Dr. J. Ditesheim

Recent comments

• Posted to Body Jet vs. Other Liposuction Techniques on 23 Sep 2012

  Body Jet liposuction, now called AQUASHAPE is a technique to "wash away the unwanted fat". Literally, the jet pulse ( like a water-pik or mini pressure washer) separates the fat from the attached body tissue and the suction draws the fat into the evacuation tube. It is absolutely more of a sculpting technique and has a longer learning curve. Like the difference between just removing fat or shaping. I have used this technique for about 18 months and gave up all other types of lipo. I don't see true skin shrinkage with Smart lipo and it is less traumatic to the tissues than other types. The sensation return to the skin in the area treated in about 6 weeks instead of months or never. There is often no bruising or swelling, but this is most true for male breast removal and less for loose skin of the lower tummy.

• Posted to Restylane Vs. Fat Grafting for Under Eye Hollows? on 23 Sep 2012

  It may be possible to improve the dark shadows with structural fat grafting. That is a relatively new procedure where very small droplets of fat (0.1cc) are injected very precisely into either the area under the eyelid muscle or on deeper on the surface of the bony rim ( inferior orbital rim). It really depends on the facial bone structure of your face. If the cheek bones can be added to with volume this can improve the hollows, if the cheeks are already strong or prominent, then adding fat or any other filler can really be a bad idea. Another new option is Belotero, a new filler from switzerland, marketed by Merzin the US. It is designed for injection into the skin not below the skin as is the case with other fillers. This would be an off label use in the US. The most important piece of information is to consult with a plastic surgeon who can look at your face and understand what treatment will produce a more favorable predictable result.

• Posted to Treatment for Sunken and Hollow Eyes? on 23 Sep 2012

  With more inset eyes, the eyes can look hollow, especially when the cheek is prominent. Fat grafting has applications for providing more fullness around the eyes, but I agree with Dr. Laws, it is very difficult to graft fat into the upper eyelid. I would wonder what the periorbital area looks like because, when we look at eyes we are looking at the cheek area below and the eyebrows above.

• Posted to Did I Tear my Sutures or Tissue? on 23 Sep 2012

  you are smart, and yes it sounds like a hematoma or small blood collection, you should talk to your surgeon

• Posted to More Questions About Whether an Obese Person W/ history of Abdominal Surgeries Can Have an Abdominoplasty? on 23 Sep 2012

  If you want to have the safest and longest lasting result lose weight first. It may not be easy but surgery at high weight is always very risky