August 21, 2016

Injections to loose double chin


 I have been going mesotherapy for face rejuvenation, hydration, scalp & hair regrowth as well as lipodissolve therapy for stubborn fat since 2005, and am always trying new solutions to improve on the outcome and results for patients. Most recently was the launch of a new "cocktail" by Italian co PromoItalia for the reduction and disappearance of double chin.

I went with a bit of skepticism and curiosity as already I have a good solution for this area. I found that the new  product called Celluform+ is even better in terms of effectiveness and side effects.
This double chin Lipodissolve therapy gives results after just 1 session upto 3 sessions for more fatty neck. And it's other special ingredients including arnica Montana helps to reduce swelling and bruising. 

The demo was conducted on a gentlemen with moderate severity. 
First the danger zones are outlined where injections should never be given. Then using a special grid , injection points are marked. This ensures the precise area to be treated while avoiding potential complications. 
Treatments are conducted 30days apart and may range from 1 upto 3 times depending on individual requirement. 
Before and after 2 sessions. 

Before after 2 sessions only

The best part about this product is not only that it is effective in just a few sessions, visits are just once a month and it is not painful with barely any downtime!

I am excited to try this procedure and to offer this treatment at our clinic. The results can be as good as a liposuction conducted in this area but without the risks and complications involved. 

I will conduct this treatment at our Aesthetic Clinic in KL and PJ. Call  1300-88-1788 

#doublechin #chinreduction #slimjawline #submentumfat #reducechinfat @drsutina @enhanze @sutinanordin #enhanzemedispa @promoitalia #celluform #nonsurgicalbeauty #medicalaesthetics 




August 20, 2016

Relaxing botanical Skin peel

Today we had a video shooting of a facial treatment called the Micro Retinol Peel. Made of plant botanicals this peel treatment consists of glycolic acid, lactic acid andsalicylic  acids in concentration that's lower then medical grade peels but higher then beauty salon peels. https://instagram.com/p/BJRmhmlAA3j/

Our Malaysian Singing Diva Nora Arrifin wanted to try this out in preparation for her upcoming reality show so we did it for her. She wanted something that would give her skin a glow and brightness but without any downtime. The Micro Retinol peel is very comfortable to undergo and in fact can be very relaxing as it comes with very nice facial massage.

Nora enjoyed it so much , she even dozed off for a few minutes!
The MicroRetinol peel can be conducted on any skin type, by both men and women and of any age group. It has no downtime and is best for those who want to brighten their skin, even out their skin tone , or reverse any photo damage, or just to maintain a healthy skin especially for those without any problems to start with. For best results we recommend  a protocol of 5 sessions at 2 week intervals with usage of the Micro Retinol moisturiser daily after each session and the Micro Retinol serum a week before each peel session. This will give the best results. 
If you'd like to experience this treatment , and you should come and over to the Enhanze MediSpa or call 1300-88-1788 and ask for the Luxury Micro Retinol Botanic Peel.  


July 12, 2016

Beauty Booster - Skin Redensification and Skin Glow

It is not just the passing of time which causes the appearacne of first wrinkles on our faces and the loss of skin glow. An unhealthy lifestyle associated with other factors, such as unbalanced diet, sun exposure or cigarrette smoking affects the skin's appearance and quality too.
Teosyal Pure Sense Redensity 1 is the Beauty Booster that deeply moisturizes and produces a glow for luminous and smooth skin.



Redensity 1 is an exclusive patented formula that comes w a high concentration of HA and a cocktail of essential nutrients (amino acids, anti oxidants, minerals and vitamin B6), all naturally present in the skin.
This unique mix acts in the hydration, tissue restructuring, cell regeneration and anitoxidant protection. These meet the expectation of wqomen who want to delay the appearance of wrinkles. It is also the answer for more mature patients who wish to maintain and magnify the effects of their aestehtic treatments.

It is also ideal for those who want injections on specific occasion to rehydrate and give a new glow.

Redensity 1 does its beauty boosting by acting from the dermis up to the skin's surface with natural, visible and scientifically proven results.

For optimum treatment, it is recommended to follow the complete protocol, 3 sessions at 3 weeks intervasl, and then to extend the effect and maintain the results with 1 session usually 3 times a year. To enhance on a daily basis, RHA Serum allows an extension of benefits.
For skin redensification or in prevention of the signs of aging, REDENSITY 1 is a deep,boost for the face, neck and neckline.

#luminousskin #beautybooster #skinbooster #beautifulskin #skinglow

Beauty Booster

It is not just the passing of time which causes the appearacne of first wrinkles on our faces and the loss of skin glow. An unhealthy lifestyle associated with other factors, such as unbalanced diet, sun exposure or cigarrette smoking affects the skin's appearance and quality too.
Teosyal Pure Sense Redensity 1 is the Beauty Booster that deeply moisturizes and produces a glow for luminous and smooth skin.


Redensity 1 is an exclusive patented formula that comes w a high concentration of HA and a cocktail of essential nutrients (amino acids, anti oxidants, minerals and vitamin B6), all naturally present in the skin.
This unique mix acts in the hydration, tissue restructuring, cell regeneration and anitoxidant protection. These meet the expectation of wqomen who want to delay the appearance of wrinkles. It is also the answer for more mature patients who wish to maintain and magnify the effects of their aestehtic treatments.

It is also ideal for those who want injections on specific occasiona to rehydrate and give a new glow.

Redensity 1 does its beauty boosting by acting fr the deris up to the skin's surface with natural, visible and scientifically proven results.

For optimum treatment, it is recommended to follow the complete protocol, 3 sessions at 3 weeks intervasl, and then to extend the effect and maintain the results with 1 session usually 3 times a year. To enhance on a daily basis, RHA Serum allows an extension of benefits.
For skin redensification or in prevention of the signs of aging, REDENSITY 1 is a deep,boost for the face, neck and neckline.

#luminousskin #beautybooster #skinbooster #beautifulskin #skinglow

June 24, 2016

Stem cells formulated from umbilical extract

Today I was introduced to a new product called Calecim. What's unique about it is it is formulated from umbilical cord extract making it human derived cells and and as close as one can get to human cells.




I was told it is best applied after a laser or micro needling procedure. So I decided to try it out. After listening to a short presentation by the founder of CellResearch who help discover and patent Calecim, we proceeded to have a QS Nd-Yag laser skin rejuvenation done. Immediately after, The Calecim Serum was applied equally to all 4 zones of my face. The serum is cooling and very soothing to the skin. My nurse, who had learnt the technique for its application, massaged it in very nicely and systematically. It felt pretty nice, I must say. 

I continued applying the serum that same night and again the day after. After that I continued with the cream extract which I am supposed to continue applying for the next 2weeks to 2months.
The very next day 2 of my patients asked what I had done as my skin looked firm and radiant!
Now that's what I call fast and effective!

This product was discovered in 2004 when scientists at CellResarch lab in Singapore made a scientific breakthrough and discovered a new source of proteins and nutrients in the Umbilical Extract.
The solution called Calecim is a cosmeceuticals solution that seem to visibly fight the signs of aging.
In the study that was conducted, it was found that Calecim Peofessional solution as it is known, was able to visibly repair skin, restoring elasticity, firmness and overall skin healthy appearance.

The Calecim Professionalserum contain solution which is 80% concentration of umbilical extract.
I was told that Due to the high concentration of cells in the serum, it is able to supply skin nutrients that aid and boost the restoration of my skin renewal cycle in just 4weeks!
Their scientists call this the "skin cycle reset" - where their umbilical extract conditioned media actively provides our skin with proteins to restore our skin to a more youthful state. So Calecim, accordingly, gives our skin a natural, luminous And youthful glow, by first creating a healthier skin environment.
We are now making Calecim Stemcell serum available in our clinic and we formulated programs combining it with our lasers ablative and non ablative including Mosaic laser, fractionated CO2 laser, QSwitch laser, Pixel laser as well as with fine micro needling.
For best results I definitely recommend the program of in clinic treatment, continued with home based serum application and finally the Calecim multiaction cream (MAC) for maintenance.
Call our clinic at 1300-88-1788 for any booking. 

#skinserum #antiaging serum #stemcell in bottle 







 

May 22, 2016

The new PICO laser technology

Was in Korea with some Drs from Malaysia and Singapore for a visit to the Lutronics Head office. Lutronics is a major Korean laser maker and is the largest in Asia. This trip was to showcase and introduce us to their new technologies especially the new PICO current laser. 
It was a whole day of lectures and demonstration by their appointed Drs to share their experience using he devices over the past 6minths or so. 
With DrYoon, first Dr to ties the new PICO laser by Lutronics
The new EnCurve by Lutronics. Selective RF technology similar to Vanquish to melt fat. 
Whoever interested get to try it out. Here with my respected colleague fr Spore. 
Everyone fully focused on the screenss.





Growth Factors for Hair

For those whose scalp hair is thinning , one of the treatment modalities is to infuse the scalp area with hair-specific micronutrients or hair vitamins. Even better if the micronutrients can be given along with growth factors. The best type of growth factors of course are human growth factors or hGF as the scalp skin will receive it well and the hair follicles will recognize the cells. In or to get hGF, it has been popular to use PRP which is acquired from the patient's own blood. But sometimes, it is difficult to get enough PRP fr patient due to difficult intravenous access, or patient just do not want to have a venepuncture done. So another source of hGF is now available . Acquired fr the foreskin of circumcised babies, this hGF is formulated for hair regrow th, skin Rejuvrnation and vaginal Rejuvrnation. 
I tried it out for one of our staff . This is how it is done:
1. The Dermastamp is prepared. Dermastamp is a device that has fine needles of different lengths on it's surface which then used to "stamp" the scalp skin. For the scalp skin, the 0.8mm needles is used. 
2. Photo of top of head is taken to record  the condition before treatment

3. The affected part of the scalp is tackled first. The hair is carefully separated to expose as much skin as possible
4. The stamping is begun along the hairline and on the skin where the hair is separated. A 50% overlap is done. 
5. The hGF solution is then applied a little bit at a time immediately into the "stamped" area. A firm rubbing or massaging of the area is done immediately after to ensure absorption and no dripping of excess fluid. 
The protocol is weekly session for 10weeks. 
There is a lot of science behind growth factor stimulation for skin and with this available there is less pain and a lot more convenience for the patient. 






Double Eyelid without cutting



Having Double eyelids is the craze in Korea, and Malaysians with "Asian" or Oriental eyelids are also demanding the same. Prior to this the only way to achieve double eyelids is through surgery.  Now Plasma soft surgery will enable me to deliver the same effect without the downtime and complications of cutting. 
2 renowned Korean surgeons have perfected the method to do this with the Plexr Plasma device. 
The results are pretty impressive




Soft Surgery for Upper eyelid lift

Now there is a new term " Soft Surgery" where no actual surgery is conducted but treatment results equate a surgical outcome. 
Soft surgery is the term used for treatments by Plexr Plasma and Vibrance  Needle lift. I attended a training session with DrSotiris In Athens, Greece in April for a comprehensive training on the techniques and methods using these 2 new technologies. His detailed explanation and meticulous demonstrations enabled us to adopt his method to deliver very precise results. 
Plexr uses plasma technology to "ablate" the superficial layer of ski i.e. the epidermis. This process of sublimation is able to cause contraction of the elastin fibers in the skin making the treated skin contract. In the case of wrinkles and line this contraction allows for its disappearance and reduction while skin looks taught we and smoother. For the upper eyelids where there is substantial fine lines, wrinkling and also drop pines, this soft surgery is able to allow enough contraction to open up the eyes, lift the upper eyelid and even take away the "hooding". 
It is found after 3sessions most patients can achieve almost 70% improvement and look as good as if urgent had been done!
I found this to be true when I tried it out for 8 patients before leaving for Athens. 
I am very excited to start conducting more and more of this procedure as the results are great and cost of procedure is reasonable so my patients can afford to have this done rather then surgery. 

April 9, 2016

ZO Skin Health Solutions

Solutions that create Healthy Skin

Dr.Zein Obagi have defined the concept of skin health over the past 3 decades when he developed the Obagi Nuderm system and now the ZO Skincare Solutions, the next generation off therapeutic skincare solutions.

Under guidance of the renowned DrZein Obagi, a wide spectrum of therapeutic  treatment protocols for everyone regardless of their skin condition, age, gender and ethnicity. Based not he latest advances in skin therapy technologies and using biotechnology complexes, plant stem cell components, and multi-therapy delivery systems, these products n programs are optimized for each person's specific needs.

The Obagi Definition to Healthy Skin
Smooth
Strong
Firm
Even-toned
Hydrated
Disease-free

Vaginal laxity & Sexual enhancement with Viveve


Vaginal laxity.
Just like our skin, the vaginal tissue is made up of an inner support network of collagen fibers. During vaginal delivery Andover time, thee tissues can become stressed, stretched, and weakened. This can create a feeling of looseness, especially within the vaginal opening.

In a survey conducted of over 4000 women who had vaginal deli vies, nearly half reported concern with vaginal loosens, or laxity. These women also notice they feel less sensation and sexual satisfaction with intrcourse.

Viveve is a sensational solution for a common sexual concern.
I had the opportunity to try it out the other day and due to its ease of conducting the procedure, patient comfort and unique technology requiring only 1 treatment session for affect.

So what is Viveve treatment?
It is not a cosmetic procedure. It is not about how you look, but rather how you feel. It is a painless,  non-surgical , medical treatment perfoermed in our medical clinic that can increase the amount of plesurable friction and sensation during intrcourse. This is because it works at the cellular level to tighten the tissue at the vaginal opening from within, gently and gradually. the Viveve treatment takes 30 mins with no anesthesia and no downtime.

Who are good candidates?
For those who feel there has been a change in how "snug" you feel during intrcourse , or in the amount of physical sensation you experience during your partner's penetration which then Affected your degree of sexual satisfaction, Viveve is for you. if feelings of looseness or laxity are affecting your sexlife, the Viveve treatment may help.

how does it work?

at the beginning of the medical procedure, a small , smooth treatment tip the size of your thumb will be inserted jus tin side the vaginal opening. The tip is then rotated round the opening alternately cooling the surface tissue and gently hating the tissue beneath.
Viveve tissue reacts to the heat by triggering the body's own natural cellular processes to cute healthy, resident new collagen and elastin within the tissue.

Vivieve's dual hating and cooling capability triggers the body's wn natural regenerative process that leads to anew and stronger collagen, while maintaining safety and comfort.

Does it hurt?
NO. Some patient sell me a cooling sensation, others note a warmth, but virtually all agree the procedure is painless.

Is it safe?
YES. The radio frequency energy used in this treatment has been used for over a decade in treating the skin on the face, neck and hands. Clinical trials have demonstrated the safety of this later application. Of course as with any medical procedure, three are safety and care considerations which I as your attending dr will review with you.

What kind of results to expect?
With just one treatment, the regenrative process is initiated, but the full effect will build up gradually over time, usually between 30 and 90 days.
In the clinical trials conducted, 90% of the women treTed reported significant, sustained tightening at 12months after treatment, with an average improvement of 68%.

January 21, 2016

Age-Defying Beauty Secrets using Non-Invasive techniques

1. Botolinium injections or BOTOX
 Botox and Dysport  is a purified substance derived from bacteria Botolinium Type A. Injections of botolinium toxin block muscular nerve signals, which then weakens so it can't contract. The end result is diminished unwanted facial wrinkles or lines. Botolinium injection (BTA) can be used to help smooth crows feet, forehead furrows, frown lines, and skin bands on the neck ( plantsman bands). The action of BTA injections lasts for 4-6 months but regular use of it every four to six months can help to reduce the appearance of wrinkles and help obtain a smooth and youthful appearance. 

2. FILLERS
Filler injections help to finish facial lines and restore volume.and fullness to the face. As we she, our face naturally lose subcutaneous fat ( fat under the skin). The facial muscles are then working closer to the skin surface, so smile lines and crows feet become more apparent. The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity, and lifestyle.
Fillers can be used to plump this lips, enhance shallow contours, soften facial creases and wrinkles, and improve the appearance of recessed scars. Filler injections can be very helpful in those early signs of aging, or as a value-added part of facial rejuvenation program. 

3. PRP (Platelet Rich Plasma)
Platwlet -rich plasma is , as the name suggests, blood plasma that has been enriched with platelets. PRP takes on the form of a viscous gel containing high levels of several Platwlet-derived growth factors that may then be injected into the face I much the same way as other dermal fillers for facial rejuvenation. About 10ml of blood is taken from the patient and is processed to separate the plasma rich in Platwlet. This is then injected to various parts of the face and neck for rejuvenation and enhancement. 

4. FAT INJECTIONS
Fat injections uses fat harvested from the person's own body which can then be reinjected to several areas in the body  to enhance the appearance. 
Fat injection can be given to any part of the body where volume is deficient. Vommon areas include face ( cheeks, lips, chin, nose, forehead) , breasts, buttocks, depressed scars or cavities and chronic wounds. 
Fat injections require a more extensive procedure then "off the shelf" soft tissue fillers. An appropriate "donor area" must be determined (usually the abdomen and thighs) and using a specialized technique for liposuction the fat is extracted together with its stem cells. The harvested fat is carefully processed and transplanted to the desirable sites.

5. THREADLIFTS
Face and neck can be shaped, and it's skin can tightened and  lifted using special threads to restore the facial contour and youthful appearance. The threads used can be fine PDO threads or thicker and stronger threads made of oily lactic acid. Some may have cones or cogs along its length to give more "hold" within the skin as well as to cause stimulation of collagen and fibroblast cells. 

Fat Injections

Fat injections uses fat harvested from the person's own body which can then be reinjected to several areas in the body  to enhance the appearance. 
Fat injection can be given to any part of the body where volume is deficient. Vommon areas include face ( cheeks, lips, chin, nose, forehead) , breasts, buttocks, depressed scars or cavities and chronic wounds. 
Fat injections require a more extensive procedure then "off the shelf" soft tissue fillers. An appropriate "donor area" must be determined (usually the abdomen and thighs) and using a specialized technique for liposuction the fat is extracted together with its stem cells. The harvested fat is carefully processed and transplanted to the desirable sites. 

See also breast lipo transfer, face lipotransfer, adipocyte derived stem cell

January 12, 2016

Andropause - hormone supplementation

Andropause
And topside is the result of low testosterone and is a natural part of male aging, due to a decline in testicular ( as in ovarian in females) function. Also known as "Male Menopause" , it is the counterpart of Female menopause.
Testosterone or T levels in men remain relatively constant until about age 50, at which time they begin to fall slowly. However the decline in male hormone production is much more gradual then the decline in female hormones production. 

Symptoms of Andropause
Decrease in libido 
Decrease in erectile dysfunction
Decreased energy & strength
Increase body fat
Loss of muscle mass
Enlargement of prostate glands
Osteoporosis
Depression
Inability to concentrate
Loss of enthusiasm
Reduced mental agility

What is Testosterone?
Testosterone is the primary make hormone. It is found in all men, women and children.  Testosterone is made in the restocked, ovaries and adrenal glands. It is also found in brain tissue.

Testosterone is a vital sex hormone. In men testosterone is produced mainly in the testes , which also produce the dperm. The amount of Testosterone produced is regulated by the hypothalamus and the pituitary gland. Testosterone is s powerful anabolic hormone essential for the development of muscles, bones, skin, and sex organs. 

Men with low T ( hypogonadism) are given T replacement therapy to enhance their libido, decrease their heart disease risk, increase their lean body mass and prevent osteoporosis. Testosterone may also lower total cholesterol, and decrease insulin resistance. 
As men age the balance between testosterone and oestrogen changes, tilting towards more Oestradiol production. The hormone responsible for stimulating testosterone is LH( lureinizing hormone).  Excess Oestradiol may decrease LH level n therefore the level of Testosterone.
( the average 60year old male has more circulating oestrogen in his bloodstream then the average 60year old female!)
The conversion of testosterone to Oestradiol is influenced by the enzyme aroma taste. Both testosterone and androstenedione are both aromatic able to Oestradiol. So if levels of oestrogen is elevated, it is possible to block aroma taste activity, to reduce the chances of testosterone given converting to even more oestrogen. A Natural aromatase inhibitors in the market is chrysin. 

How is testosterone deficiency treated?
Testosterone deficiency can be treated by intramuscular injections, testosterone patch, or testosterone gel.

What is Testosterone Replacement Therapy? (TRT)
TRT is necessary only if Testosterobe levels are below normal. There 2 forms of testosterone in the human body : the Toral or bound Wstosterone (TT) and the Free Testosterone (FT). FT levels can be detected by simple saliva or blood testing. Over 75% of T in saliva is the FT form. FT drives is the normal sex drive in both men and women. 

Why is TRT important?
Testosterone is the most important hormone in the male body. Without normal levels of testosterone it is impossible to look and feel like a man!

What are the normal level of testosterone?
Male 300-1,000ng/dL 
Female 20-80ng/dL 

How is low testosterone treated?
TRT can be done in a variety of ways. Injectable testosterone is administered every 2-4 weeks or testosterone patches n gels can b used that deliver hormone transdermal lr or through the skin by wearing a patch or applying a gel to the arm, leg or buttocks.

Does a man need testosterone replacement?
As a man ages,his testosterone will naturally decline. Testosterone is the hormone that retains a men's mental focus, his energy, his metabolism and muscles as well as keeps fat in check and bones strong. 

For a consult on TRT and to discuss further your Andropause possibility , I can be contacted at our centre toll free no 1300-88-1788







January 5, 2016

Lifting Thread Lift


Duolifting is another technique using PDO threads with barbs or cogs to hold and lift the facial skin wihout surgical cutting. Using the barbed threads, these threads are inserted under the skin under local anesthesia.

What is DuoLifting?
DuoLifting is the use of absorbable threads in pairs to help lift the facial skin

How is it done?
The skin is anesthesia end with some topical numbing cream. Then tumescent anesthesia is given throughout the area where the Duolift threads are to be inserted. Duo threads with barbs are then inserted from above the hairline going down to the mid and lower face in order to lift the laugh lines and droopy cheeks. For each barb thread another thread with "clutch" is then inserted next to it to help strengthen the hold of the skin by the threads. The no of pairs inserted depends on how much hold is required and wether the patient wants to V shape her face or to lift her sagging skin.
For those who need more lifting, threads are also inserted from the mid face area right down to the jawline. Results, despite the swelling and potential bruising, is immediate. 

DuoLifting is similar to MINT lifting. Both are conducted by me in our centers and is a outpatient day procedure. They are available at our clinic in En-Hanze Centre as well in Global Drs Aesthetic Clinic. 

Call 1300-88-1788 for appointment if you are interested.
www.enhanzeclinic.com
#threadlift #skinlifting @enhanzeaesthetics 
FB www.facebook/EnhanzeAesthetic 

January 1, 2016

Loose 4cm in 1 session with Ultrasound






Lipo sonic your fat anyone? Lipo = fat , Sonic = ultrasound energy
Liposonix is the groundbreaking equipment using High Intensity Focused Ultrasound (HIFU) technology to melt and destroy fat permanently without surgery. 
I was impressed with this technology as I realized many people are looking for less invasive, non surgical methods for fat reduction with no downtime and preferable minimal no of sessions. I like the idea of only 1 session to get 1 size reduction. So, despite already having a no of technologies for fat reduction, we decided to add Liposonix to our range of body sculpting devices. 

Using the same concept as TURP or focused ultrasound to blast kidney stones without surgery, liposonix focused ultrasound is thus made specific for the human fat. 

How does it work?
A handpiece applicator that transmits the high intensity focused ultrasound (HIFU) waves is applied onto the target area, usually the abdomen or tummy. No general or local anesthesia is required. 


1. High-intensity ultrasound energy is focused on the targeted fat. 




2. The skin is not harmed as fat tissue beneath the skin is permanently destroyed.

3. The body then naturally removed the treated fat, leaving you with a thinner waistline.

Spots of melted fat 2 inches below skin surface. 


Results are seen as early as 2 weeks after but usually 4-8weeks later due to time it takes for drainage of the melted fat and skin retraction to occur. 

The results , if conducted with enough "shots" and ultrasound energy delivered can be as good as or sometimes even better then liposuction or surgical liposculpture. 

It is definitely exciting to have new technologies and techniques. In an era where obesity is on the rise and appearances matter so much more, having a well sculptured and trimmed looking figure matters. Liposonix allows people an opportunity to look better and trimmer in just one sitting without the need to take off from their routine. It is s definitely must have device in our aesthetic practice.  

For those interested to get a liposonix treatment or want to know more please call our En-Hanze Body Clinic & MediSpa at 1300-88-1788

#liposonix #KLlipo #fatteduction #malaysialiposonix @enhanzeaesthetic







Transfer purified fat to breasts and face

Lipotransfer or fat transfer to breasts is now becoming a popular request in my practice especially among young women with small breasts who do not desire surgery for breast augmentation and older women with post pregnancy loss of volume causing deflated looking breasts and sagging breasts. There is also an increase need for filling of the face to recreate a 3D effect which fats can do better then synthetic fillers. 
Lipotransfer or Fat Grafting has been conducted worldwide since many years ago but the processing of the harvested fat was very tedious and time consuming. And if the harvested fat is not purified properly or adequately, the implanted fat will degenerate very fast making its effect last only 9-12monrhs, similar to implanted  hyaluronic acid fillers. With better purification of extracted fat, the implanted fat lasts longer ie upto 5 years and has a higher survival rate in recipient site. 

In Nov 2015, I was in Tokyo Japan for a short course on Fat Grafting and Lipotransfer using the Puregraft. Puregraft is a device that enables the purification of harvested fat without the need for centrifugation which is traditionally  done. It uses a special filtration system that enables the fat graft to go through but traps any debris, fibre and unwanted agents within the graft. 


The training was conducted by Prof Yoshiro Kamakura at his classy Shishin Aesthetic Surgery Clinic right in the heart of Roponggi Tokyo. Roponggi was so happening at this time of year as it was Halloween weekend.

It started with a brief lecture on principals of fat grafting and transfer to breasts as well as the advantages of using Puregraft to purify the extracted fat before transferring. This is as opposed to the traditional method of spinning the fat to separate it from the oil and anesthetic fluid as well as debris.



Puregraft enables the fat to be cleansed and purified without centrifugation and can be transferred a lot faster then traditionally. The purified fat allows for longer lasting fat graft. If previously lipotransfers fat effect lasted 9months to 2 years, with Puregraft it could last upto 5years. 
Method :
1. Local anesthesia is given in the form of tumescent to the areas where fat is to be harvested. These are usually the tummy, inner and outer thighs and sometimes upper arms. 

2. Harvesting  of fat is conducted after several minutes and once the local tumescent anesthesia has taken effect.  


3.  A nurse helps to sort out the fat grafts while DrKamakura continues his fat harvesting.

The Puregraft 800 bag is positioned properly ready to receive the extracted fats.

4.  Once the pinkish yellow extracted fats were put into the Puregraft bag, it only takes 10-15 min for the process to complete. DrKamakura's skill in fat extraction is superb. 

5. The purified fat is then transferred back into 60cc syringes , ready to be implanted into face or breasts. In this case it was for breasts. 

6. It is important to know the anatomy of the breasts to ensure the correct level of placement of the puregrafted fat.

7. Local anesthesia is also given to the breasts first. The fat graft is then gently placed into each breasts using special curved instruments. 

The breasts really looked beautiful and natural after the procedure was complete. The best part is it also felt natural!

After a we finished , we went for a good traditional Japanese dinner with the team where certificates and gifts were presented. What a fun and fruitful day it was. I am excited to perform fat grafting using this Puregraft technique back in Malaysia. 


#fatgraft #lipotransfer #fat to breasts #breastaugmentation #3Dface #KLaesthetic @enhanze @enhanzeaesthetic











See the Beauty of Sound - Ultherapy

 I have been conducting Ultherapy for face since 2012. 8 out of 10 patients are very happy with the outcome. There has been no serious com...