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Facial Plastic Surgery

Recent Posts in Facial Plastic Surgery Category

  • FAT REMOVAL AND CHIN IMPLANT

    Q : I hate my profile and I am interested in getting some help with my neck area. What can I do to enhance my neck area? I recently lost over 100 lbs and my face still looks fat due to my neck. I have always had no neck or chin it's all one...I am considering either chin lipo or genioplasty. Dr A’s Answer: Great job losing all that weight. Sometimes when a patient has lost a great deal of weight, ...
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  • I AM UNHAPPY WITH MY TEAR TROUGH DEFORMITY AND I'M RELATIVELY YOUNG ONLY 33. SHOULD I CONSIDER A TEAR TROUGH IMPLANT?

    Q: Should I consider tear trough implants? I’m a licensed esthetician and I see clients on a regular basis and many do not seem to have the condition to the degree I have it at my age (I notice in older clients mostly). I noticed over the last two years due to stress and weight loss that this problem developed My lines are deep and prominent. I notice filler tends to have a better result when the ...
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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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  • 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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  • FRAXEL LASER OR BLEPHAROPLASTY?

    Q: I have under eye bags and wrinkles. I am unsure which approach to take to remove/reduce them: fraxal laser, or blepharoplasty? I would be grateful for your recommendations. Dr A’s Answer: Fraxel and other laser procedures are designed to improve the quality of the skin while only subtly altering the shape. The shape of the lower eyelid is mostly related to the shape of the bone and fat and how ...
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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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  • 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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  • 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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  • DOES WEIGHT LOSS EFFECT THE RESULTS OF UPPER AND LOWER EYELID SURGERY?

    Question: I have just lost 70 lbs on a fast, doctor supervised diet. I have 40 more to go. Is it okay to have eyelid surgery now? Dr A’s Answer: Eyelids tend not to be affected much by weight. The eye socket does contain fat, however, this fat is not programmed to function as calorie storage. The fat serves to “float” your eye in the eye socket allowing for its proper motion. This requires a ...
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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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  • 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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  • WHAT CAN I DO TO MAKE MY UNDER EYE AREA LOOK BETTER? ALSO ANYTHING TO MAKE SKIN LOOK BETTER?

    Question: I did Artefill a few years ago, and this year did Belotero . Don’t know if I just need more or if my body is absorbing it somehow or if I need to do something else? Dr A’s Answer: There are a few approaches to volumizing the lower eyelid area. You have already tried one approach which is injecting hyaluronic acids (Belotero). You also had Artefil injected into that area which I would ...
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  • HOW LONG DOES JUVEDERM PLUS LAST AND HOW MANY SYRINGES DO PEOPLE TYPICALLY USE ON THEIR LIPS?

    Dr A’s Answer: The longevity of injectable hyaluronic acid fillers (Juvederm, Restylane, Belataro, etc) depends on a number of factors. Juvederm and Restylane both have 3 product lines of 3 different thicknesses with the thickest lasting longest. The location the product is used also has a lot to do with longevity. The lips tend to be one of the fastest areas of absorption. Some people only get 3 ...
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  • RADIX AUGMENTATION OR DORSAL HUMP?

    Question: I feel that my radix area is very low giving my nose a very small angle. But I am not sure if there is any hump in my nose. What can be done to make this better? Please suggest. Would radix filler or grafts be a good choice? Dr A’s Answer: Great question. I think you largely answered your own question when you said “I feel that”. This is entirely a personal choice based on your opinion ...
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  • CASE STUDY - LOWER FACELIFT

    Procedure Lower Facelift Location Austin, TX Procedure Length 3 hours Anesthesia IV Sedation (Deep) Cost $$$ Down Time 2 days to self sufficiency, 2 or 3 weeks to public display Longevity 10 years approximately depending on patient age and tissue elasticity Risks Scarring, Facial Nerve Injury, Numbness, Delayed Healing Benefits Tightening and Lifting of Neck, Jowls, Cheeks Alternatives Leave as ...
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  • CASE STUDY - LOWER BLEPHAROPLASTY (EYELID) WITH TEAR-TROUGH IMPLANT AND FAT RE-DRAPING

    Procedure Lower Blepharoplasty (Eyelid) With Tear-Trough Implant and Fat Re-draping Location Austin, TX Procedure Length 45 minutes Anesthesia IV Sedation Cost $$ Down Time 1 day in public with sunglasses, 10 days without Longevity Lifetime Risks Numbness, Asymmetry, Eye Injury, Infection Benefits Happier, Rested, Younger Appearance Alternatives Injectable Filler (Restylane), Fat Transfer, Nothing ...
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  • WRINKLES UNDER THE LOWER EYELID

    Today’s question is if you can use Juvederm to treat lower eyelid wrinkles , and the answer to that is “no.” Lower eyelid skin is extremely delicate and very thin. Then any injection into that skin to try and fill a wrinkle would result in irregularities, lumpiness, and you would probably be able to see the the skin and it might look sort of blueish. Instead though, you can use Restylane, ...
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