Hi, everyone. I’m Dr. Qazi, a skin restoration specialist based in Newport Beach, California. My passion lies in helping patients overcome challenges related to acne, scars, pigmentation, and collagen stimulation. Today, I want to walk you through an incredible case that showcases the power of subcision with fat transfer, along with other treatments like laser therapy and TCA cross. This patient’s transformation is nothing short of remarkable.
The Case Study: A Journey to Restoration
This particular case involves a patient who experienced significant improvements using manual techniques such as subcision with fat transfer. We also incorporated some laser treatments and TCA cross procedures. The outcome? An amazing transformation that speaks volumes about the effectiveness of these methods, especially for individuals concerned about pigmentation and downtime.
One of the most striking aspects of this patient’s journey was addressing his extensive fat destruction and loss. To tackle this, we opted for fat transfer, which proved instrumental in restoring volume and achieving a balanced facial appearance. Let me highlight a specific area where the mid-cheek region had been severely affected by acne, leading to both scar tissue and fat depletion. The results were profound, demonstrating how manual work can yield superior outcomes compared to relying solely on lasers or energy devices.
Trust and Patience: Key Ingredients for Success
Our patient trusted the process implicitly, allowing us to break up stubborn scar tissues effectively using tools like Taylor liberator and nokor needles. His previous attempts with micro-needling sessions hadn’t yielded satisfactory results, but our approach made all the difference. It’s crucial to understand that breaking up deep, thick scars requires expertise and precision—qualities that define our practice.
The Role of Bio-stimulatory Fillers and Other Treatments
While discussing treatments, let’s delve into bio-stimulatory fillers like Bellafill. These fillers are excellent for addressing volume loss and enhancing overall skin texture. In combination with subcision, they offer comprehensive solutions tailored to individual needs. For instance, when treating a dog bite scar, we might use lasers or even surgical interventions alongside bio-stimulatory fillers to achieve optimal results.
Addressing Specific Concerns: From Beard Transplants to Mental Health
We’ve successfully managed cases involving beard transplants post-scar treatment, ensuring natural-looking growth. Moreover, mental health plays a pivotal role in recovery. Many patients experience trauma due to acne and scarring, impacting their self-esteem and social interactions. As someone who has walked this path personally, I empathize deeply with these struggles. Remember, healing takes time, and patience is vital.
Understanding the Science Behind Subcision with Fat Transfer
Subcision is a minimally invasive procedure designed to break up fibrous bands causing depressed scars. By inserting a needle beneath the skin, we release these bands, allowing the skin to rise naturally. Subcision with Fat Transfer adds volume and promotes collagen production, enhancing the overall aesthetic result.
Fat transfer involves harvesting fat from another part of the body, purifying it, and injecting it into targeted areas. This method not only restores lost volume but also triggers long-term collagen synthesis, thanks to the stem cells present in the transferred fat. Together, subcision with fat transfer create a synergistic effect that addresses both structural and textural concerns.
The Importance of Personalized Treatment Plans
Every patient is unique, and so should be their treatment plan. Whether dealing with acne scars, traumatic injuries, or age-related volume loss, personalized care ensures optimal outcomes. During consultations, we discuss various options, including bio-stimulatory fillers and fat transfer, to determine the best course of action.
Factors such as skin type, scar depth, and personal goals influence the choice between different treatments. For example, while some patients benefit from combining subcision with fat transfer, others may see better results with bio-stimulatory fillers alone. Tailoring each treatment to the individual ensures satisfaction and confidence in the final result.
Questions Answered
Let’s address some of the questions I received during my live session:
- Question: What about aloe vera gel from Leaf?Dr. Qazi: While many swear by aloe vera, I haven’t found it beneficial, particularly post-laser or for acne-prone skin. Instead, focus on simple, non-irritating products.
- Question: I'm curious about the micro depth of erbium versus micro laser. Is a different depth used depending on different Fitzpatrick types?Dr. Qazi: Absolutely. Micro laser peels typically range from 10 to 30 microns, adjusted based on skin type and individual needs. Tailoring the depth ensures safe and effective treatment.
- Question: I got patches on my face because of acne and there is no beard growth. Is it curable or not?Dr. Qazi: Unfortunately, hair loss post-acne isn’t always curable. However, combining scar tissue lifting with beard transplants can yield promising results.
- Question: What can I say about PRP?Dr. Qazi: PRP is beneficial for hair growth and undereye areas but hasn’t shown significant improvement for acne scars in my experience.
- Question: Would that work for a scar from a dog bite?Dr. Qazi: Yes, dog bite scars respond well to various treatments, including lasers and sometimes surgery. Adding Bellafill can further enhance results.
- Question: What is fat transfer?Dr. Qazi: Fat transfer involves harvesting your body’s natural fat, purifying it, and reinjecting it into targeted areas. This method restores volume and promotes collagen production.
- Question: Can you do subcision alone treatment?Dr. Qazi: Subcision alone may not suffice for severe cases. Combining it with fat transfer ensures comprehensive improvement.
- Question: How many Accure sessions are required to clear stubborn acne?Dr. Qazi: Typically, three sessions suffice, though four might be needed for certain individuals, especially those with persistent jawline issues.
- Question: How do I decide to use fat transfer or filler for volume loss?Dr. Qazi: The decision depends on patient preference and anatomical considerations. Fat transfer offers a natural option, while fillers provide immediate results.
- Question: I have flat tan SKs on my cheeks and jawline. Started in my early 20s; I’m 36 now. Treatments?Dr. Qazi: Fraxel lasers or full TCA peels work wonders for SKs. Consult a professional comfortable with these procedures for best outcomes.
- Question: Rejuva pen or Bellafill better for acne scars?Dr. Qazi: Bellafill excels in addressing volume loss, whereas Rejuva pens fall short in comparison.
- Question: How long after Bellafill do you notice results?Dr. Qazi: Initial swelling subsides within weeks, followed by gradual improvement as collagen integrates over months.
- Question: Hi Dr. Qazi, what is the best treatment for PIE red scars and brown acne scars?Dr. Qazi: At-home treatments include azelaic acid and Eucerin anti-pigment cream. Stubborn cases benefit from Excel V and Pico lasers.
- Question: So you won’t see results after one session?Dr. Qazi: Improvement occurs after each session, varying based on individual factors and adherence to recommended protocols.
- Question: Is Bellafill enough for moderate fat loss?Dr. Qazi: Multiple sessions may be necessary for substantial fat loss, ensuring gradual enhancement.
- Question: Any risk of blindness from fillers in the temples near the eyes? My derm refuses.Dr. Qazi: While risks exist, proper technique mitigates them. Ethical practitioners prioritize safety above all else.
- Question: Do you recommend phenol peels?Dr. Qazi: Phenol peels suit thick scars in Fitzpatrick types 1-4. Boxcar and rolling scars respond exceptionally well.
Final Thoughts
Subcision with fat transfer represents a transformative approach to scar treatment, offering hope and renewed confidence to countless individuals. By combining advanced techniques with personalized care, we strive to deliver exceptional results that empower our patients. If you’re ready to embark on your journey toward restored skin, reach out to schedule a consultation today. Together, we’ll create a plan that aligns with your goals and sets you on the path to success.
