Cosmetic and Plastic Surgeons

Everyone ages, and with age comes wrinkles and an aged appearance. Dr. Daniel Golshani, a Beverly Hills plastic surgeon, has an answer for this. He first displays examples of, “These visible signs of facial aging, including a loss of skin elasticity and firmness, sagging tissues, wrinkles, and sun-damage, can strongly influence how we feel about ourselves and how others see us.” Then he explains that these individuals should seek a face lift from a plastic surgeon. He says, “Individuals who are energetic and excited about life can appear tired or sad due to the loss of youthful contours in their brow, eyelids, mid-face, jaw line, and neck.”

According to Dr. Daniel Golshani, a Beverly Hills plastic surgeon, “A Facelift is designed to lift, smooth, firm and reverse the visible signs of facial aging.” He goes on to discuss that by correcting the sagging skin on one’s face and the muscles on the face along with removing excess fat, firmness will be restored to the face. A facelift is capable of many things including creating a more youthful look. It can also make one appear more rested and have a more vibrant appearance.

I went online searching for information on facelift surgery. I ended up on the website of a San Diego plastic surgeon “The best way to assess whether a particular surgeon’s facelift approach is consistent with your personal goals and taste, is to exam the surgeons before and after photographs, visit or talk with past patients, compare incisions styles, and recovery rates.”

I found my answer on a Beverly Hills plastic surgeon’s website. It says, “In an alternative method called sliding osteotomy, a portion of the chin bone is permanently moved forward.”

I was looking for Juvederm aftercare instructions when I found an Atlanta plastic surgeon’s website. It says, “Some doctors recommend that you avoid any medications that can prolong bleeding, such as aspirin and non steroidal anti inflammatories (NSAIDS), for at least a week prior to treatment in order to reduce the risk of bruising and bleeding at the injection site. Ask your healthcare professional what he or she recommends.”

After an ear pinning procedure the San Diego plastic surgeon’s website that I found says this happens. “Following ear reshaping surgery in our San Diego office, patients are wrapped in dressing for one night and are allowed to return home.” I find this much more comforting than many other procedures because you get to go home. Some procedures require that you stay at the hospital overnight. With this you can heal happier in the comfort of your own bed.

I was looking for information on cosmetic eyelid surgery, specifically how long the surgery takes to perform. I ended up looking online and found a Utah plastic surgeon’s website. It says, “The surgery generally takes about one to three hours and is most often performed in the physician’s office. If additional cosmetic procedures are being performed, the eyelid surgery will most likely last longer.” That was actually longer than I had expected, but I guess for the best results it takes time.

I found this information on an Encino plastic surgeon’s website while searching for beauty tips online. “For a better understanding of how a forehead lift might change your appearance, look into a mirror and place the palms of your hands at the outer edges of your eyes, above your eyebrows. Gently draw the skin up to raise the brow and the forehead area. That is approximately what a forehead lift would do for you.” This made me realize just how much younger something like a browlift would make me look. I had never considered plastic surgery before, but after trying this I just might.

I have been considering botox injections for some time now, but I have always wondered, why do facial lines form in the first place. I decided that I would look it up online. I found a Michigan plastic surgeon’s website with my answer. “The frown lines are caused by two muscles of the forehead. As the muscles contract, they will pull the skin together, as time progresses, the repeated contraction produces lines to the skin.”

Being African-American and wanting a rhinoplasty may be tricky. I wanted to make sure that if I were to receive one that I would still have the features of my heritage. I did some searching to see what plastic surgeons have to say about this. I found a Los Angeles plastic surgeon’s website with information. It says, “The approach to nasal surgery varies from individual to individual. Patients may have a specific area of the nose they want improved. Ethnic characteristics must be respected when enhancing the appearance of the African-American, Asian, Caucasian, Hispanic or the Middle Eastern nose.”

I have been curiously thinking where a blepharoplasty procedure is probably performed. I decided I would get an answer to my question by searching online. I found a Kansas plastic surgeon with an answer. He says, “Your eyelid surgery may be performed in a hospital, free-standing ambulatory facility or office-based surgical suite.”

I’ve been looking around for information on facial rejuvenation and recently found the information most useful to me. On the website of a Newport Beach plastic surgeon, I found out what facial rejuvenation is capable of. It says, “The result of the treatment is a general tightening of the skin with obliteration of many of the fine wrinkles and scars while making the deeper wrinkles and scars less noticeable.”

I’ve recently been considering botox injections. I want to know as much about botx injections as possible, so I researched online and found a Hawaii plastic surgeon’s website. It has information about many facial rejuvenation surgeries and says, “Botox works by improving the appearance of wrinkles in the face that are caused by muscle contraction. There is no down time required for a Botox injection. It is relatively painless and results are apparent within a few days. The effects of Botox typically last approximately four months.”

I wasn’t sure if I should ask any questions when I went to talk to a plastic surgeon about my facelift. I didn’t want to seem out of line or annoying so I didn’t ask any questions. I did some online searching and found a Chicago plastic surgeon’s website. It says, “Don’t hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results.”

I’m starting to look my age finally, and now I am missing my youthful look I had just a few months back. I looked into some information on rejuvenating my youth and found a Tempe plastic surgeon’s website. It has information about many facial fillers, including Botox. It says, “Botox is an effective way for softening crow’s feet, frown lines, and forehead wrinkles. The results are a more pleasing relaxed appearance.”

I have been thinking about getting facial fillers to fill in my “crow’s feet.” I wasn’t sure if the surgery was for me, so I did some research. I found useful information on a Beverly Hills plastic surgeon’s website. It says, “In some individuals, the results may last only a few weeks; in others, the results may be maintained indefinitely. Researchers believe that age, genetic background, skin quality and lifestyle as well as the injected body site may all play a role in the injected material’s ’staying power.’ However, the precise reason for the variation of results among patients has yet to be identified.”

I’ve always had this feeling that something was wrong with my facial structure and about two weeks ago I realized that I have excessively weak cheek structure. I told my friend of this realization and he told me that he had heard about a procedure known as cheek implants. I looked into what he said and found a Phoenix plastic surgeon’s website. It had information about cheek implants and said, “Plastic surgeons use facial implants to improve and enhance facial contours. Frequently, these implants will help provide a more harmonious balance to your face and features so that you feel better about the way you look.”

My brow is becoming more and more drooping looking. I’ve been wondering if there is any answer for my problem. I thought about botox, but decided I would rather have something that lasted longer. I did some research and found a Los Angeles plastic surgeon’s website that said, “Patients who desire a brow lift in Los Angeles may have noticed the effects of age, gravity, exposure to sunlight, and the stresses of life all taking their toll on a person’s face. Muscles and other tissues may slowly begin to droop, causing the patient to look tired or sad. Such factors may affect an individual’s confidence, leading them to seek their own brow lift in Los Angeles.”

My girlfriend has been talking about getting a lip augmentation for a while now and I knew nothing about it before I did a little research. I found a Beverly Hills plastic surgeon’s website with some useful information. It says, “The two most well known products are Restylane and Juvaderm. Since this is a natural occurring substance the body is very likely to accept this substance. Experience has shown that there are very few allergic reactions to the Hylaforms. Allergic reactions to the skin are so rare, a skin test is not typically required. The Hylaforms come as a gel, which is injected, into the deep dermal layer of the skin.”

If you consider your chin small, you may benefit from surgery. Having a larger (or “stronger”) chin can help balance one’s appearance, creating equal weight in the upper, middle, and lower thirds of the face. It can offset the prominence of a large or even medium-sized nose. Enlarging the chin can also make the neck look longer and more graceful, and this can be a helpful addition to a facelift when there is blunting of the angle between lower neck and the under-chin region.

A face lift can help such individuals restore youthful vibrance and energy to the face. The effects of time are virtually undone to restore an individual’s face and to remove many of the effects of time and aging. A plastic surgeon accomplishes such effects by working with wrinkles, tightening the skin, removing fat deposits, and by tightening the underlying muscles of the face. This not only helps to restore the physical appearance of the patient, but also restores self-confidence and respect to the patient.

In the medical world, the fat-injection procedure is known as autologous fat transplantation or microlipoinjection. It involves extracting fat cells from the patient’s abdomen, thighs, buttocks or elsewhere and reinjecting them beneath the facial skin. Fat is most often used to fill in “sunken” cheeks or laugh lines between the nose and mouth, to correct skin depressions or indentations, to minimize forehead wrinkles and to enhance the lips.

Typically the incisions follow the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. The eyelid surgery incisions may extend into the crow’s feet or laugh lines at the outer corners of your eyes. Working through these incisions, the surgeon separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with very fine sutures.

Cheek implants are inserted through small incisions on the inside of the upper lip, which heal in approximately one week. A relatively minor procedure, cheek implants may be placed using only local anesthesia or with deeper sedation for patient comfort. Most implants are constructed from solid silicone, which adheres to the underlying bone and is very difficult to feel. While rare, complications may include infection or displacement of the implant requiring removal or repositioning. Over the years the art and science of facial contouring with cheek implants has evolved significantly, and there are many different styles and shapes to choose from. A successful outcome requires choosing the right size and shape of implant, and then placing that implant in the right location.

Often prospective facelift patients complain they look much more tired than they feel and are looking for a natural youthful appearance. Most patients do not want to look overdone or pulled. The key to looking natural after surgery is to tighten the underlying muscles of the face without much tension on the skin. The best facelifts do not distort the hairline behind the ears or sideburn in front of the ear. The earlobes should also be left in place without being pulled forward. The surgical incisions should be difficult to detect.

The best candidate for a facelift is a man or woman whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well-defined. Most patients are in their forties to sixties, but facelifts can be done successfully on people in their seventies or eighties as well.

Browlift recovery will usually require a few days before the patient is moving and a week to ten days should be allowed before returning to work. The endoscopic procedure usually has a quicker recovery time and less negative consequences than the classic method. Discuss with your cosmetic surgeon which procedure is best for you.

A face lift is a procedure which, unfortunately, can be performed by any physician - whether adequately trained or not. Most states have very little regulation on this matter. Because of this, non-plastic - or so called “cosmetic” - surgeons can perform a face lift as well. In addition, some physicians who are legitimately board certified in other specialties, such as dermatology and gynecology, for example are performing “cosmetic” surgery even though they often have never had any formal residency training in the specialty of plastic surgery itself. Weekend courses abound and the patient is often confused as to which doctor to see.

Plastic and cosmetic surgeons have multiple regimens that are very useful in combating the scars resulting from acne. The therapies a surgeon uses include the use of cosmeticeuticals available in the office. In addition, the therapies progress to the more aggressive treatments; chemical peels, microdermabrasion, and even the use of excision of deep scars or the injection of scars with dermal fillers. A surgeon will plan individual therapies with each patient. You are encouraged to make an appointment today to begin the journey to a beautiful complexion.

Chin augmentation is a way to bring balance to the facial structure of correcting a weak chin due to the related bone resorption or facial trauma. This procedure can be as simple as tissue augmentation filler to implanting a silicone or porex chin implant to have to cover all the ways you are able to enhance your chin. A weak chin can also make a normal nose appear large and an already pronounced larger. It may also give the appearance of a fleshy neck. This also brings a balanced relationship within the structure of the face. You can consult a surgeon who will be able to give you full advice which might prove useful to you.

Drooping of the eyebrows is a consequence of gravity. As the soft tissues of the forehead lose their strength with age, the natural effects of gravity cause the brows to migrate downward, below the edge of the forehead bone, to encroach on the upper eyelids. This gives the tired or aged appearance that so many patients complain of. Treatment is directed at restoring the eyebrows to their natural position just above the boney rim of the eyes. There are several techniques to accomplish this goal but all require the pulling upward on the forehead soft tissues. This can be accomplished with a standard forehead lift with incisions well camouflaged in the scalp hair or with an endoscopic forehead lift.

Some of the implant materials are made of a solid silicone. Currently, there is no scientific evidence that this is a harmful substance. Your plastic surgeon will be happy to discuss any current scientific findings concerning the type of implant you’re considering.

The goal of a facelift is to reshape and sculpt a new jaw and neck line and lift the jowls for a very natural look. The goal for a mini-lift is to simply remove the jowls by lifting them. The goal for a neck lift is to sculpt only the neck fat without removal of any skin or jowls. The neck lift is not performed if there are jowls present that need to be addressed. The S-Lift is a mini-lift.

One of the true secrets to timeless beauty lies in facial rejuvenation. The positive transformation will brighten your outlook and give your self-esteem a boost. The mirror will be your new best friend. Your plastic surgeon will consult with you to insure the best possible outcome. A vast selection of techniques and procedures will be reviewed in order to arrive at the one that fits you perfectly.

An endoscopic brow lift will generally improve horizontal forehead lines, but not as noticeably as an open approach. Advantages of endoscopic brow lift are smaller incisions and scars, and less potential for hair loss and numbness. Modified placement of incisions can be made for balding patients who require a brow lift procedure.

Botox Cosmetic, sometimes called “a facelift in a bottle”, is a purified protein. When small doses are injected directly into the muscles, impulses from the nerves to the injected muscle causing the wrinkles are blocked - allowing them to relax. This relaxing of the muscle allows the skin to smooth out persistent lines that which developed over time.
Botox Cosmetic treatments usually last about 10-15 minutes and keep the muscles that cause lines relaxed for 3 months. Results are dramatic and apparent within days and unlike surgery it is fast, simple and minimally invasive.

Lip augmentation can be accomplished either surgically or with the injection of temporary (dermal) fillers. Autologous fat injections to the lips are a longer lasting alternative to the dermal fillers. During the fat injection procedure, fat is harvested from another area of the body, usually the abdomen, and the fat is separated, purified and injected with small needles into the lips.

Approved by the FDA, Juvéderm Ultra and Juviderm Ultra Plus injectable gel are the “next-generation” of dermal fillers. The smooth consistency gel helps to instantly restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” (nasolabial folds — the creases that run from the bottom of your nose to the corners of your mouth). Juvéderm is a smooth consistency gel made of hyaluronic acid — a naturally occurring substance in your skin that helps to add volume and hydration. It provides a smooth, natural look and feel.

Facelifts are an excellent way to restore a youthful look, but they may be just one component to an overall plan to improve the appearance of one’s face. You may want to consider laser eyelid surgery to improve the appearance of your eyes, a forehead lift to raise droopy eyebrow and eliminate forehead wrinkles, or laser skin resurfacing to eliminate fine wrinkles.

Today many facelift options are appealing to men and women of various ages. Patients often will ask what is the best age for a facelift. That varies on an individual basis, as every face ages differently. Some patients opt to do a little bit of surgery in their early 40’s while others wait and decide to do more of a major surgery in their 50’s and 60’s. Overall, the most important goal is to rejuvenate the patient and produce the most natural outcome, without appearing as if you have had surgery.

A chin implant is intended to give the patient an improved profile, as well as a more attractive jaw line that creates a better balance between the chin and other facial features. The procedure is done on an outpatient basis under sedation and local or general anesthesia. An incision is made inside the lower lip or under the chin, and an implant is placed. In an alternative method called sliding osteotomy, a portion of the chin bone is permanently moved forward. The patient goes home with a small pressure dressing over the chin. Initial discomfort is easily controlled with oral medication. Swelling, tenderness, and possible local numbness gradually subside within a month or two.

BOTOX Cosmetic is a simple, nonsurgical, physician-administered treatment that can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age. It is the only treatment of its type approved by the Food and Drug Administration (FDA).

The blepharoplasty operation is designed to improve your appearance as much as possible. One must accept the judgment of your surgeon and realize that he or she will remove all the excess tissue to effect the optimum result for each patient. If a patient has very droopy brows, it may be impossible to obtain a significant improvement of upper eyelid appearance without first raising the brows. The blepharoplasty (without a browlift) does not affect droopy eyebrows. Your surgeon may suggest a browlift with you if he or she feels that your most significant problem is brow drooping.

Facial cosmetic surgery takes many forms. Many men and women desire facial procedures aimed at facial rejuvenation such as eyelid surgery, facelifts and neck lifts. Others seek a change in the size or shape of a specific facial feature that has always bothered them such as their nose, ears, or chin. Non-surgical procedures are also available to minimize fine lines and wrinkles and to maintain a youthful appearance.

For the upper eyelid surgery, an incision is made along the natural fold of the eyelid, extending from corner to corner, and excess fat and skin is removed. For the lower lids, the incision may be made right below the lower lash line and excess skin, fat and muscle removed. The underlying muscles may also be tightened by your plastic surgeon.

Facelifts can be performed alone, or with other cosmetic procedures such as eyelid or forehead surgery. Most are done under twilight anesthesia in an outpatient setting. Depending on the area to be treated, facelifts usually involve incisions made along the hairline, which extend around the ears to the lower scalp. The skin is lifted away from the fat and muscle underneath. The muscle and supporting structures of the face are tightened by the doctor, and excess skin and fat are removed.

When the facial aging process begins to take place and the face is sometimes out of harmony with the eyelids or forehead, some patients become self-conscious. And when patients state that they look older than they truly feel or their friends tell them that they look tired and not well rested, a facelift or a neck lift is performed. The face/neck lift is a very popular procedure done frequently in the United States and it is in the top 1/3 in popularity of all cosmetic procedures performed on the face. The facelift procedure is done for cosmetic reasons, and it is a procedure that is done on the face and neck to rejuvenate the face. This procedure tightens up lax facial skin, neck skin and muscles, jowls, and addresses neck fat as well. It also tightens the muscles in the face, the posterior portion of the neck and the front portion of the neck. Excess skin is removed around the ears and fat is removed underneath the neck.

One of the most sexy and youthful features of the face are the lips. Lushes, plump, and full lips are signs of youth, health, and fertility. As we age our lips lose their fullness and volume. The upper lip sags and becomes thinner. Meanwhile, fine wrinkles develop around lips which are called “lipstick lines” or “smoker’s lines”.
Lip augmentation consists of a variety of procedures designed to give a person a more defined and fuller lips. Besides enlarging the lips, lip fillers or implants are also used to balance the upper and lower lips.

Facial rejuvenation today should be about creating a new you and a positive outlook. Cosmetic surgery is not meant to change your life, but cosmetic surgery can help you look the way you have always wanted. Many plastic surgeons believe that there is no one operation or approach, but rather a selection of approaches and cosmetic procedures that can fit your specific needs. Women and men’s bodies change over time.

Eyelid surgery can make you look years younger and change one’s appearance from a tired, sad and angry look to an alert, rested and peaceful look. The eyelid lift operation is designed to remove excess skin and bagginess around the eye area. The wrinkles around the eyes are etched into the skin and cannot be removed by this procedure. A laser resurfacing procedure may be desired if the patient would like to decrease fine line wrinkles.

When cosmetic eyelid surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. But you should always expect risks and discuss with your eyelid surgery plastic surgeon about the pros and cons involved.

1. The minor complications after the surgery include double or blurred vision for a few days.
2. Temporary swelling at the corner of the eyelids.
3. A slight asymmetry in healing or scarring.
4. Tiny whiteheads may appear after your stitches are taken out, which can be removed easily with a very fine needle.
5. Another complication is ectropion, a pulling down of the lower eyelid which requires further surgery.

The most obvious signs of age can often be seen in the area just above the eyes. Horizontal wrinkles on the forehead and vertical lines between the eyes can create a fatigued, angry, or sad appearance. At many plastic surgery centers, brow lift is the procedure of choice for people wishing to eliminate these obvious signs of age.

The initial consultation with your surgeon regarding your eyelid surgery is very important. The surgeon will need your complete medical history, so check your own records ahead of time and be ready to provide this information. Be sure to inform your surgeon if you have any allergies; if you’re taking any vitamins, medications (prescription or over-the-counter), or other drugs; and if you smoke.
You and your surgeon should carefully discuss your goals and expectations for this surgery. You’ll need to discuss whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed, and whether any additional procedures are appropriate.

Cosmetic eyelid surgery or blepharoplasty is done to improve the appearance of the upper or lower eyelids. The primary goal of upper eyelid surgery is to remove the excess skin and fat, whereas the goal of lower eyelid surgery is to remove mostly excess fat. The fat in the lower eyelids is a genetic trait and is referred to by many as puffiness. Typically, patients will say that they look older than they feel when they look in the mirror.

A brow lift (a.k.a. a forehead lift, upper face lift) is a procedure utilized to correct a drooping brow and to restore a more youthful look. Laughing, crying, smiling and frowning are common facial expressions that involve the use of the forehead. Because your forehead is always moving, this eventually takes its toll on your skin. Together with aging, the result is eventually drooping eyebrows, forehead lines, and those ubiquitous frown lines. A sagging brow crowds the eyes and makes it appear that one is always frowning or angry. Often, a brow lift alone can correct upper eyelid skin excess that cannot be corrected with an eyelid lift alone. Raising the brows and tightening the upper face “opens up” the eyes, restoring a rested, more youthful look. A brow lift can be performed alone, or in conjunction with a face-neck lift and/or blepharoplasty.

Blepharoplasty, also called an eyelid lift, is the most common facial plastic procedure performed in my office. The first signs of aging to appear in the mid to late 30’s are almost always related to the eyes. Furthermore, psychological studies show that 50 percent of our initial impression of a person is made on the basis of the appearance of the eyes. The eyes tell others if we are sad, happy, angry or tired. Blepharoplasty corrects the appearance of droopy upper eyelids and puffy bags of the lower eyelids, and it produces dramatic and predictable results. It is very common to hear family and friends of eyelid patients compliment them that they look more rested and relaxed. Quite often, even these close acquaintances do not realize that surgery was performed. The recovery is very rapid and you can resume a normal routine in one to two days. The sutures come out in four days, and makeup can be resumed on day five.

If you desire to minimize your deep forehead creases, furrows and/or frown lines or have drooping or sagging eyebrows that are creating a tired or sad appearance you may be a candidate for a forehead lift. A forehead lift/brow lift will smooth out your forehead, while raising the upper eyelids and reducing frown lines. It is often performed to erase many of the effects associated with aging, leaving you with a smoother, more youthful looking appearance. Younger adults who have a low brow or who already have deep frown lines due to stress or over activity of muscles may benefit from this procedure, as well.

A facelift can be used to treat problem areas around the face such as jowls and hanging skin. The goal is to make you look ten to fifteen years younger without changing your overall appearance. In order to maintain a natural look, some plastic surgeons prefer to use the endoscopic techniques that limit incision size and visibility.
Facelifts are often combined with a brow lift to create better harmony of the facial structures. For the same reason, laser resurfacing is often offered to reduce fine wrinkles around the mouth; a facelift corrects sagging and deep wrinkles.

Botox is a safe and effective way of addressing lines and wrinkles to the face that occur during the aging process. The process is simple and requires very little time with minimal recovery. Best of all, this is a non-surgical procedure and can, therefore, be performed in the office.
Botox is an affordable alternative to a facelift, has anyone had botox injections before and would like to share their success story?

As people age, the effects of gravity, exposure to the sun, and the stresses of daily life can be seen in their faces. Deep creases form between the nose and mouth; the jawline grows slack and jowly; folds and fat deposits appear around the neck.
A facelift (technically known as rhytidectomy) can’t stop this aging process. What it can do is “set back the clock,” improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping.

A forehead lift or “browlift” is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired.
In a forehead lift, the muscles and tissues that cause the furrowing or drooping are removed or altered to smooth the forehead, raise the eyebrows and minimize frown lines. Your surgeon may use the conventional surgical method, in which the incision is hidden just behind the hairline; or it may be performed with the use of an endoscope, a viewing instrument that allows the procedure to be performed with minimal incisions. Both techniques yield similar results — smoother forehead skin and a more animated appearance.

Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat–usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or browlift.

A forehead lift or “browlift” is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired.
In a forehead lift, the muscles and tissues that cause the furrowing or drooping are removed or altered to smooth the forehead, raise the eyebrows and minimize frown lines. Your surgeon may use the conventional surgical method, in which the incision is hidden just behind the hairline; or it may be performed with the use of an endoscope, a viewing instrument that allows the procedure to be performed with minimal incisions. Both techniques yield similar results – smoother forehead skin and a more animated appearance.

An eyelid lift (eye surgery) otherwise known as blepharoplasty, focuses on the eyes, which occupy a very prominent part of our facial features. It is the surrounding skin, rather than the eyes themselves, that conveys emotion. The tissue, muscle, fat, hair and lashes all contribute to the wide array of expressions. Age, sun exposure and hereditary factors all contribute to wrinkles, deep lines and puffiness around the eyes.
The aging process can cause unwanted changes in expression, causing us to look permanently fatigued and older than we really are. These changes in appearance can cause emotional distress and sometimes even visual impairment. An eyelid lift is designed to restore a more youthful appearance to your eyes. It may involve the upper lids, the lower lids, or both.

Chemical peel uses a chemical solution to improve and smooth the texture of the facial skin by removing its damaged outer layers. It is helpful for those individuals with facial blemishes, wrinkles and uneven skin pigmentation. Phenol, trichloroacetic acid (TCA) and alphahydroxy acids (AHAs) are used for this purpose. The precise formula used may be adjusted to meet each patient’s needs. Although chemical peel may be performed in conjunction with a facelift, it is not a substitute for such surgery, nor will it prevent or slow the aging process. Once you and your plastic surgeon have decided on a specific peel program, be sure to ask about any details that you do not understand.

The exotic look of a surgically revised asian eye has been perfected by some plastic surgeons. The procedure involves creating a pleasing double fold above the single eyelid. This procedure widens the eye into a beautifully shaped almond. Fine sutures leave no significant evidence of surgery.
I had no idea they had a completely different surgery for Asian eyelids. I wonder if it is more difficult than American eyelids. Has anyone had an experience with this that they would like to share?

Dermabrasion is most often used to improve the look of facial skin left scarred by accidents or previous surgery, or to smooth out fine facial wrinkles, such as those around the mouth. It’s also sometimes used to remove the pre-cancerous growths called keratoses. Dermaplaning is commonly used to treat deep acne scars.

Soft-tissue fillers, most commonly injectable hyaluronic acid (Restylane) or fat, can help fill in lines and creases, temporarily restoring a smoother, more youthful-looking appearance. When injected beneath the skin, these fillers plump up creased and sunken areas of the face. They can also add fullness to the lips and cheeks. Injectable fillers may be used alone or in conjunction with a resurfacing procedure, such as a laser treatment, or a recontouring procedure, such as a facelift.

This procedure is done under general anesthesia on an outpatient basis. This could be done with an incision within the hairline or endosmotically. Sutures are removed within 10 days. The bruising and swelling is apparent for less than 10 days. You may use camouflage makeup within a few days.

Excess skin and fat around the eyelid area can negatively affect your appearance and, in extreme cases, impair vision. Removing excess fat and skin from the upper and lower eyelid area can create a more youthful and refreshed appearance. During the eyelid surgery, an incision is made in the crease of the eyelid and excess skin and fat are removed.

A facelift is a procedure which involves removing excess facial skin and tightening the underlying muscle layers in order to eliminate or make less obvious hanging folds and lines that appear as we age. Most commonly, this involves the skin of the neck, the area under the chin, cheeks and temporal regions. Oftentimes other procedures, such as blepharoplasty, brow lift or rhinoplasty may be performed at the same time.

BOTOX® Cosmetic is a simple, non-surgical, physician-administered treatment that can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age. It is the only treatment of its type approved by the Food and Drug Administration (FDA).

Take a look at men and women who’ve had BOTOX® Cosmetic treatments, and see for yourself!
One 10-minute treatment—a few tiny injections—and within days there’s a noticeable improvement in those persistent lines between the brows, which can last up to 4 months. Results may vary.

Your surgeon will help you decide which surgical approach will best achieve your cosmetic goals: the classic or “open” method, or the endoscopic forehead lift. Make sure you understand the technique that your surgeon recommends and why he or she feels it is best for you.

The average age of a patient having a facelift ranges between forty and sixty-five, but occasionally you will see patients well into their seventies.
Typically, facelift surgeries will last about three hours with an additional three hours allowed for recovery.

I find it interesting that people over 70 would have a facelift performed on them. How do you feel about that?

Sometimes your plastic surgeon may recommend that a brow lift be performed in conjunction with a blepharoplasty. The brow lift, which is designed to raise sagging brows, is done through several small incisions in the scalp where scars will be hidden in the hair. By elevating the eyebrows to their former youthful position, less excess skin may need to be removed from the upper eyelids. In fact in many instances, the appearance of excess skin on the upper eyelids is an illusion created by the sagging brows.

During the past decade, the size and shape of lips has gained special attention and prominence in the sphere of cosmetic surgery. Enhanced, full, sensuous lips have become the accepted standard as a characteristic of beauty. Great emphasis has been placed on the full lip in glamour and fashion magazines, which has influenced millions of women to achieve this look. Lip enhancement gained particular popularity in the late 1980’s with the invention and availability of Collagen.

Deciding if chemical peel is right for you Chemical peel is most commonly performed for cosmetic reasons — to enhance your appearance and your self confidence. Chemical peel may also remove pre-cancerous skin growths, soften acne facial scars and even control acne. In certain cases, health insurance may cover the peel procedure. Be sure to check your policy and contact your insurance company before the procedure is performed.

A facelift (technically known as rhytidectomy) can’t stop the aging process. What it can do is “set back the clock,” improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping.

Chin augmentation is a way to bring balance to the facial structure of correcting a weak chin due to the related bone resorption or facial trauma. This procedure can be as simple as tissue augmentation filler to implanting a silicone or porex chin implant to have to cover all the ways you are able to enhance your chin. A weak chin can also make a normal nose appear large and an already pronounced larger.

A forehead lift or “browlift” is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired.

A Forehead lift is a perfect procedure for someone that feels their face looks older than they feel. Does anyone have an experience with this surgery? Please share your story.

A facelift (technically known as rhytidectomy) can’t stop this aging process. What it can do is “set back the clock,” improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping.

Facial rejuvenation today should be about creating a new you and a positive outlook.

Cosmetic surgery is not meant to change your life, but cosmetic surgery can help you look the way you always wanted. An Illinois Board Certified Plastic Surgeon believes that there is no one operation or approach, but rather a selection of approaches and procedures that can fit your specific needs. Women and men’s bodies change over time.

Facial Rejuvenation can change a person’s life. Has anyone’s life been changed by this surgery?

Drawing upon the latest breakthroughs in skin science, CosmoDermT and CosmoPlastT contain human collagen grown under controlled laboratory conditions. This natural human collagen is similar to the collagen normally found in the skin, so there’s no need for a pre-treatment skin test. Which means CosmoDerm and CosmoPlast offer patients the convenience of Collagen Replacement Therapy in just one visit.

Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat–usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows.

# A man or a woman whose face and neck have begun to sag but whose skin still has some elasticity.

# Whose patients bone structure is strong and well defined.

# Most patients are in their forties to sixties. But a face lift can be done successfully on people in their seventies or eighties.

# A face lift can make you look younger and fresher and may enhance your self confidence in the process. But it can”t give you a totally different look, nor can it restore the vitality of your youth.

Patients of all ages may desire improvement in the fullness or bulk of the vermilion (the red part of the lip). Several techniques are available to reproduce fullness of the lips. These include augmentation (Alloderm and Softform/UltraSoft) and fat injections. Each patient must be evaluated on an individual bases to determine which technique will work best for their desired results.

Lip Augmentation is a procedure most people wouldn’t think of, but to some people it is very important. Has anyone had experience with a lip augmentation they would like to share?

A fine stream of crystals is used to gently abrade the dead outer layer of skin leaving the skin smooth and retextured. With this exfoliating technique watch fine lines, age spots, and acne scars lighten with each treatment.
Please refer to a board certified plastic surgeon for any further questions.

A facelift can improve the most visible signs of aging by sculpting and tightening the deeper structures and foundation of the face and neck. As we age, the effects of gravity, sun exposure, weight fluctuations, smoking, heredity, and the daily stresses of life begin to reveal themselves in our faces. Facelift surgery can bring youth back to a patient’s face.

If you have indentations in your skin, depressed scars, or deep wrinkles.

If gravity and the natural aging process has affected you.

Reinjected into areas that have lost their youthful appearance.

Autologous fat transfer is a procedure in which your own fat is collected from a distant donor area, usually the outer thigh or buttocks and reinjected into the areas.

For fat transfers contact a board certified plastic surgeon.

Chin surgery, also known as mentoplasty, is a surgical procedure to reshape the chin either by enhancement with an implant or reduction surgery on the bone. Many times a plastic surgeon may recommend chin surgery to a patient having nose surgery in order to achieve facial proportion, as the size of the chin may magnify or minimize the perceived size of the nose. Chin surgery helps provide a harmonious balance to your facial features so that you feel better about the way you look.

All those years of raising your eyebrows in astonishment, scrunching your brows together in a scowl or just the constant assault of gravity have taken a toll on your forehead. The indelible wrinkles and the drooping brows have become noticeable. This highlights that there are essentially two components to the aging forehead; the skin changes resulting in wrinkles and the change in position of the eyebrows.

Non-surgical lip enhancements are convenient because normal activities can be resumed immediately. More permanent lip enhancement procedures include fat augmentation and dermal grafts. These are minor surgical procedures, however, several days may be necessary for swelling to subside.

Blepharoplasty, also called an eyelid lift, is the most common facial plastic procedure performed at the Cosmetic Plastic Surgery Center Of San Diego. The first signs of aging to appear in the mid to late 30’s are almost always related to the eyes. Furthermore, psychological studies show that 50 percent of our initial impression of a person is made on the basis of the appearance of the eyes.

Scottsdale Plastic Surgeon Dr. Maffi is board certified by the American Board of Surgery and the American Board of Plastic Surgery. He is a member of the American Society of Plastic Surgeons and a fellow of the American College of Surgeons. Dr. Maffi’s plastic surgery training was completed at the prestigious Mayo Clinic in Rochester, Minnesota, where he is now a clinical instructor.
Upon finishing his fellowship, Dr. Maffi was fortunate to join internationally recognized plastic surgeon, Dr. Jack Friedland, where he received extensive training in aesthetic facial rejuvenation surgery. This experience, combined with his training at Mayo Clinic, has allowed Dr. Maffi to gain exceptional expertise in all aspects of aesthetic plastic surgery, including the latest procedures in breast and body contouring, with a special emphasis on facial rejuvenation, such as facelift, eyelidlift, browlift and nasal surgery.
This plastic surgeon in Scottsdale Arizona also has a special interest in caring for the under-served and those who are less fortunate. He has devoted time to working with the indigent at the county hospital in Phoenix and he has traveled to third world countries, such as Viet Nam, performing correction of congenital defects, such as cleft lip and palate deformities.

What is a blepharoplasty?
Over time, during normal aging or even with weight loss, the face will change resulting in excess skin laxity, joweling, wrinkling and even elongation of the facial skeleton itself compelling patients to seek correction. In addition, the skin of the eyelids may also sag resulting even in obstruction of vision. Eyelid surgery aims to restore the eyelid by removing excess skin, fat, and muscle. Dr. Kayser is a Michigan Plastic Surgeon who is Board Certified in Plastic surgery. As a perfectionist, Dr. Kayser will take all measures necessary to ensure that your results are the best that he can offer.

How long does a blepharoplasty last?
Although aging will always continue, one can expect long term changes with their eyelid surgery.

In addition, as the face ages, it actually looses volume and current trends in facial rejuvenation include the actual transfer of your own fat to help restore the natural contours of youth. This can also be applied to the periorbital region (the area around the eye) whereby the fat that is normally removed can actually be used to replace the volume lost in the upper cheek. Read Dr. Kayser’s article on fat grafting (Lipostructure) or call Dr. Kayser for a complete consultation to answer all your questions.

Can other procedures be combined with a blepharoplasty?
The face can actually be divided into thirds with the upper third including the forehead the middle portion including the eyes and lower third including the cheeks and jowels. These areas can easily be combined with eyelid surgery and actually help to maintain a uniform appearance.

How can I schedule a consultation with Dr. Kayser?
Considering a blepharoplasty is usually a well thought out process and, at Image by Design Plastic Surgery, we strive to ensure that all your questions are fully answered. Indeed, it is Dr. Kayser himself who conducts the entire consultation - a complete and thorough evaluation dedicated to each patient by the plastic surgeon that will be performing the procedure. This may take more time but it is essential so that each patient can make a fully informed decision.

Contrary to popular belief, a tight face is not synonymous with a young face. Indeed, outdated procedures that simply tighten or lift the skin often result in patient disappointment and frustration.Today, facial rejuvenation surgery entails much more than simply cutting excess or loose skin. With the help of a qualified plastic surgeon, successful facial rejuvenation surgery can result in a youthful natural appearance.

Choosing A Plastic Surgeon
Successful plastic surgery depends on a surgeon with proper experience, technical skill, aesthetic vision and innate talent. For this reason, choosing a proficient plastic surgeon is the top priority when considering any cosmetic procedure. Initially, patients should obtain referrals from their family physician, relatives, friends and/or other acquaintances in appropriate social settings.

Patients should consult with multiple–at least two or three–board-certified plastic surgeons certified by The American Board of Plastic Surgery. Ensuring satisfactory certification is just the start, however. Ultimately, you will want to choose a surgeon with an excellent reputation for producing successful results each and every time.

Patients should also ask to see multiple photographs of a surgeon’s previous work. Likewise, patients should feel free to bring old photographs of themselves that reflect an idea of their expectations. While nothing is guaranteed, the surgical expectations of a particular patient are often clarified through old photographs. Combined with the surgeon’s aesthetic talent and trained eye, old photographs serve as the foundation for a youthful outcome.