HomeArticles I’m interested in laser resurfacing and wondering if there’s one type of laser that’s considered the best or if different lasers are used for different problems.
There are several great lasers in the market to address sun-damage skin and lines, wrinkles. I tend to favor a fractionated CO2 laser. I will do this procedure on its own or in conjunction with other facial plastic surgery, such as a facelift. While I can’t say there is one “best” laser, I can say that, in my experience, this fractionated CO2 laser provides reliable, predictable results. The laser I currently use is the […]
HomeArticles How do you avoid “pillow face” with injectable fillers?
I avoid the over-filled appearance with injectable fillers through a conservative approach in the volumization of the face. For example, the cheek region is a common area that we volumize with filler. The reason we volumize this region is because it is the cheeks that lose volume and descend down the cheeks over time. These changes result in deeper smile lines and formation of jowl. I like to use a hyaluronic acid filler, such as Juvederm, to augment the cheeks. We avoid the “pillow face” appearance by not over-injecting the cheeks. […]
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I live in Duarte and am self-conscious about my appearance, which is one reason I am having a rhinoplasty. How large and conspicuous are the bandages for rhinoplasty recovery?
I place a small bandage over the bridge of the nose after your rhinoplasty, and leave it in place for one week after surgery. After one week, I remove this bandage.
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HomeArticles Do you ever perform necklifts on men? What sort of results do they get?
Yes, we do perform necklift surgery on men. Men who seek out necklift usually have fullness underneath the chin due to excess fatty tissue as well as neck muscle bands. As well, they have excess skin. Typically, I perform neck liposuction as part of the necklift to further refine the neckline. I treat the neck muscle to further refine the neckline. The incisions for necklift are well hidden behind the ear. Following surgery, I have patients wear a neck wrap for 1 week to allow the […]
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I used to smoke and I’ve just started to notice that I’m getting some awful vertical lines above my lip. Can fillers fix these?
Vertical lip lines have a few potential treatment options, depending upon the severity of the lines as well as your skin type and preference. One option is Botox to soften the muscle activity that causes the lines. Another option is filler to fill in specific lines. Finally, one may consider skin resurfacing (chemical peel or laser resurfacing) to achieve a smoother appearance to the skin.
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I had a nose job two years ago. It was to repair a broken nose I had as a child. It looks good except that the bridge is too wide. I didn’t think it was too wide at first but now it seems so. Is a full rhinoplasty required to narrow the bridge?
If the wide appearance is due to the nasal bone width, then I reposition the nasal bones with osteotomies. If the width is due to the nostrils, then I use nasal base reduction techniques.
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HomeArticles Are there general things that Hispanic patients want changed about their nose with rhinoplasty?
Some of the more common requests I hear from my Hispanic patients who seek rhinoplasty include a desire to refine the appearance of the nasal tip and narrow the nostrils. The nasal tip refinement in Hispanic patients can be a challenge due to the fact that Hispanics typically have thick nasal skin. This thick nasal skin camouflages the cartilage that forms the shape of the nasal tip. In these situations, I may use several options to achieve refinement of the nasal tip, including suturing techniques and […]
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I’m interested in getting a chin implant in Newport Beach but I’m concerned about how it will look and feel afterward. Does it feel unnatural?
The chin implants I use are made of silicone and anatomically shaped to coincide with the patient’s chin. These implants are placed in a small pocket and stitched into place, so movement of the implant is rare. As the swelling resolves, the chin implants look natural do feel more natural.
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HomeArticles What scar revision techniques are best for children?
It depends upon the scar. If a scar is relatively new (less than 1 year old), then I would recommend conservative measures such as silicone-based scar medication, sunscreen, and time to allow the scar to fully heal. There are several types of scar revision techniques available, from skin resurfacing to surgery. Skin resurfacing options include intense pulse light (to minimize pigmentation), laser resurfacing, and/or dermabrasion. Surgery options include a wide variety of techniques such as direct excision, z plasty, w plasty, geometric broken line closure. Finally, injections with steriod and/or 5-fluorouracil have […]
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I’m Asian and have a very thick nose. I would like this refined. How is this done?
My method for nasal tip definition is a graduated approach. First, I use suturing techniques to achieve more refinement of your tip cartilages. In thick skin patients, this tends to provide minimal refinement of the nasal tip. Therefore, I then consider the use of a nasal tip graft. I shave the edges of the tip graft so that the edges of the tip graft blend in naturally with your native tip cartilage.
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