Non Surgical Procedures:

Fat Transfer

Dr. Clavin achieves permanent softening of the laugh and frown lines by injecting fat taken from another part of the body and placed into facial lines and furrows. Dr. Clavin also achieves great fat transfer results filling in hollow cheeks using the same technique. There are no scars, and the procedure is done comfortably under local anesthesia.

For more detailed information on Fat Transfer, please Click here to Dr. Clavin's Fat Transfer site. \

Here are Before and After photos for fat transfer:

Before Fat transfer         				            After Fat transfer

Before Fat transfer         				            After Fat transfer

 

Hand Rejuvination

I have been performing fat injections to a variety of locations throughout the body for well over 25 years. More recently, placing fat in the dorsal aspect of the hands for hand rejuvenation is becoming more in vogue. A variety of injectables are being used for rejuvenation of hands. I have found that, rather than using synthetic material, I prefer to use a person's own fat, which is called autologous fat grafting, to the hands. I use small amounts of fat and place it carefully with small needles over the dorsal aspect of the hands. Often, the patient prefers to have an anesthesiologist standing by in order to lessen the discomfort from the procedure. I perform the procedure in an accredited operating room facility, and it is done usually in multiple sessions spaced three months apart. It is best to use small amounts of fat on the dorsal or top part of the hand and do it in several sessions spaced, as mentioned, three months apart in order to get optimal results. I have been very encouraged by the results of hand rejuvenation using fat. When done properly in multiple sessions, the thin skin over the hand is rejuvenated to become thicker and younger, and veins and a variety of tendinous structures are more hidden, which is obviously more desirable than the atrophy or thinning that you see on the top portion of their hands as patients get older. There is some swelling involved postoperatively, but the patients have been so encouraged by the results that they come back for the second and third sitting to complete the process. Fat transfer is a very interesting and new approach to all types of rejuvenation. It seems that fat, when placed under the skin, actually helps increase circulation and thickness and youthfulness to the skin. We think this is because we are adding a layer of subcutaneous tissue which has been atrophying as people get older, and the fat actually adds to fat absorption, which happens to all of us as we age. I will continue to give proper informed consent to those individuals who wish to move forward and consider hand rejuvenation using their own fat taken usually from the abdomen or thigh area.

Fat transfer (Fat Injection Breasts)

I have been performing fat grafting for over 25 years with excellent success.  Fat injections  has worked beautifully for augmenting lips, laugh lines, frown lines, and defects throughout the body, including indentations from injections, trauma, or irregularities from liposuction.  Finally, with the blessing of research as well as the American Society of Plastic Surgeons, fat grafting is coming into vogue for augmenting breasts for reconstructive purposes, even irradiated breasts to help in skin tone and begin to soften scar tissue about the breasts.  Fat transfer to the breasts is nothing new.  It was done almost 30 years ago but was not encouraged, as it was felt that it might perhaps hide early detection of breast cancer using mammography.  However, more recent studies and information coming from a variety of sources have shown that this may not be as much a worry as it has been in the past.  In fact, there has been tremendous interest in transferring one’s own body fat from perhaps the hip or abdominal area to the breasts in breast reconstruction.  There are studies, in fact, encouraged by the American Society of Plastic Surgeons to further evaluate fat grafting to the breasts both using direct fat from another body area of that same individual to the breasts as well as fat stem cells to the breast area.

 I have noticed very encouraging early preliminary studies in my own practice of performing fat transfer to the breast area.  There have been encouraging results in loosening the skin and getting better skin texture and tone when putting fat under mastectomy scars or even under irradiated tissue.  In my own practice, I have been augmenting breasts either primarily or after removal of breast implants with fat with very encouraging results.  Candidates have to be chosen carefully and understand the procedure involved.  Usually, this is done over a 3-12 month period in multiple sittings.  The patient has to have good donor sites to take the fat from the abdomen or thigh area and transfer it in a variety of sessions to the breast area and allowing for adequate blood supply to surround all the fat cells and allow viability and growth.  Experience plays a significant role and, therefore, my 25 years of performing fat injections throughout the body with excellent results has made my transformation to applying fat, which is called autologous fat grafting, to the breast area with, as mentioned above, very encouraging results.  I usually like to perform the fat grafting over several sittings spaced three months apart.  The three months allows for the fat to get blood supply and, therefore, further sittings can be done on top of the older fat cells that were placed several months earlier.  Therefore, if a person is a good candidate after a thorough physical examination and informed consent, I will start the process.

Laugh Line Removal

Here are the before and after photos for this section:

Laugh line removal -Before	Laugh line removal -After [1 year later]
Laugh line removal -Before	Laugh line removal -After [1 year later]

LIP AUGMENTATION

Dr. Clavin achieves permanent natural enlargement of the lips by injecting fat taken from another part of he body and placed into the lips. There are noscars, and the fat grafting procedure is done comfortably under local anesthesia.

Here are the before and after photos for this section:

LIP AUGMENTATION Before	LIP AUGMENTATION After 1 year
LIP AUGMENTATION Before	LIP AUGMENTATION After 1 year
LIP AUGMENTATION Before	LIP AUGMENTATION After 1 year
LIP AUGMENTATION Before	LIP AUGMENTATION After 1 year

CHEEK AUGMENTATION

Here are the before and after photos for this section:

CHEEK AUGMENTATION - Before	CHEEK AUGMENTATION After 2 year

Frown Line Removal:

Here are the before and after photos for this section:

Laugh line removal -Before	Laugh line removal -After [1 year later]