Facial Wasting Treatments by
Board Certified Plastic Surgeon, Douglas M.
Senderoff, MD, FACS
Your facial wasting treatment is a
relatively simple nonsurgical procedure.
Your facial wasting treatment can be
performed in one of Board Certified Plastic
Surgeon, Douglas M. Senderoff, MD's
beautiful, modern offices located in
Manhattan and Westchester, New York. The
procedure can be performed in under an hour
and the results are immediate. Board
Certified Plastic Surgeon, Douglas M.
Senderoff, MD has successfully treated
hundreds of facial wasting patients.
This page contains the various options to
treat your facial wasting. If you have any
questions about the procedures please feel
free to schedule a complimentary
consultation with the doctor at his
Manhattan or Westchester, New York offices
.
Please note: of all the facial
wasting treatments below, Board Certified
Plastic Surgeon, Douglas M. Senderoff, MD
recommends Radiesse™ Replacement Therapy
(formerly known as Radiance™ ) as the
treatment of choice for facial wasting.
If you have any questions about any
treatment please feel free to contact Doctor
Senderoff at his NYC office.
Facial Implants - Facial
implants can help restore a more normal
facial appearance for HIV-infected patients
with facial wasting syndrome. Facial
implants are used to correct a flatness of
the cheeks and lack of width or fullness of
the face for patients with sunken cheek
bones who desire for a fuller, rounder,
chiseled or contoured look. Facial implants
are performed as an outpatient procedure in
Doctor Senderoff's fully accredited
Manhattan, New York surgical facility.
Depending upon the facial region and
surgical complexity, the facial implant
procedure takes between 30 and 90 minutes.
The surgery is performed under local
anesthesia with IV sedation under general
anesthesia as an out-patient.
Fat Grafting - also know as
fat transfer, free fat transfer, autologous
fat grafting/transfer/transplantation,
liposculpture, lipostructure, volume
restoration, micro-lipoinjection, fat
injections, f/g and even the "Space Lift®"
is a surgical treatment which can correct
facial wasting in patients - including HIV+
infected patients. Fat Grafting or Fat
Transfer is a surgical procedure to remove
surplus fat cells and re-implant them in
areas where they are needed - to the lips,
nasolabial folds (mouth to nose folds),
under the eyes, cheeks, chin, and temples.
This procedure usually create a moderate
amount of swelling but can result in a more
youthful and healthy look.
Fat grafting is a controversial procedure.
It has been argued by some surgeons that
most of the fat is reabsorbed after transfer
and therefore patients require several
treatments. In addition fat grafting
requires an extra amount of time and
discomfort while the fat is being harvested
and processed. There are patients who
do report success with fat grafting for
facial wasting. Some of the
variables that may affect the success of fat
grafting include:
- fat cell removal techniques
- handling techniques after removal
- spinning/emulsions/serums/etc.
- re-implantation techniques
- patient's metabolism
- patient aftercare of treatment area
- vascularity (blood vessel formation to the
fat cell)
- hyperbaric oxygen therapy treatments
(HBOT)
Perlane® / Restylane® can
be used for restoring facial volume in HIV+
patients with facial wasting. Perlane®
/ Restylane® can also be used to augment
areas such as the cheeks and chin,
nasolabial folds, and for volume
augmentation of the lips. Both Restylane ®
and Perlane are gels that are injected into
the skin (cosmetic injectable fillers) with
an ultra-fine needle to lift and add volume
to the facial wasting areas being treated.
These injectables are similar to one of the
body’s own natural substances (hyaluronic
acid), both Restylane ® and Perlane ®
have been proven to be safe. These cosmetic
injectable fillers raise the skin and ‘fill
in’ the particular area being treated. The
results are immediate but temporary.
Restylane ® and Perlane ® are classified as
cosmetic fillers. While there are
numerous injectable fillers on the market
today, many of them have their drawbacks
ranging from potential allergic reactions to
temporary results.
The benefits of Restylane® and
Perlane®:
- No skin test is necessary. Allergic
reactions are almost non-existent
- Lasts up to 60% longer than collagen
fillers
- Clinical trials show that Restylane and
Perlane are effective for up to six months
Radiesse™ (formerly knows as
Radiance™) - Radiesse (Radiance) is
unlike any other facial wasting treatment.
Radiesse (Radiance) is a calcium based
filler used to restore facial volume to
areas that have lost their fullness.
Unlike temporary facial wasting treatments
that must be continuously repeated,
Radiesse™ (Radiance™) can last for years.
Radiesse™ (Radiance™) facial wasting
treatments are painless, quick, and provide
immediate results. Radiesse™ (Radiance™)
facial wasting treatments are performed as a
nonsurgical outpatient procedure in one of
Dr. Senderoff's Westchester or Manhattan,
New York offices.
Depending on the area treated, most of the
correction may last for several months or
years. Some touch-up treatments may be
necessary. What many patients like the most
about Radiesse™ (Radiance™) is that they
don't have to come back every couple months
for their facial wasting treatment -
Radiesse™ (Radiance™) is long lasting.
Radiesse™ can be used to fill out wrinkles,
scars, depressions, and most importantly
signs of HIV+ induced facial wasting.
The areas that respond best to
Radiesse™ treatments include:
- Naso-labial folds
- Sunken cheeks
- Temporal depressions
- Peri-oral lines
- Lips
- Depressed scars
- Oral commissures
What to expect after your facial
wasting treatment with Radiesse™
(Radiance™): No down-time. Immediate
results. The treatment site may have a
little swelling, which may last 24 to 36
hours depending on the area treated. There
may be some slight bruising at the injection
site, which can be covered with make-up.
Some of the benefits of the
Radiesse™ as a facial wasting treatment
include:
- Results are immediate
- No reported allergic reaction
- Radiesse™ is soft and remains pliable for
years.
- It is cost-effective because it is long
lasting.
SCULPTRA™ (also known in Europe as
New-Fill) is FDA approved to
treat facial wasting (lipoatrophy) in people
with HIV induced facial wasting. Sculptra™
is a cosmetic facial filler and is injected
into the skin for restoration and/or
correction of the signs of facial fat loss
(lipoatrophy) in people with human
immunodeficiency virus. SCULPTRA™ is a
synthetic injectable material which is is
biocompatible (a material that does not harm
the body) and biodegradable (able to be
broken down by the body).
The effects of SCULPTRA™ for facial wasting
are not immediate. SCULPTRA™ takes several
weeks to gradually correct facial
depressions. SCULPTRA™ is injected below the
surface of the skin in the area of fat loss
and provides a gradual increase in skin
thickness over time. Visible results appear
within the first few treatment sessions.
SCULPTRA™ helps improve the appearance of
facial wasting by increasing skin thickness
in the treated area.
If you have any additional questions
about these facial wasting treatments please
feel free to contact the doctor, Board
Certified Plastic Surgeon, Douglas M.
Senderoff at his Manhattan, NYC or
Westchester, New York office for a
complimentary consultation.