Dr Roger Amar, FAMI Plastic Surgeon, THE BOOK



FAT GRAFTING FAMI (Fat Autograft Muscle Injection)
For more information please call
tlf +34 952 864 698
Amarclinic in the Press

Section 1, Stem Cells Become Reality

While Dr. Amar’s early anatomical training had permitted him to research and handle preserved subjects, emerging technology now allowed students and surgeons alike the opportunity to have contact with natural models; perfectly preserved within minutes of passing. This enabled the inspection and analysis of anatomical systems never before observed in their natural and healthy state, revealing a new universe of fine and delicate facial muscles and nerves.

This kind of access and understanding was essential to testing Dr. Amar’s hypothesis.

Injecting adult stem cells
To inject Adult stem cells into a patient’s muscle tissue without disturbing the complex network of vessels, Fami image 14nerves and muscles that make up the face, he would have to enter each muscle through a point of origin or insertion. To make such an insertion, he would need to be familiar not just a patient’s muscular system, but also have a three dimensional understanding of the broader facial structure. This framework, made up of overlapping nerves, muscle and bone, presented a particular challenge not only for its complexity, but also the lack of existing reference materials available to surgeons. Dr. Amar found the anatomical references unhelpful, offering little more than incomplete descriptions and illustrations of little or no scientific value. Fig 14

Daunting to almost everyone who encountered it, the complex facial structure proved to be a stopping point for many when they considered adopting Dr. Amar’s research. The elaborate anatomical maze simply proved to be too great a challenge to overcome.

Despite their experience, technology had only allowed surgeons a surface understanding of how a facial system operated in a live patient outside of the operating room – a location that left absolutely no room for experimentation. Unlike artificial facial fillers,

FAMI offered no room for trial and error thanks to its organic, permanent characteristics. If the cellular grafts were improperly placed, they would require far more than traditional remedies, such as cortisone injections or suction. Rather, the deep placement and acceptance of the grafts would require a scalpel or other invasive surgical techniques to remove. Indeed, this was no place for theoretical guessing.

TFami image 15o continue his research, Dr. Amar felt he had to be able to guarantee his results, which could only be done after witnessing how the cells could be inserted into organically preserved muscles. All limitations soon faded as Dr. Amar began testing his technique on naturally conserved models, producing fantastic results supporting his theory and opening the door to additional research.
Further, the presence of natural models permitted Dr. Amar to test the effectiveness of the tools he had developed specifically for this task. Composed of 13 cannulae, the long steel tools often used in cosmetic procedures, Dr. Amar’s custom-designed set of surgical instruments were of varying lengths and curvatures, each moulded to fit a particular section of the face. Fig 15

Unique to just one or two muscles, the individual cannulae were imperative to the success of injecting the regenerative cells while limiting trauma and the threat of nerve or muscular damage.

Most importantly, the access to natural subjects proved to be a tipping point for Dr. Amar and FAMI. This was when all the elements of the broader calculation finally came together to prove what Dr. Amar had believed all along. There simply had to be a safer and more natural way to add more life to one’s face without disturbing the intricacies of a patient’s anatomy. This could now be done precisely and without the risk and side effects so commonly associated with cosmetic procedures.

Still, Dr. Amar realized the calculation was far from complete and required much more study and experimentation. The evolution of FAMI since has been a long a laborious process as Dr. Amar has insisted on perfecting each singular muscle area before continuing on to the next. There could be no room for error or rushing if success was to be guaranteed.

This period also saw the perfection of Dr. Amar’s approach to purifying the extracted cells. After removing the cells from a selected area of a patient’s body, they are placed in an on-site centrifuge and subjected to an immense amount of pressure. This process eliminates all wasteful material and leaves Dr. Amar with only the purest stem cell samples, assuring a precise and ultimately predictable final result.

Or visit:   The Amar Clinic website: Stem cells FAMI rejuvenation

sombra
 
Société Française de Chirurgie Plastique Sociedad española Cirugía Plástica Member of the American Society for Aesthetic Plastic Surgery
AMAR CLINICC/ Ramón Gómez de la Serna 22, 29600 MarbellaTeléfono: +34 952 864 698E-mail: info@theamarclinic.comSite Map