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Oral Supplements and Botox

  Every cosmetic Botox (also Dysport, Xeomin) patient would love to have it last longer. Whether it would be a new molecular form of Botox  or some additive method of drug prolongation, there is considerable interest in that effect. The offshoot of lasting longer is most manifest for patients in that they would be exposed Read More…

Jowl Correction in Facelift Surgery

Sagging of the jowls is considered to be among the top facial features that contributes to an aging look. This is clearly more true for women than in men in my experience. Woman notice the appearance of jowls much quicker than men and are generally more bothered by them. As the jowls droop, that once Read More…

Body Dysmorphic Disorder and Extreme Plastic Surgery

  Body Dysmorphic Disorder (BDD) is a well recognized psychological classification that is not a rare sighting in a plastic surgeon’s office or surgery center. Most of the time BDD patients are ‘discovered’ after a surgical encounter due to either good camouflage by the patient or lack or recognition during the presurgical discussion(s). While outsiders Read More…

Botox Smoothes Out A Really Big Wrinkle

  It looks like Botox just smoothed the largest wrinkle it has ever seen. Calling it a wrinkle might be an understatement, a better description would be a very deep furrow. News from today reports that Allergan, the manufacturer of Botox the world’s number one wrinkle reducer, has agreed to pay $600 million to settle Read More…

The Scar from the Direct Necklift

The aging neck is one of the most bothersome features of facial aging, whether it be a man or a woman. This is very evident as patients get older (greater than 55 or 60) and often is the sole focus regardless how the rest of the face is aging. For many men, the sagging neck Read More…

Case Study: Combined Vertical and Horizontal Chin Lengthening in Men

  Background: The chin is one of the facial prominences and the most noticeable part of the lower jaw. Horizontal chin shortness has been recognized for many decades and has largely been improved through the use of synthetic implants. Placing an implant on the front edge of the bone is a simple and relatively uncomplicated Read More…

Case Study: Reduction of the Prominent Nipples in Men

Background:  The nipple, technically known as the nipple-areolar complex, is present in both men and women. While it has a functional role in women, it is a non-functional vestigial structur in men. While a man’s chest would look strange without it, it aesthetically should blend in and be relatively non-prominent. Changes in the size and Read More…

Improving the Comfort of Facial Injectable Fillers

  Injectable fillers are a tremendously popular method for immediate enhancement of the lips and cheek-lip grooves. They have revolutionized cosmetic improvements of thin lips, lip lines, and a deepening nasolabial groove. With over a dozen injectable fillers to choose from, patients have a variety of options in both the cost of treatment and how Read More…

Case Study: Vertical Chin and Jawline Lengthening

  Background: Facial beauty is well known to be highly influenced by proportions and symmetry. Dividing the face into thirds, in either frontal or side views, is an established method of determining vertical facial balance. While this beauty concept is well acknowledged, putting it into practical use is difficult. Few facial structures can be easily Read More…

Ethnic Rhinoplasty Using Nasal Implants

There are numerous ethnic noses (Asian and African-American)  that are characterized by having a low and wide nasal bridge. Such low nasal bridges are almost always associated with a tip of the nose that has poor definition and is wider and flatter. Rhinoplasty in this nose type requires the bridge and dorsal line to be Read More…

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