Archive for March, 2008

Do herbal supplements help after facial cosmetic surgery?

March 21st, 2008 | Category: Facial Plastic Surgery

Arnica Montana

Many patients ask us if there are any vitamins or supplements we can recommend that will speed up healing after surgery. Arnica and Vitamin E seem to be the current favorites.

A recent study showed 55% of cosmetic surgery patients use herbal medications or supplements compared to 24% of the general population. Read more

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Restylane vs Juvederm: Much ado about nothing?

March 21st, 2008 | Category: Facial Plastic Surgery

Indications for fillers

About a year ago, the makers of Botox came out with their new filler, Juvederm. And in an interesting marketing ploy, they allowed physicians from around the country to treat 10,000 patients with Juvederm for free who had previously been treated with Restylane. The idea was that it would get their name out there and allow doctors experience with the new product.

In this way, the makers of Juvederm believed that they would by year end probably get 10% of the injectable filler market which was largely dominated by Restylane. The result: by year end it appears that Juvederm had captured some 25% of the patients who were getting injectible fillers.

You might be wondering, so what does this all mean? Read more

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Introducing Artefill

March 17th, 2008 | Category: Facial Plastic Surgery

Who wouldn’t want a more permanent option for filling deeper facial folds and creases?

Well that option is finally here. We are now offering Artefill treatments here at Profiles. Artefill is an injectable gel that consists of permanent microspheres of PMMA (polymethylmethacrylate) suspended in dissolvable bovine collagen and a local anesthetic to improve comfort. There is about 20% PMMA to 80% collagen. The collagen allows the microspheres to be injected smoothly. As the collagen slowly dissolves, your body responds by surrounding the microspheres with your own collagen, thus maintaining the beneficial result.

Artefill spheres

Why haven’t I heard of Artefill before now? Read more

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Liquid Silicone Making a Comeback

March 16th, 2008 | Category: Facial Plastic Surgery

The facial filler market is getting very crowded lately. Everyone is searching for the holy grail- the perfect filler. It should be smooth, resilient, reliable, free of side effects – and, oh yeah, PERMANENT. To date, Artefill is the one and only permanent filler FDA-approved for cosmetic facial use. But, there are a number of long-lasting fillers coming down the pike. One of these is liquid silicone.

Injecting liquid silicone

Liquid silicone has been quietly used for decades by its supporters who claim it provides superior handling and results, especially when used carefully with a microdroplet technique. That may be true in most cases. However, there has been a healthy number of very serious reactions to liquid silicone, resulting in nodules, lumps, and severe inflammation that is near impossible to treat. What’s worse is that a reaction may occur many years after the initial injection and the material may migrate over time to unwanted areas. Read more

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After all the hype from the Oscars, we wanted to ask: Who really gets Plastic Surgery?

March 14th, 2008 | Category: Facial Plastic Surgery

Oscar night 2008

Along with all the glitz and glamour that we see and read in the run up to the Oscars, there is always a host of information about all the peels, Botox, injectibles, lasers, and nips and tucks that the stars get done to get ready for the big day. However, what is really interesting is that the truth is that cosmetic surgery is no longer the province of the rich and celebrated. Long gone are the days when in order to have facial plastic surgery you had to pay cash or write a check up front. Read more

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Beauty as Fraud

March 10th, 2008 | Category: Facial Plastic Surgery

Screaming Beauty

How is it that anyone can look in the mirror these days without screaming? I mean, who can stand to look at her naked truth sans the benefits of airbrushing? We have a very high resolution camera in the office that we use for photo imaging and nobody, and I mean nobody, likes it. We are so used to looking at silky smooth computer-aided skin and perfectly sculpted features in ads and billboards that the mere sight of a blemish or, dare we say, imperfection is enough to send everyone running for the hills.

That’s why the recent Dove Real Beauty Campaign is so refreshing for people. You can check out one of their excellent and slightly shocking videos at: Read more

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Makeup and SPF

March 09th, 2008 | Category: Facial Plastic Surgery

There was a nice article a couple of days ago in the LA Times Beauty section about mineral makeup and its overwhelming increase in popularity in recent years. You can read the full article here: Read more

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Want a great-looking, natural nose? Don't get a perfectly straight profile.

March 07th, 2008 | Category: Rhinoplasty Philosophy,Rhinoplasty Techniques

A bump seen in the profile view is one of the most common concerns we see in patients seeking Rhinoplasty. Many wonder about or ask whether they can achieve a perfectly straight-line profile after surgery? You may have seen Rhinoplasty results such as these or those that go one step further and scoop out the nasal bridge.

Primary Rhinoplasty

The fact is that even beautiful unoperated noses are NEVER perfectly straight in profile. You could even say that nature hates a straight line since all of our features are made up of gentle curves and geometric shapes. Read more


I am African American and am considering rhinoplasty. Is your rhinoplasty technique different for me?

March 05th, 2008 | Category: Rhinoplasty Philosophy,Rhinoplasty Techniques

In general, people have always identified African American noses as ones with a wide, short nasal bridge with wide nostrils. However, in point of fact there is tremendous variability in every parameter of the African American nose: including nostril shape and flare, nasal length, skin thickness, columella length, nasal projection, and bridge height. Unfortunately people continue to try to “pigeon- hole” African Americans into one type.

Ethnic Rhinoplasty Base View

This African American patient is an example of some of the typical concerns addressed in an Ethnic Rhinoplasty. This young woman was unhappy with her lack of tip projection and definition, and the width and flare of her nostril base. She had a columellar strut, tip graft, and dorsal graft placed and an alar base reduction. In the After photo to the right, you can see that her tip projection and definition are improved and her nostril width and flare are reduced substantially. This reduction can be done naturally with inconspicuous scars and without the tell-tale pinched look that results in a very unnatural-looking nostril base.

All this being said, what we have found is that if we were to compare our average African American nose to our average Caucasian nose, we find that our African American patients tend to have: Read more

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How many revisions is too many?

March 04th, 2008 | Category: Revision Rhinoplasty,Rhinoplasty Philosophy

No one likes to think about going through surgery and recovery more than once.

At Profiles Beverly Hills, patients who have not been entirely happy with prior cosmetic results often are referred to us seeking revision surgery. This is not to say that many patients are unhappy after surgery…quite the contrary is true. A great majority of patients are happy with their outcomes and most are not looking for perfection. What is a minor imperfection to some, though, is not so to others.

Still fewer patients are left with a more significant deformity. Conditions that may increase chances for a suboptimal result are poor technique or lack of surgical experience, an uncommon complication such as an infection, or sometimes simply the unpredictability of healing. An honest dialogue between patient and surgeon regarding desires and expectations can go a long way toward avoiding postoperative disappointment. Read more

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