CosmeticSurg blog: Expert insights from Dr. Ricardo L. Rodriguez

Patients routinely get fat grafts to the face, breast, and buttocks. However, some patients do not get the result they wanted because the fat graft did not ‘take.’  So, what happened? Why do fat grafts sometimes die or fail to take? In this post, I will explain one of the most important factors in creating a long-lasting fat graft. When the recipient tissue is normal, there really should be no need for a touch-up, or revision. Plastic surgeons have all of the tools they need to create a good fat graft on the first try!

Your BMI, or Body Mass Index, plays a big role in surgical complication risk assessment. All cosmetic surgery patients should have a BMI assessment prior to surgery. The BMI is a number that compares your weight to your height. High BMI’s create higher surgical risks.

Patients with a BMI less than 35 are typically good candidates for the Tummy Tuck and BBL. However, every surgeon has a different guideline for what is the acceptable BMI for an elective surgery.

Lip enhancements, whether through implants, lifts, or fillers, are about harmonizing the procedures with your unique features. It’s not just about knowing what you want, or what bothers you; it’s about effective communication to help you achieve the aesthetic you envision.

Breast implants, including saline and silicone options, have long been the go-to choice for achieving fuller breasts . However, fat grafting has emerged as a natural alternative that utilizes your own body’s tissues for augmentation.

If you’re on a quest for fuller breasts, the choices are breast augmentation with implants or fat grafting with your own fat.

Which types of liposuction require massage post operatively?

• If the surgeon uses 5mm cannulas or laser/ultrasonic liposuction, you will need post operative massage
• If the surgeon uses thin 3mm cannulas with post operative compression garments, you should not need massage

The cost of a body lift can vary significantly based on the scope of the procedure and additional expenses. According to the American Society of Plastic Surgeons (ASPS), the average cost of a lower body lift surgery is $9,449, but that only covers the surgeon’s fee. It doesn’t include things like anesthesia, operating room, and other associated costs. Meanwhile, RealSelf reports an average cost of $16,425 for a body lift, with patient reviews indicating a range from $10,300 with insurance to as much as $40,000 out of pocket.

Discover the benefits of an extended tummy tuck with top Baltimore Plastic Surgeon, Dr. Ricardo Rodriguez.  The Extended Tummy Tuck extracts loose skin not only in the abdomen, but also around the flanks and backside.

We know cost is one of the biggest considerations for patients exploring tummy tuck surgery. Curious about how our abdominoplasty pricing compares locally, we surveyed plastic surgeons near and around our Baltimore office.

Average Tummy Tuck price in Baltimore $11,125

We called 9 board-certified plastic surgeons in Baltimore who perform tummy tucks. We asked questions like, ‘What is the cost of a tummy tuck?’ and ‘What is the cost if I add liposuction to the flanks?’ We included our own cost in the survey, to make it a total of 10 plastic surgeons.

Importantly, we confirmed what each office included in the ‘total cost’ to ensure an accurate, apples-to-apples comparison.

(originally published August 13, 2012) It’s been over two months since I updated my database of Adipose Stem Cell Clinical Trials. I am tracking registered Clinical Trials in the ClinicalTrials.gov database. A lot has happened in only two months! Eight new Clinical Trials have been registered in the ClinicalTrials.gov database since June 1, 2012. This brings the all time total of Adipose Stem Cell Clinical Trials to 62.

(originally published July 3, 2012)

Spain…soccer world superstar. But what about stem cells?! If there was a world cup for stem cells, Spain would get that too! While Spain is the world leader of Soccer, they are also the dominant player in a new arena of stem cell research. According to information publicly available at ClinicalTrials.gov, Spain is the leader in clinical trials using adipose stem cells. And just like Soccer, compared to other countries, it’s not even close! adipose stem cell clinical trial leaders As of early June 2012, Spain has registered at least 18 different clinical trial locations using adipose stem cells. Mexico and Korea are next with 11 and 10 trials respectively. And what of the great USA, the hot bed of medical innovation? We have a grand total of 3 trials. We pose the question: Has any U.S. money gone to funding these overseas trials?

This week I will focus on whether each of the 54 existing adipose stem cell trials used autologous or allogeneic stem cells. This analysis therefore includes all adipose clinical trials, regardless of recruitment status. Why is knowing whether a clinical trial used autologous or allogeneic adipose stem cells important? It is important because each category represents a different sector of the health care industry. Thus, it gives a hint as to whether Pharma, Device Makers, or Personalized Medicine are leading the new era of Regenerative Medicine.

Anyone who reads this blog knows that we are passionate about the future of adipose stem cells, the stem cells that are derived from your own fat. Many people know about their ability to enhance fat grafts for Breast reconstruction, but we hear very little in the general media about their ability to cure and treat many diseases. Unless you are a biotech investor hanging out in Cytori message boards, you may not know that many Phase I clinical trials with adipose stem cells have even been completed.

Dr. Ricardo Rodriguez, a Yale trained Plastic Surgeon with 20 years experience, explains why minimally manipulated adult stem cells for autologous usage should not be considered ‘drugs’. There are rumblings that the FDA will classify all adult stem cells as ‘drugs’. Fat cells are a type of adult stem cell. Is your own fat a drug? Read about it in his CosmeticSurg Blog.

(originally published Sept 11, 2011) Unless you are a science major, understanding the topic of stem cells can be daunting. The mainstream media has provided some good articles on the topic of stem cells, but there is a lot of misleading information out there.

Often times mainstream media lumps all stem cells into one category to imply that all therapies are a decade away and that very little clinical data exists. That is simply not categorically true. In an effort to give you a mile high view of the stem cell world, we made a graphic, Stem Cell Types – Debunking Misconceptions.

(Originally published January 11, 2012 ) Several years ago we became fascinated with the potential of adipose stem cells for both cosmetic and medical purposes. However, we soon discovered that nothing in the written FDA guidelines specifically addressed the use of autologous adipose stem cells.

Thus began our journey for an answer. In June 2009, we sent a letter to the FDA asking for a position statement on adipose stem cells. Our request focused specifically on autologous, freshly isolated, adipose stem cells for use in reconstruction. These stem cells are from your own fat, for your own usage, and not culture expanded in a lab. After a very long wait, we recently received a written response from the FDA. First, a little bit of background for any stem cell newbies….