European Stars and Stripes (Newspaper) - August 6, 1991, Darmstadt, Hesse                                Cosmetic gains a new wrinkle by Sandra Blakeslee the new York times cosmetic surgeons have developed a new technique for making older faces look younger filling wrinkles with the patient  fat. Quot it s the epitome of recycling Quot said or. George Brennan a plastic surgeon who offers the service at his offices in Beverly Hills and Newport Beach Calif. In the procedure fat is extracted from a patient s thighs Knees or Abdomen and spun in a Centrifuge to separate fat cells from Collagen a heavier substance that is the body a major structural protein. Then the Collagen is used to fill in deep wrinkles and scars and the fat is used to Quot plump up Quot aging faces and hands Brennan said the method called. Auto logos fat and Collagen injection was safer than other injection techniques and. Had arrived in the Nick of time. Last month the head of the food and drug administration or. David Kessler reminded physicians that liquid silicone a favorite of Many dermatologists and plastic surgeons for filling in wrinkles and acne scars is illegal Quot no use of silicone for injection has been approved Quot he said. Dermatologists said silicone is not a problem when used properly in Small amounts. But there have been Many reports of severe reactions including tissue death among patients who received silicone some of whom have even died. Another inject Able substance derived from Collagen from cattle has also come under recent attack for causing severe allergic reactions in some patients. Despite the juror Over silicone and cattle Collagen demand for facial cosmetic surgery remains Strong especially in the Large metropolitan areas of new York Florida Texas and California. The new fat injection technique if it proves effective should be far safer than other injection methods Brennan said. But some specialists said they Are wary of jumping to conclusions. A it sounds safer Quot said or. Jean Cukier a plastic surgeon in Houston. Quot but the jury is  a Cukier and others have also questioned whether the benefits will last Long enough to justify the costs. The fat injection technique was developed three years ago by or. Pierre in furrowing the wrinkled brow a new technique using the patient s own tissue As an injection to erase wrinkles works Best with gaunt faces that have Only a few Large wrinkles like the furrows around the nose and Mouth and Between the eyebrows. The injections Are hot suitable for Small superficial wrinkles. Isis Fournier a cosmetic surgeon in Paris who helped Pioneer liposuction a technique for drawing fat out of so called problem spots in the body. Excess fat frown liposuction can be used to reshape the lace and hands Brennan said and Many patients like to Combine the procedures. I Auto logos fat and Collagen injections work Best in patients whose faces have grown gaunt with age and who have Only a few prominent wrinkles Brennan said. Surgical face lifts and chemical peels in which the spin s outer layer is burned or scraped off work Best for severely a wrinkled faces he said. In the fat transplant method the surgeon goes after two kinds of fat said or. David Morrow a dermatologist plastic and laser surgeon in Rancho Mirage Calif., who is working on ways to make the technique s effects last longer. Fat in the Abdomen and outer upper thigh tends to be embedded in a network of Collagen fibres Morrow said. A thin Needle inserted into those areas pierces fat cells and collects a relatively High proportion of Collagen he said fat in the upper inner thigh and knee is Solter he said with less Collagen. It is extracted with a wider gauge Needle to obtain a higher proportion of undamaged fal Ceils. Both kinds of fat Are cooled and spun in a Centrifuge for about 10 minutes Morrow said. Collagen which is heavier and thicker than fat settles on the Bottom of the Container and fat rises to the top to treat the face and hands Morrow a extracts about a thimble Ful of Collagen and a Quarter of a cup of fat. Large wrinkles and furrows Are filled in with Collagen which is injected into a deeper layer of skin called the dermis he said. It is also used to enlarge ear Robes and to create Fuller lips. Readers action line confusion Over travel entitlements q a in february of 1990 we applied for a voluntary in place consecutive overseas tour cot. Arp that time we were told we had three choices of benefits for taking a cot 1 round trip ticket for All family members to our Home of record 2 thirty Days leave or 3 an unspecified monetary Benefit. At the time we discussed taking the tickets but we did not Tell that to the people at Capo consolidated base personnel office. They said when we came in to begin our cot to Tell them what we wanted. Since then my husband was sent to saudi Arabia so i took a vacation to the United states while he was gone and did what needed to be done there. As my husband was try temporary duty to the states last summer we decided that we would take the monetary Benefit. We went to Capo to Tell them what we had decided and were told that our Only option now was the round trip tickets which we could have deferred but it would have to be our first leave outside of Germany. It we took leave and went to France our deferment would be voided. We Don t feel it is fair to be told we have to Lake a trip to the United states if we Don t want to. Why can t they just give us what the plane tickets would Cost they would be out the same amount of Money. Where is the rationalization Janet and David Hutchinson Pitburg a Germany ave master sgt. Phillip d. Jones superintendent entitlements Branch directorate of personnel plans he Safe replies it appears the writer is confusing two programs overseas tour Extension incentive program Oteis and in place consecutive overseas tour Epcot leave travel entitlement. Oteis was designed by Congress to encourage enlisted members with certain air Force specially codes Aasc with overseas shortages As determined by the Secretary of the air Force to extend their overseas tour one year. The member May choose one of the following a an additional $80 monthly b receive 30 Days no chargeable leave or c receive 15 Days no chargeable leave and round trip transportation to the conus Continental United states Post closest to the members Home of record Hor. The round trip transportation in option c is for the member Only and not for command sponsored dependents. Epcot leave travel entitlement program was designed by Congress to encourage overseas members to accept another overseas assignment. The intent of the program is to allow members and their command sponsored dependents if going from an accompanied to another accompanied location to visit with family friends in conus Between the Tours. The government will pay round trip not to exceed the Cost for the member and his her command sponsored dependents to the member s Hor. You can go anywhere . Tour Europe or go to the state but any costs above that to the Hor Are the member s responsibility. The leave taken by the member is charged As Ordinary leave. The Epcot leave travel entitlement must be taken the month the member enters the Epcot or the entitlement must be deferred in writing by the commander. If the entitlement was deterred the first leave taken outside of the country of assignment constitutes the Epcot leave travel entitlement. It you lost your Oteis or Epcot leave travel entitlement and you believe you were mis counselled please Contact the Capo customer service unit to apply Lor correction of military record please refer Oteis and Epcot questions to your Capo personnel utilization  wants accessories at cafes Why does t cafes carry any accessories or apparel for motorcyclists it d be Nice to buy these items . Helmets gloves clothing Etc at the Exchange instead of paying inflated prices on the Economy or waiting for a stateside order. I know we Are a minority Here in Europe but even a specially Catalon would be better than nothing at All. Staff sgt. Craig highline Bremerhaven Germany a sgt. Maj. Michel j. Bolduc he cafes Europe s sergeant major replies i understand your frustration and Well be Happy to carry these items when a larger customer demand is evident. Also special orders of motor Cycle accessories offered a couple of years ago did not succeed. As a result we no longer offer this service. To write us readers action line is the readers a court of last resort striving to answer some of the questions about life overseas in a military environment or questions about policies and guidelines when other avenues for answers Are not readily available. If you have a question and done to know where to turn for the a answer write to readers action line co the stars and stripes Apo 09211-4211. Alt letters must be signed and preference will be Given to those seeking information of general interest to our readers. A the stars and stripes tuesday August 6, 1991