Plastic surgeon, MD, Prof. Patrick Tonnard, is the developer of the facial rejuvenation technique Max-lift (MAKS-lift), which has been successfully used by plastic surgeons all over the world for more than 10 years.
MACS lift (minimal access cranial suspension lift) involves a "facelift through minimal access" and allows for facial rejuvenation without major changes in the patient's appearance and without affecting his mimic features. During the MAX facelift, the surgeon removes excess skin and lifts the deep structures of the face.
Dr. Patrick Tonnard is a member of the Royal Belgian Society of Surgery, the Belgian and Dutch Associations of Plastic, Reconstructive and Aesthetic Surgery, ISAPS (International Society of Aesthetic Plastic Surgeons) and ASAPS (American Society of Plastic Surgeons). He has also been appointed a Member of the Board of Chirurgicum Plasticum and a Fellow of the European Board of Plastic Surgery.
Professor Tonnard is the author of about 50 scientific publications, presented more than 200 scientific reports on facial rejuvenation methods at national and international conferences, regularly moderates international conferences on plastic surgery and is the undisputed authority on facial rejuvenation surgery.
Lipofilling master class
At the 12th Anti-Aging Medicine World Congress in April 2014, Prof. Patrick Tonnard provided an opportunity for Estet Portal representatives to attend a lipofilling master class that he conducted as part of events.
Dr. Tonnard demonstrated the preparation of donor areas for adipose tissue sampling, the process of obtaining adipose tissue and preparing fat cells for transplantation, the technique of performing lipofilling of various areas on the face and lipofilling of the hands.
In addition, the professor answered some questions during the operation and provided our readers with the opportunity to see some fragments of the lipofilling procedure, which we publish on the Estet portal.
Registered users can read the first part of Dr. Tonnard's master class in Lipofilling: where to get reconstructive material? (video).
How to calculate the amount of adipose tissue that needs to be taken from donor areas for subsequent transplantation?
For the correction of the face and hands, fat tissue taken from the thighs is quite enough. I try to extract a layer of fat from the front and inner thighs about the thickness of a palm - about 5 mm. In this case, there is no subsequent sagging of the skin in the postoperative period. With lipofilling of the breast and other areas, more adipose tissue might be needed, but this issue must be assessed in each case individually.
How do you purify the resulting adipose tissue before transplantation?
Today, many surgeons are phasing out centrifugation of fat cells, and I agree with them. This method of cleaning destroys too many cells, so I prefer filtration. For this we take a dense fabric with cotton and nylon fibers, where the cell size is about 0.5 mm. Laboratory analysis shows that after pushing the adipose tissue extracted and cleaned with a special solution through a napkin, all cells remain completely intact, viable and suitable for transplantation.
Are there any peculiarities in the preparation of adipose tissue for lipofilling of various parts of the body?
Yes, I use nanofat for lipofilling of the face,because they are best suited for filling wrinkles, furrows and areas of the face that have lost volume. To get nanoparticles, I use a special device with a diameter of 1.5 mm, through which I pass fat microparticles about 30 times. For lipofilling of the hands, I use microfats, because they are better for adding volume.
What should I pay special attention to when doing facial lipofilling?
When distributing adipose tissue under the lower eyelid, the cannula must be inserted very superficially and very carefully, trying not to create excess fat. When injecting fat into the cheekbones, the syringe should be held at a 90-degree angle to avoid the formation of "sausages", and lightly massaged with your fingers to better distribute the tissue. Excessive injection of adipose tissue in this area should be avoided, because there are a lot of facial muscles here, and an excess of tissue threatens to disrupt facial expressions, the face will become inanimate.
What are the features of introducing fat into the hands?
I do not adhere to any precisely defined hand treatment pattern, I determine the technique of fat injection depending on the circumstances - the shape of the hand, the quality of the skin, the degree of volume loss. For a better distribution of adipose tissue, I always help with finger massage when inserting.
With the observance of the technique of introducing adipose tissue and the high-quality preparation of fat cells, lipofilling allows for effective and almost lifelong correction of the face and hands that have lost volume due to age-related changes. This operation allows you to create a significant effect of rejuvenation of the appearance.
Source estet-portal.com
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