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Dr. Miller News & Press
New in Plasic Surgery: Radiesse and IPL - find out what they can do for you.
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Hello, my name is Dr. Philip Miller; I have a facial plastic surgery practice here in Manhattan. And I’d like to speak to you today about a very interesting technique for facial resurfacing. Now the term facial resurfacing applies to a number of different techniques which enable you to resurface the skin that means make it more smooth, improve acne scaring and eliminate fine wrinkles and even deep wrinkles. There are many techniques and technologies on the market today and you’ve probably heard of chemical peels or dermabrasions or even lasers. The concept behind that is simply to injure the skin and in the very process of the skin rehealing itself then it restores much of the texture and smoothness that the skin had originally. Now there are many downsides for many different procedures. But there’s one new technique that I have been very impressed with over the last few years, it’s called the medical roll-cit, otherwise know has the medical roll-kit. This was developed after surgeons identified the fact that tattooed skin appear to be quite smooth. Have you ever noticed that? Tattooed skin tends to be always very smooth. At first it was believed that the pigment or the color or the die that was injected into the skin was responsible for that. But later studies identified the fact that it wasn’t the die it was in fact multiple stabs of the skin using the tattoo gun. Further investigation identified the fact that you could repeat this technique medically by needling or taking 3mm that’s quite strong needles and repeatedly poking the skin in hundreds of thousands of locations. There in was developed the medical roll-cit. The medical roll-cit is a rather primitive and I actually refer to it as a medieval device which is simply something that’s around this long and it has a little pin, I’m sorry a little roller at the end with multiple and many many different pins and the surgeon after anesthetizing the patient rolls this up and over the face creating hundreds of thousands of different little pinpoint pricks all over the face. This stimulates the deep skin level called the dermoges to create more collagen. And the collagen is responsible for tightening of the skin and improving many of the features I described like fine wrinkles, deep wrinkles as well as acne scared skin. What is also interesting about the medical roll-cit is that each one of these little injection points is also capable of allowing vitamin A to seep into the wound and increase the vitamin A in the deeper layers and vitamin A is responsible for creating more collagen. This is done by applying a vitamin A solution over the face right after the procedure and for the following few days. In order to get the best results with medical roll-cit we like to or I like to pre-treat the patients with a vitamin for A and a vitamin A solution for at the very least 2 weeks and perhaps even several months. This rather simple technique can be repeated over and over again, unlike some other techniques like dermabrasion or deep chemical peels where surgeons feel more comfortable doing them once and that’s it. Medical roll-cit can be done over and over, it is a relatively safe, it is safe and you can have a very quick recovery period, perhaps just 5 days or so. Your face is somewhat swollen, but there’s very little pain if no pain at all. And there’s no burning or uncomfortable ness that you would get with some of the other techniques like a deep laser or a deep chemical peel. I hope this gives you some more information about the medical roll-cit and that you would be interested in exploring it further. This is Dr. Philip Miller giving you information about the medical roll-cit, good morning.
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Dr. Philip Miller, MD, FACS, New York plastic surgeon