Ong Institute Cutting Edge
Ong Institute for Plastic Surgery & Health is a leader in utilizing innovation to create a result aligned to your desires. We understand that innovation moves procedures to new outcomes, yet utmost care is taken in learning, research and testing to deliver safe, quality effective results.
This is an area, Innovation, that continues to evolve, change, adapt and rapidly emerges. We add innovation that helps you to achieve a better experience, result and process. Keep your focus here, as we anticipate this is an area that will be constantly updated.
PRP – Platelet Rich Plasma
What is PRP?
Platelets are small, non-nucleated bodies in the blood known for their role in blood clotting. They contain proteins and factors that imitate and regulate all aspects of wound healing. Plasma is the fluid portion of blood. Platelet-rich plasma, by true definition, is plasma with a platelet concentration of a least 100,000 platelets/ UL in 5 ml of plasma and is associated with the enhancement of healing. True “PRP” contains a 3-5 fold increase in growth factor concentrations. PRP stimulates a series of cellular mechanisms in the cells it is placed, causing activation of stem cells, reduction of inflammation, induction of healing, and regeneration.
PRP has been used in medicine for the healing of tissues commonly in orthopedic surgery, dentistry, and many other specialties. Many studies have shown excellent outcomes, however, there has been some controversy to the true efficacy of PRP. This is due to the lack of standardization of the techniques of processing the blood. The term “PRP” is used loosely without fulfilling the concentration and true amounts of platelets required to enhance the healing mechanism.
At Ong Institute for Plastic Surgery and Health, we process and handle PRP to obtain the optimal platelet concentration of tissue healing and regeneration. PRP is used in:
- Surgical procedures
- Facial rejuvenation: Vampire facial™, Vampire facelift™
- Female rejuvenation: O-shot™, PRP for breast, vaginal dryness
- Hair regeneration
PRP is safe because it comes from your own blood. Growth factors are normal body proteins. It is merely the same blood clot that would occur in any normal wound, except that it contains a higher number of platelets.
We focus on using the science and regenerative potential of platelet-rich plasma either alone or in conjunction with other growth factors in various aesthetic and reconstructive procedures.
ONG Institute uses PRP in the following treatments:
Use of PRP with hyaluronic acid (HA) based fillers such as Juvederm®, Restylane® etc to stimulate the regenerative potential of facial skin. Fillers used in the right areas to replace lost volume for shaping the face, and PRP to enhance the results through new blood vessel, collagen, and elastin production. The marriage of fillers used expertly:- treating the face as a whole to enhance overall harmony and balance, with PRP allows for the creation of a natural look that many desire.
The use of PRP has grown tremendously in sexual medicine due to its proven regenerative potential. The O-shot™ is the placement of PRP to enhance sensation, improving lubrication, and enhancing the female orgasm system. In female rejuvenation, PRP is also helpful in treating urinary incontinence, vaginal dryness (atrophic vaginitis) and certain gynecologic disorders such as lichen sclerosis. The male counterpart to the O-shot™ is the Priapus shot™.
Vampire Breast lift™
Originally described as the use of PRP with hyaluronic acid (HA) fillers to replace volume, and to improve contour concerns of the breast. At Ong Institute for Plastic Surgery & Health, PRP is also used in the breast with fat grafting to enhance volume, or on its own to improve skin quality and to enhance sensation in the nipple area in patients who have lost sensation from previous surgical procedures.
Hair loss is an emotional problem for many. Common treatment options include topical minoxidil and oral finasteride. Minoxidil is generally well tolerated but side effects include itching and eczema. Oral finasteride can cause decreased libido and erectile dysfunction. PRP works at a cellular level to normalize hair loss and reverses the thinning process of male and female pattern baldness. It is also used in other conditions of hair loss such as hypotrichosis ( fine or reduced hair) of the eyebrows or beard, alopecia areata and as a tool in hair restoration procedures- to enhance the donor hair follicles for hair transplant procedures.
PRP in surgery
PRP used in surgery helps enhance hemostasis (blood clotting) and wound healing after surgery. It has also been shown to reduce inflammation, decrease infection, and decrease pain. There have been numerous clinical studies showing the value of PRP and other allografts in surgery enhancing tissue healing, especially in the sports medicine literature.
The science of regenerative medicine is exploding, the use of human allografts form tissue banks and human-derived growth factors are rapidly growing. Ong Institute embraces the growth of this aspect of medicine. Dr. Ong is actively involved in studies and collaborates with scientists and other physicians to be updated on the latest techniques and applications in this field.
New Innovations in breast reconstruction
AEROFORM® patient-controlled Tissue Expansion
Tissue expanders have been used in breast reconstruction surgeries for decades. They allow for gradual expansion of the skin after the breast tissue is lost due to mastectomy. Most commonly used in breast reconstruction to date are saline filled tissue expanders usually placed at the time of the mastectomy. The expanders are generally placed under the muscle and are not inflated. Once the incisions are healed, the patient visits the office once a week (or every other) so that the surgeon can inject a small amount of saline through a magnetic port. This gradual process can take anywhere from several weeks to a few months based on the patient’s comfort level of the expansion.
Bringing new innovation to a device that has remained the same for the last 40 years or so, Aeroform Tissue Expanders allow for control, convenience, and comfort. The FDA granted Aeroform De Novo marketing authorization in 2016.
Aeroform offers a way for breast reconstruction patients to have control of their expansion process with fewer office visits and less time to full expansion. The average time to expansion with traditional saline expanders is about 46 days. With Aeroform, the average time is just 21 days.
How is it different?
- Faster expansion time
- Remote control versus a needle stick
- Fewer office visits, patient can expand anywhere
- Natural shape
How Does the AEROFORM® Expander Work?
The Aeroform tissue expander is comprised of a silicone shell which is comparable to the saline-filled tissue expanders. However, rather than a magnetic port, the Aeroform expander contains a small micro-valve reservoir that releases a precise amount of carbon dioxide into the inner lining through a dosage controller. With one press of the button, the wireless controller syncs with the micro-valve system to release 10 mls of C02 at a time.
The expander is placed at the time of surgery then under the direction of Dr. Ong, the patient is empowered to control their expansion process. This allows expansion to happen in the comfort of home or anywhere! Aeroform offers comfort for the patient because there are no needle sticks to worry about. Just a press of a button.
A novel local analgesic that is used during surgery or a procedure offering patients long-lasting pain relief. The local anesthetic is contained within a liposome (slow-release bubble) that is slowly released into the injected site during the first few days after surgery.
Since this is the critical time when patient’s pain needs are greatest, it will reduce the need for prescription pain medication (opioids). The negative side-effects associated with opioid narcotics such as drowsiness and constipation can be avoided allowing for a quicker recovery.
Jumpstart® antimicrobial Wound dressing
Wound healing is so crucial with any surgical procedure so we strive to find the latest devices that aid in the recovery time. Jumpstart™ wound dressing uses advanced micro-current technology to help amp up the healing process. Silver and zinc microcell batteries which are embedded in the dressing generate an electrical when activated by moisture. The micro-currents that are created support the body’s natural electrical healing process and it is proven to kill a wide spectrum of harmful pathogens and bacteria thus reducing the risk for infection after surgery.
PREVENa™ Incision management system
The use of negative pressure dressing for the management of surgical Incisions have been supported by over 70 clinical publications. Prevena ™ is the first disposable system that is portable and approved for post-surgical use at home. The Prevena ™ dressing provides a barrier protecting the incision from external contamination for up to 7 days reducing site infections. The negative pressure technology removes fluid and reduces swelling from the surgical incision site allowing for faster and improved wound healing.
RF – Radio Frequency Technology