The greatest medicine of all is teaching people how not to need it.

I use Autologous Microfat Injections for certain conditions and my patients have had excellent results!

“Autologous” means “obtained from the same individual.” Many published studies demonstrate the safety and effectiveness of your using your own body's fat, processed into a substance called micro-fragmented adipose tissue, or microfat. Microfat is used in musculoskeletal medicine to treat many conditions, including joint pain, osteoarthritis, and tendinopathies. Your own microfat helps focus your body’s ability to heal. We use an FDA-cleared and compliant process for preparing microfat that has been in clinical use for several years.  The processing system is called MiniTC and is made in the United States by Jointechlabs.

 Adipose tissue (fat) is an excellent source of stromal cells, mesenchymal signaling cells, vascular cells (pericytes), and endothelial cells. These cells support the body’s own repair process by binding to the injury site and releasing chemical messengers which help repair damaged tissue. Because these cells originate in your own body, there is low risk of rejection or infection. 

The entire process takes an hour or so and is done in our office.  You are comfortable throughout, and only a local anesthetic is used for this minor surgical procedure.

While you are laying down, your skin will be cleaned with a surgical skin cleaner. We mark the collection site, usually on your buttocks or abdomen, with a surgical marking pen, and inject a local anesthetic solution. This solution numbs the area, makes the fat (adipose) easier to collect, and minimizes any under-skin bleeding. 

 After the area is numb, a cannula (similar to an injection needle, but thicker and perforated to accommodate fat cell removal) is placed under the skin, and the adipose is gently withdrawn. You may feel momentary pressure or a twitch, but this is usually a comfortable process. 

 The aspirated fat is then processed in about 30 minutes using the MiniTC system, which gently washes the adipose with saline and uses a centrifuge to separate and remove oils, anesthetic, and other debris while filtering and exposing the desired cells so they can best facilitate injury repair. The system is closed loop and not exposed to the environment, so sterility is maintained throughout. 

 We numb the skin at the injection site and then precisely inject your own microfat into the injury site with a small needle using the latest in artificial intelligence guided imaging. 

You may remove any bandages after a day. Avoid immersion in water for three days and showering for one day after your procedure. 

You may use acetaminophen for mild pain, but avoid NSAIDs (ibuprofen, aspirin, naproxen, etc.) as they counteract the inflammatory effect of the procedure. You may apply 10 minutes on 10 minutes off heat for the next few days.

Unless otherwise instructed by Doctor Altman and our recovery staff, move slowly through your full range of motion after three days, but for one month avoid specific activities that were painful before treatment.

For maximal recover physical therapy will start two to four weeks after the microfat injection depending on the injury. Pain reduction and gradual improvements in function should occur eight to twelve weeks after injection.

For more information about microfat, please see https://jointechlabs.com/consumers

We have years of experience using microfat to treat many musculoskeletal conditions.  This therapy helps our patients recover from orthopedic issues in a less invasive way while avoiding unnecessary surgery. Please make an appointment so we can determine whether microfat injections are right for you!

We are always here to answer your questions and provide support. Contact us today to schedule an appointment, inquire about our services, or get more information about our medical procedures.

I use Platelet-Rich Plasma (PRP) procedures to treat a variety of conditions, and many of my patients have experienced significant improvements!

“Autologous” means “obtained from the same individual.” PRP is derived from your own blood and has been extensively studied and proven safe and effective in musculoskeletal medicine. PRP is used to treat joint pain, osteoarthritis, tendinopathies, and other soft tissue injuries. By using PRP, we harness your body’s natural healing processes to promote faster recovery and reduce pain. 

We follow an FDA-compliant procedure for preparing PRP, which has been successfully used in clinical practice for several years. Our system for this process is the Emcyte System. 

Platelet-rich plasma is rich in growth factors and proteins that play a crucial role in healing damaged tissues. When PRP is injected into an injured area, it stimulates the body’s natural repair process by promoting cell proliferation, collagen synthesis, and tissue regeneration. Since PRP comes from your own blood, there is minimal risk of adverse reactions or infections.

 Platelet-Rich Plasma (PRP) therapy harnesses the body's natural healing processes by concentrating key components from your blood to promote tissue repair and regeneration. PRP is rich in growth factors like Platelet-Derived Growth Factor (PDGF), Vascular Endothelial Growth Factor (VEGF), and Transforming Growth Factor-Beta (TGF-β), which stimulate cell growth, collagen production, and new blood vessel formation. It also contains cytokines that modulate inflammation and chemokines that attract healing cells to the injury site. These elements work together to enhance the body’s natural ability to heal, making PRP an effective, minimally invasive treatment for hairloss, joint pain, osteoarthritis, tendinopathies, erectile dysfunction and other soft tissue injuries. Since PRP is derived from your own blood, it minimizes the risk of adverse reactions and accelerates recovery. 

The entire PRP procedure typically takes about an hour and is performed in our office. You will remain comfortable throughout the process, and only a local anesthetic is used during the procedure.

To begin,  blood is drawn from your arm, similar to a routine blood test. The blood is then placed in a specialized Emcyte system and then in a centrifuge, which spins at high speed to separate the blood into its various components. Our Dual Spin technique is published and demonstrates best outcomes. The platelet-rich plasma, which contains concentrated growth factors, is carefully collected for injection.

Once the PRP is prepared, the skin at the injection site is cleaned and numbed with a local anesthetic. Using a small needle, the PRP is precisely injected into the injured area. You may feel some pressure or a mild sensation during the injection, but the process is generally well-tolerated.

 We numb the skin at the injection site and then precisely inject your own PRP into the injury site with a small needle using the latest in artificial intelligence guided imaging. We also may use this same amazing technology in your hair line and scalp!

You may remove any bandages after a day. Avoid immersion in water for three days and showering for one day after your procedure. 

You may use acetaminophen for mild pain, but avoid NSAIDs (ibuprofen, aspirin, naproxen, etc.) as they counteract the inflammatory effect of the procedure. You may apply 10 minutes on 10 minutes off heat for the next few days.

Unless otherwise instructed by Doctor Altman and our recovery staff, move slowly through your full range of motion after three days, but for one month avoid specific activities that were painful before treatment.

For maximal recover physical therapy will start two to four weeks after the microfat injection depending on the injury. Pain reduction and gradual improvements in function should occur eight to twelve weeks after injection.

For more information about our Dual Spin Technology, please see Emcyte Corporation

We have years of experience using Platelet Rich Plasma to treat many musculoskeletal conditions, Sexual Health Issues, Erectile Dysfunction and Hair Loss .  This therapy helps our patients recover from orthopedic issues in a less invasive way while avoiding unnecessary surgery. It adds years of enjoyable life to your sexual activity. PRP near you, done properly in Stamford, Greenwich, New Canaan and New York City!  Please make an appointment so we can determine whether PRP injections are right for you!

We are always here to answer your questions and provide support. Contact us today to schedule an appointment, inquire about our services, or get more information about our medical procedures.