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  • It is currently Tue May 21, 2013 3:44 am

minimum of fat

This section of the forum is dedicated to discussions on various surgical techniques for facial rejuvenation, including fat transfer/fat grafting, browlift, blepharoplasty (cosmetic eyelid surgery), facelift, etc. Also, this category includes questions on hand rejuvenation via fat grafting. (Of note, Dr. Lam does not perform body rejuvenation except for hand fat grafting)
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minimum of fat

Postby question » Fri Jun 20, 2008 3:41 am

what is the minimum amount of fat that you inject in the face?
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Postby dr. lam » Fri Jun 20, 2008 11:09 am

there is no minimum. last week i did about 10.5 cc into a young 28 year old. typically i put 20 to 30 in people younger than 40 and 30 to 50 in people over 40 as a general guideline. however, i know how to use fat very effectively so even though my volumes are typically lower than other surgeons', my results are certainly not.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
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Postby question » Fri Jun 20, 2008 11:43 am

may i ask, why did this 28 year old not have fillers? how come she opted for fat considering her age?
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Postby dr. lam » Fri Jun 20, 2008 1:48 pm

she wanted something permanent. if you figure fillers every 6 months to a year over 20 years is pretty expensive. obviously, doing fat in someone this young forces you to consider 2 things: long-term safety (which is what i provided her by staying safe with my numbers and design work) and even though i say "permanence" she will need probably a small touchup in 10 years.
best,
sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
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Postby Christina » Fri Jun 20, 2008 6:24 pm

I am curious, if someone needs a touchup, do they spend another amount of money, I have always wondered how that works.
Christina
 
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Postby dr. lam » Fri Jun 20, 2008 7:12 pm

my charge now for a touch up is zero. that is valid for the first year to 1.5 years out from the procedure. i cover all expenses. 95% do not need one.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
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Postby question » Sat Jun 21, 2008 6:03 am

is she not worried about bloating in pregnancy?
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Postby dr. lam » Sat Jun 21, 2008 1:55 pm

apparently not. however, i did consult her extensively about that possibility.
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Postby question » Fri Jun 27, 2008 8:17 am

if you only put 10ccs of fat in a face, would the swelling, bruising and down time be less?
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Postby dr. lam » Fri Jun 27, 2008 9:39 am

absolutely.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
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