Treatment Provider

Moises Salama, MD
Board Certified Plastic Surgeon
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11 Weeks Post Op...Swelling Gone !!!!

Yup! I'm 11 weeks PO...I've lost some volume...in as much I expected that...I wanted to reach 45" azz....after sx I was. 51" azz...then stayed at 47" for weeks....NOW IM 45" Hip Hip Horray!!! I realized when I pulled out my winter clothes...and started trying some stuff on how amazingly wondrous....Dr Salama Salamafied my Bod....I'm so satisfied with my waistline...and Assssssssss....as a friendly reminder whence you feal that you are beginning to lose a lot of volume...I know it sound sun healthy and it def is...but fires...an peanuts...did it for me for years...but just watch the waistline...for those of you of who. Are working out....STOP DOING EXERCISES STANDING....DO EXERCISES... SITTING IT WONT AFFECT YOUR ASSETS.....WORK ON ABS SITTING...WORK ON BACK SITTING...LASK YOUR TRAINER AT THE GYM...DOLLS.....L

If the Fat is Graphed properly it will become permanent....

As I told you in my timeline..li wore my for 10yrs..our bods react to the fat differently..
This is what I found on the Net...

By Ricardo L Rodriguez MD
Baltimore, Maryland
Ricardo L Rodriguez on Google +


In this blog entry I will detail how I harvest fat, process it, inject it, and care for the graft after surgery. In a subsequent entry I will describe how choice of harvest site matters.

1)- The fat has to be aspirated properly
Higher pressure suction disrupts and kills a certain percentage of fat cells. For this reason, I use a manual syringe technique, because the pressure generated by a syringe is much lower than that generated by a suction machine. Thus, right from the start, I have a higher chance of success. Is there an advantage to using a regular suction machine? Yes, it’s quicker and is less taxing to the surgeon. But its worse for the fat cells. So–If you hear of somebody doing a Brazilian Butt Lift in less than four hours, chances are the grafts may not take and his patients are coming back for touch ups.

2)- The fat has to be processed properly
I let the fat sit in a cool environment (slows down the fat cell metabolism) so the fluid separates from the fat. Then the fat is transferred to smaller syringes where it is then put in a centrifuge. The centrifuge has to spin long enough to separate fluid and contents of dead and disrupted cells from the remaining live cells, but not so long as to disrupt live cells. We then separate the live fat cells from the body fluid and contents of disrupted cells by a decanting process which does not touch the live cells. What is left is a slurry of almost 100% live cells. There are very little contaminants that may irritate the surrounding tissues. You want the recipient tissues to deal only with live cells, because any inflammation may end up destroying live cells.

3)- The fat has to be injected properly
Think of the fat graft as a tender seedling that has to be planted in the ground, but instead of the roots growing out, the “roots” (blood vessels) from the surrounding tissues grow into the fat graft. If you inject a thick wad of fat cells, the cells in the center of the wad will starve before the blood vessels reach them. Thus the fat grafts have to be injected with very fine needles in small quantities. This is a very painstaking and slow process. If you inject a lot at a time, many cells will not survive. Thus some surgeons may say “most of the fat got reabsorbed”, whereas in reality, most of the fat never took in the first place.

4)- The post operative period is as important as the surgery
I tell all my patients that they should not sit at all for three weeks after surgery. Think again of the tender seedlings. Once the fat grafts are in place, they are not likely to take root if they are being mashed on with all your body weight. You want to keep those grafts completely free of pressure until blood vessels grow into them and until those vessels are hardy enough to withstand the pressure and shearing effects of sitting on them. Wearing compression garments is very important, as they cut down swelling tremendously. When there is swelling, oxygen delivery and evacuation of toxins are impaired. This in turn reduces likelihood of fat graft cell survival.
Hopes this helps...galz
By Ricardo L Rodriguez MD
Baltimore, Maryland
Ricardo L Rodriguez on Google +

I'm A Platnuim Piece Packing Kryptonite!!!

That is how i felt...as i giggled whence i heard and seen the stares...as i walked thru the Mall....lol...I haven't worn my vendetta...all week...I've been wearing the Belly burner....all day n night...it works....I can endorse the brand via commercial....I'm def not worrying about my waist...I'm wearing this fat burning belt in which induces heat as though in a sauna...I'm sweating at all times...in abs...side and back...while the sermons dissipates....the swelling in my abs are almost gone...No Back fat!!! My azzzzzzz is back to wearing jeans....a whole diff shape...my God...yesterday...I felt like the best thing since sliced. Bread...like a Platnuim Piece packing kryptonite...that who I be...lol...I went about Atl...all eyezzzzzz was on the azzzzzzz....more talk of the tiny waist...

Provider Review

Board Certified Plastic Surgeon
2700 Hollywood Blvd., Hollywood, Florida
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Indescribable.....his work...sculpted my body...not off of a wish pic...but off of my own body..from Irene the Nurse to Nomie in the office...he and his staff facilitated to me excellence I n customer service....and provided continuity of care...Dr Salama cared about my quality of lIfe...too!