Is it possible to combine Sculptra and fat grafting?

Dr. Dean Kane Q & A.

Q. Hello doctors ! My question: is it possible or profound to combine Sculptra and fat grafting for tightening and revolumizing the face?

A. ​The idea of volumizing and firming is the next page in the rejuvenation / regeneration story.

​For decades, many molecules have been added to fat to improve its survival. Maybe Sculptra will be that molecule.

​So far there have been no research articles on this idea but there should be. I use both injectibles and both stimulate the immune repair system to send signals to the fibroblasts either via a stimulator molecule, poly-L-lactic acid (Sculptra) or as stem cells (fat) to regenerate blood supply and produce collagen, elastin, hyaluronic acid and other youthful skin components.

Both injectibles do not work simultaneously so at this time, I recommend beginning with Sculptra to begin the revascularization and scaffolding. 1 to 3 months later inject the fat with anticipated greater survival and volumizing rejuvenation of the tissues.

Thanks for this question!

All the best!

Tea Time to Erase Time

Your Are Invited to: Tea Time to Erase Time: A President's Day Event with the Staff of Dr. Dean Kane 

Join Dr. Dean Kane’s staff at the Center for Cosmetic Surgery and Medi-Spa to enjoy tea time, a light lunch and learn about how to erase time with ZO Skin Health by Dr. Obagi, Face Peels, Laser Rejuvenation procedures and non-surgical procedures using injectables like Dysport, Botox, Fillers.
A great afternoon to enjoy a skin care workshop, watch demonstrations of live ZO 3 Step Peels, VI Peels, 24 K Golden Facials and the laser procedures of ClearLift to tighten and firm skin, IPL and Pixel to reduce red, brown and texture issues of your face and touch and feel all the skin products. You will have the ability to interact with the staff and have all your questions answered about your facial concerns.

All who attend will receive 20% off on any future service that is purchased at time of the workshop and 20% off Skin Care products. Enjoy a light lunch and tea service. Receive a special President's Day Gift.

Our Tea Time Event will take place on Monday, Feb 16th from noon to 3:00 at our office location:

1 Reservoir Circle, Suite 201, Pikesville 21208. Free and easy parking.

Must RSVP to 410-602-3322 or email Holly@DrDeanKane.com. We are looking forward to seeing you at our Tea Time to Erase Time Event.

Dr. Dean Kane Q&A – I would like to know if Botox would help in raising the scars (indented)?

Question from South Africa, ZA:  I would like to know if Botox would help in raising the scars (indented)? The scar is quite old. I would like to have it raised to the same level as the rest of my skin on my face. 

 Answer from Dr. Dean Kane, Board Certified Plastic Surgeon from Baltimore:​
Botox is a muscle relaxer and works cosmetically to reduce the creases, lines and wrinkles of facial expression. On rare occasion, a scar may tether to a underlying facial muscle and Botox may release the pulling effect but don't rely on this effect for a scar remedy.
​
​The attached photo is not visible so I cannot comment on it. 
​
​Every scar is different. Each person and each body or face site that the skin is cut or punctured will heal with a different quality of scar. 

Some are flat and thin but many are thick and ropey, red or pigmented brown.
Some pull causing a contracture or are lumpy. There are many different treatments depending on the quality of your scar(s) which I will address below.

When it bothers you, we may consider the following options:

1. Waiting for the scar to “mature” i.e. become soft and flat
2. Massaging the scar, using scar creams and silicone sheeting to soften it
3. IPL and vascular laser and light therapies to reduce the redness and ‘ropeyness’
4. Steroid injection to reduce the growth and lumpiness
5. Retinoids, hydroquinone skin therapy to reduce the thickness and pigmentation
​ ​6. Fillers and / or Subcision, a technique to cut the scar loose and fill the separation with filler or fat
7. Surgical removal and revision of the scar. 

A scar is permanent and many times becomes imperceptible. Time, of course will help scars improve.
​
​Please seek the evaluation and opinion of a well experienced Board Certified Plastic Surgeon to provide you your best options.
​
​All the best!