Page 267 - Read Online

Page 8 of 21 Ramirez. Plast Aesthet Res 2020;7:25 I http://dx.doi.org/10.20517/2347-9264.2019.78

Figure 7. The ingrowth of tissue in the omni-dimensional porous structure of the porouspolypropylene implants

Figure 8. Some of the facial implants designed to provide support and enhance volumein the face

Diego CA). Fat grafting corrected residual asymmetries and erased dermal creases particularly in the
nasolabial folds and glabellar lines. An average of 30 cc of fat is sufficient for the entire face, however I use
more fat for gaunt faces, or when the imbrication of the Bichat’s fat pad elevation did not provide enough
volume. Lately I have incorporated stem cell-rich fat grafting obtained with the Diode 1210 laser. This fat
is devoid of fibers and can be injected into the dermal/subdermal plane with 1 cc syringes and 23-gauge
TM
needles without the need for centrifugation or filtration. We call it Picograft or Picofat TM[37,38] . This
provided an excellent alternative for skin damaged by sun exposure or smoking, improving skin quality on
several fronts: pigmentation, elasticity, and fine wrinkles etc. [37,38] .