Injectable fillers are one of the most popular facial rejuvenation techniques. As a person ages, our tissues begin to sag due to the effects of gravity, sun exposure, diet, genetics, and years of facial movement and expression. All these factors contribute to the development of lines, wrinkles and folds in the face..

Modern day fillers give shape with the body's own natural material called collagen or hyaluronic acid. They bind water in your skin, to lift and give new firmness. After injection, the gel binds water and generally remains for many months. One of the great advantages of temporary fillers is that they are long-lasting but not permanent. .

How long a treatment holds its effect is very individual. This depends on many factors, such as your age, skin type, lifestyle and muscle activity, as well as the injection technique. Once fully absorbed the gel disappears unnoticed from the body. .

Most patients choose to have a follow-up treatment six to twelve months after an initial treatment of wrinkles or facial contouring. After lip treatments, a follow-up is normally needed after about six to nine months.

Permanent fillers are also available to correct contour defects of the face and body, especially for plumping up the lips. These materials do not get absorbed by the body and therefore have a long lasting effect.

Repeated facial movements such as frowning, squinting, laughing etc. form lines known as dynamic wrinkles. These are commonly seen around the eyes, forehead, and mouth, and may give the appearance of advancing age. Botox works by relaxing the muscles that cause dynamic wrinkles giving the face a rejuvenated appearance. The procedure is so simple and quick that patients can have it done in their lunch hour, and go back to work immediately after.

When injected by a trained doctor, the procedure takes just a few minutes. The wrinkle-smoothing result can be seen within days, and can last for 3 - 6 months. It is a simple, noninvasive treatment that gives more relaxed, refreshed, and younger-looking faces.

Specific areas can be targeted for Botox treatment, such as ‘Crow's Feet' around the eyes, drooping eyebrows or the deep lines around the mouth. .

Botox can also be used to reduce excessive sweating of the hands and armpits.

As we begin to age our tissues become weak, we lose subcutaneous fat and the underlying support structure becomes lax and begins to sag. Sagging is seen earliest around the cheeks, eyes, brows, the jowls, and neck creating a longer and older-looking face, with blurred or softened jaw lines.

The Threadlift procedure is a minimally invasive procedure that utilizes sutures to mechanically lift the skin. It is most commonly used in the face and neck to correct signs of early ageing, although it can be used to lift sagging breasts and buttocks. It is usually done under Local anaesthesia and IV sedation, or entirely by local anaesthesia as a day care surgery.

Threadlifts are done using absorbable or permanent threads, and can make you look upto ten years younger. The effect of a threadlift usually lasts for 2 – 3 years, after which gravity and age begin to catch up with you again. Threadlifts with absorbable threads can be repeated if necessary.

Fat injections are also very useful to fill out aged sunken areas of the face and body, and restore the volume of youth. The fat is first removed from an area of your own body, processed and reinjected into areas that are depressed.

Fat injections are mostly used to augment the breasts, lips, and cheeks, and to correct any depressions or asymmetries. Fat injection can give a much longer lasting effect than temporary fillers.

The Fat can be mixed with Stem cells, also derived from your fat and the combination gives a better, longer lasting look.

Fat Grafting

  • Fat grafting to augment the breasts, cheeks and lips has been done for the last 2 decades.
  • The procedure has not been very popular because of the problem of fat resorption, i.e; the volume of fat that is grafted reduces with time. This would lead to having to graft upto 50% more fat than desired as the final volume, with it’s accompanying issues such as stretch marks over the breast, etc., or having to do repeat touch-up procedures..
  • Also, if a patient put on a lot of weight, the grafted areas would also become bigger or lumpy.
  • Of late, technological and procedural advances have led to a much better rate of fat survival.
  • The advent of technology like the Vaser, which is significantly less traumatic to the harvested fat has improved the outcomes.
  • Further, early studies are showing that mixing harvested fat along with adipose-derived Stem Cells markedly improves the survival rate of transplanted fat. This is known as Cell-Assisted Lipotransfer or CAL.
  • While there have been no controlled studies to show that there is no correlation between CAL and breast cancer, this procedure is currently not advocated for people with a family history of breast cancer.
  • The advantages are that there are no scars, minimal downtime, the ‘feel’ is more natural than Implants, and, most importantly, there is no rejection of the fat by the body, as it is the patient’s own fat. Also, an additional plus point is that you will lose some fat from an area which you choose!”

Nanofat Therapy

Fat is harvested from another region on your body, usually your tummy. It is then processed and injected under the skin of the face. This causes a rejuvenation effect to the face and hands, especially, and the quality of skin improves greatly, leading to a younger look. It is used to reduce under-eye dark circles as well. Microfat grafting is done to restore lost volume, without any scars.

After a facelift, there may be a certain amount of bruising and swelling visible in the skin, depending on the procedure you have undergone. You may have a compression garment around the sides of your face to minimize post-operative swelling and bleeding.

Your face will be sore for 3- 4 days, and you will be able to resume work in a week or so.

You have to avoid exposure to direct sunlight for at least one month afterwards to minimize pigmentation of the scar.

Wound healing is an intricate mechanism, a cascade of events that culminate in the formation of a scar. Platelets, derived from the blood, play an important role in the early phases of Inflammation. They play a role in homeostasis, through cell membrane adherence, clot formation and the release of growth factors and cytokines that promote tissue repair.

Growth factors and cytokines are naturally occurring substances that stimulate the growth and proliferation of specialized cells such as fibroblasts, keratinocytes, melanocytes, endothelial cells, myocytes, osteocytes, chondrocytes, osteoclasts and mesenchymal cells.

They are found in the natural state within α granules of the Platelets in our blood, and are released in the body in response to any sort of trauma, to facilitate rapid healing of the area.

PRP

Platelet Rich Plasma is a concentration of Human Platelets in a small volume of plasma, usually obtained by centrifugation of blood and the addition of Calcium Chloride and Thrombin to activate them.

PRP is injected into the body at the site of trauma or injury, in order to increase the local concentrations of these growth factors to optimize healing.

PRP has been used for many therapies since 1987, but it has certain drawbacks. Once activated, PRP should be used as soon as possible, as the levels of growth factors begin to decline within an hour. There are reports of a “therapeutic Threshold” for clinical effectiveness of PRP, which involve numbers of platelets greater than 5.5 times the concentration of platelets found in whole blood. Most PRP Kits available today do not achieve the desired levels of concentration, and therefore there are conflicting reports about the efficacy of PRP. Medical Literature shows that PRP is effective, but inconsistent. Only 1 in 10 global clinical trials show a beneficial outcome.

GFC

Growth Factor Concentrate is a concoction of several important Growth Factors, Cytokines and chemokine factors derived from activated autologous platelets that has regenerative capacity.

Using a special, patented method, the growth factors are naturally released from the Platelets. This results in a concentration of growth factors about 9 times higher than in whole blood.

It is a natural product and free from chemicals and animal material. GFC has uniform levels of growth factors and hence gives consistent results.

Why GFC?

  • Platelet yield is constant
  • Loss is less than 5% platelet while processing
  • Complete activation and release of functional growth factors
  • Absence of plasma membrane and hence safe
  • Higher growth factors compared to activated PRP
  • Consistent results
  • Affordable and efficient
  • Direct activated growth factors are available and hence immediate and predictable results are obtained.

Major Growth Factors in GFC:

  • PDGF-AA- Platelet Derived Growth Factor
  • PDGF-BB
  • PDGFAB
  • TGF-β- Transforming Growth Factor
  • PLATELET FACTOR-4
  • INTERLEUKIN-1
  • Platelet Derived Angiogenesis Factor
  • VEGF- Vasacular Endothelial Growth Factor
  • EGF- Epithelial Growth Factor
  • PDEGF
  • EPITHELIAL CELL GROWTH FACTOR
  • IGF-I- Insuin-like Growth Factor

What Does GFC Do?

  • Jump-starts the healing process
  • Increases Growth Factor levels at target site
  • Provide matrix and scaffold for healing
  • Works well in combination with grafts
  • Improves hemostasis and neovascularisation
  • Has anti-inflammatory and anti-microbial properties
  • Has regenerative benefits

INDICATIONS FOR GFC USE.

Hair Loss:

  • Male and Female Balding
  • Traction Alopecia

Facial Rejuvenation:

  • Skin Rejuvenation
  • Fine Wrinkles (NL, NJ, Crow’s feet, Marionette lines)
  • Pigmentation
  • Scars Fresh / Old
  • Dark Circles

Acne and Acne Scarring:

  • Deep / Superficial Scars

Wound Healing

  • Acute / Chronic

Meet your Doctor


All procedures performed by Dr. Rustom F. Ginwalla, M.B.B.S., M.S. (Gen Sx), F.R.C.S. (Ed.), D.N.B. (Plastic Sx), a Board-Certified Plastic Surgeon in practice since 2007

2 – 8 p.m., Mon – Fri

By Appointment Only

(91) 22 2283 9636

(91) 981 9409 636