Celebrities are sporting plump faces and full cheeks that don’t come naturally unless you’re in your twenty-something.

Dr. Samuel Lam performed her fat transfer and has written two books on fat transfer. He says patients fly in from all over the world for the procedure. Cutting and pulling is so 90’s.

There are several choices of facial fillers and if done correctly, fat transfer will last a very long time.

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Fat transfer and laser assisted facial photorejuvenation may go hand in hand to enhance the results.

In a recent article in Dermatology Times the following statement attracted our attention:
“Among U.S. medical applications, photodynamic therapy (PDT) ranks as probably the most important underused laser technology, says Jill Waibel, M.D., a dermatologist in private practice at Palm Beach Esthetic Dermatology & Laser Center, West Palm Beach, Fla., and a volunteer faculty member with the University of Miami Department of Dermatology.”

Our quick study of the issue revealed similar results. PDT has been widely adopted in Europe, where phyicians use PDT for skin cancer, ovarian cancer and other cancers. PDT has been known to prevent skin cancer and to successfully treat pre-cancers of the skin. The U.S. healthcare system spends billions of dollars annually to freeze actinic keratoses (AKs) or to excise skin cancers only after they’ve developed.

Additional applications for PDT include treating actinic chelitis, basal cell carcinoma, nevus syndrome, disseminated porokeratosis, acne keloidalis nuchae, pseudofolliculitis barbae and hidradenitis suppurativa.

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Blue light low power light is typically used in PDT. This type of lasers is not the main focus of our coverage, but we thought it is worth mentioning since this procedure is borderline with aesthetic lasers.

Arch Facial Plast Surg. 2005 Jul-Aug;7(4):251-5

Authors: Carniol PJ, Vynatheya J, Carniol E

OBJECTIVE: To evaluate the efficacy of treatment of established acne scars with a sequential combination of treatment using a 1450-nm, midinfrared, nonablative diode laser with dynamic cooling spray and 30% trichloroacetic acid peels.

METHODS: In this prospective study 9 patients with atrophic rolling, boxcar, or both types of scars received 4 monthly treatments using a 1450-nm, midinfrared, nonablative, diode laser with dynamic cooling spray followed by 2 bimonthly treatments with 30% trichloroacetic acid peels. Blinded evaluators and the patients rated the results.

RESULTS: The group of patients in this study had a greater improvement in their acne scars than has been reported for nonablative laser treatments by other authors. Comparing the results of treatment 2 months after the laser treatments with 2 months after the chemical peels, the patients had a greater improvement after the additional chemical peels. There were no complications in this study. The patients were able to continue all of their regular activities throughout the study.

CONCLUSION: This sequential treatment regimen using the 1450-nm, midinfrared, nonablative diode laser with dynamic cooling spray and 30% trichloroacetic acid peels produced a noticeable improvement in the acne scars without any associated morbidity.

PMID: 16027346 [PubMed - indexed for MEDLINE]