Archive for May, 2008

Please, please, please put an end to this Hollywood Lip Augmentation!

May 30th, 2008 | Category: Facial Plastic Surgery

We’ve been doing a lot of lip augmentations lately with dermal fillers such as Restylane and Juvederm. It’s a popular procedure for women, young and not entirely young, to augment volume to thin lips or just to add a little bit of that pout to their look.

But, in the land of movie stars, some people take their cues from what they see the stars doing. Well, the stars should definitely not be setting the trends when it comes to lip augmentation. In fact, we wish so very much that they would stop. We won’t be cruel enough to point out these mistakes. You know who they are.

If you’re considering adding volume to your lips, consider these few pointers to get the best natural look: Read more

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Finesse Rhinoplasty: Is Alloderm an Option?

Plastic surgery, and rhinoplasty in particular, in Beverly Hills has become ever more concerned with aesthetic perfection. Unfortunately, rhinoplasty is a particularly demanding procedure that demands the most exacting attention to detail and technique if you want long term great results. Read more

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Aquamid: A New Permanent Filler?

May 27th, 2008 | Category: Facial Plastic Surgery


Hope everyone had a great memorial day.

Very recently we saw an article saying that Aquamid just published new 5 year follow up on this new product and so far the results including patient satisfaction seem to be great. Read more

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Black Beauty- Still Marginalized?

In the NY Times Magazine last week we came across these stunning pictures of Yasmine Warsame, a beautiful East African model from Somalia who grew up in Canada.

We looked her up since we had never seen her before and we came across her myspace site where she’s quoted as saying: Read more

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Rhinoplasty Mistake #3, 4, and 5: The Hanging Columella, Nostril Retraction, and Excessively Rounded Tip

In the last two posts we have taken care of imaging for a poor rhinoplasty result to address problems with the nasal bridge. Now it’s time to take a look at the tip. A frequent problem after an overaggressive rhinoplasty is a tip that becomes distorted and lacking in support. This usually happens when too much of the tip cartilages are removed in trying to narrow and refine the tip. Instead, you just end up with a tip that is unstable. We have lumped these 3 problems together because they often occur together after a Rhinoplasty in which the tip cartilages collapsed.

The diagram below shows the area of the tip cartilages (in red) that is commonly removed during a rhinoplasty. Read more

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Rhinoplasty Mistake #2: The Pollybeak Deformity

So, what is a pollybeak deformity? Well, that’s the unpleasant and unkind name we give to a nose in which the area just above the tip is too full. Normally, there should be a little dip or depression just above your nasal tip that defines the transition from your bridge to your tip on profile. When that area is high or filled in, we call it a pollybeak.

When it is very full, it can even make the nose look down-turned like a parrot’s beak, thus the name. The reason for this is that the area above the tip often becomes the part of your nose that sticks out or projects the most from your face. This is not the way it should be. Your tip should be the most projecting point of your nose.

Check out the photo below to see a pollybeak deformity indicated by the arrows.

nose pollybeak deformity photo

OK, what causes a pollybeak deformity? Read more

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Rhinoplasty Mistake #1: The Scooped Out Bridge

In the last post we told you about how a rhinoplasty can go wrong. Now we’ll take you through each of the most common problems we see one step at a time and show what must be done to fix them.

A scooped out profile is probably one of the most common problems we see after rhinoplasty. It usually occurs after a typical reduction rhinoplasty when there was a bump on the bridge that was shaved down too much.

Below is a diagram of a nasal hump reduction.

Nasal Hump

This can happen for a few reasons. Many surgeons still prefer to make a bony bump smaller using a chisel or osteotome shown below on the left. We prefer nasal rasps, which are essentially fine files shown below on the right. Read more

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Rhino Gone Wrong: Anatomy of a Bad Nose Job

Since we focus a large part of our practice on rhinoplasty, we see a lot of patients who are unhappy with their previous rhinoplasty result and would love for us to fix it. So, a big percentage of the rhinoplasties we do are revisions or re-do procedures. Over the years, we’ve seen a lot of the same problems and complaints coming up, especially when it comes to rhinoplasties that were meant to make the nose smaller. Most of these problems are from technical errors that are preventable.

We thought we’d let you in on the 10 most frequent rhinoplasty problems we see and give you an explanation of why these happen. Check out the photo below to get a first-hand view of a rhinoplasty gone wrong. Read more

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Restylane vs Juvederm? When you really look at the details, is it much different than picking between Clinton and Obama?

May 09th, 2008 | Category: Facial Plastic Surgery

c vs b

When you look at Juvederm and Restylane in detail, it’s a lot like trying to tease out differences between Obama and Clinton; in most instances they are pretty much the same.

Recently, a doctor who is an investigator for Juvederm published a report saying that she has found that patients preferred Juvederm and had longer lasting results than with Restylane. Read more

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How do you tell the truth about plastic surgery without sounding like a hater?

May 08th, 2008 | Category: Facial Plastic Surgery

And the better question is…does anybody really want to hear it?

We chew on this daily. In Beverly Hills, the “plastic surgery capitol of the world,” patients are bombarded with advertisements, news stories and magazine articles telling them that this new procedure or that new laser can achieve Everything You Ever Wanted! in just ten minutes and with absolutely no down time.  If you hear it on ABC or read about it in US, it must be true, right? Read more

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