• Transplanting of the patient’s own organic material, among those that emphasize the filling of fat or lipo-filling, and the implantation of fibroblast grown by the patient.

• Implants made of synthetic materials that vary in their duration. Within the synthetic materials there are different durations of reabsorption. There are materials like Hyaluronic Acid that lasts 6-12 months, or materials like artecoll or Bioalcamid, products that guarantee the correction for at least five years.

To rejuvenate is to have the look of youth
The passing of time produces the reabsorption of the tissues that fill facial areas like the cheekbones, the cheeks and the chin area, and give an “emaciated” look making the patient feel like their face is “falling”. With the disappearance of this natural tissue filling of the face, appears the first surplus of skin; the skin loses the natural support of its deep anatomic structure that “pads” its look, in addition to appearing as an excess of skin, it also is lax and lacks smoothness.
 
The sub-orbital face line -that starts at the internal angle of the eye and runs through the cheek, dividing it in half- is more defined. This line is caused by the reabsorption of the soft tissue at the level of the cheekbones and the displacement of the SOOF (Suborbicular Oculi Fat). This nasogenic line occurs due to the disappearance of natural filling tissue in the cheekbones, as well as the cheeks. Finally, the marionette lines (marionette´s face) that start from the corners of the mouth and fall vertically to the edge of the lower chin can give a sad look to the peribucal region.
 
These defects of the central region of the face are not resolved with conventional rejuvenation techniques, like blepharoplasty or a lifting, because these techniques basically “stretch” the skin by removing the excess parts. Today this is corrected with the Coleman technique.
 
The Coleman technique has standardized the use of a complete system of liposuction with 2mm caliber catheter with special orifices, so that the extraction of fat in the donor area results in less possible trauma and assures the survival of the adipocytes. Adipocytes are cells that, when “alive”, we will inject in depressions and the prominent parts of the face that we want to emphasize. Once the fat is extracted from the donor area, usually the abdomen (except when a course of corrective liposuction is done on the side, hips, or knees), it is poured off and ultra-centrifuged with the goal of the grafting material being pure and of solely fat cells. The grafting is done first to the prominent parts that have lost elevation (the cheekbones, chin area, and the oval of the face) and after evaluating the correction obtained from this manner, reprojecting the prominences of the face, the residual depressions are filled in the three types of lines that we have described: the cheek line, the nasogenic line and the marionette lines.
 
Coleman’s grafting of fat “grabs” from where it is located and producing a permanent correction. It is then placed in a “epiperiostal” manner, in other words, immediately stuck to the facial bones, to achieve an absolutely natural correction.
 
Combined with grafting and the repositioning of volumes, facial liposculpture on areas that have an excess of volume is done, for example in areas of the brow, double chins or “belfos” (bags of fat that hang from the edge and both sides of the chin).
 
Due to the very fine caliber of the cannulas used in this technique and also to the implanted fat is first rigorously purified, the grade of post-surgical inflammation subsides in 48 hours.
 
In this way the correction of depressions and lack of projections in the face using the Coleman technique makes for a more natural way to fill the lips as well. That is, the Coleman technique not only serves to rejuvenate, but young individuals can use make themselves look better by augmenting their lips, enlarging of their cheekbones for “flat” faces, or raising the chin in faces with a “bird profile”.
 
The interest in new techniques is enormous because until now rejuvenation in the centre of the face was technically risky and ended with few satisfactory results for a lack of a natural look. Technically it was impossible to respect fixed anatomical distances that give a face a natural look that every patient wants when they begin a treatment for facial rejuvenation.
 

IN THE PHILOSOPHY OF THE INSTITUTO MÉDICO LÁSER WE MAINTAIN THE FOLLOWING CONSIDERATIONS IN RESPECT TO FACIAL REJUVENATION:

•To rejuvenate is not to stretch but to reposition;

•It is obligatory to distinguish between the look of the skin and excess skin;

•The basic facial distances should be the same as when the patient was 20 years old.

With the following conclusions:
-To do a rejuvenation procedure you must respect the harmony between “light and shadow” with respect to fixed points and the special physiognomy of the face.
-There is not only one valid treatment to reach an ambitious and multi-factored objective.
-The concept of rejuvenation should be done with a multidisciplinary medical technique for surgery that, suitably harmonized, achieves the objective.

"REJUVENATION IS TO BE MYSELF WITH THE LOOK OF YOUTH."