fat transplants don’t have the health risks associated with artificial implants, which have a tendency to rupture and spill hazardous substances within the body.

http://www.zimmermanmd.com/au-naturel-information-natural-breast-augmentation-las-vegas/

Natural Breast Augmentation in Las Vegas: Are You an Ideal Candidate?

This increasingly popular type of cosmetic surgery in Las Vegas involves fat grafting, which involves the transfer of fat from donor sites—particularly the legs, thighs, tummy, and the buttocks—to the breasts via injection. Since fat is sourced from the patient’s body, the results appear and feel more natural, not to mention that the risk of rejection is rather low. It should also be noted that the ideal patient is someone who doesn’t have any existing circulatory illness and doesn’t smoke, factors that typically hinder proper blood supply to the tissues. The ideal candidate for natural breast enlargement must, however, have adequate fat in the aforementioned donor sites to make fat grafting possible. In any case, qualified patients can hit two birds with one stone, so to speak, as they can look forward to having shapelier silhouettes and naturally fuller breasts.

http://www.zimmermanmd.com/natural-breast-augmentation-las-vegas-ideal-candidate/

Noted Las Vegas Breast Augmentation Clinic Obtains CoolSculpting Award

Las Vegas, Nevada (September 26, 2013) - Las Vegas Laser & Lipo, a renowned clinic for breast augmentation in Las Vegas, has recently been awarded with the Premier Crystal Award by CoolSculpting. This certification is the highest recognition for all medical practices that offer CoolScupting. CoolSculpting is the process of eliminating unwanted fats from the body using a targeted cooling process that freezes fat cells. Once these cells are frozen and crystallized, they “die” and are naturally eliminated from the body through metabolism. Unlike other procedures that burn or extract non-fat cells from the body and require downtime to heal, this procedure only takes very little time to execute. Moreover, it doesn't require patients to take pills or supplements to maintain the slimming result.

http://www.zimmermanmd.com/noted-las-vegas-natural-breast-augmentation-clinic-obtains-coolsculpting-award/

2013 Silver State Award Goes To Las Vegas Breast Augmentation Surgeon

A Las Vegas breast augmentation specialist is the victor in this year's Silver State Awards. Dr. Edward M. Zimmerman of Las Vegas Laser and Lipo, took home the top prize at the Summerlin Library and Performing Arts Center last June 25, 2013. This is an award that bestows honor upon persons and corporations for showing spectacular achievement in their areas of expertise, from comedy to fine dining. Dr. Zimmerman got the prize due to the level of technical proficiency and professionalism he has exhibited in medical aesthetic services. Las Vegas Laser and Lipo uses human fats cullied from other body parts for its implants. It also dabbles in skin treatments and nose jobs. It also has a medical loan service that loosens payment systems. No deal like it!

http://www.zimmermanmd.com/las-vegas-breast-augmentation-surgeon-wins-2013-silver-state-award/

Florida bans liposuction in unregulated offices

Tallahassee, Fla. — Liposuction in Florida became safer recently with the adoption of new regulations and restrictions on where the procedure can be performed. 

Gov. Rick Scott signed the new regulations into law in April; they are scheduled to take effect in January 2013. Supporters of the new restrictions include the Florida Society of Plastic Surgeons, the Florida Medical Association and the Florida Board of Medicine.

According to the new rules, all liposuctions that remove more than about two pounds of fat must now take place in regulated offices equipped with lifesaving equipment and a doctor specially trained in lifesaving techniques. Offices will also have to be inspected by the state or undergo accreditation.

Some doctors foresee internists and nonsurgeons giving up the procedure, rather than attempting to meet the new, stricter regulations. 

There is also concern that the new regulations will raise the costs of some procedures, but backers of the new law insist safety is the impetus for the law. There have been reports of cases in Florida in which unregulated doctors or medical spas performed liposuction using sedative pills or creams rather than appropriate anesthesia, the Sun-Sentinel reports. 

The American Society for Aesthetic Plastic Surgery notes that it requires its members to operate in accredited, state-licensed or Medicare-certified facilities.

By: Paul Gillette

Study suggests zinc oxide may be harmful

Rolla, Mo. — New research proposes that zinc oxide, a common ingredient in sunscreens, may not be as effective as previously thought and may actually cause damage to cells.

Cell toxicity studies done by researchers at Missouri University of Science and Technology suggest that zinc oxide, when exposed to sunlight, may release free radicals, potentially increasing the risk of skin cancer, Newswise reports. The studies noted greater potential cell damage was related to longer exposure of zinc oxide to sunlight.

According to the study, which is being prepared to be published in Toxicology and Applied Pharmacology, scientists immersed human lung cells in a solution containing very small amounts of zinc oxide and studied the reactions to different types of light exposure over varying amounts of time. The researchers found that zinc oxide-exposed cells deteriorated more rapidly than a control group, with a dramatic decrease in cell viability upon exposure to ultraviolet (UV) rays.

Exposure to three hours of UVA resulted in the death of half of the lung cells in the zinc oxide solution. After 12 hours, only about 10 percent of the cells were alive, Newswise reports.

According to the study authors, the zinc oxide absorbs UV rays, which may produce free radicals. These molecules proceed to bond with and damage other molecules. The study expands on earlier research published in the January 2009 edition of the Journal of Nanoparticle Research.

The authors noted that research on zinc oxide’s possible effects on other cells is still in the preliminary stages, and advised people not to draw conclusions about the safety or dangers of sunscreen based on this early research.

“More extensive study is still needed. This is just the first step,” said Yinfa Ma, Ph.D., a professor at Missouri S&T and one of the study’s lead authors. “I still would advise people to wear sunscreen. Sunscreen is better than no protection at all.”

By: Paul Gillette

Success rates of fat grafting injections to face and breast are improving, physician says

 

 Success rates of fat grafting injections to face and breast are improving, 

physician says...

 

 

Philadelphia — Although complication rates for fat grafting to the face and breast are low, researchers are continuing to work to improve variable results, says Louis P. Bucky, M.D. 

Furthermore, Dr. Bucky says, "Those variable successes are what cause us many times to overdo fat grafting, particularly to the face, and to some degree to the breast." He is a Philadelphia plastic surgeon in private practice. 

Small volumes for face
Many physicians have achieved excellent results with small-volume (under 100 cc) fat grafting, Dr. Bucky says. For example, to treat a young female patient with Parry-Romberg syndrome, Dr. Bucky says he injected 80 cc to her face, using a topographical mapping method, then another 43 cc 18 months later.

"Two years later, she had gained weight, and her facial fat looked fuller,” he says. “Likewise, when she lost weight eight years postoperatively, her face looked a little thinner." Overall, he says, the patient was very satisfied with her results. 

Also around this time, Dr. Bucky treated an older male patient using the same approach. However, one year postsurgery, it was impossible to see any change between this patient's preoperative and postoperative photos. "This variability leads us to question what we do," and to study the variables involved in an attempt to minimize their impact, he says. 

"To summarize, many of our colleagues and leaders in plastic surgery have done a good job over the last 10 years in looking at new techniques and what's happening during fat harvesting and purification, at how we store and inject the fat, and at biological characteristics of the recipient site,” Dr. Bucky says. 

Confronting conundrums
To build upon this knowledge, Dr. Bucky says that he and his colleagues have examined common fat-grafting challenges in the laboratory. In a series of studies, they transferred human fat into the cranial area of nude mice and analyzed the fat's viability and variability. 

"When we all started fat grafting," he says, "there was a lot of talk about freezing fat" for future use so that patients would not have to undergo harvesting procedures for subsequent injections. To test this theory, Dr. Bucky and his colleagues used the nude mouse model to compare the viability of fresh and frozen fat and found that fresh specimens performed significantly better (Tuma GA, Godek CP, Hubert DM, et al. American Society of Plastic and Reconstructive Surgeons Scientific Meeting. Los Angeles. Oct. 14-18, 2000). "Therefore," he says, "freezing fat is not recommended." 

As an alternative to frozen fat, "We're fortunate today to have fillers that do a great job, and in some cases, they could perhaps be the primary plan for certain areas of the face,” he adds. 

In research involving human subjects, "We asked questions like, ‘Does fat from people older than 65 years transfer better than fat from people under 35?’" In this regard, he says that nine months postinjection, "We found that older patients maintained about 35 percent of their fat, and younger patients maintained about 55 percent (Kanchwala SK, Bucky LP. Facial Plast Surg. 2003;19(1):137-146)."

Dr. Bucky says that because younger patients retain more injected fat than older patients do, plastic surgeons must take care not to over-inject large volumes into younger patients' faces. When used in the breast, he says, fat grafts should smooth and fill. "But the face needs to have shape and contours. If you overdo it, you lose these,” he says. 

In one such case, a 31-year-old female patient presented to Dr. Bucky two years after receiving fat grafting to the brow and face (performed by another physician) that had resulted in asymmetry. Specifically, he says, her left brow and cheek were overfilled and did not move symmetrically with the rest of her face. 

"There isn't a great treatment for this problem,” he says. “I used microliposuction, using injectable cannulas for aspiration. I went percutaneously through the nasolabial fold and through an upper blepharoplasty incision to try and defat the area." Six months after this procedure, although the patient looked slightly hollow on the left side of her face, she could animate much more normally and was much happier with her results, Dr. Bucky says. 

"This begs the question: Is there an appropriate amount we should be overfilling the face? Are large or small aliquots of fat better?" Dr. Bucky says. To address these questions, Dr. Bucky and his colleagues injected different amounts of fat into nude mice at different time intervals. "We found histologically and volumetrically that there was increased angiogenesis in the small aliquots, and much more fat necrosis in the larger ones." 

This study's findings suggest that fat grafting has a limited diffusion mechanism, Dr. Bucky says. Therefore, he does not recommend over-injecting the face with large fat volumes. 

Similarly, he says that it's important to limit hypoxia. "While that's not critical in the face, it has changed the way I do fat grafting when I'm performing a facelift," he says. Now, he harvests and grafts fat at the beginning of the procedure or does these steps at the end, rather than harvesting fat upfront and storing it for up to two-and-a-half hours before injection. 

Complications unveiled
As for complications of facial fat grafting, Dr. Bucky says, the periorbital area — particularly the lower lid — is probably the most prone. In this area, he says, typical complications can include a shelf-like appearance and isolated lumps. 

"This problem should not be treated with steroid injection,” he says. “If you see it early, you can massage it or try needle aspiration. But typically, a very small direct excision is the best way to treat an isolated lump. 

“The best way to avoid one is to inject retro- or suborbicularis, preperiosteally,” he adds. “You can do it directly, but just stay underneath the orbicularis. Unlike the variability of the hyaluronic acids, which provide a little more flexibility, fat still is particulate. So you need to inject more deeply and have adequate soft tissue coverage to avoid trouble." 

Dr. Bucky says that in his practice, the best patients for facial fat grafting are those who are already planning lower-lid or facial rejuvenation procedures and want to blend the cheek-lid junction. "Typically, we use small volumes — 0.3 to 1.5 cc, a small cannula and feathered injections, not isolated deposits," he says. 

Fat grafting works well as monotherapy, Dr. Bucky says, but he typically uses dermal fillers instead for this purpose. 

Breast grafting
Regarding fat grafting to the breast, "It was very easy when we were doing small-volume fix-up to reconstruct small-volume defects," Dr. Bucky says. However, lipoaugmentation of the breast is a very different process. "It can achieve tremendous results, but it needs a lot of thought to (address) the reliability issue." 

The face is better vascularized than the breast, he says, "But it also has the limitation of having more motion." He says, however, the breast is generally harder to treat. Patients who require breast reconstruction often have fibrosis in the area. Additionally, "We have larger volume requirements, and we're trying to expand a mechanically limited envelope and asking fat to do things it can't,” he says.

Nevertheless, large-volume reconstructions are easier than large-volume augmentations because revisions are part of the reconstructive process, Dr. Bucky says. 

"Small-volume reconstructive surgery has a built-in backup plan. We have an opportunity to do fat grafting when we take the expander out and put an implant in," and another revision opportunity at the time of nipple reconstruction. Typically, he says, these procedures are covered by insurance.

"Where we will really shine in small-volume fat grafting is in improving the soft-tissue envelope of our everyday results," he adds. 

In large-volume fat grafting to the breast, "There are many more demands on reliability." To meet these demands, Dr. Bucky says that pre-expansion, performed before fat grafting, is gaining popularity.

Research has shown that such pre-expansion achieves mechanical decompression, thereby increasing vascularity and upregulating growth factors and making the procedure much more reliable (Khouri R, Del Vecchio D. Clin Plast Surg. 2009;36(2):269-280, viii). "Preoperative overexpansion is far better than trying overcorrection," Dr. Bucky says. 

A study co-authored by Dr. Bucky showed that preoperative expansion for three weeks before fat grafting allowed patients to maintain on average 60 percent of the grafted volume two years postoperatively (Del Vecchio DA, Bucky LP. Plast Reconstr Surg. 2011;127(6):2441-2450). "There were no revisions in this group," he says, adding that the fact that the grafting procedure could be done in two hours resulted in less hypoxia. 

“Large-volume fat grafting has great promise to dramatically improve what we are doing both in reconstructive surgery and cosmetic surgery, with and without implants,” Dr. Bucky says. “But we need pre-expansion, and we must provide an efficient, reliable process in order to get these results." 

By: John Jesitus