Fillers for Composite Facial Rejuvenation
Posted October 20, 2009 2:52 PM in Facial Fat Tranfer
by DR. EDWARD D. BUCKINGHAM, M.D.

The facial aging process is complex and volume loss is a substantial component. Replacement of facial volume loss can be accomplished through the use of autologous fat transfer, which is using the patient's own body fat cells and transplanting them into the face, or through the use of syringe based fillers. The most common types of fillers used are hyaluronic acid (Restylane, Perlane, Juvederm) and calcium hydroxylapetite. (Radiesse) Poly-L Lactic acid (Sculptra) is another filler which can be used for volume loss however it requires multiple treatments to appreciate the results and therefore we do not frequently use it. We prefer to use Radiesse for subcutaneous tissue augmentation as the results are immediate... continue

Facelift and weight loss
Posted September 24, 2009 9:25 PM in Facelift Surgery
by DR. EDWARD D. BUCKINGHAM, M.D.

Mary, The timing of a facelift with regard to weight loss is not really important. A facelift is designed to improve the jawline and neck. The excess fat that exists in the neck will be removed during the procedure and so it is not necessary to lose the weight first. Having said that, significant weight loss in the face can lead to aging of the cheeks and lower eyelids. This can be corrected with a facial fat transfer. Usually the timing of this is not that important as long as you are not losing large quantities of weight. I usually use 30-40 pounds as a rough guideline of enough weight to make a difference. As long as you don't have that amount of weight or more to lose then I feel it is OK to proceed with a... continue

Otoplasty and hearing
Posted September 24, 2009 9:19 PM in Otoplasty
by DR. EDWARD D. BUCKINGHAM, M.D.

Chris, No an otoplasty will not affect your hearing, positively or negatively. The external auricle is only responsible for a minuscule amount of the gathering of sound waves to the middle and inner ear. The middle and inner ear are responsible for amplifying the sound to the brain. Ed Buckingham... continue

Procedures after weight loss
Posted September 14, 2009 12:43 PM in Facial Fat Tranfer
by DR. EDWARD D. BUCKINGHAM, M.D.

Jason, It is a little unusual for a 27 year old to have loose skin on their face following weight loss of even a significant degree. Usually at that age the skin has enough elasticity to accommodate the loss of volume. In general however, loss of weight produces a loss of overall subcutaneous volume in the face. This can lead to the loss of skin tone or facial structural shape in a young person, and an aging appearance in an older person. Loss of volume in the cheek and area around the eyes can be replaced by performing a fat transfer. This involves harvesting remaining fat from the body or lower limbs and placing it into the appropriate areas of the face to add contour. This can include augmenting the cheeks... continue

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