by Dr. Ayman Hakki
8. November 2009 18:18
All fillers are either temporary (Restylane Juvederm are Hyaluronic
acid based), semi temporary (Radiesse), or permanent (Fat, Artecoll and
Dermalive). All these fillers (with the exception of fat); from the
most absorbable (Collagene) to the least absorbable (Gortex) fall into
the category of allo-dermic (not of one’s body) fills, and all carry
side effects, see first reference bellow.
They are becoming popular because they are relatively simple to use,
and the injection is easy to recovery from. Face lifts, peels, lasers
and even fat-fills cost more, require higher expertise, and a longer
recovery period. My solution is Face Accentuation and by using this
sequential method I enhance each individual’s underlying facial youth
by; first using injectable fillers, then a selective-mid-facial-filling
with permanent fillers (like fat), then doing a
surrounding-facial-thinning, and using skin tightening only when
necessary.
Suction-lipectomy was invented by Teimourian in 1975. He later in 1985
started to inject the fatty product of suction into the face. Obagi
pioneered the use of peels to tighten and rejuvenate skin. Coleman
refined fat-filling and trademarked it as Lipostructure. Little
invented a method of permanent central facial augmentation that
requires extremely skilled surgical manipulation. He then coupled it
with an Omega lift and coined it “Facial Sculpture”. Bitar in 2002 used
many artificial types of filler (see references).
My approach borrows from these and other cosmetic advancements, but it
differs from them all in that it makes the case for central
augmentation and peripheral reduction, only using lifting when the
first two methods (with or without peels) are insufficient to achieve
desired skin tightening. This sequential, simple and quick procedure
achieves the desired accentuation; bringing out-naturally-the features
we used to love in our face.
To understand this new all embracing procedure one must realize the
outcome of each individual procedure. Lifting makes the face look
gaunt, suctioning makes the face look empty, and filling makes the face
look puffy. Face Accentuation, on the other hand, simultaneously fills
the center of the face, reduces its perimeters, and trims the excess
skin if peeling is insufficient to do so. It is a totally new way to
enhance, not detract from, the beauty of our face. Lifts (as a primary
rejuvenation technique) is becoming unpopular and my Accentuation
restores youthfulness without relying solely on artificial substances.
My method differs from others in that it is both natural, costs less,
and is eventually permanent. Standard cosmetic interventions often give
rise to a “plastic” look. Replacing short-lived treatments, permanent
foreign substances, and the more radical surgical procedures, Face
Accentuation combines modalities in a set-sequence that delivers a
rejuvenation that is both natural and long-lasting.
by Dr. Ayman Hakki
8. November 2009 18:17
Celebrity Do’s anD Don’ts
A common misconception in today’s world of plastic surgery is that artificial fillers such as Juvéderm, Restylane, Radiesse, and Evolence are the best way to immediately rejuvenate the face without going under the knife. While this may be true in smaller doses, overtime the results create a plastic, plumped, and overdone look.While celebrities and Hollywood starlets have abused and over-used artificial fillers, American icon Madonna took all the right anti-aging steps and looks fantastic. Though she doesn’t admit it, her high cheekbones and plump lips are probably the result of an under-appreciated but cutting-edge procedure called Adipose Accentuation. At age 50, the untrained eye would never detect her youthful appearance is the result of plastic surgery. Adipose Accentuation can be best described as an anti-aging filler that shifts fullness from one area to another using the patient’s own organic and natural fat. Commonly practiced in the face or buttock region, This is the ideal filler and the latest trend in organic anti-aging procedures. For plastic surgery to be transcendent, three things must occur: the result must be less plastic and more natural, the intervention must be minimal with fewer incisions, and the result must be long lasting. During Adipose Accentuation, a portion of the fat removed from one part of the body is reintroduced to a different site. Amazingly, advances in modern science have shown that this also transfers stem cells into those areas, which mimic cells they come into contact with and actually create new fat, bone, and skin cells. As a result, the fullness of the cheeks, lips, or buttock region is brought back to its youthful appearance naturally. The fat transfer results not only in fullness, but rejuvenation of the skin on a cellular and microscopic level.
by Dr. Ayman Hakki
12. February 2009 14:59
All fillers are either temporary (Restylane Juvederm are Hyaluronic acid based), semi temporary (Radiesse), or permanent (Fat, Artecoll and Dermalive). All these fillers (with the exception of fat); from the most absorbable (Collagene) to the least absorbable (Gortex) fall into the category of allo-dermic (not of one’s body) fills, and all carry side effects, see first reference bellow.
They are becoming popular because they are relatively simple to use, and the injection is easy to recovery from. Face lifts, peels, lasers and even fat-fills cost more, require higher expertise, and a longer recovery period. My solution is Face Accentuation and by using this sequential method I enhance each individual’s underlying facial youth by; first using injectable fillers, then a selective-mid-facial-filling with permanent fillers (like fat), then doing a surrounding-facial-thinning, and using skin tightening only when necessary.
Suction-lipectomy was invented by Teimourian in 1975. He later in 1985 started to inject the fatty product of suction into the face. Obagi pioneered the use of peels to tighten and rejuvenate skin. Coleman refined fat-filling and trademarked it as Lipostructure. Little invented a method of permanent central facial augmentation that requires extremely skilled surgical manipulation. He then coupled it with an Omega lift and coined it “Facial Sculpture”. Bitar in 2002 used many artificial types of filler (see references).
My approach borrows from these and other cosmetic advancements, but it differs from them all in that it makes the case for central augmentation and peripheral reduction, only using lifting when the first two methods (with or without peels) are insufficient to achieve desired skin tightening. This sequential, simple and quick procedure achieves the desired accentuation; bringing out-naturally-the features we used to love in our face.
To understand this new all embracing procedure one must realize the outcome of each individual procedure. Lifting makes the face look gaunt, suctioning makes the face look empty, and filling makes the face look puffy. Face Accentuation, on the other hand, simultaneously fills the center of the face, reduces its perimeters, and trims the excess skin if peeling is insufficient to do so. It is a totally new way to enhance, not detract from, the beauty of our face. Lifts (as a primary rejuvenation technique) is becoming unpopular and my Accentuation restores youthfulness without relying solely on artificial substances.
My method differs from others in that it is both natural, costs less, and is eventually permanent. Standard cosmetic interventions often give rise to a “plastic” look. Replacing short-lived treatments, permanent foreign substances, and the more radical surgical procedures, Face Accentuation combines modalities in a set-sequence that delivers a rejuvenation that is both natural and long-lasting.
Ayman R. Hakki M.D.
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