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

Kae posted a very good question, because it helps understand how fat transfer works. The question relates to where you gain weight after a fat transfer: the donor area (where the fat came from, let’s say the belly) or the recipient area (where you put the fat in, let’s say the butt)? The short answer to the question is: YES, after the fat graft takes, you will gain weight in the recipient area. In the case of the Brazilian butt lift, the recipient area is the buttocks. If you took most of the fat cells from the donor area, you would gain very little weight in the belly. If you want to know the technical explanation for this, read on.

I went to see Dr. Rodriguez on Sept 25th for Lip Advanta Implants and Sculptra. I was greeted by the nicest staff and made to feel very comfortable. I was more than briefed on every option that I asked about to ensure a confident choice in procedure. After my procedure, I was a bit terrified by the immediate effects of surgery (swelling), but the entire staff assured me that the swelling was completely normal.

There are many ways you can get a Butt augmentation, but like everything in life, each has its own set of advantages and disadvantages. Some procedures are new and experimental, some have stood the test of time. The use of hydrogel for butt augmentation is a new approach. The technique is possible, but in my professional opinion, impractical for several reasons.

I have just come back from a two week trip to China. It was organized by the American Society of Plastic Surgeons (ASPS), and a group of us from all across the United States went and met with plastic surgery colleagues from Beijing, Guilin, and Shanghai. We visited military hospitals, public hospitals, private hospitals, as well as surgi-centers. China is in the midst of a great transformation. To give you a sense of how great the transformation is, Shanghai alone has…

In practical terms, for a Westerner, a Rhinoplasty usually means taking the bump out of the nose, making it thinner, and making it look straight from the side view. The Asian nose usually does not have a hump, but instead tends to be flat in appearance. Thus Asian patients ask for more projection. Surgeons enhance the nose by augmenting it with a silicon insert to get it to look “straight” from the side view. This enhancement eliminates the flat look. When the nose is remodeled with a silicone insert, it will make the nose look thinner. Surgery of the tip is also different because in the western patient one has to reduce the size of the tip cartilage and put sutures in it to narrow the shape. When using the silicon insert in the dorsum, the tip is usually pulled up and the shape of the nostril is refined as it becomes narrow and taller. In a few cases the tip cartilages may require sutures, but usually the procedure is simpler than in the western nose.

High profile breast Implants have a smaller base diameter so it preserves the appearance of a narrower chest, and you get more anterior projection from the same 400cc volume. High profile implants have a more up front look.

The size of the cannula used in tumescent Liposuction can make a difference in the surgical result. You are more likely to get a smooth result if your surgeon uses a thin cannula . Read about the types of cannulas from Dr. Ricardo Rodriguez in Baltimore, Maryland.

Fat injection techniques are now being used in reconstructive breast surgery. Dr. Rodriguez, a Yale trained plastic surgeon explains why Breast reconstruction with fat injections may be a good choice for lumpectomy patients. Read about this new frontier of Plastic Surgery in his Cosmeticsurg Blog.

Dr. Ricardo Rodriguez explains why the recovery period for the Brazilian butt lift is 3 weeks. If you sit sooner than that it can prevent some of the fat grafts from surviving. Sitting during the recovery period is harmful to the new fat grafts because it exerts a tremendous crushing pressure, up to 400 pounds per square inch in some areas, on these tender cells and tissues. Even the areas that are not crushed are under such pressure that blood flow is shut off.

During the past decade, researchers have discovered that stem cells can also be extracted from your own fat tissue. These adult stem cells have the same potential as embryonic stem cells, except for the ability to differentiate into sperm or ova. Unlike embryonal stem cells, stem cells extracted from your own fat are abundant, easily available, and pose no ethical or political controversy.

Yale Plastic Surgery Residency was unique in that they taught via the Socratic Method instead of the Great Master’s Method used by other teaching programs. In the Socratic method you arrive at knowledge through a process of questioning and answering. The process stimulates logical thinking and illuminates ideas.

Plastic Surgeons have been harvesting stem cells for years. Your own unwanted fat is loaded with precious adult stem cells. Dr. Rodriguez talks about fat injections and your own fountain of youth.

Dr. Rodriguez discusses the difference between fat injections for Breast augmentation and stem cell enhanced fat injections to the breast. He cites the ASPS position paper regarding fat transfer. Read about it in his CosmeticSurg blog.

An emerging alternative for breast reconstruction after lumpectomy with radiation is fat grafting to the breast. Fat grafting has been successfully performed for years, but the full healing powers of your own fat is a new frontier in Plastic Surgery. Read Dr. Rodriguez’s CosmeticSurg blog to find out more.

The primary goal of a Facelift is to achieve a natural, refreshed appearance, not a ‘done’ look. Dr. Ricardo Rodriguez, a Yale trained board certified plastic surgeon, explains more about achieving a great face lift and his unique approach.