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Facial grafting has been in existence for many years and was pioneered by Dr. Ellenbogen, who is considered by many to be "The Father of Fat Grafting". It is effective for filling in deep facial lines, nasolabial folds, and sunken eyes. Dr. Ellenbogen performs fat grafting on many of his facelift patients to address both major causes of facial aging: sagging and deflation. The sagging is corrected by the facelift, and the fat that has been lost with age is replaced to create the most natural and realistically youthful look possible. Facial fat transfer is an exciting minimally invasive rejuvenation procedure which allows us to sculpt and restore the face to its natural youthful beauty. The procedure can be used alone or in combination with other procedures such as facelift or blepharoplasty.
This fat will be removed from the donor site (usually the love handles) with a small needle The fat is then spun in a centrifuge to remove excess fluids and the damaged fat cells are picked out and only whole, undamaged fat cells would be used. The fat is then injected with the use of a separate smaller blunt cannula.
Recovery
Some patients report mild bruising. Most of the swelling may be gone in as little as 2 weeks, although some swelling may persist.
You shouldn't wear cosmetics until at least the day after. You may be swollen and pink so it may be in your best interest to take off the rest of the day. If you were given any type of sedative you should have someone drive you home.
Facial Reshaping
Facial reshaping is a revolutionary technique in cosmetic surgery which can effectively correct:
 Thin or gaunt face
Long face
Bottom-heavy or jowly face
Chubby face
Midface retrution or flatness
Asymmetrical face
The procedure uses minimally invasive methods and requires minimal downtime. Your own fat is extracted and then specially processed in the operating room before it is injected deep within the structures of the face to accentuate the cheekbones, midface, lips, cheeks, chin, nose, temples and jawline to reshape the face. Fat in certain areas will be permanent, though on some people it may need to be repeated.
By using this minimally invasive technique, the patient's face can be reshaped without the prolonged downtime associated with more invasive techniques. In fact, facial reshaping has been used along with rhinoplasty and other facial procedures to create better results by shaping the face to match the nose.
Many early signs of aging, such as fat shifting, fat descent or fat loss can be corrected with fat injections, which can actually delay certain aging anatomical processes. This procedure requires a thorough understanding of beauty and the anatomy of faces of all ages in order to prevent the signs of aging and create the proper proportions.
It has been discovered that liposuctioned fat is rich with stem cells. These are the undifferentiated cells that when placed in contact with the other organs will actually create or repair those organs. We have seen for years that fat (which contains stem cells) injected into the face has corrected problems with skin pigmentation, wrinkles, loss of facial volume secondary to decrease in bony size, and other aging effects.
Therefore, patients who have facial reshaping get a double benefit; a better-shaped face and stem cells which help correct skin and other conditions.
Due to the length of experience Dr. Ellenbogen has as well as the lectures he has given around the world on the topic, Dr. Ellenbogen is considered by many to be the "father of fat grafting."
Stem Cell Injections
Stem cells are found in a patient's own liposuction fat. They can be extracted and reinjected in the face with or without other fat. These are not embryonic stem cells. Once injected, the improvement in wrinkles, pore size, texture and pigmentations is remarkable. Dr. Ellenbogen has a patent pending on this technique. In many cases, it is done along with a facelift or other facial procedures.
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