Autologous Adipose (fat) Derived Stem / Stromal Cell Therapy

Stem Cell Therapy is a cutting edge and non-surgical procedure aimed at helping our body oganically recover from chronic pain and severe injury.  Non-controversial adult stem cells are harvested from either the fat tissue or bone marrow of the patient and then injected into the damaged area fostering the growth of new and healthy tissue.  This is how we reverse the effects of one's injury.  

The stem cells used are non-controversial because they are not taken from animals or embryos but from your very own body.  There are no moral or ethical issues in regards to this procedure. In fact, stem cells are used by your body every day to heal the wear and tear that your body goes through in daily life. 

Stem Cell Therapy is approximately a 3 hour procedure, is safe, and offers the opportunity to heal or partially heal severe medical conditions and injury without the invasiveness, risks, and long-term rehabiliation of surgery.  

While there are no guarantees to the effectiveness of Stem Cell Therapy, it does have a proven track record to help in the recovery of severe medical issues and prevent the need for surgery altogether.  Patients may walk out of the treatment feeling better right away, or after several weeks, and athletes are sometimes able to get back into their sport within weeks of this treatment.  Call our office today at  and schedule an appointment!  We'll do our best to relieve your pain and correct the injury.

What Are Stem Cells?

In our office, we use Adult stem cells, or plainly, stem cells that come from an adult human.  These stem cells are derived from the patient's own body and are harvested from either fat tissue or bone marrow.  

Stem cells have a unique ability, which is why they can help injuries heal.  A stem cell has the capability to turn into other types of cells, and also, the ability to self-renew.  On other words, when there is an injury to the joint, to the tendons, muscles, or ligaments, stem cells can turn into any one of these types of tissue, creating new healthy tissue and continually create more of the same new tissue.  Damaged tissue is then replaced by healthy tissue and the injury is no more.    

When stem cells are introduced to the injury site, they know to turn into the type of cell you need for recovery and continue to produce these cells untill the damaged is repaird and the area is no longer injured.     

Where Do Stem Cells Come From?

Stem cells are taken from either fat tissue or bone marrow via an injection depending on the procedure.  

What is Treatment Like? 

Stem Cell Therapy begins with an in-person or on-line consultation with one of our specialists to determine if you are a candidate for Stem Cell therapy.  Your past and present medical history is reviewed by Dr. Bieber.  All available previous testing including x-rays and MRI’s are also reviewed by Dr. Bieber. If indicated, new x-rays and/or MRI’s are ordered. Once determined that you are a candidate for Stem Cell therapy, you set an appointment for the treatment. 

On the date of your Stem Cell therapy, you will come to our state of art medical facility, relaxed and ready to go. Your blood pressure is taken and a sample of blood is drawn. Dr Bieber harvests (takes) a sample of fat tissue (via a small needle size hole near your belly button).  The Fat Derived Stem Cells and Pure Platelet Rich Plasma (PPRP) (gotten from the blood sample) are then processed in a special way.

Dr. Bieber numbs the painful area with a local anesthetic and than injects the Fat Derived Stem Cells and Pure Platelet Rich Plasma (PPRP) directly into the often multiple damaged areas of your painful joint or tendon.  The entire treatment is performed in our office and the time of the treatment is normally under four hours. We do not rush. We take our time with you. You will be able to walk out of the appointment afterwards and do not need to stay overnight.

Depending on the case, it is sometimes recommended to off load the painful area using a brace or cane, which we provide, for a few days. Often a mild pain medication (not an anti inflammatory) will be prescribed for a few days to help with any mild discomfort you may have after the treatment. We also recommend special vitamin therapy to help the Stem cells to do their work.

Most patients that receive a Stem Cell treatment are recommended to have a 1 month follow up booster of a Pure Platelet Rich Plasma (PPRP) injection to support the work and regeneration processes of the Stem Cells. 

This treatment aligns with your body’s natural healing process and as such, it may take some time before you begin to see improvement.  The tissue takes approximately 2-3 months to repair itself but many patients note decreased pain and a change in their condition within a few weeks. 

What Makes Our Office Different?

We treat each patient as a unique individual and so your treatment will be based on your individual needs and concerns. Your case will be evaluated individually. You will be given a thorough examination by Dr. Bieber and he will review your medical documentation, x-rays and MRI’s if available.

Dr Bieber does not just place the Fat Derived Stem Cells and Pure Platelet Rich Plasma (PPRP) in one area of your chief complaint. For example, your knee joint may be your main concern, Dr. Bieber will evaluate the health of your medial and lateral meniscus or other damaged structures in the knee using an ultramodern musculoskeletal ultrasound and if indicated, will place the Fat Derived Stem Cells and Pure Platelet Rich Plasma (PPRP) in those damaged sites as well, often treating 4 plus damaged areas in the knee.

The length of your Fat Derived Stem Cell and Pure Platelet Rich Plasma (PPRP) treatment often takes 2 – 3 hours as Dr. Bieber takes his time to make sure all your injured or worn out tissues are treated properly.

In our experience, no two patients are treated the same way. You will be very pleased with the concierge service you receive with Dr. Bieber at Cross Bay Physical Medicine and Rehabilitation.


The adipose (fat) is harvested usually from the abdominal wall below the umbilicus or inner thigh. Subsequently, the fat is placed in a bidirectional centrifuge resulting in the isolation of adult stem cells. The combination of adipose (fat) stem cells and high-density platelet rich plasma is then deposited to the damaged tissue area. Ultrasound guidance is used to deliver the adipose-derived stem / stromal cells and high-density platelet rich plasma precisely to the site of injury. This procedure is safe and effective.

Schedule Your Consultation!

Call  and schedule your consultation today!

Conditions Treated:

1. Shoulders

  • Partial Rotator Cuff Tears
  • Glenoid Labrum Tears
  • Joint Arthritis

2. Elbow

  • Medial Epicondylitis (Golfer’s Elbow)
  • Lateral Epicondylitis (Tennis Elbow)
  • Ulnar Collateral Ligament Injury
  • Partial Tear Distal Biceps Tendon

3. Wrist/Hand

  • DeQuervain's Tenosynovitis
  • Joint Arthritis
  • Tendonitis of the Wrist and Hand

4. Hip

  • Joint Arthritis
  • Labrum Tear
  • Trochanteric Bursitis
  • Osteonecrosis of the Femoral Head
  • Iliopsoas Bursitis and Tendonitis
  • Iliotibial Band Tendonitis

5. Knee

  • Joint Arthritis
  • Rheumatoid Arthritis
  • Meniscus Tears
  • Patella Tendonitis
  • Major Ligament strains or partial tears (MCL, LCL, ACL)
  • Chondromalacia Patellae
  • Quadriceps Tendon Strain or Partial Tear
  • Osgood-Schlatter Disease

6. Ankle / Foot

  • Achilles Tendonitis and Partial Tears
  • Peroneal Tendonitis and Partial Tears
  • Posterior Tibial Tendonitis and Partial Tears
  • Plantar Fasciitis
  • Joint Arthritis
  • Recurrent Ankle Sprains