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Cosmetic Surgery

Recent Posts in Cosmetic Surgery Category

  • CAN LASER RESURFACING REMOVE WRINKLES FROM UNDER THE EYE?

    Question: On a scale of 1 to 10, I would say I have level 6 under eye wrinkles. I do not have bags at all. What is the best laser to use for this area? Dr A’s Answer: Laser Resurfacing is the "gold standard" when it comes to eyelid skin quality. A deep laser resurfacing is far and away the most effective as it gives substantial collagen remodeling and repair. However, this is only appropriate for ...
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  • WILL EYELID SURGERY HELP? IS 36 TOO YOUNG FOR THIS SURGERY? (PHOTO)

    Question (cont) :Will eyelid surgery help? I am tired of looking tired. I feel like no matter what I do or how much rest I get my eyelids are always droopy. What is the recovery time? Will I have black eyes after the surgery? The pic is after cosmelon, hence the red face. Dr A’s Answer: Looking at your photos, it appears that you would benefit from upper blepharoplasty. Age causes upper eyelids to ...
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  • HOW MUCH OF A DIFFERENCE WILL I SEE WITH ONE SYRINGE OF JUVEDERM TO MY LIPS? (PHOTO)

    Question : I am thinking of getting one syringe of Juvederm in my lips but I am worried that my lips will end up being HUGE. I do not want them to be that noticeable, just a little fuller. My lips are small as is, with my top lip being thinner and more defined than my bottom lip Can you please look at the photo and see how much of a different would Juvederm be? Thank you! Dr A’s Answer: Augmenting ...
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  • TEAR TROUGHS ARE BOTHERSOME. AT 19 I LOOK TIRED, NO MATTER HOW MUCH SLEEP I GET. HOW LONG DOES JUVEDERM/BOTOX LAST? (PHOTO)

    Question (continued) :Makeup can only cover so much. Is there any of natural process I may be missing Which would be better for my condition? Thank-you in advance Dr A’s Answer: Tear troughs in young people are actually very common. Older people with tear troughs are the ones who had the bone structure for it even when they were young, but were able to “pull it off” because of the fact that they ...
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  • I WOULD LIKE A MINOR UPPER BLEPHAROPLASTY AND WOULD LIKE TO KEEPING A NATURAL LOOK. IS THIS POSSIBLE?

    Q: I recently had successful ptosis repair. I was thinking of having a very minor skin excision to reshape the lid, and remove some skin on one side that has a little bit of extra. I don’t want much skin removed, I don’t want much increase in height. Maybe a mm or 2. Is this pretty achievable? Or does blepharoplasty require a larger excision? Dr A’s Answer: Yes, you can certainly have an upper ...
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  • I AM SICK OF STRANGERS ASKING ME IF I AM TIRED; LOWER BLEPH, MID-FACE LIFT OR FILLERS FOR DARK CIRCLES/BAGS?

    Q: I am in my early 30s but have had infraorbital hollowness and dark circles since I was a child, & now I have some fatty herniation. I am beyond tired of strangers in supermarkets asking me if I am tired. But, w/so many horror stories of tear trough fillers (on this website & the Internet), why are so many plastic surgeons promoting them? Tyndall Effect is not ok, even for people with prior ...
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  • I HAVE AN AVERAGE OVERBITE, WEAK CHIN, AND LONG NOSE. AM I AN IDEAL CANDIDATE FOR RHINOPLASTY/CHIN IMPLANT?

    Question: I booked a private consultation with an orthodontist, they said I have an average overbite, and apparently this isn’t something that needs correcting. I am getting braces however to fix a cross bite, but I never noticed my profile view until recently, and I’m really shocked by it, my nose seems to have grown, its only 4.5cm but it sticks out equal to the length almost, and I don’t know ...
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  • IS IT SAFE TO UNDERGO RHINOPLASTY AFTER LASIK? HOW LONG SHOULD ONE WAIT?

    Q: I had my Lasik done in February and I’m planning to undergo rhinoplasty in May. Will the procedure or the black eye that might follow, has any potential to affect my vision? Dr A’s Answer: There should be no issues with having a rhinoplasty after LASIK. The bruising that can occur in the eyelid area after rhinoplasty will not affect your cornea, which is what the LASIK surgery affects. I would ...
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  • FACELIFT OR FILLERS?

    FACELIFT OR FILLERS? Q: I lost 30 pounds a couple of years ago and my skin is sagging. I workout a lot and building muscle has helped but not with my face. *This is Sitting up *This is leaning forward Dr A’s Answer: Filling, Volumizing, or Facelift First off, congratulations on losing the weight. That takes hard work. There is a lot of mis-information about fillers and how they “lift”. Fillers are ...
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  • DO I HAVE A WEAK CHIN? AM I A CANDIDATE FOR A CHIN IMPLANT OR OTHER PROCEDURE?

    Q: I have always had a problem with the way my neck and chin looked. I always thought the problem was a large adam’s apple and bad posture making my neck go forward. I am wondering if getting a chin implant or similar procedure would help fix this problem? Dr A’s Answer: Hello,Yes, you appear to be a candidate for chin implant (based solely on this photo). Chin implant will add projection to the ...
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  • FACE LIFT - SHORT TERM GRATIFICATION OR LONG TERM RESULT?

    Question: FACE LIFT – SHORT TERM GRATIFICATION OR LONG TERM RESULT? Dr A’s Answer: Very good question. Of course surgical rejuvenation of your face is not going to halt future age changes. You should expect to resume age related appearance changes starting from your new post-operative appearance. Different surgeries will age differently. Compared to what you would have looked like had you not had ...
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  • CAN JUVADERM PROVIDE PERMANENT FULLNESS TO NOSE THROUGH COLLAGEN PRODUCTION?

    Question: I f I get repeat injections of Juvaderm for years in my nose to add slight augmentation/fullness, is there a chance that Juvaderm can create enough collagen to add permanent subtle fullness? Dr A’s Answer : Hello,Great Question. It is proven that hyaluronic acid (HA) injection into skin causes collagen remodeling. Microscopic examination of skin samples prove it. This affect is obvious ...
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  • WILL A TEMPORAL LIFT, LIFT THE MID-FACE AS WELL AS THE JAWLINE?

    WILL A TEMPORAL LIFT, LIFT THE MID-FACE AS WELL AS THE JAWLINE? Dr A’s Answer: A conventional temporal lift tends to have a very subtle result. It is my opinion that temporal lifts are generally not worth the effort. A proper brow lift where the focus is on the sides is a much more effective approach. Certain types of lifts done through a temporal incision will produce a midface lift, but these ...
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  • CAN YOU MINIMIZE THE SPACE BETWEEN THE TOP OF YOUR LIP AND THE BOTTOM OF YOUR NOSE WITH A RHINOPLASTY PROCEDURE?

    Question: Just curious because my nose seems to be further away from the top of my lip than most people’s. I also have a “dorsum hump”and a deviated septum. So would all issues be addressed in one procedure or are they all different? Dr A’s Answer: Yes, indeed, you can shorten the space between your upper lip and your nose. This procedure involves removing some skin from immediately under your ...
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  • I WANTED TO GET MY EAR LOBE REPAIRED ASAP FOR A MORE PROFESSIONAL APPEARANCE. IS SURGERY NEEDED?

    I WANTED TO GET MY EAR LOBE REPAIRED ASAP FOR A MORE PROFESSIONAL APPEARANCE. IS SURGERY NEEDED? Dr A’s Answer: Gauged Earlobe Repair: The hole that a gauge leaves behind will never heal closed on it own. It may get a bit smaller when left free of any insertion over the course of a few weeks or months. Repairing the hole varies in complexity depending on the size. Larger loops of skin require ...
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  • OTOPLASTY, IS A REDO NECESSARY EVERY FEW YEARS?

    Question: I wonder if after certain number of years after otoplasty do the ears go back to their original position or they stretch a little bit trying to go back to their original position? Its been a year since i had mine done and I’m worried if i don’t wear a head band every night or if i don’t wear a band while I’m carrying heavy objects they stretch a little because I feel it when I do these ...
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  • I AM IN MY 20′S AND SLIM, WHAT CAN I DO TO IMPROVE MY PROFILE?

    Question: My chin and neck seem to just blend into one another with very little definition. I’m a slim female in her late 20′s and very conscious about this. It doesn’t really feel like excess fat, more like my neck? The appearance improves if I fold my tongue and open my mouth a little. I don’t have a small / receding chin so I don’t think it’s that. Any advice would be appreciated! Dr A’s ...
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  • I AM A 75 YEAR OLD, HEALTHY WOMAN WHO WANTS TO LOOK YOUNGER. WOULD I BE BETTER OFF WITH A LOWER FACELIFT OR FILLERS?

    Question: I would like to add volume to my cheeks and fill in my nasolabial folds and lines on my chin and mouth. Would I be better off with a lower face lift and possible fat transfer or fillers like Sculptra, Radiiesse or Juvederm? Dr A’s Answer: Based on your photo and good health you have lots of good options. Your choice will depend on your budget, healing time availability, willingness to ...
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  • WHAT IS THE PREFERRED INCISION NEAR THE EARS FOR A FACELIFT?

    Question: I have been perusing photos & wanted to know why some ears look so funky after a facelift? Some actually look as if the tragus is missing! Is there a preferred method to avoid this? Does it make a difference if staples (which I think would scar more) or sutures are used? Dr A’s Answer: First off I would say that staples are not for facelifts. They are used to save time, otherwise regular ...
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  • WHERE THE BEST PLACE FOR SCAR PLACEMENT FOR A FACELIFT AND WHY?

    Question: I am a 57 year old, white, female with blond hair and am considering a facelift. Where is the best outcome as far as scar placement? Dr A’s Answer: At 57, there is generally not much role for any sort of short incision facelift. Typically the incision will start in the temple area, extend down in front of the ear, closely following the natural curve of the ear, tuck in behind the tragus ...
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  • HOW LONG DO LUMPS IN THE NECK LAST AFTER A FULL FACE LIFT?

    HOW LONG DO LUMPS IN THE NECK LAST AFTER A FULL FACE LIFT? Dr A’s Answer: Small lumps in the neck are common after a facelift and typically are felt when rubbing your fingers over them, but not visible or only barely so. There are a number of reasons for them with some requiring treatment, but most are treated only to accelerate their resolution. On their own, these lumps might take a few months ...
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  • HOW MUCH SKIN IS REMOVED WITH A FACELIFT?

    Question: How much freedom does the doctor have with a mini facelift? How tight is the result of the skin? What determines how much skin will be removed? I would like to a have a quite smooth face and remove my laugh line. Dr A’s Answer: The amount of skin removed is dependent on the patient and the type of facelift performed. Keep in mind, that skin removal is not how a face is lifted. Primarily ...
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  • I WANT MY EARLOBES MADE SMALLER BUT THE REST OF THE EARS ARE PERFECT, CAN THIS BE DONE?

    I WANT MY EARLOBES MADE SMALLER BUT THE REST OF THE EARS ARE PERFECT, CAN THIS BE DONE? Dr A’s Answer: Earlobe reduction is a procedure that is rarely advertised, but not uncommonly asked about. It is a procedure I do often and is very successful. Some people just have large earlobes genetically, and others have earlobes that have stretched with age. Sometimes it is combined with repairing torn or ...
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  • 21 YEARS OLD AND CONSIDERING A BLEPHAROPLASTY... IS THIS A BAD IDEA?

    Question: I have noticed a lot of extra skin on my upper eyelids. It really bothers me because it makes my eyes look old/wrinkled. I have searched the internet and no one my age seems to have the same problem. They did not always look like this. I think allergies, which cause me to scratch my eyes a lot, have loosened the skin around my eyelid. Would a blepharoplasty fix this? Is it worth getting ...
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  • I WANT TO KNOW IF MY 6 WEEK OLD BABY CAN GET SURGERY ON HIS NOSE?

    Question: When my son came out after a vaginal birth and the doctor showed him to me he had a big red bruise on his nose. The doctor said he probably squished his nose inside or while coming out. She said it would go away but through the weeks the bruise became a scab on his nose. It fell off and now he has a scar going down the nose as well as inside his left nostril. For some reason his nostril ...
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