With my team of caregivers, I strive to provide informed, compassionate and meticulous care to those who entrust us with providing care for their problems and concerns. My goal is to provide outcomes that are helpful to those we serve and to protect their dignity, privacy and safety.
Dr. Van Beek's Plastic Surgery Blogs
Skin Contour “Sunken In” Flaws
I was recently consulted about changes in the skin's surface appearance because of a dramatic contour loss following blunt trauma.
Prior to the past decade those contours were difficult to correct with accuracy and fineness. Today those same significant contours can be altered with improving degrees of accuracy and fineness. This blog will provide information about contour deficits from trauma.
Following blunt trauma to a leg, buttock, chest or face, some of the fat cells are so damaged that they die and are then removed by the body over a period of several months. The contour change usually isn’t noticed for a few months until those injured cells are gone and the swelling from the injury has subsided. Usually what results is a sunken in appearance of the surface of the skin. The sunken in area can be dented in by as much of inch or more compared to the adjacent areas. Historically surgeons would make and incision in the sunken area and try to fill the concavity by moving fat from around the edges of the sunken area into the center of the concavity. Recommended treatment today is different.
Today one would usually recommended that liposuction be performed on the tummy, thighs or back. The fat removed from the liposuction would be processed and then injected into the sunken area. No long scars area required. The new fat cells replace the injured cell that died. Also recommended would be pre treating the sunken area were cell will be injected with a process that improves circulation to the area. One technique that seems to enhance the circulation to the area to be filled with fat is applying a suction device over the concavity. After applying a low vacuum to the area for a period of time, the area to be filled has a degree of improved circulation. The improved circulation seems to enhance the survival of the transferred fat graft. The device also stretches the skin preparing it for being filled.
If you have this type of sunken surface of your skin, it can be improved.