Make Appointment eBook for professionals

introduction

The hands and/or decolleté, in particular, shows the real age of a person, more than the face and other parts of the body. The skin on the back of the hands is very soft and sensitive and is strongly affected by aging. At the same time, the underlying bones become more and more visible and begin to protrude. In addition the skin of both the decolleté and hands get thinner and age spots appear.

Dr. Stevens has developed surgical procedures that rejuvinate the hands and decolleté and eliminate the appearnace of aging.

the technique

What technique does Dr. Stevens use for breast augmentation surgery?

Decollete & Hands - Infiltration - OrganicSurgery.com

  • Adits, small holes in the skin that are made with round, skin-biopsy punches, are created at the sight of the surgery. 
  • These adits are only 1.5 mm long.  They are the access sites in which a cannula, the tool used for liposuction, is passed in and out during the liposuction process. 
  • The cannula Dr. Stevens uses is quite small.  He custom-designed it for his organic surgeries.
  • A large volume of very dilute lidocaine (local anesthetic) and epinephrine (capillary constrictor) is injected into the fat below the skin, also called subcutaneous fat.

Decollete & Hands - Harvesting- OrganicSurgery.com

  • The fat used for the lipofilling is usually taken from the abdomen, flanks, waist and/or thighs.
  • The "micro" cannula is inserted into subcutaneous fat in these areas through the adits.
  • The fat is removed in a very efficient, gradual and controlled manner so as not to "bruise" the fat cells.

Decollete & Hands - before centrifuge - OrganicSurgery.com

  • Adits are so small that it is not necessary to close them with sutures. They promote copious postoperative drainage, which in turn reduces post-operative bruising, tenderness and swelling.
  • Such tiny holes usually disappear without scars within a few weeks after liposuction.
  • The fat tissue accumulated during the liposuction is put into several sterile tubes.

Decollete & Hands - Centrifuge- OrganicSurgery.com

Using centrifugal force (fast spinning to seperate parts of a substance), the tubes containing the fat tissue is separated into three parts: 

  • oil from broken fat cells (not suitable for filling);
  • blood/anesthesia fluids (not suitable for filling); and
  • living fat cells (about 20% of the total) which is only part used for liposuction.

Decollete & Hands - after Centrifuge- OrganicSurgery.com

  • The living fat cells are treated with great care and precision for use in the surgery.

Decollete & Hands - to CC - OrganicSurgery.com

With Dr. Stevens' surgical technique:

  • the purified fat is inserted through puncture holes of only 1mm at the areas predetermined by Dr. Stevens.  Naturally, these areas will be different for each person.
  • the fat is inserted drop-by-drop and evenly distributed -  no blobs of 'mixed parts' as in the past!
  • blood vessels can supply all living fat cells.
  • more than 90% of the inserted fat cells remain alive.  Permanently!

This new technique that Dr. Stevens uses is far superior compared to the techniques used in the past, the results of which were often disappointing and impermanent because:

  • fat cells were unnecessarily bruised during extraction.
  • anesthetic fluid, blood and oil, which made up 70% to 80% of the extracted fat, were used for lipofilling, which hindered permanent results.
  • when fat is transplanted to another site, it needs new blood vessels to grow into it to provide nourishment for the fat cells.  
  • a large and thick needle was used, which could insert only "blobs" of the mixed fat tissue, resulting in a lack of refined control over the lipofilling. 

Decollete & Hands - Insert into Breasts- OrganicSurgery.com

With Dr. Stevens' surgical technique:

  • the purified fat is inserted through puncture holes of only 1mm at the areas predetermined by Dr. Stevens.  Naturally, these areas will be different for each person.
  • the fat is inserted drop-by-drop and evenly distributed -  no blobs of 'mixed parts' as in the past!
  • blood vessels can supply all living fat cells.
  • more than 90% of the inserted fat cells remain alive.  Permanently!
  • the results start to become clearly visible in 4 to 6 weeks after the surgery.
  • The final result is visible after about 3 months, when most of the swelling has gone down.

Decollete & Hands - Insert into Hands - OrganicSurgery.com

examples

Example decollete lipoffiling by drStevens - Organic Surgery

 

Hand Rejuvenation through lipofilling

Example hands lipoffiling by drStevens - Organic Surgery

Together with the lipofilling treatment on the face, a 61-year-old man undergoes a rejuvenation of the hands through lipofilling.

FAQ

Recovery time
Pain and discomfort can last for a maximum of 2 to 3 weeks. Immediately after the surgery, the hands and/or decolleté will be quite swollen and can feel a bit bruised. About a week to ten days after surgery, you will feel confident about going out and resuming a normal social life. If any bruises have developed, they might remain visible for a little longer but you can hide them reasonably well with a good concealer.  After 4 to 6 weeks approximately 80% of the bruising and swelling will have disappeared. After 3 months you can get a good impression of what the final result will be.

Post-operative care
After a few days after surgery, you will be able to perform your usual activities. Long walks should be limited, as well as strains and sports, for two weeks.

Possible complications
Complications related to the procedure are rare and, when occurring, consisting of: infection, hematoma, asymmetry and irregular skin surface.
These complications, are rare and can easily be corrected with no major problems. Although this is a low-complication risk procedure, antibiotics are prescribed to prevent and cure any possible infection. Possible irregularities or asymmetry can be easily treated with a second session with local anesthesia three months after the lipofilling procedure.

Cost for Surgery of the Hands and Decollete