I cannot say enough about Dr Walker and his staff. I have never been treated so kindly and considerately by any doctor. I had gummy bear breast implants and one ruptured after 5 years. It did not stay together as the manufacturer advertised. It leaked all over. It had been recalled due to an increased risk of cancer. My body encapsulated the mess. It was painful and very frightening. The MRI showed a huge seroma and every sign of cancer. Dr Walker soothed my fears. On the day of the surgery he got called into the ER because a child had an accident..He had someone come every few minutes to let me know why we were behind schedule, and when he anticipated being done. I’ve never had a doctor do that. Due to Covid protocol nobody was allowed in with me. That made the wait so much worse. He came in once. He could see the fear in my eyes. He asked a nurse to come in and chat with me, which did a world of good. It was a tough surgery. He kept my husband informed every step of the way. He checked on me personally every day the week after surgery. There were some complications (nothing to do with him) and he had me come in immediately. It was one of the scariest things I have ever dealt with and I could not have picked a better doctor to help me through it. I also cannot say enough good about his staff. They are the nicest group of people you could ever meet. I will be eternally grateful for the care I received. Updated on 13 Mar 2022: Initially I was happy, because it was a very scary experience. I had a massive seroma and breast trauma. I was grateful I made it through it, but somewhere I forgot that I paid for a procedure and didn’t get it. After things settled it was more than evident that I didn’t get a lift. My implants Drake under my arms. When I addressed this with him he said that’s where natural breasts lie. If I wanted saggy natural breasts, I’d never have gotten implants in the first place. He responded by telling me they would be fine when I was wearing a bra. Well if we were all content to settle for what we looked like in clothing, nobody would go to a plastic surgeon. I wanted to feel content with my body. He was dismissive, I asked if we could do a revision to the lift and he said it was fine, and I didn’t need one. So now I’m stuck with saggy breasts that fall down towards the side, and it’s very unattractive. I had no choice but to do the implant exchange: paying for the lift was a waste of money.
Today is the day! I just had the first of two procedures done: abdominal lipo (10/4/18) and SmartLipo of the arms (11/12/18)! My doctor wanted to do them separately bc I’ll need use of my arms to help me during the abdominal lipo surgery. I’m 34, 5’11”, have no kids, and am very active in the gym. I simply had these two trouble areas that bothered me enough to take out a personal loan and just do it! Today I had the first procedure done under local anesthesia. I was awake the whole time, and had a fantastic experience! I literally chatted-up the doctor and 3 assistants for the entire 2 hour procedure. He worked primarily on my lower abs, and worked up, in my pubic region, and around my sides as far as he could access. He removed about 1700cc of fat (about 3-4 pounds I believe). When he said he was done and was going to stitch together my 5 incisions, I immediately became emotional and cried. I was so happy. He wrapped me in 2 binders and sent me home. I am to leave it alone for two days, after which I can shower and put on my compression garment. So, no “after” picture until Saturday! Lots of water & peeing, standing and laying are my orders until then! I feel swelling in my pubic region, which he predicted, and I’m taking Arnica and antibiotics. Once the pain kicks in, I’ll take either prescription painkillers or OTC pain relievers (I’m going to try to suck it up lol). I also took a pre-emptive stool softener if I have to take the painkillers. I’ll update in 2 days! Updated on 5 Oct 2018: I think the worst part has been sleeping! I’m just uncomfortable, mostly in my back. There really is no pain in the liposuction areas: I took 1 painkiller around midnight, and nothing but Arnica and the antibiotic since. I can walk around fine. The compression wrap was creating a dent in my sides so I slipped a foam pad between the 2 wraps to smooth it out. Fluids were collecting in my pubic region, so my dr recommended tighter underwear and to put a pillow under my butt to elevate it slightly. I’m starting to feel warm in my face: I’m flushed except for my cheeks which look yellow? I’m hoping this is normal! I’m trying to take in deep breaths and drink lots of fluids. Updated on 6 Oct 2018: Finally took off my binder to shower and see my torso this morning! Funny my waist measurement is the same, but I did lose 3” at my belly button. I feel like a version of myself, not completely different. I think once my arm lipo is done I’ll feel better! I’m wearing only a Mirena garment now. Last night sucked. It felt like awful PMS cramping coupled with diarrhea cramping. I took 1 painkiller and fell asleep. The biggest thing is boredom. My lower back is uncomfortable from Laying down so much, but I am walking around fine. Thankfully no real pain in the lipoed areas! Might try leave the house today! Updated on 8 Oct 2018: Just a photo update, first thing in the morning. Dropped 2 pounds since surgery day. Walked around a lot more today, so some swelling toward the end of the day in my lower pelvis area. Only took acetaminophen for cramping (got my period the day of my surgery lol!) so I’m happy I’m not in surgery-related pain. Follow-up doctor appointment on Tuesday, so hoping to hear that I’m taking care of myself correctly! Going back to work on Tuesday, so I’m nervous about swelling and back pain from standing all day (I got a standing desk at work). Updated on 11 Oct 2018: Pics taken at end of the day. I went back to work Tuesday and used a standing desk. Bruising is settling in leg creases. Little pain except for the garment: the crotch opening is terrible so I pad it with foam. The side zippers caused a small blister so I’m now wearing a tank top underneath the garment which is much better. Morning of 7DPO: weighed 207. Dropped 8 pounds woo-hoo! Ive just been trying to not eat like an a-hole since I’m sedentary lol! Updated on 18 Oct 2018: Feeling great! Definitely still swollen. Starting to feel those hard bumps everyone talks about. I’m on my feet all day at work so I still get swollen by the end of the day, especially in my sides. I can’t get those stubborn pen marks off my skin still LOL but it’s ok. The visual bruising is mostly gone. I can take the tape off my incisions on Monday. I’ve switched to Higher Power Spanx for about a week now for comfort. I went down a size to fit my waist tighter and it seems ok on my bigger thighs! I’m holding at 5 pounds lost since surgery and can start “light cardio” today! I’ll probably check in again at my 1 month mark, which will be right before my arm Smart Lipo surgery! Updated on 23 Oct 2018: The past weekend I noticed I’m less swollen, so the scar tissue irregularities are presenting themselves. Mostly around my belly button and one side. I know it’s normal so I’ve mentally prepared myself for it, but of course I’m still hyper aware of every change. The tape is now off my incisions, which look great. I’m applying Neosporin to them for now. I feel the tightness but otherwise I’m good. If I move a certain way in bed sometimes I feel a tiny tear which burns: I think it’s the skin unattaching from muscle when it’s been trying to attach during healing? I don’t think I really need to still wear my garments but I’m being a good girl lol! The swelling isn’t bad at all. I’ve started back on cardio machines at the gym: I’m confident I can start lifting sooner than 6 weeks if not for my next surgery in November. Hoping recovery for my arms goes as smoothly as my abdominals! Updated on 26 Oct 2018: Just some pics. At my belly button, I’m holding a 3” loss. Updated on 26 Oct 2018: Updated on 13 Nov 2018: 6 weeks post ab lipo, and 11/12 I got my arm SmartLipo! Dr took 1350cc from left arm, and 1650cc from right! Fat came out easy he said! Updated on 14 Nov 2018: Got my SmartLipo on upper arms on Monday. Local anesthetic. He took out 1350cc of fat from my left, and 1650cc from my right: that’s more than he got out of my stomach!!!! Holy *ish my arms are teeny tiny and my shoulders/biceps are popping like crazy! RN I’m wearing the tightest garment ever LOL I keep singing “fat guy in a little coat!” ???? I’ll take pics when my garment is off: it’s a pain in the ass and painful to get back on. I lost 3.5” off each arm, and 5 pounds: crazy!!!! Updated on 16 Nov 2018: Holy schnikes! My arms are amazing! The garment is ridic tight but dr says it’s perfect, so OK then! Updated on 16 Nov 2018: Holy schnikes! My arms are amazing! The garment is ridic tight but dr says it’s perfect, so OK then! Updated on 16 Nov 2018: 3DPO Updated on 5 Dec 2018: Arms are great! They’re tight but tolerable. No swelling. Got a massage to try to hinder scar formation. Only issue is that I developed a seroma at my elbow! I didn’t realize what it was until a few days with it, and it was probably a week developed when I saw the dr about it. He drained 13cc of serom Tuesday, and 6cc today. He showed my hubby how to do it in case it needs to be done again Thursday. I have an appt Friday so he can drain it if needed again. He said it jut takes drainage, time, and compression to get the pocket to adhere to itself. He thinks me not wearing my intolerably-tight garment caused the pocket to develop...maybe but I also think it’s bc I use my arms so much in general. So I’m stuck in the awful garment for a while still. I put my shaper garment on underneath it and it’s made a world of difference comfort-wise! But lesson for you all: if you see a fluid pocket that waves like a waterbed, you need to get it drained ASAP!! Updated on 14 Mar 2019: Progress pics! Weight has been stable there whole time. Hoping dieting will help smooh our minor lumps under my arms, and the small dent near my belly button. Updated on 14 Mar 2019: Progress pics! Weight has been stable there whole time. Hoping dieting will help smooth out minor lumps under my arms, and the small dent near my belly button.
I have hated the shape of my legs ever since I was a teenager. I am now in my early 40s, 5'6" tall, and weigh about 142 lbs. Even when I was 120 lbs, my lower half did not match the upper half of my body. My legs have definitely gotten worse since having children. Exercise does not change their appearance. I have not worn shorts or a sundress in over 20 years. I realize my legs will never be my best feature, but I just want to feel like I can get into a sundress or bathing suit in front of people and not feel mortified. I am sick of dreading summer! Today I underwent tumescent liposuction with oral sedation (Valium), a shot of diluadid (morphine), and several anti-nausea pills/patch. My plastic surgeon did circumferential thighs, calves, and knees. It was a long process - probably about 6 hours. He supplemented the pain meds as needed towards the end. I will post before and after pictures as soon as I get them. In the meantime, I'm happy to answer any questions anyone may have! Updated on 12 Oct 2016: It's been a week and I can definitely see a big difference in my thighs even with all the swelling and bruising. My calves/ankles looked a lot better right after surgery, but they are too swollen to see the difference now. Even with keeping my legs elevated at night, my feet/ankles are still bruised and really swollen. I have to be honest - I have a pretty high tolerance for pain and this recovery is pushing it for me. I think the combination of the thighs and calves really makes things a lot more difficult. My plastic surgeon warned me about it, but I wanted to just go through one recovery - maybe not the best choice. It's almost impossible to find a comfortable sleeping position since there is a deep aching pain throughout the lower half of my body. And the soreness is way worse than a "hard workout." I had a little meltdown this morning about why I would put myself through this ... I have to keep reminding myself that this has been an issue for me for 20 years and is something I couldn't change on my own. I know this part is temporary, but it really sucks!
Since I was eight years old, yes seriously eight, I have always been selfconscious about my stomach.. I would stand in the mirror and look at my bulging stomach with big line going across wondering how I would look when I was older. I prayed that my stomach would be flat when I was older, but it didn't change. My senior year of high school I went on the nutrisystem which was the only diet that ever worked for me. I lost 40 lbs and never felt better but my tool of fat never went away. I was dieting like crazy but it didn't matter. I then gained 25 lbs back and have since lost 10 and kept it off for three years. About five months ago, my nutrionist kept telling me that I was losing fat and gaining muscle but my clothes stopped fitting and my stomach started to go to the point where I couldn't fit into my clothes around my stomach.. Trying to lose weight again was a nightmare. I would think about it all day long and then instantly remind myself to be rational.. This was my OCD kicking in. I was going backwards and fast. I started to look up information in Lipo and I found it not as scary as I had thought before. I went to a consultation with a doctor in my area, and I was so excited to finally have to stomach of my dreams that could have done the surgery that day. So I booked it. My doctor was very thorough, answered all my questions and so did his staff.. I could have found someone better. Yesterday was the day of my surgery, and the doctor was asked me out loud if I cared if he did more than we talked about for no charge!! I was thinking hell yeah!! I got my whole abdomen, love handles, flanks, and hips for $ 5,080. When he sat me up when I was finished I just cried because my stomach was flat for the first time in my life! I just laid there crying. I was so happy that I had done it. I could even hear the nurses chatting during the procedure about how great it was looking thought the procedure. They were taking pictures for their gallery and they started to talk about how they wanted lipo done now. Now I am on day two. The swelling is still bad but even with two compression garments on. I can't see their is no more love handles!! Yay! I will upload before and 1 days post op. Anywhere from tomorrow to Friday I will post another with out the garment. Updated on 28 Aug 2013: First odd I want to fix some typos I said in the last review . I meant I could NOT have found someone better to so my surgery.. Today I took the garment off for the first time to shower, and I was pleasantly surprised!!! I had a waist and it was flat!!! Never in my life have I had that!!
Like most of you Real Self bloggers who click on that all too familiar RHINOPLASTY link, there are feelings that I too have had towards my nasal profile, that often carries a heavy ambiance. And for that, we are a different breed. I truly believe that because of all the self-consciousness, teasing and "harmless" observations from others, it has formed a certain kind of resiliency and internal grit that only belong to us. It's unique and partial to those that have experienced it. It may even be a quiet strength, but it's in there. I joined Real Self to share what I may know and learn what it is I haven't heard yet. I signed up after the surgery itself was over, but I have just recently become aware of how long this healing process really is! I will try to add information and share experiences as I go along in the present and if it has already happened, as it comes back to me. So,....I have daydreamed about getting a nose job since the day I found out what it could accomplish, which was probably around 10 or 11 years old. I do remember being aware of my "uniqueness" around the age of 7, because I remember looking at a snap shot of a school picture. It was back when the photographer thought that leaning on a 3 way mirror for a pose was innovative. Maybe for children with a cookie-cutter profile! Well, I took one glance at that picture and remember thinking I was ugly for the first time ever. I will never forget it. And how is it that I could forget? There was never a shortage of casual comments about how different my profile was from my family and my seemingly close friends. Often these comments were made gracefully, which would only confuse me on weather it was a good thing or a negative thing. I was a fairly carefree child, so even though I was aware of my trademark, it didn't really drag me down until I was in my early teens...when looks started to really matter from day to day. Let me tell you, those comments made and opinions formed of me in my early adolescence were on my tail, waiting to materialize in my life. The seed of self-consciousness was sewn and the harvest would be reaped and plentiful! I have so many vivid memories on the topic. Let me know if you can relate! As a teen, I started becoming hyper vigilant about avoiding people standing to the side of me. I would shift positions or turn my face to the front if I felt that they had a great view of my droopy tip and oh so attractive dorsal hump. I felt like I looked "witchy", especially when I smiled because the tip would droop and curve down. I even remember my senses being heightened when Disney movies with witches would come on, just waiting to hear that I resembled one. It sounds silly, but I would even be aware of those around me when I was sweeping the floor with a broom in my retail working days, hoping that a co-worker wouldn't make a comment. The people I worked with had an over abundance in the sense of humor department! Around the age of 15, make-up became an antidote and even a security blanket for how ugly I felt inside. I remember going to visit family members on a weekend and not allowing anyone to see me until every stitch of make up was in it's proper place. It seemed sometimes that I could never put enough on. I couldn't put enough on to mask that nose....the deep insecurity I had right in the middle of my made up face. Those feelings reached far into the future, and some live on even to this day. Only recently, I would find myself obsessing over finding an angle of my nose that I could live with. The only angle I ever felt was tolerable was from the front, even though I know it lacked some definition. In front of the mirror, I would push my nose up, cradle it between my index and thumb, just so I could fantasize about what it would look like delicately turned up and feminine. I may have grown older and have become busier with life in general, but I never seemed to really grow out of wanting my nose different. I had to start being brutally honest with myself and those around me. It took a lot of courage to let my husband in on the secret that I was even self-conscious at all. What if he would look at me different? What if he thought I was vain, selfish or self-focused? Was the risk well worth it? Indeed, it was. It took both my husband and other close family members some time to grasp, but eventually they understood. My husband especially has been my "rock" and so supportive through it all. This procedure takes a serious amount of courage physically, socially and I'm finding out, also psychologically. It takes hard-core grit to go through with what the healing process involves. And to have the conversations with your family and friends and answer endless questions and getting through those disapproving smirks and sighs. I had a few of them, but I got through it. I have been fortunate to have a mostly supportive circle of support. When I made my mind up on what Dr I would go with, the surgery process went fairly quickly due to an up and coming vacation. I was actually scheduled to go with a facial surgeon in Rochester, NY, but the office staff although very pleasant, turned out to be very shady with how they keep me in the dark with pricing for the surgery until the last minute! I found out literally weeks before the surgery, that it wasn't going to be the price that was discussed earlier and that the figure was only a "base price"...indeed the cost could be up to $3,000 more! I was very turned off with how this place wheeled and dealed. I was aware of how fancy and prestigious this place was and they certainly knew it too! They could ask for any amount from many patients, but I wasn't one of those customers with a yacht and Summer home nestled in the Finger Lakes! The coordinator explained that if I came with cold hard cash, the Dr may be able to negotiate the price. What was this? A deal with the devil? It really turned me off. So, I had a vacation coming up that would work perfectly with the recovery process, but I didn't have the tolerance or the money to go with the Dr who penciled me in. I nicely explained to the office that I couldn't come up the extra dough, that my loan was for the amount that it was and that was that. She refunded the 820.00 deposit, but I was so disappointed that it wouldn't work out during my time off. That same day, I made a call to a place that I almost went with, but got put on the back burner months prior because of a few minor reasons. I liked the Dr's personality and years of experience, but it just didn't work because he required some form of health insurance that I didn't have at the time, but NOW had through my place of employment. Could it just work out? I called the office of Dr. Mark Walker up and told them my situation. The nurse and secretary were amazing! The secretary, Michelle, did everything in her power to see this happen for me during my time off. She got back to me the day after I called with all the important info to make my final decision. She could have taken a back seat to it all, and told me it was too much to ask with the timing, but she didn't. I wasn't trying to rush anything here, but I was hoping that somehow he could see me again to go over imaging, AND maybe do a rhinoplasty in exactly 1.5 weeks? Well, that's exactly what happened! Dr. Walker had actually had to get back his block of time in the OR to schedule me for the day I said would work the best for me. He did that! He spoke with big wigs at the hospital and cleared that time. I wasn't gonna be asking too many questions about this one, I'm just gonna go with it! My surgery was scheduled for Aug.15th,( the day after my 31st birthday) at 7:45am.The staff at Lourdes Hospital were all wonderful. I got into my fashionable, off-the-shoulder gown, peed in a cup, had my vitals taken among many other things, and kissed my husband and son goodbye. Dr. Walker came in with a stack of papers and my digital image in hand around 7:20 and we went over all the fine details. With everything confirmed, he left and his nurses bustled in, working on me as if I was a Nascar race car. As they worked, one of the nurses told me a short story about a conversation she had days before with a former rhinoplasty patient of Dr. Walkers. "I have always admired this lady's nose and never knew she had surgery done...let alone by the Dr I work for!" That was a great word of encouragement for me moments before I would be rolled into the OR to get a rhinoplasty. It was icing on the cake. The anesthesiologists were both kind and gentle, but very serious. Their serious air somehow made me feel safe. The one gentleman started my IV and told me that I would soon become very, very relaxed. Oh....there it was! I'm golden. Less than a minute after I was being rolled down the hall and into a room with giant, UFO looking lights. "Prepare for take-off!" the anesthesiologist said. I think said "I've landed" but I'm not even sure! Next thing I know, I'm in a dark room and I see a clock. I see the numbers, but I couldn't make out the exact time, I just knew it was close to noon. I remember the first thing I asked was if I bled much and was told that I didn't. To make a long story shorter, I recovered from the anesthesia fairly quickly, was given another dose of an anti-nausea med and was sent home. I had no feelings of nausea until the 45minute ride home. The nausea was pretty minimal, but it lasted into the early evening, so I kept the patch they placed before surgery behind my ear(for nausea) on until the next morning. Over the next few days, the swelling and bruising reached it's apex. All the research that I had done and rhinoplasty stories I read on here were becoming so true for me! Although the pain was not bad, I felt kind of helpless, unattractive and that depression was slowly creeping in. Why is my left nostril more swollen than my right? Did he make a mistake and suture it higher than the other? Why does the bridge of my nose look so high STILL? Why doesn't my first week post-op pictures look as nice as other's? Did he somehow translate my picture completely differently than what I want? WILL I LOOK THIS ALIEN FOREVER? I drove myself, and my husband nuts! I'm sure he thought that this surgery would finally shut me up, and it this point, it didn't. It was even worse! BUT,......nothing beat the day the cast came off. In the carefully lit room at the Dr's my nose looked pretty amazing! I loved how it looked and that it was so straight! I prepared myself emotionally for the swelling and the skin to shrink and so on, so upon cast removal, I knew that the shape would only refine and there would be still a lot of swelling. Dr. Walker was so happy that I was happy, and then I left the office, drove around Binghamton, helped get my son get in and out of the car, walked the mall at a fast pace, leaned over about a dozen times for various reasons. I was on top of the world so much so that I wasn't paying attention to what I was doing and was in no way watching my activity level. I did a lot of things I shouldn't have! It was about that time to head home and find my car. Had to be back home in time to make dinner. I sat down to catch a glimpse of my beautiful nose and to my surprise, it looked like a GIANT campfire sized marshmallow! I was mortified. I rushed home and got on Real Self and Google to see if I could find post-op nose pictures that resembled mine. I really couldn't that day. None of them seemed as dreadful and swollen as mine! I had a good cry on my hubby's shoulder, obsessed for hours about the swelling and soon found a YouTube video on how to tape a nose properly. I was told that I didn't have to do it by my Dr, but I did it anyways because I wanted to see the contours of my nose again. It seemed to help the swelling as I gained my sanity and my logic back. I had to take a deep breath and remember that the swelling peaks right after cast removal and lasts many days after that until it SLOWLY refines to the shape that the Doctor perfected in the operating room. Now the rubber had to meet the road when it came to trusting in him and knowing that I would have to wait patiently for the final result that indeed should and will be beautiful! Day 11-Post Op: Today is day 11 of the healing process. Is it ever a process! It wasn't until about day 9 or 10, that I got to see the refining of my nose. Upon waking up today, my nose resembled a water balloon, but I have to remember it only get's better from here! I wish I could take a remote to my life and fast forward to the day that the swelling and shrinking of the skin is over! Day 20-Post Op: Today marks two weeks after the surgery. I must say that my nose is so different from the day of cast removal. The whole shape has really refined and the swelling is much better! I'm already feeling more comfortable in my own skin. Looks are by no means everything, but it's amazing when you have a source of self-consciousness suddenly removed from your life. It feels like my mind is finally allowed to breathe and begin the healing process in this area of my life. It doesn't keep the bills from coming in the mail, but it makes for a better attitude upon opening them up! Does that make sense? Updated on 23 Sep 2013: Updated on 23 Sep 2013: Updated on 23 Sep 2013: Updated on 23 Sep 2013: Updated on 23 Sep 2013: Updated on 23 Sep 2013: Updated on 23 Sep 2013: Updated on 23 Sep 2013: Updated on 28 Sep 2013: This week I have been a bit melancholy towards my nose. I seemed to pleased, right? Well, I feel the result could be better by now.They say to never research other people's progress too much, but the curiosity can take over when you try to predict an outcome for yourself. I like my new nose, I'm just realizing that I could be a whole lot less swollen by now! I hear 6 months to a year all the time when it comes to swelling going away and the skin to conform to the new nose, but I'm just so afraid that he maybe didn't take enough away? I feel that it's still really high in the "radix" (the bone between the eyes) and the tip is a bit pointed still. I don't know. Maybe I just need a stiff Martini? Ha ha. Maybe I'm paranoid, but ALL that I can do at this point is wait it out. I told my hubby that I hope that I will be happy with the result and he just rolls his eyes. I don't want to be that patient that will never be happy with the outcome, but I can't help but feel that there is room for improvement. I don't dare say the word revision around him! Anyways, I will talk to the doc on Tuesday. Wish me luck! XO Updated on 9 Oct 2013: I'm about two months post op and swelling could be better, but I'm no longer second guessing the results. I feel that my profile could have been a bit more "scooped" on the bridge, but I think maybe I am being too picky? Doctor said there was obvious swelling still and that it will only get better. Other than that, I am healing very well. Waiting for the swelling to go down has been way more challenging than the first week of healing for me! Maybe because it's all a mental game of patience and positivity? I'm so thankful to have this site to help keep these feelings in check. I will post some better pictures soon. I send some healing love to you all!
I have been researching tummy tucks for years now. I just had my 3rd (and final) baby in December of 2021. I am very short(4'11) and had 3 really big babies and although I love them dearly, they destroyed my body lol after seeing a few different surgeons, I finally found Dr. Mark Walker in Binghamton, NY and he is amazing! I felt so comfortable with him and his entire staff during my consultation. I'm really looking forward to my surgery in November of 2022!!
Whether you were born with the dimples or it was formed by some sort of injury the treatment is the same. Fat is harvested from another site and concentrated. The dimples can be released and fat injected in small strips, criss-crossed to fill the defect and smooth the area. When the fat develops a blood supply, it will live there permanently.