There are several sources of stem cells. The first source is the person’s own fat, which could be transferred from one body part to another. Facial fat/stem cell injections not only build volume but smooth wrinkles and improve skin quality and color. Fat is suctioned from undesirable deposits in the arms, waist or thighs and purified. Fat may also be harvested from the cheeks, jowls and below the chin. This results in a mixture of fat and stem cells which increase volume and improve contour and skin quality for many years. Another source of stem cells is fat-based fillers, such as Renuva or AlloClae. This is donor-harvested fat that can be injected in various part of the body to restore volume and rejuvenate the appearance. These fat-based fillers can be injected on their own or in conjunction with the patient’s own fat.

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A facelift usually involves the removal of excess facial and neck skin, with tightening of underlying tissues and the re-draping of the skin. The technique has evolved from short incisions in front and behind the ears to longer incisions into the temple and neck hairline including elevating the muscle deep to the skin and the tissues overlying the facial bones. With the advancement of endoscopic techniques twenty years ago we are capable of performing face and brow lifts through shorter inconspicuous incisions in the hairline or inside the eyelids. The muscles and deeper tissues are thus elevated, stretched and sutured into position with special sutures. Not only does this decrease the visibility and shorten the scar, it also diminishes the likelihood of loss of sensitivity and diminishes swelling. Internal threads when used in conjunction with elevation of skin and muscle help to prolong and improve the results of face and neck lifting. Bruising, swelling and pain are minimal with patients looking greatly improved upon leaving the office. The procedure is technique dependent and of great value due to the avoidance of deep anesthesia and the years of lasting improvement. When injected with fat, lips however do swell for three days due to the typical need for lidocaine (local anesthetic) injection.