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Category Archives: facial rejuvenation

Survival of the Prettiest Part 2: Do Blondes Have More Fun?

As a follow-up to the blog on how we relate to babies, Nancy Etcoff in her book, Survival of the Prettiest, argues that men are more attracted to blonde women than to darker haired women, whereas women are attracted to the polar opposite, i.e., a darker-shaded male.  The reason that she argues that men are […]

Glass of Water Emptying: The Way I Explain the Aging of the Face

Glass of Water Emptying:  The Way I Explain the Aging of the Face When people ask me whether fat grafting is permanent, I say yes and no.  Yes, it is permanent because if done well by an expert injector (which I consider myself one) then once the graft gains formal blood supply over a period […]

Breaking down the Cheek into Aesthetic Subunits: Avoiding Chipmunk Cheeks

Breaking down the Cheek into Aesthetic Subunits: Avoiding Chipmunk Cheeks There is nothing uglier than big, chipmunk cheeks other than perhaps a devil looking arched brow or a duck-like lip.  How do you avoid this problem?  Should one not fill the cheeks at all then?  The answer is no since the cheek is one of […]

Type 1 and Type 2 Eyelids

Type 1 and Type 2 Eyelids One of my colleagues came up with the distinction between two types of youthful eyelids.  Type 1 is a very full upper eyelid that hangs almost over the eyeball itself (not quite).  Type 2 eyelid is an eyelid that is much hollower but at the same time still distinguishes […]

Breaking the Brow into Subunits: Designing a Brow for Cosmetic Improvement

Breaking the Brow into Subunits: Designing a Brow for Cosmetic Improvement In a previous blog we discussed why low, full brows are sexy, youthful and attractive. In this blog, we will delve into the exact subcomponents of a brow that need to be filled to achieve that look.  I break the brow into multiple points depending […]

Botox: Understanding Balance

Botox: Understanding Balance One of the most common things that I hear when I am working on a new patient for Botox is either “Don’t give me those Spock eyes” or “Don’t make me look too frozen.”  Although Botox has become one of the most commoditized items in the cosmetic world, I believe that by delivering […]

When Do I Do an Upper-Eyelid Blepharoplasty and How?

When Do I Do an Upper-Eyelid Blepharoplasty and How? But should we always just add fillers or fat to the upper frame of the eyelid and never remove any tissues?  The answer is no.  If the eyelid skin is above the eyelash margin, I rarely if ever remove skin.  Filling fat or fillers into the […]

When Do I Do a Lower-Eyelid Blepharoplasty and How?

When Do I Do a Lower-Eyelid Blepharoplasty and How? Like the upper eyelid, I find myself performing many more fat transfers to correct the aging process than traditional eyelid surgery.  Further, if I perform a traditional lower-eyelid procedure I will almost always use some fat transferred to improve the result.  In fact, I look at […]

Managing the Aging Asian Eyelid

One of the most confusing things that I have encountered is how to manage the aging Asian eyelid.  The reason for this is twofold.  First, if an Asian is born without an upper-eyelid crease where do you make the incision so that you don’t have a visible scar?  Second, when you remove skin from the […]

Survival of the Prettiest Part 3: The Uncanny Valley

One of the biggest concerns that I have from prospective patients is that they not look weird, the fear stemming from seeing unnatural celebrities that are frightening to them in magazines and on television.  The question I get all the time is “If celebrity X has all the money in the world, how can she […]