1. What type of instrument(s) is used to sever the fibrous septae?
Specially designed stainless steel instruments called dermasecters
2. Is it sharp or blunt?
They are semi-sharp with a built-in design element(s) to protect the skin from damage.
3. Is it or is it not a cannula typical of liposuction procedures used to bluntly dissect the septae.
No, it is not a liposuction cannula. Liposuction cannulas do not work for cellulite since they are too blunt to separate the septae from the skin.
4. What type of solution is infiltrated? Is this similar to tumescent technique with liposuction or is it specifically designed for the RejuveSkin procedure?
Ay this time we don't detail the exact composition of our solutions. Sorry but it is specifically composed for the RST [RejuveSkin
5. Does it contain epinephrine and Lidocaine?
See above answer.
6. How long do the results last?
Results are permanent, as far as we know. We have had patients from May of 2001, almost 1-1/2 years ago, who've had the treatment and still are free of cellulite in those areas.
7. Can the fibrous septae adhere back or regenerate?
No, preventing this is an integral part of the RST procedure.
8. If too many septae are severed is there skin sag?
This could occur, but it is part of our process that prohibits this from happening.
9. How long do the bruises last?
They can last as little as one one week and as long as four.
10. How long does the swelling last?
Swelling lasts 4-6 weeks.
11. How long does the discomfort last?
Discomfort lasts about 1-3 weeks.
12. Are the septae actually removed or just "popped" within the body?
They are simply cut and do not have to me removed. They are
very small and removal is not necessary.
13. Must a compression garment be worn?
14. Is an endoscope used?
15. If not, how do you know where the septae are to cut them?
The patient is marked in the standing position before surgery, which shows the cellulite dimples when muscles contracted.
16. How much does this procedure cost?
17. If a touch up is needed, how much will that be?
This rarely happens. But in once instance there was a need and there was only a small charge for the anesthesia.
18. Does the procedure work for other areas other than the lower torso and legs?
In theory yes, but this is very unusual and problems in these areas are usually not cellulite but other things.
19. Do men's bodies differ from women in this regard?
No really, but the number of men affected with cellulite is much less.
20. What are the risks of this procedure?
his is surgery, and there is no surgery that is risk free; but we've not experienced any complications to date.
21. Is thromboembolism a risk in this procedure?
TE is a risk in any procedure especially if a person has any predisposing factors. Our patients are carefully screened to evaluate any risk factors. To date we have not experienced any TE phenomena.
22. Can it cause cellulite to appear worse in any way?
No, not if the procedure is done properly and the person heals well.
23. Does one bleed a lot in this procedure?
No, However, the bleeding that does occur is superficial, which is what causes the bruising.
24. How long are the incisions usually and how many for an average case?
The incisions are single punctures of 1/8" to 1/4" and usually there are 2 (2 on each side of the body).
25. Do you have a video of the procedure or pics of it being performed?
Yes, but not available at this time. We do however have a 10 second, three-D animation which shows what happens.
26. Can I speak with patients who have had this procedure?
27. How long has this procedure been around?
The current procedure has evolved over the last 3 years and we currently have 15 months experience with the procedure we use today. Dr. Giunta, the inventor of the process and instrumentation as almost 20 years of surgical experience with liposuction, which is how he visualized the multi-step RST procedure to solve the problem.
28. Must it receive FDA approval or are only the instruments subject to approval?
It is not necessary to have FDA approval.
29. What is a worse case scenario?
Complications are similar to those with liposuction but if done properly, complications are extremely rare.
30. Is blood work necessary before this procedure?
Yes, standard screening procedures are done on all patients.
31. How is this procedure performed from beginning to end?
At this juncture we don't typically give a 'step-by-step' description of how the RST is performed. Largely because it's multi-faceted and involves many steps. But it's also a confidential medical process, and only licensed to approved surgeons with the proper qualifications. Perhaps at a later juncture we can discuss this more.
32. How many postoperative check ups are necessary?
One to three the first month and one or two after that.
33. Are pain meds and antibiotics prescribed?
Yes, standard preop antibiotics and pain medications are prescribed.
34. Must the patient massage the treatment area for best results?
35. How many surgeons are trained to perform this procedure right now?
Three. Soon to be five by the end of the year. We have a new facility opening in southern California.
36. How long will it be before surgeons are up and running in major cities?
We hope to have additional clinics up and running by early next year.
37. Will only board certified surgeons be trained or will cosmetic and general surgeons be trained as well?
Only qualified experiences surgeons, no matter what their specialty will be trained.
38. What about Dermatologists?
A well-qualified dermatologist who is experienced in liposuction, liposculpture and grafting would be a good candidate.
39. What prohibits anyone from being able to perform this surgery once it hits mainstream?
Our process is one that is always evolving. At present Dr. Giunta is working on the next level of enhancements to the process. We'll soon make those public as well once they are out of R & D [research and development].
But RejuveSkin Clinics is more than just a procedure.
RSC is the first and only group of nationwide clinics that have specified a consistent method of treatment and applications of the RejuveSkin Treatment™ (RST), certified by our training group in Washington, DC. As the originator of this procedure, RSC is the consumer's best choice for being assured that they receive the original, proven process and instrumentation, which assures consistently good results. It's the same reason that people look to brand name products and services for quality and reliability.
Sure , There will always be 'knock-off' companies that try to follow in RSC's wake, but our founder, Dr. Giunta and his surgical team, are leading edge pioneers in this area and have developed surgical tools and procedures that are world-recognized for being unique and reliable. An example of his unique MISL procedure for phalloplasty. What RejuveSkin Clinics represent are
consistency in treatment application, quality in treatment, affordability, and access... which means peace of mind to the consumer.
40. Any more photos for us to see?
New photos will be posted soon. As any surgeon will tell you, it's easy to get the preops. Getting the postops is the difficult part. Most people simply do not want to be photographed for the 'after' part. It's a sensitivity issue. As well as many of our patients are from out of town and getting them to send in reliable photos is difficult. Still, more and more photos are being added to our archives ad will begin to appear shortly.
41. I've heard from other surgeons
that severing septae can often result in scarring under the skin's
surface, possibly causing problems later. How does the
Rejuveskin Treatment address this issue?
Answer coming soon!
If you have an idea for a question, please email me at email@example.com
Credit: Dr. Stephen X. Giunta &
Cook, Chairman & CEO - RejuveSkin Clinics Corporation