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Fascian is a special preparation of human fascia. To make Fascian,
preserved facia grafts are procured in the traditional manner and
then processed under sterile conditions to different particle sizes.
The material is then supplied to doctors in a form which easily
can be stored, and then rehydrated and injected when it is needed.
Dr. Rapaport has extensive experience in soft tissue augmentation.
He feels that Fascian can be used in areas that need a deeper filler
than collagen but in whom fat is not the treatment of choice. In
Dr. Rapaport's hands the fascian has lasted longer than Zyplast
Collagen and has been more cost effective for patients.
Yes and No. The use of preserved fascia as a graft material is an
accepted procedure that began in the 1920's. Fascian, an injectable
form of preserved fascia, has only recently become available to
physicians.
Fascian is a very thick suspension of solid bits of fibrous material.
When Dr. Rapaport injects Fascian into an area, the liquid in the
suspension is absorbed and the residual particles may aggregate
locally. This thick material fills the defect into which it is place.
Before Fascian was available, fascia grafting was performed as part
of a surgical procedure that usually required an incision in the
skin and some dissection of area to place the graft. Since Fascian
is injectable, fasica grafting can be performed in some cases without
some of these steps.
Furthermore, Fascian is available in multiple particle sizes so
that some defects that may have been technically difficult to place
a fascia graft in previously, may now be more readily considered
for fascia grafting.
Dr. Rapaport, must decide if Fascian is an appropriate material
for injection in each instance. Fascian is intended for the repair
of small tissue defects resulting from either medical or surgical
conditions those in which preserved fascia would otherwise be considered
an appropriate treatment option.
Dr Jeffrey Rapaport evaluates every patient in an individual basis
before Fascian injection. Test insertion in a remote area of the
body, to pre-evaluate the reaction to the material, is usually unnecessary
with fascia grafts.
Fascia is the medical name for the sheets of thick, white connective
tissue that are located throughout the human body. All doctors,
especially surgeons, are familiar with these important fascia layers
because they wrap around many of the muscles and internal structures,
packaging them and giving them support. Surgeons often sew layers
of fascia together because they are strong and hold sutures well.
Fascia is living tissue that is largely composed of the protein
collagen and the fibroblast cells that make collagen, although other
materials, such as the protein elastin, are also present. The protein
collagen is found in many tissues besides fascia, such as skin,
cartilage, and tendons.
A graft is a piece of tissue that is removed from one individual
or area of the body and inserted into a different individual or
area of the body, usually as part of a surgical procedure. In the
case of preserved fascia, the material is removed from a human cadaver
donor and then processed and preserved.
Each donor is carefully screened for diseases that might commonly
be transmitted. Typically, the preservation steps include freeze
drying, so that the material can be stored for long periods of time
before being used as a graft. Thousands of preserved fascia grafts
are implanted every year by many kinds of surgeons for dozens of
surgical procedures.
Since fascia is a naturally thick material, it often takes the body
many months to digest. Furthermore, the fascia graft is usually
invaded by the recipient's own fibroblast cells and collagen, to
produce a layer of scar tissue that may appear and function in a
fashion that is similar to the original fascia. The resultant material
often remains in the area indefinitely and studies have shown that
many instances fascia grafts are effective many years, even decades,
later.
At any age, the body contains fibroblast cells that are constantly
making fresh collagen.
Yes, the newest one is called Juvederm. Click here to see more information.
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