HomeGeneral
Where is the fat harvested for use in a facial fat transfer? Is the procedure invasive?
Fat is usually harvested from the abdomen. Occasionally, patients desire body contouring (liposuction). I work with a board certified plastic surgeon who performs the body contouring procedure; he then provides me with the fat. I process the fat and re-inject it into areas of the face.
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HomeGeneral I am 52 years old from Orange County, and look tired all of the time due to the dark bags under my eyes. It feels like fatty tissue. I would like the fat removed. Can this be accomplished with gentle liposuction or is blepharoplasty necessary?
Liposuction for the bags underneath the eyes is not a good option due to (amonth other things) thinness of skin, risk of contour irregularity, and injury to important anatomic structures. A preferred technique is blepharoplasty. The bags are usually due to fat pads we all have in our lower eyelids. If the fat pads are […]
HomeGeneral
What kind of anesthesia is used for a facelift?
We have a board certified anesthesiologist conduct the anesthesia for our facelifts and it is usually general anesthesia.
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HomeGeneral How often are chin implants combined with rhinoplasty when you want to improve an overprojected nose?
During the initial consultation, I examine the nose and how the nose relates to the other facial features. It is important to assess facial harmony and balance. I have patients who come to me for a rhinoplasty to address an over-projected nose (Pinocchio is a classic example of an over-projected nose). However, during the initial consultation and my evaluation, I may notice the patient has a very small chin. On profile, a small chin will make a nose appear bigger. Sometimes, this is difficult […]
HomeGeneral I had upper eyelid blepharoplasty performed several years ago. Now I notice a hollowness of my upper eyelids. What can be done about this?
In upper blepharoplasty, sometimes fat is removed from the upper eyelid. While this may initially provide a nice result, one potential issue that may occur over time is hollowness of the upper eyelid. For this reason, I seldom remove fat from the upper eyelid when I perform upper blepharoplasty…thus maintaining a youthful appearance to the upper eyelid. It sounds like you may have had fat removed from the upper eyelid at the time of your surgery. […]
HomeGeneral I’m African American, 33, female. My last nose job was two years ago and involved a Goretex implant to fix a low nasal bridge. I know have a pollybeak deformity which I think is due to improper placement of the implant. Can this be fixed?
Yes, the implant can either be modified or removed and replaced. If removed and replaced, the question is what should we replace the implant with? Options include a similar implants as you previously had. Another option is using your own cartilage, from the rib, with a covering of temporalis fascia, to achieve the desired result. […]
HomeGeneral I’m 23, female and African American living in Socal. I’d like to have a bump on my nose removed and the tip lifted. My nose is also a little crooked. Can all of these things be fixed?
Yes, all of the aforementioned can be addressed in a nose job. The bump along the bridge of the nose can be reduced. We use an innovative instrument designed by Bien Air Surgery to take down that bump in a delicate, yet exact, manner. Meanwhile, the nasal tip rotation can be increased through a variety of techniques. Finally, a slightly crooked nose may […]
HomeGeneral
I’m Asian with a very low nasal bridge. What material do you use to raise the bridge, Gore-Tex, cartilage, silicone?
In Asian rhinoplasty cases where augmentation is needed to raise the bridge, I prefer to use your own cartilage. That cartilage is obtained from either the nasal septum, the ear, or the rib.
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HomeGeneral I’m a Hispanic male with a wide nasal base. I’ve been doing some research and came across the terms alar wedge and base reduction. Can you explain what these are if they’re the correct techniques?
Alar wedge and base reduction refer to techniques to narrow the nasal base. If you have a wide nasal base, these techniques may address the wide nasal base by narrowing it. The issue is to identify why the nasal base is wide…is it due to excess nostril flare and/or excess nasal sill. Once this is determined, a narrowing technique can be designed to address the […]
HomeGeneral
I am having neck liposuction in a month. Is it possible to use some of the harvested fat to have fat injections in my jowl area?
It depends. Usually, the amount of fat obtained from neck liposuction is not enough for facial augmentation. However, if there is enough fat harvested from neck liposuction, then it is possible to have that fat injected into specific areas of the face.
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