Wednesday, December 4th, 2013



An attractive face is characterized by smooth round contours, high cheekbones and a clean, well-defined jaw line. These features together comprise the ‘triangle of beauty’ or ‘heart of face’, with its base at the top and summit below.


As we age, facial fat loss, gravity and a decrease of the skins natural elasticity conspire to reverse this triangle’s composition. This results in a narrower, less youthful forehead and temple area, and a wider, heavier jaw line. Because the forehead and eyes lose padding, irregularities develop along with prominent veins. Once beautiful prominent eyes sink in to the sockets due to fat loss and atrophy of soft tissue enveloping the eyeballs.

Voluma™ is Allergan’s answer to more invasive procedures such as Dr. Lewis Obi’s larger volume stem cell concentrated fat injections (Adivive™). The advantage to Adivive is that 2 to 4 syringes of Voluma ($1500-$3000) may be performed in the office with minimal bruising and down time. This product was been used abroad for a decade and recently approved for use in the U.S. only this week. Allergan claims that results will persist for up to 18 months. Below are results after 2 to 6 syringes of Voluma™

voluma before and after voluma before and after

For larger and more permanent soft tissue enhancement of the face, it is my opinion that the only safe filler is the patient’s own processed fat. Three years ago this month, I was provided with the first U.S. FDA approved Lipokit™/Adivive™ Fat Processing System from Medikahn in South Korea. Since then I have treated almost 200 patients without complications and significant long term results. Volumes used range from 25 to 60cc with an average take of between 60 to 90 percent depending on enhancements. Fees range from $3500 to $6000.

voluma before and after

With the use of Platelet Rich Plasma (PRP) and stem Cell Assisted Lipotransfer (CAL), I have been able to enhance long term graft survival close to 90% (3 to 7 years).

lipotransfer machine voluma before and after

The addition of laser neck tightening (SlimLipo™) was the basis for the OPERA Lift-Obi Palomar External Rejuvenation Esthetics. Down time for most patients with Adivive averages 5 to 7 days and is performed with local anesthesia and minimal sedation. An important component of my face lifting procedures ha