Predictions From the AAFPRS
William H. Truswell, M.D., president of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)
Facial plastic surgeons predict filler refinements and injectable rhinoplasty will be among the top 2018 trends, according to a recent AAFPRS press release.
Stem Cells for Filler Longevity?
More flexible fillers that respond when the face animates, refinements in the use of stem cell injections and increased use of volumizers for facial rejuvenation could make important strides in 2018, according to Dr. Truswell.
“Embryonic stem cells are pluripotent cells — that is, they can turn into different cell types,” Dr. Truswell says. “Stem cells exist in the adult human in fat and bone marrow. These are multipotent stem cells. They have the ability to turn into bone, cartilage, muscle and fat.
Adipose-derived stromal cells (ASCs) are similar to stem cells in fat and are being scrutinized for use in aesthetic surgery, notably fat grafting.”
Fat grafting is used to add volume to the lips and other areas of the face that would benefit from increased volume, but fat grafting’s permanency is debated in the literature, Dr. Truswell points out. The hope is that enriching fat grafts with adipose-derived stromal cells will increase fat retention.
ASCs are also being studied as a means to rejuvenate aging skin, as well as in areas beyond cosmetic surgery. But stem cell use remains under investigation and not all claims are legitimate, Dr. Truswell says.
“Some companies tout plant stem cell uses for collagen rejuvenation. This false cross-species therapy simply does not work,” he says. “This is a very complicated subject…. There are many claims of success but still ‘let the buyer beware’ is sage advice.”
Nonsurgical rhinoplasty has become more popular because it can be performed in minutes and results in a fraction of the downtime, bruising and swelling associated with traditional rhinoplasty. The trend will continue in 2018, according to Dr. Truswell.
Injectable rhinoplasty is a method of altering the shape of all or part of the nose with an injectable hyaluronic acid filler, he says.
“This technique is commonly used to fill or lift dips, camouflage irregularities, elevate the nasal tip and so on,” Dr. Truswell says. “The technique is fairly straight forward. The material is injected slowly with careful observation. It should be done by a skilled injector, as should all facial injections.”
While effective in the right patient, nonsurgical rhinoplasty doesn’t address every nasal deformity. The approach won’t alleviate nasal obstructions or straighten crooked noses, he says.