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Alloderm Alloderm is a type of soft tissue filler that may be used to enhance the lips or to fill in lines and creases that may develop as we age and the effects of gravity, smiling, chewing, and squinting take their toll. Alloderm is one of several options you have to treat these conditions. Other options include fat grafting and collagen injection. You are encouraged to read about all three of these types of soft tissue fillers so that you may make the right choice for your individual situation. These techniques may also be used to enhance the results of another procedure, such as chemical peels, dermabrasion, microdermabrasion, facelifting, brow lifting, and laser resurfacing. Dr. Revis is a specialist in these state of the art techniques and can help guide your selection of the most appropriate treatment or combination of treatments to help you achieve the appearance you desire. Soft tissue fillers have their differences, and it is important to understand these differences prior to selecting a particular treatment. Individual results with soft tissue fillers vary a great deal, and this phenomenon is not completely understood. Some patients do maintain the injected volume permanently, but in other patients the results may fade after only a few months. Longevity of a treatment may also be related to the muscle activity in the area. Areas with intense, repetitive muscle activity seem to metabolize the alloderm more rapidly than areas with less muscle activity. Because of this, alloderm injections are sometimes combined with Botox injections to paralyze the regional muscles and prolong the effects of the injected alloderm. Alloderm is human tissue donated in much the same way as other transplantable organs. After harvesting, alloderm is processed to remove cells but retain the collagen structure and proteins naturally found in the skin. Once these structural proteins are injected into your body, they serve as a scaffolding for the ingrowth of your own tissues. Ultimately the alloderm is completely replaced with your own tissue. The alloderm serves as a stimulus for your body to "fill in" the area that is treated. Some of the initial volume of alloderm may be lost as it is replaced by your body, so Dr. Revis will place a little extra during the treatment, also known as "overcorrection." This is similar to the approach Dr. Revis uses for collagen injections and fat grafting. Alloderm has been approved by the FDA and has been used in humans since 1992. More than 50,000 patients have received alloderm injections, and there has never been a reported case of virus or other disease transmission. This is because several steps are taken to ensure safety of the product. First, all potential donors are screened for HIV and hepatitis. Second, viruses can only reproduce in living tissue. During processing, all living cells are removed from the tissue, leaving behind only the structural framework. Finally, the remaining product is treated with a solution that inactivates viruses. If you think you might be a good candidate for alloderm injections or one of the other soft tissue fillers, this page will give you a basic understanding of the procedure and the results you can expect. However, Dr. Revis feels it is extremely important to individualize treatment to your specific circumstances and goals, therefore it is recommended that you visit our office for a complimentary consultation. You are also invited to email Dr. Revis with your questions, or we will mail you more detailed information regarding the procedure. The Consultation During your initial consultation, Dr. Revis will inquire about your medical history, prior procedures, medications, allergies, and your motivations for seeking plastic surgery. It is very important that you be thorough when providing your medical history, as this information helps to prevent complications during your care. When asked about medications, be sure to include any vitamin or herbal preparations, as these can affect your blood pressure and clotting ability. Honesty regarding your use of tobacco and alcohol is also very important, as these may have a profound impact on your recovery period and your ability to heal following your procedure. After reviewing your medical history, Dr. Revis will discuss your concerns, priorities and motivations for pursuing plastic surgery, as well as your fears. After examining you, Dr. Revis will be able to offer advice and options to help you achieve the appearance you desire. He will explain the advantages and disadvantages of the different options you have before you. At the completion of your consultation, Suzanne, our Patient Coordinator, will give you a written estimate of the cost of your procedure. At this time, you will also have the option to schedule your procedure if you so choose. The decision to undergo treatment is a very important one, and the final decision should be given very careful consideration. Dr. Revis realizes the importance of this decision, and at no time will you be pressured to make a decision. You are also encouraged to bring your spouse, significant other, family member, or a friend to your consultation. Where Your Procedure Will Be Performed Alloderm injections are usually performed in Dr. Revis' office, unless other procedures are being performed simultaneously. Type(s) of Anesthesia Anesthesia is an essential part of any procedure and must be performed safely. For alloderm injections, you will receive a small injection of local anesthetic to numb the area to be treated. Dr. Revis will numb the areas to be treated with a small amount of local anesthetic, and then he will inject the alloderm through a very small needle. Afterwards it is recommended that you apply an ice pack to the treated areas to reduce swelling. No bandages are necessary following alloderm injection, and you are able to apply makeup, a moisturizer, or sunscreen immediately following injection. After Your Procedure After your procedure you will be able to go home from the office. You should plan to take it easy following your surgery. No strenuous activities, heavy lifting (over 20 pounds), aerobic exercises, swimming, contact sports, tennis, or golf should be planned for the first two days. As Dr. Revis monitors your recovery, he will advise you when it is safe to resume specific activities. The Results You Can Expect You will notice an improvement in the contour of your face immediately. A very mild swelling usually takes several days to subside. You should be able to resume your normal daily activities the day after your procedure, and you should be able to resume all of your physical activities within several days of your procedure. Please call (954) 630-2009 for further information or email Dr. revis. Email: DrRevis@SouthFloridaPlasticSurgery.com
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