Fat grafting: History and Usage (2)

The process of fat grafting is as follows:

First, the fat is removed via standard liposuction. For those who don’t know, liposuction is a simple procedure that removes fat from an area through a cannula (thin hollow tube) and aspirator (suction device). Laser liposuction is generally not used because they can destroy the fat cells. This isn’t a problem if you’re just getting liposuction, but if you’re putting the fat back into your body, you want the cells to be intact.

The fat is then processed to remove debris, fluids, and dead cells via decantation and centrifugation. In layman’s terms, the fluid in the bottom and the stuff floating on top gets poured out and then the fat remaining is further purified by filtering or spinning it around really fast.

Finally, fat is reinjected in small droplets under the skin. The reason it’s done in small droplets is to ensure proper blood supply to the fat graft so it can survive. Smaller droplets mean more surface area and hence, more blood supply.

Fat grafts are can be used in many different ways. We offer breast, buttock, face and hand augmentation with autologous fat transfer. Fat grafts can increase the volume and restore youthful appearance of the face, improve skin texture, increase breast size , correct breast asymmetry, contour the breast and buttocks, and reduce wrinkles in the hand. Fat grafts are a very useful cosmetic procedure.

Recent research into the presence mesenchymal stem cells in adipose (fatty) tissue illuminates the possibility of regenerative therapies using grafted fat. Studies showed that MSCs are 300 to 500 times more abundant in adipose tissue than in bone marrow, which is where most doctors and researchers obtained MSCs at that time. Fat grafts have the potential to rejuvenate skin, reverse radiation tissue amage, treat autoimmune skin disorder, and many more due to the versatile nature of stem cells. However, this is still novel idea and has yet to be used in regular practice. Still, it shows how useful fat grafts can be beyond the scope of mere aesthetics.

Fat grafting: History and Usage (1)

Fat grafting, or fat transfer is a minimal invasive surgical procedure where fat is removed from one area of the body and injected into another for aesthetic purposes. It has several advantages- the procedure kills two birds with one stone by removing unwanted fat and improving the appearance of the fat injection site. It is the most natural way to augment and sculpt the body- after all, what makes a better implant than your own tissue?

While the idea of fat grafting is not complicated, we have only recently been able to do so consistently and safely in practice. Fat grafting goes all the way back to the late 19th century, when German surgeon Gustav Neuber achieved the first recorded successful fat grafting procedure in transferring fat from the arm to the orbital region to fix scars from osteomyelitis, a bone infection. Two years later, Viktor Czerny transferred a lipoma (a fatty lump under the skin) to the breast to correct the size difference following a mastectomy. While these two showed that fat grafting was possible, fat grafting failed to gain acceptance for the next century due to the many possible complications that would arise as a result of the procedure. It wasn’t until the 90s, when Dr. Sydney Coleman developed standardized structural fat grafting techniques, that the procedure became popular.

Dr. Steven Shu Launches Surgeon Volunteers, Aims to Bring Medical Relief to Haiti and Cambodia!

MINNEAPOLIS, Minnesota — Dr. Steven Shu, founder of Medical Volunteers International (MVI), has started a second international medical mission group, focusing on underserved communities in Haiti and Cambodia. Called Surgeon Volunteers, the non-profit, US-based group recruits highly-skilled medical professionals from around the world to deliver affordable, accessible health care to third world countries.

Officially launching this year, Surgeon Volunteers plans to complete its first two mission trips to Cap Haitien, Haiti, in December and Phnom Penh, Cambodia in January 2019. Consisting of cosmetic surgeon, orthopedic surgeon, general surgeons and urologists, the volunteer organization will perform hernia repairs, hydrocele repairs, vasectomies, breast surgeries, hemorrhoidectomy, skin surgeries, varicose vein removal and various other surgical procedures.

Requiring very few resources to complete its surgeries, Surgeon Volunteers will not only deliver safe and effective care, but also efficient care. “Because these procedures are done under local anesthesia or regional nerve blocking, we only need basic facilities and resources,” Dr. Shu explains.

Dr. Shu, MD, MBA, is a cosmetic surgeon and proceduralist and founder of MVI and Surgeon Volunteers. Since joining No-Scalpel Vasectomy International, Inc (NSVI), an international medical volunteer organization led by urologists Dr. Doug Stein and Dr. Ramon Suarez, in 2014, Dr. Shu has completed six mission trips to Haiti and the Philippines.

Surgeon Volunteers is set to carry out several mission trips to Haiti in the following years, as well as an annual mission trip to Cambodia starting January 2019.


A Brief History of Breast Augmentation (2) | Minnesota

The first silicone gel breast implant, as we know them, was developed in the 1962 by doctors Thomas Cronin and Frank Gerow, who allegedly got the idea after noticing that plastic bags of blood felt like breasts. This were different from liquid silicone – these new implants contained silicone gel inside a bag, which would prevent the issues caused by liquid silicone injections. The pair tested the implants on a dog, as unbelievable as that may be. Though, it may be less surprising considering they got the idea from blood bags to begin with.

Saline implants were invented shorty afterward by a French medical device company in 1964 which were similar to the silicone implants, but contained saline rather than silicone in the bag. In 1992, when the FDA banned silicone injections, they also banned silicone gel implants due to the possible health risks and seeing horrible consequences of injections. During this 15 year moratorium on silicone gel implants, saline stepped up to the plate, becoming the most common implant material by a huge margin (95% of implants in the 90s were saline).

Silicone was eventually brought back into the fold in 2006, following years of FDA studies. The fifth generation of silicone breast implants that is used today are designed to feel more like fat- silicone gel is thick, and classified as a semi-solid. Today, almost all implants are done using silicone gel and saline.

It’s crazy the things we do to make ourselves look better, more attractive, and sexier. Breast enhancement has a surprisingly long, colourful, and troubled history, with many casualties and misshapen breasts along the way. Today, breast implants are the most common cosmetic procedure period, and the sacrifices of doctors and patients in the past have resulted in safe, effective implants today. The pursuit of beauty never ends.

A Brief History of Breast Augmentation (1) | Minnesota

Our desire to be beautiful is one that has existed since the dawn of humankind- from crude prehistoric face paints and powders to the most advanced cosmetic procedures, we are in eternal pursuit of the perfect human ideal. As we grow wiser, and our technology more advanced, we continue to find clever ways of making the body more beautiful and desirable.

When it comes to breasts, this is no different. Breasts are strongly associated with sexuality and feminine beauty, and in a culture that nearly deifies the breast it’s no surprise we want to make them bigger and rounder. We could talk all day about breast implants and popular culture, but that’s for a different time. This is a history lesson.

Today there are two main types of implants: saline and silicone. Implants with alternative compositions have came and gone throughout the years, but today saline and silicone remain the material of choice.

The use of surgery to increase breast size has been around longer than you might think. In 1895, doctor Vincenz Czerny performed the earliest successful breast implant by using fat from a benign tumor (lipoma) to correct asymmetry in breasts. Some were not a successful at the time- Robert Gesnury tried using paraffin (petroleum jelly!) injections, which would work for a short time before disastrous complications arose, including pulmonary embolism, migration, ulceration, fistula formation, infection, and necrosis. These complications would often lead to breast amputation or death. Sadly, this is still used illegally in some parts of the world.

As time went on, surgeons became more adventurous with their techniques- although adventurous might not be strong enough a word. During the WWI – WWII era surgeons would try techniques that are now considered downright ghastly, using materials such as ivory balls, glass balls, various oils, beeswax, shellac, epoxy resin, ground rubber, goat’s milk, and Teflon. And that’s not even the full list. Nowadays the idea of putting things like epoxy resin into your body is as laughable as it is dangerous, but even today people will do what is not in their best interest in pursuit of beauty.

In the post WWII era liquid silicone injections became more common. The early days were rough. Industrial silicone, which was all that was available, contained many additives to prevent the liquid silicone from escaping the breast tissue, including croton oil, olive oil, and cobra venom. Yes, cobra venom. This became widespread, often done by laypeople, and like Gesnury’s paraffin experiments, had disastrous consequences years down the line, for similar reasons. It was such a problem that the state of Nevada made silicone injections a felony. In 1991 the FDA finally banned injectable silicone across the board.

Liposuction | Minneapolis & St Paul

Many men and women in Minnesota have excess fat in the surface of their body that just won’t go away, even after they lost weight. Humans have forever been on the journey to aesthetic perfection, so much so that a procedure, called liposuction that might help get you there was invented.

The procedure is done using local tumscent anesthesia with or without intravenous sedation or general anesthesia. The surgeon uses the new liposuction technology to melt fat first and then inserts a tube that goes under the skin, where it sucks away fat using a vacuum pump. This requires expert skill, as removing too much can make the area look wrinkled and uneven, but not removing enough will not result in good shape.

There are many different liposuction technologies that vary greatly, including Vaser, laser and body-jet. As such, recovery may vary as well. Patients usually have to wear the compression garments for 4 weeks to improves the contour of the skin as it adjusts to the absence of fat.

It’s highly common to feel mild pain and tenderness, especially if the liposuction was performed over a large area- such is the price of beauty! Jokes aside, your body is also vulnerable to infection, so you will probably be prescribed antibiotics, anti-inflammatories, and painkillers to make the healing process easier. Most of the bruising and swelling will subside within weeks, but the entire process can take several months. You may feel initial tenderness, stiffness, and possible the appearance of small lumps that usually resolve with time goes. These are all a part of healing- have faith in the process.

Liposuction is a powerful procedure with the potential to transform people’s bodies and lives. The targeted removal of fat can make one look more attractive and healthy. Make sure to find a good surgeon having a lot of liposuction experience and good lipo technologies.

Dr. Steven Shu Participating in International Medical Mission in the Sixth Time | Minnesota

Dr. Steven Shu, medical director of One Stop Medical Center, lead a group of Chinese American doctors from the United States going to the Haiti in the mid of January, 2018 to provide free medical care for local residents. This is the sixth time that he has been active in international medical mission since 2015, and it is the fourth time that he goes to the Haiti.

Dr. Shu and another surgeon Dr. Dean Currie performed about 40 office procedures. Three other team physicians (Keyi Yang, a neurologist from Seattle, Ming He from New Jersey, a neuro-ophthalmologist and Jerri Mao, an internist from San Jose) went to the mobile clinic with other medical mission group and provided general care to the hundreds people in the villages.

Over the past 14 years, Dr. Shu has been enjoying making his contributions to local communities. Since 2015, he has been focusing more on his international volunteer work in Haiti and Philippines. In 2017, he became a founding president of Medical Volunteers International (MVI), a new non-profit organization for the Chinese American physicians dedicating the medical missions in the poorest countries around world. The MVI collaborated with the faith-based non-profit organization Mission of Hope Haiti and carried out the first Haitian International Medical Program.

Dr. Shu’s medical mission dream is to establish the surgical center in Haiti.

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