The use of our body’s own tissues and cells for regenerative means is gaining popularity as researchers show the benefits of fat and its contents, which include regenerative cells, vascular endothelial cells, certain marcrophages and scores of growth factors, cytokines and other biologically active components of fat are being used for numerous cosmetic and functional concerns:
- Facial aging
- Acne scars
- Laser injuries
- Certain scars and wounds
- Chronic pain associated with orthopedic injuries and other surgical conditions
- Hand restoration
- Orthopedic injuries and osteoarthritis
- Balding in men and women
- Old burns and burn scars
- Reynauds and certain autoimmune diseases
- Non-healing wounds
On The Cutting Edge
Dr. Cohen and the FACES+ team introduced the use of Stromal Vascular Fraction (SVF) in 2003 performing the first documented cases in the world for aesthetic aspects of perioral aging. FACES+ had 2 additional IRB studies looking at how patients receiving SVF have done. Presently, Dr. Cohen is participating in a Scleroderma Study that is a Phase 3 FDA study looking at the effect of SVF for severe Reynaud’s in patients with Scleroderma. Similar studies are being conducted in Europe under the leadership of Professor of Plastic Surgery, Guy Magalon, in Maseille, a leading scientist in Regenerative Medicine
THE USE OF FAT MAY BE INDICATED FOR PATIENTS CONSIDERING:
- Facelift surgery and facial rejuvenation with fillers
- Facial reconstruction with or without a history of radiation
- Natural breast augmentation with 1-2 cup size enlargement
- Breast reconstruction for partial mastectomy with or without radiation
- Secondary breast procedures for capsular contraction, implant rippling and other complications related to breast implants
- Body contour concerns and defects
- Buttock augmentation
- HIV related lipoatrophy
For more information on regenerative medicine works, please schedule a consultation.
Breast and Body
Natural breast augmentation with your body’s own fat may be a good option for breast enlargement in patients reluctant to use breast implants and who desire a natural look with their own tissue. Dr. Steven R. Cohen is one of a handful of early pioneers in this new technology that uses the patient’s own fat to create a natural filler for breast enhancement.
Breast augmentation can reshape your breasts, improve your appearance and increase your self-confidence.
A surgical dressing will protect your incisions. You will experience some swelling and bruising for several days after the breast augmentation surgery. The surgeon will also prescribe pain medication to ease any discomfort. After healing, your new breasts will appear natural and enhanced.
The use of adipocyte-derived regenerative and stem cells (ADRC’s) is not presently approved by the FDA. In addition, the major Plastic Surgery Societies have recently issued cautionary statements regarding the use of stem cells in cosmetic surgery. First of all, most surgeons claiming the use of stem cells are simply transferring fat and two, we really do not know the full implications of stem cells and there is particular concern about their use in the female breast.
Although virtually all published data has indicated the safety of ADRC’s produced by standardized lab equipment, the data is still small (approximately 6000 patients have been operated on using this exact procedure and process). Nevertheless, there is compelling case report information in some areas of medicine including plastic surgery that demonstrate the effects of ADRC’s in radiation injuries, inflammatory bowel disease, reconstructive and aesthetic breast surgery and facial reconstruction as well as burns that make it necessary to continue to evaluate the potentially enormous benefits of using our bodies own repair and protective mechanisms to assist in reconstruction and repair.
Dr. Cohen is presently studying the outcomes of these techniques under an IRB study protocol, but is no longer enrolling patients into the study. Dr. Cohen is also one of the founders and is executive director of the Cell Society, an international, non-profit organization dedicated to the promotion and advancement of regenerative cell therapies. The Cell Society’s mission is to expand the global use of cell therapies in a number of medical specialties and to support the clinicians who use them. Dr. Cohen is also a part time employee of Cytori Therapeutics, a local San Diego company evaluating the use of ADRC’s in cardiac disease, burns and orthopedics as well as operating commercially under a CE mark in Europe.