Dr Mosser, Author at Scott Mosser M.D.

Results can vary, depending upon several factors such as what area is being grafted and how it is placed. Fat grafting is a highly skilled procedure, requiring a surgeon with experience and knowledge to perform it successfully. The survival of the fat will depend upon those skills and will be the result of how the fat was harvested, how it was purified, and how and where it was injected. Specifically, a process called ‘micro fat grafting’, though labor intensive, is the best way to ensure that the highest percentage of grafted fat will take.

When done successfully, the injected fat grows a new blood supply and begins to receive the nourishment it needs to survive from your body. When this happens, results can and often are permanent. However there can be a percentage of fat that does not take and this is why touch-ups are sometimes necessary. It is important to discuss options in advance to determine the best course of action for your situation.
Quick update: For two weeks in mid-winter, I will be heading off to my sixth medical mission. These are the highlights of my year, as it is not only is a chance to give back and help those in dire need, but the satisfaction these missions provide is something that truly sustains my spirit and recalibrates my value system.

This year’s mission is to Vietnam, where we will be handling an array of birth defects, most notably cleft palate. Whereas past missions have been through non-profit I founded called Destination Hope, this time around I am joining ReSurge (formerly Interplast) as a volunteer on one of their missions. In reality, I am relieved to be joining and not leading / planning this time around!

Destination Hope’s past missions have been to the Philippines and Ecuador. I will provide a lengthier post of this mission, with photos and hopefully a link to a video, after I return.
Yes, but it will depend entirely on variables unique to your situation. The extent of the wrinkling will play a factor, as well as your age and the results you are looking for. The best course of action is to schedule a consult to discuss your options and decide the best treatment options for your situation.

Treatment options range from Botox, chemical peels, Thermage skin tightening, Juvederm or Dysport fillers, or even, depending on the severity of lines lower eyelid surgery.
Yes, when administered by a surgeon experienced with fillers, there should be very little bruising and swelling visible after treatment. As the days pass, some very mild effects may be visible, with very minor bruising in 20% of patients still occurring on Monday. After that, any bruising should be entirely resolved no later than Wednesday. Schedule a consult with Dr. Mosser to discuss your options.
When done by a professional experienced with injectables, results can often be seen almost immediately after treatment. When done correctly there is very little bruising or swelling immediately.

Over the course of the next 3-5 days you may then see some minor swelling, but after the 5th day that should be resolved almost entirely. As always, consult a Board Certified Plastic Surgeon before making any decisions regarding treatments, to discuss the best options unique to your situation.
For a temporary fix, popular treatments are dermal fillers such as Restylane, Juvederm, Radiesse and Artefill. There are others as well, and which you use will depend entirely on the area you would like treated, and the overall objectives you’re looking for.

These objectives should be discussed, pros and cons. From there you can decide the best course of action to suit your unique needs, and treatments can usually be done in office, with effects lasting anywhere from four-to-six months.
Definitely each ethnicity has different characteristics. Once upon a time surgeons were trained to view the Caucasian aesthetic as the ideal look when performing a rhinoplasty. However, over time that training has evolved, and instead of a “one size fits all” mentality, surgeons now try to create an ideal that fits the individual, rather than the masses.

The goal usually is to achieve an aesthetic that is pleasing to the patient without diminishing ethnic traits, and respecting each person’s individuality and facial harmony. With Hispanic patients, there is often a bit of extra tissue on the dorsum (ridge) of the nose, or a lack of bone in the upper part of the nose (the nasion or bridge area).

A board certified plastic surgeon experienced in rhinoplasty will be able to identify and explain clearly to you the particular ethnic features of your nose, and how they would be addressed with rhinoplasty while still maintaining your look.
Merz pharmaceuticals is seeking FDA approval for a product closely related to Botox called Xeomin.

It has been used for many years in Europe, and might finally make its way through the US regulatory system in 2011. In many ways it is almost identical to Botox. It is also nearly painless, lasts just as long and has the same effect. In fact, it’s made of nearly exactly the same stuff, but is much more pure.

I had the chance to fly to Miami this past weekend to hear all about Xeomin, and to talk endlessly with German dermatologists who have had years’ worth of experience with Xeomin – to the point that for a few of them this is all they use. Why not use a product with nearly flawless purity? I’m very excited and will be watching for FDA announcements on the subject very closely, so that I can bring Xeomin to San Francisco right away.

In case you missed the previous post about the new injectable filler Belotero, please click here.
Dr. Mosser is currently offering this exciting Dysport special: With the purchase of one area, a patient may select a second area at no cost (a $450 value)

Dysport relaxes muscles just like Botox, but works even faster! It’s useful to smooth:
1. the frown lines between the eyebrows
2. the horizontal lines of the forehead and
3. the crow’s feet around the eyes
As a bonus, the manufacturer of Dysport is currently offering a $50 rebate for any Dysport treatment, and we will assist you with applying for that rebate when you come in. Please call us at (415) 398-7778 to schedule your appointment. Space is limited!
A new hyaluronic acid filler is seeking FDA approval: Belotero.

After many years of use in Europe, Belotero would join Juvederm, Restylane and Perlane, as another great option for facial fillers for use in the U.S. if it gets approval. I had an opportunity to be one of the first physicians in the United States to use the product when I flew to Grand Cayman Island last summer to do just that.

I remember thinking to myself on the plane, “why does the world need another filler, especially in this category? What could possibly be so different about this newcomer?” On that trip, I chatted directly with European physicians who had many years of experience with Belotero. Of the (amazingly!) 120+ options for fillers in Europe Belotero has become their #1 pick.

I’m happy to say that I loved the product and am very excited about it. There are two amazing ways in which Belotero is different:
- it can be used very, very close to the surface of the skin and therefore we can now treat very fine lines of the face like never before. For example, some patients have vertical wrinkles in the mid-cheek that are sometimes called ‘sleep lines’ which were almost impossible to treat before but now have a solution with Belotero.
- Of all the other fillers in this category run the risk of having a bluish color to them after injection (sometimes called the Tyndall effect). The Tyndall effect has never been reported with Belotero, which opens up a whole new world for more aggressive treatment in thin areas of the face like the lower eyelids.
When will Belotero get FDA approval? Hard to say, but I’m hoping it will be soon. I’m proud to be one of the first physicians in the country with Belotero experience, and I’m thrilled to be bringing Belotero to my San Francisco Bay Area patients as soon as I can.