Non-Surgical Alternative to Facial Liposuction

Face Engineering Exercises

Face engineering program combines the facial exercises with the acupressure workouts which work as magical ingredients to help do away with facial wrinkles, affirmer's face, and neck skin. The creator of this program goes by the name of Wendy Wilken who is a physiotherapist by profession. This program mainly focuses on making sure that your face glows every time with or without makeup. One primary tool used in this program as part of your facial exercise is by using your fingertips. Through this program, you will manage to remove all your face wrinkles, shape your lips, tighten your hanging cheeks and so much more. Wendy has taken a step further to ensure that you achieve all this as fast as possible, so she is giving out free bonuses to everyone who joins this program. This program is user-friendly as all the techniques used have undergone through clinical testing and have proven to work efficiently and guarantee positive results. I highly recommend this program to everyone who is out there and wants to have a smooth face, healthy and young as the program is open to everyone regardless of gender or age. Read more...

Face Engineering Exercises Summary


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Contents: Ebooks
Author: Wendy Wilken
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Highly Recommended

This ebook comes with the great features it has and offers you a totally simple steps explaining everything in detail with a very understandable language for all those who are interested.

Overall my first impression of this ebook is good. I think it was sincerely written and looks to be very helpful.

Areas for Liposuction

Breast Pedicle

Liposuction is performed not for volume reduction but for shaping. Any preaxillary fullness and any lateral chest wall fullness are marked. If one inframam-mary fold is higher than the other, then this fold is marked for more aggressive resection and liposuction along the inframammary fold. The skin and breast tissue are removed en bloc, with extra tissue removed later for shaping. I use both cutting cautery and a knife for resection. The medial pedicle allows easy access to the lateral breast tissue to allow adequate resection. This is often very fibrous and can only be removed with direct excision. The fat lateral to the actual breast can be suctioned, but the lateral breast tissue itself is often too firm for liposuction alone.

Liposuction for Final Tailoring

Prior to final skin closure, I perform liposuction not only along the lateral chest wall and in the preaxillary area, but also along the inframammary fold. I try to follow the Wise pattern for final parenchymal resection and remove the excess tissue just above the fold If I have underresected, or if there is some asymmetry left after partial closure,then I will use liposuc-tion to correct the differences. I have used liposuction without any problem at the base of the pedicle, but on the other hand, I had a case of nipple necrosis after I suctioned this area on a patient. I do not know if the liposuction at the base of the pedicle contributed to the loss of circulation.

Revisions Related to Lateral Fullness

Lateral Breast

Ardizing the blood supply to the pedicle by over resecting in this area may result in undesired fat excess (Fig. 14.8). Secondary revisions can easily be performed under local anesthetic within 3 months of the initial surgery. Alternatively, reduction mammaplasty can be performed in conjunction with liposuction to the axillary tail this also decreases the incidence of persistent fullness. Liposuction is usually recommended at the end of reduction surgery in order to sculpt the breast and remove excess fat in regions that cannot easily be reached through the incisions.

Underresection Pseudoptosis

Pseudoptosis Breast

This is the second most common reason for revision. I still have problems with underresection with this technique. I cannot get breasts as small with the vertical approach as I could with the inverted T, inferior pedicle approach. The technique itself does not allow as much resection, but the result at the end of the procedure can be misleading. The breast looks smaller than it is. If the plan is to remove about 700 g, then it is important to get as close to 700 g as possible. I will use liposuction to help get the breasts smaller, but patients still find that they were hoping for a smaller breast. A secondary procedure can often be performed with liposuction only,but a further vertical resection (breast tissue, not much skin) will help im-

To the Nipple Areola Complex NAC

Stop Hypertrophic Scars Around Areola

If the NAC demonstrates venous insufficiency at the end of surgery,liposuction of the pedicle may provide instant relief of any tension. Should the NAC congestion persist, the surgeon is duty-bound to reopen the breast and resite the pedicle in a better position. Immediate postoperative edema and swelling may cause NAC venous congestion, too, and release of the periareolar stitches is recommended in this case. Manual massage of the NAC can help to improve the venous return but should be performed with care and propriety Medicinal leeches are not recommended because of the increased risk of infection, which may result in total NAC necrosis. Despite all these measures, partial NAC necrosis can still occur and is often better treated conservatively. This usually produces a discolored scarred region, which can later be corrected by simple scar revision with or without tattooing.

Procedures Done in Advance of Laser Resurfacing

Laser resurfacing are middle-aged or older and have significant cosmetic problems in the neck area. Frequently there is excessive fat in the anterior neck below the chin, sometimes resulting in a double chin. Most patients will also have a prominence of the lower cheek (jowl) area, also due to excessive fat. The neck and jowls usually sag because of stretching of both the skin and the underlying fascia. With advanced sagging of these tissue layers the neck will have a turkey gobbler look. Some people have prominent bands running along the vertical axis of the neck, caused by a redundancy of a superficial muscle (the platysma muscle). Most patients with cosmetic problems in the neck area require liposuction for rejuvenation of this area. I usually perform liposuc-tion of both neck and jowl areas, because most patients have excessive fatty tissue in both. Those patients who have relatively little sagging of the lower cheeks and neck but who have excess fat in these areas may require...

Vertical Scar Mammaplasty with a Superior Pedicle

Extreme Breast Growth Teens

The Lejour vertical mammaplasty is a technique that combines a superior pedicle for the areola and a central resection for the breast reduction associated with liposuction and wide undermining of the skin along the vertical scar. Despite the results reported on large series 12 , many surgeons are still reluctant to apply the Lejour vertical mammaplasty as a standard technique. This can be due to the use of a superior pedicle for the NAC, an inferomedial resection, and different approaches to the skin and to the glandular tissue. Moreover, the result is not obtained immediately. mined areas. This technique differs from the original technique, as proposed by Lejour, in the absence of liposuction and of skin undermining on the glandular pillars. Moreover, skin puckering is limited and thick skin folds or dog ears are avoided at the level of the inframammary fold. At the university hospital, the rate of complications decreased significantly with the technical modifications to the original...

Laser Resurfacing with the CO2 Laser

Cold Sore Crusting Stage

Lateral facial areas, including the temples and cheeks outside of the outer corner of the eye, also require numbing. My preference is to inject a diluted local anesthetic solution (as used for liposuction procedures) just below the skin in the fat layer of the cheek. This diluted local anesthetic solution can be injected nearly painlessly, and tends to inflate the outer cheeks due to its volume. Local anesthetics are effective over a period of several hours the period immediately following laser resurfacing is thus completely painless.

Superior Arcuate Line Vocal Fold

Vocal Cord Injection With Autologous Fat

Another consideration is the labor required and method used to harvest the fat, a disadvantage of lipoinjection compared with an injection using an off-the-shelf product. Typically, fat harvest in preparation for lipoinjection is performed as an open removal of subcutaneous fat or liposuction. The amount of subcutaneous fat available for harvest should be evaluated prior to VFL. For patients who have an extremely small amount of subcutaneous fat, liposuction is not a reasonable harvest technique, and in fact, even open fat harvest can be problematic. In this specific patient group, subcutaneous open fat harvest will most likely be more involved and may have an increased complication rate than in patients with generous subcutaneous fat deposits. Furthermore, in the extremely lean patient, surgical harvest of subcutaneous fat may not yield adequate amounts of fat for successful VFL. Fat harvest for lipoinjection can be done either via an open, subcutaneous fat harvest or via...

Complications Statistical Review

Recently, in 2003,Berthe et al. 21 published an interesting study in which 170 consecutive patients (330 breasts) underwent the classic Lejour mammaplasty technique from 1991 to 1994. Minor complications, which included seroma, hematoma, partial areola necrosis, and superficial wound dehiscence, were observed in 30 of patients. Major complications, comprising glandular necrosis, total areola necrosis, and glandular infection, were seen in 15 of patients. A surgical revision rate of 28 was necessary in this series. Noting these unacceptably high complication rates, Berthe et al. modified their technique by limiting breast liposuction to the axillary area in large breasts and minimizing skin undermining. Similar modifications have been described by Hall-Findlay 19 . Berthe et al. also performed primary skin excision in the inframammary fold if the excess could not be gathered adequately. The second part of this study, between 1996 and 1999, consisted of 138 consecutive patients (227...

Anatomy of the Face and Neck

Humans develop fat deposits in specific, characteristic sites. As people gain weight existing fat cells become larger (fat cells do not multiply) in these areas. Weight gain is common with aging, and in people who are even mildly obese the characteristic fat deposits become more pronounced. In more obese individuals, the middle neck area below the chin is one such characteristic fat deposit others include the lower abdomen and upper outer thighs. Because weight gain is a feature of aging in most people, increased prominence of fat in the jowls and neck is a common manifestation of aging. Excessive fat in the neck can result in a double chin.

Revisions Related to Scars

Wide or malpositioned scars more frequently occur at the base of the vertical scar. Using a purse-string suture at this level during initial surgery is a good option for shortening the vertical wound and for keeping the scar above the IMF however, it may still result in a wide scar with persistent wrinkles. Such scars are usually easily corrected by reexcision and meticulous closure (Fig. 14.1). The vertical scar is more difficult to correct when it crosses the IMF. In this case, the scar can be elevated by a crescentic excision that incorporates the bottom of the wound into the IMF this is in conjunction with liposuction on either side of the scar to avoid new dog ears. These simple corrections are amenable to local anesthesia. The wise surgeon should make the patient aware of the need for occasional tidy-up procedures at the initial consultation, especially in the case of large breasts. Taping of the scar postoperatively may reduce problems significantly. Correction is ideally...


Harley Medical Breast Reduction Pictures

Even though no liposuction is performed, a higher percentage of neurovascular and fibrous tissue is present after resection of the hypertrophied and fatty cranial glandular layer. Future loss and gain of body weight after reduction will lead to less shape change because of less fat in the postoperative breast (Fig. 8.11). The vertical scar seems to be less a punc-

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