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Dr. Sam Lam - Lam Facial Plastics, Plano, TX

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Dr. Sam Lam - Lam Facial Plastics, Plano, TX

Natural, Passionate, Specialized.

"I see every patient with an artistic eye"

Natural, Passionate, Specialized.

"I see every patient with an artistic eye"

Natural, Passionate, Specialized.

"I see every patient with an artistic eye"

Natural, Passionate, Specialized.

"I see every patient with an artistic eye"

Natural, Passionate, Specialized.

"I see every patient with an artistic eye"

Natural, Passionate, Specialized.

"I see every patient with an artistic eye"

Natural, Passionate, Specialized.

"I see every patient with an artistic eye"

Natural, Passionate, Specialized.

"I see every patient with an artistic eye"

Natural, Passionate, Specialized.

"I see every patient with an artistic eye"

Surgical

Procedures performed by facial plastic surgeon Dr. Sam Lam in Dallas, Frisco and Plano, TX.

Subcategories:

59482


The 73-year-old woman is shown before and three months after a cosmetic otoplasty to reduce protruding ears. She gives a testimonial of why she wanted to have this procedure done later in life.

59587


This 46-year-old woman is 3 months out from a rhinoplasty with so far a great cosmetic result. The tip of the nose was refined and rotated and the bridge straightened, lowered, and narrowed. She gives a testimonial about the result. Watch her video at one month where she says she can breathe perfectly now and also at one week following rhinoplasty when her splint comes off.

59921


The 70-year-old gentleman has rhinophyma for which he underwent a rhinophyma reduction with Dr. Lam, that entailed cold knife reduction, mechanical dermabrasion, and laser tightening of the skin to correct the textural and shape abnormalities related to this disease process, which is an end stage of acne rosacea. He is shown before and six months after the procedure with notable improvement in the contour and the quality of skin. This example is one of the most minor cases that Dr. Lam has performed for rhinophyma.

60802


Dr. Sam Lam talks to his patient one week out from cosmetic otoplasty, or cosmetic ear pinning. He also talks about and performs a short treatment of Botox to correct any degree of postoperative discomfort the patient has. In this case the patient had difficulty sleeping on the right side. That was immediately corrected with his treatment. Before and after photographs are also attached.

61268

This 37-year-old Hispanic gentleman is shown before and one year after rhinoplasty and gives his testimonial about his results.

61805


This 40-year-old African-American man is shown before and 3 months after full face fat grafting to rejuvenate and to balance a larger forehead size. Also, he underwent one round of SuperTox to permanently and safely change his skin quality, texture, and appearance.

62008


The 73-year-old African-American woman is shown before and one year and three months after full facial fat grafting, lower blepharoplasty, upper-eyelid internal ptosis repair, and two rounds of MesoBotox for skin rejuvenation, along with a conservative upper and lower lip reduction to reduce an ethnic appearance to her lips.

62057


This 65-year-old woman is shown before and 1 month after internal upper-eyelid ptosis repair, a left upper blepharoplasty, facial fat grafting, upper and lower lip reduction for bad silicone injections in her lips making them lumpy and uneven, and a round of MesoTox/SuperTox for skin rejuvenation.

62096

This 73-year-old gentleman is shown before and 9 months after a deep-plane facelift and deep neck lift with submandibular gland sculpting along with chin augmentation.

51864


Dallas facial plastic surgeon Dr. Sam Lam’s patient gives her testimonial one month following correction of her bad rhinoplasty scar from a rhinoplasty performed elsewhere.

52489


This 28-year-old woman is shown before and one year after a unilateral left ear otoplasty (cosmetic ear pinning).

59627


This 50-year-old woman is shown before and 2 years after an upper and lower blepharoplasty and fat grafting procedure. No browlift was performed, as upper eyelid fat grafting sufficiently and sustainably rejuvenated the upper eyelid and brow region.

59851


This 50-year-old woman is shown before and 2 years after a deep-plane facelift with a favorable, sustainable aesthetic result. Of note, she declined a deep neck lift, which would have improved her neck and jawline contour even more so.

44996


This 64-year-old man had a bad prior facelift with bad scarring and an
unnatural result. He is shown before and 1 year after revision face and neck
lift including a deep-plane facelift, partial removal of submandibular
glands and deep fat along with an extended anatomic chin augmentation.

45058


This 38-year-old Indian woman tried to use fillers elsewhere to improve her nasal appearance without success. She underwent dissolving of her fillers then a cosmetic rhinoplasty in which her nasal hump was reduced, tip refined and slightly elevated, and overall proportions balanced for her face. She gives her testimonial of her results with Dr. Lam.

45248


This 58-year-old woman is shown before and 3 months after a deep-plane facelift and a deep neck lift in which Dr. Lam removed deep neck fat (not liposuction), partial shave of her submandibular glands, and some of her deeper digastric muscles, which have no effect on her function. To achieve this kind of result, a standard facelift will not accomplish enough improvement in most cases. She also had her eyebags removed and fat transfer around her eyes only.

47164


 
This 20-year-old woman is one month after an otoplasty. She shows a good cosmetic result and gives her testimonial about her outcome. Dr. Lam‘s results are very stable over a year and we will follow her progress.

61357


This 69-year-old African-American woman is shown before and 6 months after facial fat grafting, upper and lower blepharoplasty and a lip lift and lip advancement procedure.  She also had prior dynamic/static fillers for her lower facial creases when she smiles and when she doesn’t, which most likely has become permanent given how long it’s been since she has had  (two rounds), along with two rounds of SuperTox/MesoTox for skin rejuvenation, which also should be permanent.  Dr. Lam believes that most of the fat grafting has also achieved a permanent outcome after at least 6 months of time.

41870

Facelift/Neck Lift


This 72-year-old lady is shown before and 6 months after a deep-plane face
and neck lift.

49311


 

This 52-year-old gentleman gives his testimonial at one day after a unilateral, one-sided otoplasty on his left side. This testimonial is accompanied with before and after images. Of note, his left ear is still swollen, and should settle back a slight degree farther over time.

49341

 
This 36-year-old woman is shown before and six weeks after a rhinoplasty to help straighten her nose, as well as to make her hump better, and her tip more refined. She gives a testimonial about her results. She underwent a composite hump reduction, osteotomies, along with a right spreader graft, lateral turn-in flaps, lateral crural strut grafts, caudal septal extension graft, septoplasty, and a modified tongue-in-groove technique among other techniques. She should have ongoing refinement to the tip and to the bridge over the coming months to year.

61673


This 72-year-old Filipino Asian woman is shown before and 3 months after an external ptosis repair of her eyelids, upper blepharoplasty, and fat grafting.  She talks about what she thinks of her results.

22354

Chin Augmentation

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This 33-year-old gentleman is shown before and one week after a chin augmentation.

44915


This 29-year-old woman had a traumatic injury leading to severe nasal
breathing issues but she also did not like her nasal hump or her hanging and
broad nasal tip. She is shown before and 3 months after functional and
cosmetic rhinoplasty with significant improvement in her appearance and her
breathing.

45110


This 38-year-old Asian man was bothered with the asymmetry of his ears and
how his left ear protruded outwards more than his right. He is shown before
and 1 year after a unilateral left otoplasty.

61327


The 69-year-old gentleman is shown before and four years after a deep-plane facelift with a good aesthetic result that has been well maintained.

61607

This 45-year-old woman is shown before and over two years after an upper and lower blepharoplasty and full-face fat grafting procedure with favorable, sustained aesthetic results.

27936

Revision/Corrective Rhinoplasty

This 56-year-old Asian woman had a prior rhinoplasty performed elsewhere with a silicone implant and had 2 subsequent revisions. This was her fourth revision rhinoplasty showing a contracted nasal tip, asymmetry, and a tip to bridge ratio that did not look natural. She also had collapsing nasal walls during inspiration. She underwent removal of her prior implant, lateral turn-in flaps, lateral alar wall graft support, caudal septal extension graft to derotate and project her nasal tip, nasal sill reduction, a diced rib graft to rebuild the dorsum of her nose. She is shown before and 3 months after her surgery. She should continue to look better over time.

30928


 
Dallas Facial Plastic Surgeon, Dr. Sam Lam’s patient gives his audio testimonial eight months following a chin augmentation.

38549

This 39-year-old male patient is 1-day post after a bilateral Otoplasty.

61513


This 42-year-old Asian woman is shown before and 3 months after bilateral, asymmetric internal eyelid ptosis repair, transconjunctival lower blepharoplasty, and fat grafting. Of note, no brow lift or upper blepharoplasty (upper eyelid skin removal) were performed since these procedures were unnecessary.

21152

Chin Augmentation

This Asian woman is shown before and five months after a medium extended anatomic chin implant was performed to improve the contour of her neck. She had previous Kybella performed elsewhere with no result. There was no fat to remove from the neck during the procedure but she is shown with a much better neck profile due to the chin implant.
#chinimplant #chinimplants #chinimplantsurgery #chinaugmentation #chinaugmentationsurgery #weakchin #smallchin #lfpdallas

42078

23-year-old Hispanic woman shown before and 6 months after aesthetic rhinoplasty and extra-large, extended-anatomic silicone chin implant. She underwent nasal tip defatting, lateral turn-in flaps, a right caudal septal extension graft, separate domal sutures nasal sill reduction, and lateral refining osteotomies. Ethnic rhinoplasty is one of the toughest to perform because typically with super thick skin there is not much a discernible difference. Over reduction of the cartilages causes the tip to look more bulbous. Pushing the cartilages too far into the thick skin may make the tip look too large. A tip graft and also a radix graft to balance the nasal tip were attempted during the surgery but it left a less than desirable result and were abandoned. She also gives a video testimonial of her life-changing experience.

44709

This 53-year-old gentleman is shown before and one year after otoplasty to improve the slight protuberance and asymmetry (albeit not 100%, which is impossible).

50903


This 43-year-old woman is shown before and four months after an upper blepharoplasty procedure with good aesthetic results.

60851


This 58-year-old woman had a deep neck lift (reduction of her submandibular glands, digastrics, and deep neck fat), along with a deep-plane facelift and she is shown before and 5 months afterward. Of note, the deep neck lift has also helped define the jawline by narrowing the bulk in the neck.

60876

This 61-year-old woman is shown before and one year after facial fat grafting and deep neck and deep-plane facelift procedure. She also gives her testimonial about Dr. Lam’s results.

16243

Chin Augmentation

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This is a 33-year-old Asian male who is shown 3 weeks after having a chin implant.

32301

 
 
This 25-year-old is shown seven weeks after a rhinoplasty with Dr. Lam. He had trauma to his nose from sports as a teenager and difficulty breathing from the left side of his nose and did not like how asymmetric his nasal tip, bridge, and nasal base appear. He also has a saddle nose deformity with a collapse nasal bridge.

33451

Otoplasty (Cosmetic Ear Reshaping)

This 21-year-old young woman is shown before and after a reductive cosmetic otoplasty or cosmetic ear pinning to reduce the flare of her left ear only. She shows pre-existing ear asymmetry which is improved postoperatively by performing a unilateral, or one-sided otoplasty. It is impossible to get the two sides the same but asymmetry can be improved in Dr. Lam’s hands.

50841

This 47-year-old woman is shown before and one week after an upper blepharoplasty procedure performed in the office under local anesthesia. The pain is very minimal, and the recovery is very short with this procedure.

52810


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47–year-old who is shown before and approximately 1 year after fat grafting and deep-plane facelift.

61335


This 39-year-old gentleman is shown before and one year after a deep neck lift in which Dr. Lam sculpted his submandibular glands, digastric muscles, and subplatysmal fat to achieve a favorable cosmetic neck and jawline result.  No neck liposuction was performed, and he did not have any lateral facelifting performed either.

29628

Otoplasty (Cosmetic Ear Reshaping)

This 31-year-old patient of Dr. Lam is shown before and six months following an otoplasty/ear surgery. He was bothered by the prominence of his ears even though the degree of protrusion would be considered minimal by others. Dr. Lam is skilled at performing subtle otoplasty being able to bring the ears back without overpinning them.

39484


This 25-year-old woman was born with a larger nasal tip and large nasal hump who also sustained nasal trauma making her nose crooked and she had difficulty breathing. She underwent a septo-rhinoplasty to correct a severely deviated septum, especially in the posterior bony area, a dorsal
hump reduction, nasal tip refinement using lateral turn-in flaps, a caudal septal extension graft plus tongue-in-groove at the nasal spine, along with other refinements. She gives a testimonial about her hair results.

50815

This 35-year-old woman is shown before and one week after an upper blepharoplasty procedure done at the office under local anesthesia. She is still swollen but shows how much improvement there is aesthetically as well as how short the recovery time is for this procedure and Dr. Lam’s hands.

52496


This 30-year-old Asian woman gives her a testimonial three months following a lower-eyelid transconjunctival blepharoplasty and periorbital fat grafting/fat transfer with Dr. Sam Lam, Facial Plastic Surgeon in Dallas, Texas.

16291

Chin Augmentation

This is a 23-year-old male who is shown 2 months after having a chin implant.
This patient is the identical twin of Patient 16764.

20430

Primary Facial Fat Transfer

This patient underwent a full facial fat transfer to restore lost volume to your face and shown before after the procedure.

22155

Otoplasty (Cosmetic Ear Reshaping)

This 36-year-old female is shown before and 10-months after a reductive cosmetic otoplasty or cosmetic ear pinning to reduce the flare of her ears.

42713


This 50-year-old Asian gentleman is shown before and one year after a revision rhinoplasty and chin augmentation. Before, he had a silicone implant that caused a contracted, distorted nasal tip as well as an under augmented nasal bridge that showed shrink wrapping of the implant. Dr. Lam rotated his nasal tip downward to camouflage his nostrils and to create a more masculine profile that was natural in appearance. He also corrected the asymmetric nostrils. He used diced rib cartilage with Tisseel to build the bridge and a caudal septal extension graft to define the nasal tip and to lower and lengthen the nasal tip in a secure way.

56864


This 52-year-old woman underwent a deep-plane facelift and deep neck lift, which involves reduction of her submandibular glands and digastric muscles of her neck to reduce the bulk of her neck along with elevation of her jawline. She is shown before and 9 months after her procedure.

20750

Primary Facial Fat Transfer

This woman is shown before and after a periorbital fat transfer and a facelift.

22209

Otoplasty (Cosmetic Ear Reshaping)

This 42-year-old man from California is shown before and one day after a unilateral one-sided otoplasty of his left ear. He had mainly a lop ear and a little bit of a cup ear as well. He states he has newfound confidence now.

33868


This 19-year-old patient of Dr. Lam is shown before and one year and a half following a rhinoplasty/nose job.

49767


This 44-year-old patient is shown before, one week after, and one month after her upper blepharoplasty procedure. She also gives a testimonial at one week about her results so far.

52808


47–year-old who is shown before and approximately 1 year after fat grafting and deep-plane facelift.

16363

Chin Augmentation

This is a 57-year-old woman who is shown after having a chin implant surgery.

21608

Otoplasty (Cosmetic Ear Reshaping)

This gentleman had a prior otoplasty performed elsewhere after which he could not wear eyeglasses because the ears were too tight, especially the right side. He also needed to hold his ear out from his head when he was getting a haircut. In addition, he had a nonhealing ulcer on the surface of the right ear. Because his ears were overpinned, his head looked larger, and also his earlobes protruded unnaturally outward. He also had an asymmetric result. He underwent a revision otoplasty using skin grafts from the back of the left ear to be used behind the right ear and some in the front of the right ear where there was a non-healing ulcer. He also had a skin graft from the bottom of the right ear placed behind the top of his left ear. Also a significant amount of scar tissue was released. He now has a more symmetric result. He has what is known as “helical show” where you can see the helical rim from the frontal view. He can wear glasses now and he can also get a haircut without pulling his ear outward. His non-healing ulcer is now healed too. His earlobes, ears, and face are much more balanced as well.

21760

Rhinoplasty-Nose Job, Revision/Corrective Rhinoplasty

This 40-year-old woman is shown before and 16 months after a revision rhinoplasty. She was unhappy with the appearance of her nasal tip and she could not breathe from the left side of her nose. During the procedure a left spreader graft was placed so that now she can breathe well. She also had her previous nasal tip graft removed that was causing the distortion and asymmetry to her nasal tip. Her columella that was buckled was straightened. However, she does have a small residual deviation of the nasal tip that was not entirely corrected. She also had dice cartilage wrapped with mastoid fascia and placed onto the over-resected middle nasal vault. She also had her nasal bones realigned and straightened.

48604

This 56-year-old woman is shown before one month after upper blepharoplasty procedure. This is an office base procedure under local anesthesia with minimal pain and recovery as performed by Dr. Lam

50277


This 36-year-old woman is shown before and 1 year after an extended deep-plane facelift, deep neck lift, and medium chin implant. Dr. Lam’s deep neck lift involves sculpting the deep neck structures including the deep fat compartment, digastric muscles, and partial shave of the submandibular glands. For individuals below 40 years of age, he can perform an isolated deep neck lift without the deep-plane facelift but this individual already showed early jowling, so he felt that it would be more preventative to perform a combined deep-plane facelift as well.

52372


This 42-year-old patient is shown before and 6 months after transconjunctival lower-eyelid blepharoplasty with fat grafting to his upper and lower eyelids and temple regions.

16457

Chin Augmentation

This is a 33-year-old man shown two months after having a chin implant and neck lipocontouring.

20888

Otoplasty (Cosmetic Ear Reshaping)

This young woman is shown before and 1.5 years after a reductive cosmetic otoplasty or cosmetic ear pinning to reduce the flare of her ears. She had a lop ear deformity correction. She shows pre-existing ear asymmetry which is improved but not entirely eliminated postoperatively.
#otoplasty #otoplastysurgery #bigear #earreduction #cosmeticearsurgery

37966


21-year-old Asian woman who is shown before and 1 month after cosmetic rhinoplasty that provided subtle but dramatic improvement in the balance of her nose.

49873


This 43-year-old woman is shown before and 3 months after a deep-plane facelift and deep neck lift in which Dr. Lam skillfully reduced the excessive deep neck fat, digastric muscles, and submandibular glands, as well as lifted her neck and jawline with a deep-plane facelift in order to achieve the optimal aesthetic results for this patient. Liposuction alone not only fails but can also lead to more problems, which Dr. Lam is absolutely opposed to doing. She should continue to show ongoing improvement in the coming months. She gives her life-changing video testimonial as well.

59865

This 53-year-old woman underwent a deep-plane facelift, upper and lower blepharoplasty, and fat grafting. She also gives a testimonial 6 months after these procedures.

13523

Chin Augmentation

Cheek Enhancement and Cheek Augmentation Photo. Cheek And Chin Enhancement Procedure By Dr Samuel Lam

13742

Primary Facial Fat Transfer

Full Facial Fat Transfer
Patient Shown One Year After A Single Session Fat Tranfer. Fat Transfer Procedure Photos By Dr Samuel Lam.

22321

Otoplasty (Cosmetic Ear Reshaping)

This 21-year-old patient of Dr. Lam is shown before and 5 weeks after an otoplasty/ear surgery.

49095


The 67-year-old gentleman is two years out from a facelift procedure with good results. He is only allowing us to use a close-up of his ears to show how seamlessly the scars heal in a pre-tragal design. Pre-tragal means that the incision is made in front of the ear instead of inside the ear, which sometimes must be done for men based on the texture of the tragus, as well as whether there is a lot of hair bearing tissue.

14588

Revision/Corrective Rhinoplasty

Corrective Rhinoplasty
This Young Lady Sustained A Volleyball Accident That Led To An Even Larger Hump Than What She Already Had. Preserving A Strong Dorsal Profile But Reducing This Large Hump Softens Her Appearance And Gives Her More Of A Feminine Look That Is Completely Natural In Appearance. Corrective Rhinoplasty Procedure By Dr Samuel Lam

20603

Otoplasty (Cosmetic Ear Reshaping)

This gentleman had a lop ear, cup ear, and earlobe reduction and is shown before and after his procedure.

46783


This 59-year-old gentleman is shown before and 14 months after an upper and lower blepharoplasty, fat grafting, and hair transplant. He gives a testimonial about his results.

48900


This 61-year-old woman gives her testimonial one month following a full-face fat transfer, upper and lower blepharoplasty, deep-plane facelift, and deep neck lift including partial resection of her submandibular glands, digastrics, and sub-platysmaplal fat. Why do a deep neck lift on a thin neck? Because it allows a better sculpted neck without hollowing out the neck and also the glands would have become visible as two golf balls in the neck after a standard facelift that tightens around these structures. She will continue to show improvement in the coming months.

13797

Primary Facial Fat Transfer, Mole Removal and Facial Excisions

Facial Fat Transfer[raw]
[/raw]Mole Removal Photo (Nose)Mole Removal And Facial Excisions Procedures By Dr Samuel Lam

15996

Otoplasty (Cosmetic Ear Reshaping)

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This is a 28 year old male who had an Otoplasty 7 months ago.

44986


This 64-year-old man had a bad prior facelift with bad scarring and an unnatural result. He is shown before and 1 year after revision face and neck lift including a deep-plane facelift, partial removal of submandibular glands and deep fat along with an extended anatomic chin augmentation.

59663


This 43-year-old woman is shown before and after an upper blepharoplasty performed in the office under local anesthesia and she gives her testimonial about her results.

16249

Otoplasty (Cosmetic Ear Reshaping)

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This is a 29-year-old woman shown 9 months after having an Otoplasty.

17308

Revision/Corrective Rhinoplasty

This woman underwent a revision (corrective) rhinoplasty with Dr. Sam Lam after experiencing a failed attempt at previous rhinoplasty. She is shown before and after her surgery that required a hump reduction, tip refinement, and tongue-in-groove technique to improve the relationship between the ala and the columella (hanging columella).

22074

Fat Grafting

This 56-year-old female is shown one week after an entirely incisionless surgery: fat transfer to the upper and lower eyelids and no-incision lower eyelid blepharoplasty along with lower-eyelid CO2 fractionated laser, and micro liposuction of her jowls.

44734

This 56-year-old woman is shown before and after an office-based upper blepharoplasty (upper cosmetic eyelid procedure) done totally awake with minimal downtime and discomfort. Look for her video and photos taken at a week to see how fast the recovery is.

13528

Chin Augmentation

Chin Augmentation Photo (Medium Chin Implant With Neck Liposuction And Lipocontouring)
Photo Of Medium Chin Implant With Neck Liposuction And Lipocontouring. Cheek And Chin Enhancement Procedure By Dr Samuel Lam.

13764

Primary Facial Fat Transfer

Fat Transfer
Patient Is Shown 16 Months Out After A Single Session Of Fat Transfer. She Also Received Botox Over That Period Of Time. Fat Transfer Procedure Photos By Dr Samuel Lam.

14544

Revision/Corrective Rhinoplasty

Corrective Rhinoplasty Photo (Over Resected, Over Scooped And Collapsed Nose)
This A Photo Of A Woman Who Underwent Previous Rhinoplasty Leading To An Over Resected, Over Scooped And Collapsed Nose. Corrective Rhinoplasty Procedure By Dr Samuel Lam

16304

Otoplasty (Cosmetic Ear Reshaping)

This is a 15-year-old boy who is shown 1 year and 5 months after his Otoplasty.

32774


This 53-year-old patient is shown two weeks and a half following an upper blepharoplasty (upper eyelid surgery). The procedure was performed awake in the office with minimal discomfort.

13817

Primary Facial Fat Transfer, Mole Removal and Facial Excisions, Skin Resurfacing

Facial Fat Transfer
This Individual Underwent 3 Procedures: Full Facial Fat Transfer (Of Course), Plasma Skin Resurfacing, And Left Facial Mole Removal. It Is Important That Those Individuals Who Consider Plasma Skin Resurfacing To Understand That Deeper Folds And Wrinkles… Fat Transfer Procedure Photos By Dr Samuel Lam
Mole Removal Photo (Facial)
Mole Removal And Facial Excisions Procedures By Dr Samuel Lam
Skin Resurfacing
Skin Resurfacing Procedure Photos By Dr Samuel Lam

14577

Revision/Corrective Rhinoplasty

Corrective Rhinoplasty
This 16 Year Old Boy Sustained A Nasal Fracture When He Was Much Younger With A Resultant Saddle Nose Deformity. He Is Shown After Reconstruction Of The Nose Using Ear And Nasal Cartilage. Corrective Rhinoplasty Procedure By Dr Samuel Lam

16487

Otoplasty (Cosmetic Ear Reshaping)

Sometimes otoplasty should be very subtle. This gentleman did not want to have a very dramatic difference because his ears were not very bad to begin with. The key with good otoplasty is to keep overall good form and also what is known as helical show. That means that from the frontal view you can still see the curvature of his helical outer rim without it being hidden. That would be a telltale sign of overdone ear pinning.

32596


This 51-year-old with early signs of aging in her jawline and neck before surgery is shown before and 5 months after a facelift with notable improvement in her lower face and neck.

40885


Take a look at this 50-year-old woman is shown before and one week after an upper blepharoplasty procedure, and she gives a testimonial about her experience with Dr. Lam.

13531

Chin Augmentation

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Chin Enhancement Photo ( Large Implant, With Neck Liposuction)

13811

Primary Facial Fat Transfer, Skin Resurfacing

Facial Fat Transfer
This Individual Underwent A Conservative Upper Eyelid Procedure (Some Skin Removal), Plasma Skin Resurfacing And Full Facial Fat Transfer. If You Notice, It Looks As If She Needs A Browlift, But That Is A Mistake. Low Brows Are Feminine And Youthful. Fat Transfer Procedure Photos By Dr Samuel Lam.
Skin Resurfacing
Skin Resurfacing Procedure Photos By Dr Samuel Lam

32951


This 56-year-old patient is shown before and six months after an upper blepharoplasty/eyelid surgery. The procedure was performed awake in the office with minimal discomfort and recovery time.

14547

Revision/Corrective Rhinoplasty

Corrective Rhinoplasty Photo (Traumatic Nose Injury)
The Photo Of This Woman Sustained A Traumatic Nose Injury In Youth And Is Shown With A Crooked Nose As Well As An Unaesthetic, Bulbous Nasal Tip. Corrective Rhinoplasty Procedure By Dr Samuel Lam.

15006

Otoplasty (Cosmetic Ear Reshaping)

Ear Reshaping (Otoplasty) Correction Of Mild Cup And Lop Ear Deformity
Correction Of Mild Cup And Lop Ear Deformity Frontal View By Dr Samuel.

32472


This 47-year-old female is shown before and six weeks after an upper blepharoplasty/ eyelid surgery.

49393


This 53-year-old woman underwent a deep-plane facelift, upper and lower blepharoplasty, and fat grafting. She also gives a testimonial 6 months after these procedures.

13536

Chin Augmentation

Chin Enhancement Photo (Large Chin Implant)
Cheek And Chin Enhancement Procedure By Dr Samuel Lam

13829

Primary Facial Fat Transfer

Facial Fat Transfer
This Patient Is Shown 1 Year Following A Single Session Of Fat Transfer. She Has Also Undergone 2 Years Of Consecutive Botox Treatments And Is Shown About 3 Months After Her Last Botox Treatment, Meaning That Her Botox Has Almost Completely Faded But Her Skin Has Achieved Remarkable Long Term Rejuvenation. Fat Transfer Procedure Photos By Dr Samuel Lam.

15020

Otoplasty (Cosmetic Ear Reshaping)

Female Otoplasty Before And After Photo
Female Otoplasty Before And After Photo By Dr Samuel Lam

27871

Rhinoplasty-Nose Job

This 34-year-old Asian patient is shown before and one week after her cosmetic rhinoplasty with Dr. Lam. She had nasal-tip refinement with a caudal septal extension graft, lateral turn-in flaps, domal sutures, and bridge elevation and refinement with diced rib graft with Tisseel. She also had a nasal-sill reduction to narrow her nostrils.

30189


 
56-year-old patient is shown before and one months after an upper blepharoplasty/eyelid surgery. The procedure was performed awake in the office with minimal discomfort and recovery time.

31395


This 59-year-old patient of Dr. Lam is shown six months following a facelift with notable improvement in her lower face and neck.

13832

Primary Facial Fat Transfer

Facial Fat Transfer
I Performed A Lower Blepharoplasty (Removal Of Fat Bag) Along With A Full Facial Fat Transfer. Removing A Little Of The Fat Bag And Putting Fat Back Into The Hollow Lower Eyelid Bony Rim Were Important To Achieve The Best Result In This Woman. Fat Transfer Procedure Photos By Dr Samuel Lam.

15023

Otoplasty (Cosmetic Ear Reshaping)

Otoplasty (Correction Of Cup Ear And Lop Ear Deformity)
Otoplasty Correction Of Cup Ear And Lop Ear Deformity By Dr Samuel Lam

22089

Rhinoplasty-Nose Job

This 27-year-old rhinoplasty patient is shown before and 5 months afterward. She had a hump reduction, asymmetric nostril correction, nasal tip refinement, and hanging columella correction using a tongue-in-groove technique. Of note, she had a traumatic scar on the bridge of her nose that she did not want changed.

30804


This 50-year-old woman from Arkansas is shown before and six months following a facelift.

14552

Revision/Corrective Rhinoplasty

Corrective Rhinoplasty Photo (3 Prior Rhinoplasties To Correct His Deviated Nasal Bridge From Previous Trauma)
This Young Man Underwent 3 Prior Rhinoplasties To Correct His Deviated Nasal Bridge From Previous Trauma, All Without Success. Corrective Rhinoplasty Procedure By Dr Samuel Lam.

15026

Otoplasty (Cosmetic Ear Reshaping)

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Otoplasty Photo Childs Ear Reshaping
Childs Ear Reshaping Otoplasty By Dr Samuel Lam

16764

Chin Augmentation

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This patient is the identical twin of Patient 16291.

21788

Eyelid Rejuvenation

This 51-year-old woman is shown before and 2 months following an upper blepharoplasty, or cosmetic upper eyelid procedure with good aesthetic result.

56350


This 65-year-old woman is shown before and 2 years after a deep-plane facelift and deep neck lift with submandibular gland resculpting.

13542

Chin Augmentation

Chin Enhancement Photo (Large Chin Implant, Trimmed Smaller)
Cheek And Chin Enhancement Procedure By Dr Samuel Lam

13602

Corrective Facial Fat Transfer

Corrective Facial Fat Transfer
This 63 Year Old Patient Had Surgical Procedures That Made Her Look Artificial. She Underwent A Fat Transfer 1 Year Ago For Rejuvenation Purposes But Also To Correct Previous Bad Browlift And Facelift Surgeries.

15033

Otoplasty (Cosmetic Ear Reshaping)

Otoplasty Before And After Photo of Patient. Otoplasty Before And After Photo By Dr. Samuel Lam

21283

Botox, Chin Augmentation

This 27-year-old woman is shown before and after a large extended chin implant, neck lipocontouring, as well as Botox jaw reduction to reduce the outer width of her face.

22165

Rhinoplasty-Nose Job

This 42-year-old African-American woman is shown before and one week after rhinoplasty. Dr. Lam performed a tongue-in-groove technique to elevate her nasal tip securely and predictably along with a nasal-hump removal and nasal-tip refinement. There is still considerable swelling in the nose, especially in the nasal tip area, that will continue to dissipate in the coming weeks.

22414

Eyelid Rejuvenation

This 38-year-old woman is shown before and 1 month after an upper blepharoplasty (upper eyelid surgery). The procedure was performed awake in the office with minimal discomfort and recovery time.

30538


This 63-year-old female is shown before and ten months after a facelift and chin implant with Dr. Lam.

13545

Chin Augmentation

Chin Enhancement Photo (Extra Large Chin Implant With Neck Lift)

13857

Primary Facial Fat Transfer

Facial Fat Transfer And Upper Blepharoplasty
This Patient Is Shown 5 Years After Fat Transfer And Upper Blepharoplasty. She Has Received Botox And Filler Injections As Well Since Then. Watch Her Video Testimonial And Her Video Recovery Diary. Fat Transfer Procedure Photos By Dr Samuel Lam.

15040

Otoplasty (Cosmetic Ear Reshaping)

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Female Otoplasty Photo
Female Otoplasty Before And After Photo By Dr Samuel Lam

22459

Eyelid Rejuvenation

This 50-year-old is shown before, 1 week, and 3 months following an upper blepharoplasty, or cosmetic upper eyelid with a good aesthetic result.

29379

This 64-year-old patient is shown before and four months after a direct neck lift with Dr. Lam.

13518

Chin Augmentation, Primary Facial Fat Transfer

Chin Implant
Cheek And Chin Enhancement Procedure By Dr Samuel Lam
Facial Fat Transfer And Chin Implant
This 42 Year Old Woman Had A Fat Transfer 14 Months Ago Along With Steady Botox For 2 Years. She Had Some Filler As A Touch Up After The Fat Transfer. Fat Transfer Procedure Photos By Dr Samuel Lam

14555

Revision/Corrective Rhinoplasty

Corrective Rhinoplasty Photo (Crooked Nose Deformity From A Previous Traumatic Injury)
This Young Man Exhibits A Crooked Nose Deformity From A Previous Traumatic Injury. He Underwent Open Reduction Of His Nasal Fracture And Shows A Straighter Nasal Profile. Of Note, His Breathing Is Also Significantly Improved. Corrective Rhinoplasty Procedure By Dr Samuel Lam

15047

Otoplasty (Cosmetic Ear Reshaping)

Cup And Lop Ear Deformity Correction. Also Correction Of Asymmetry (Frontal View)
Cup And Lop Ear Deformity Correction And Correction Of Asymmetry Before And After Photo By Dr Samuel Lam (Frontal View)

21634

Chin Augmentation, Facelift/Neck Lift

This woman is shown before and after a deep-plane facelift and chin implant with notable improvement in her lower face and neck. She also gives an audio testimonial of her experience and results that you can find in the video section of this website.

22662

Rhinoplasty-Nose Job, Revision/Corrective Rhinoplasty, Lip Reduction (Corrective and Ethnic)

This 34-year-old patient African-American gentleman is shown before and one week after a revision rhinoplasty/nose job and lip reduction. Of note, for his rhinoplasty, he underwent nasal hump reduction and osteotomies to lower the hump and to narrow the nose. He had his radix elevated with diced rib graft with Tisseel, lateral turn-in flaps to narrow the nose along with double-dome binding sutures and a caudal septal extension graft to create a stronger tip and to elevate a sagging nose. He also could not breathe well and now has perfect breathing.

13548

Chin Augmentation

Chin Enhancement Photo (Medium Chin Implant)

14558

Revision/Corrective Rhinoplasty

Corrective Rhinoplasty Photo (Saddle Nose Deformity From Injury)
This Young Man Sustained An Injury To His Nose When He Was A Boy Playing Hockey. He Had Collapse Of The Central Third Of His Nose (A Saddle Nose Deformity). Corrective Rhinoplasty Procedure By Dr Samuel Lam

14615

Skin Resurfacing, Otoplasty (Cosmetic Ear Reshaping)

Skin Resurfacing. Skin Resurfacing Procedure Photos By Dr Samuel Lam. Otoplasty Before And After Photo Cosmetic Ear Reshaping, Otoplasty Before And After Photo Cosmetic Ear Reshaping By Dr Samuel Lam Correction Of Mild Cup And Lop Ear Deformity Right Side View By Dr Samuel.

22061

Primary Facial Fat Transfer, Facelift/Neck Lift

This 54-year-old female is shown before and 6 months after having a facelift and fat transfer.

22476

Eyelid Rejuvenation

This 58-year-old gentleman is shown before and eleven months after an upper blepharoplasty.

13551

Chin Augmentation

Chin Enhancement Photo (Large Chin Implant)

13761

Primary Facial Fat Transfer

Fat Transfer And Upper Blepharoplasty
Patient Is Shown 2 Years Out After A Single Session Of Fat Transfer. Of Note, She Has The Same Makeup On The Before And The After Image. She Also Received Botox Over That Period Of Time. Fat Transfer Procedure Photos By Dr Samuel Lam.

15054

Otoplasty (Cosmetic Ear Reshaping)

Ear Reshaping (Otoplasty) Correction Of Cup And Lop Ear Deformity And Also Right Ear Helical Deformity, Frontal View
Ear Reshaping (Otoplasty) Before And After Frontal Photo Of Correction Of Cup And Lop Ear Deformity And Right Ear Helical Deformity By Dr Samuel Lam

21571

Facelift/Neck Lift, Cheek Augmentation, Chin Augmentation

This 56-year-old Hispanic gentleman is shown before and after a deep-plane facelift and chin implant with good aesthetic improvement.

22233

Rhinoplasty-Nose Job

This 37-year-old Asian woman is shown before and 1 week after rhinoplasty. She had diced cadaveric rib graft with Tisseel for the nasal bridge, rasp of a small hump on the nasal bridge, lateral turn-in grafts for the nasal tip, a double dome-binding suture, tip graft, a caudal septal extension graft to stabilize and project the nasal tip with improvement in the columellar shape, and a nasal sill reduction to improve the nostril width. A lot of the details of his nasal enhancement will become more evident over time.

14561

Revision/Corrective Rhinoplasty

Corrective Female Rhinoplasty Photo (Collapsed Nose From Trauma)
This Young Hispanic Lady Shows Both A Collapsed Nose From Previous Trauma As Well As An Unaesthetic Nasal Tip. She Also Could Not Breathe Well On Her Right Side. Corrective Rhinoplasty Procedure By Dr Samuel Lam

15061

Otoplasty (Cosmetic Ear Reshaping)

Otoplasty (Correction Of Mild Lop Ear Deformity)
Otoplasty Correction Surgery Of Mild Lop Ear Deformity By Dr Samuel Lam.

21072

Facelift/Neck Lift

This 60-year-old Chinese woman is shown before and after a deep-plane face and neck lift with platysmaplasty with notable aesthetic improvement.

21142

Eyelid Rejuvenation

This 62-year-old man is shown before and 6 months after having his lower eyebags removed. The technique that was performed was incisionless (transconjunctival) not just to avoid a scar but to make sure that his eyelid shape would be perfectly preserved. He also had fat grafting under his lower eyelids to improve the hollowness along with a fractionated carbon dioxide laser to tighten his skin.
#eyebagremoval #eyebagsurgery #lowerblepharoplasty #fatgrafting #fatgraftingsurgery

21622

Chin Augmentation, Facelift/Neck Lift

This 33-year-old woman is shown before and 1 day after a deep neck lift/chin implant to manage a sagging neck contour that she was born with. This advanced technique involves partial removal of the submandibular glands, removal of deep neck fat, selective removal of subcutaneous fat, digastric muscle shave, platysmaplasty, microliposuction of the jowls, and a medium-sized extended anatomic Conform chin implant custom-shaved anteriorly to reduce anterior projection. Neck liposuction or Kybella would be the wrong solution and would have either worsened her condition or not improved it. The mild swelling in the neck signifies the drain running across the neck that will be there for one week. Absolutely no skin was removed. Use of tranexemic acid has virtually eliminated bruising, as Dr. Lam uses in almost all surgeries.

49321


 

This 57-year-old gentleman gives a testimonial six days after an upper and lower blepharoplasty, full face fat transfer, and periorbital Fraxel laser. He is still in the healing phase with distortion, but this video is meant to show in a video and photographic fashion the nature of the recovery period.

13554

Chin Augmentation

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Chin Enhancement Photo (Small Chin Implant)

13617

Corrective Facial Fat Transfer

Corrective Facial Fat Transfer Photo
This Woman Is Shown On The Right After Browlift, Eyelid Surgery, And Facelifting. The Surgery Is Not Unnatural But She Still Appears Very Tired And Has Jowls Present. She Is Shown After Corrective/rejuvenative Facial Fat Transfer And Also Had Silicone Lip Enhancement. As You Can See With Relatively Larger Cheek Bones, I Did Not Put Much Fat There But Placed Fat Below The Cheekbone To Blend The Face More Artistically Into A Balanced Oval.

13996

Facelift/Neck Lift

Neck Rejuvenation
Face & Neck Lift. Lower Face And Neck Rejuvenation Procedure By Dr Samuel Lam

15064

Otoplasty (Cosmetic Ear Reshaping)

Cup/lop Ear Correction Otoplasty
Cup And Lop Ear Deformity Correction Surgery By Dr Samuel Lam

21247

Eyelid Rejuvenation

This 74-year-old gentleman is shown before and six weeks after an upper blepharoplasty, or upper eyelid procedure, with good aesthetic results.

21364

Rhinoplasty-Nose Job

This gentleman is shown before and after revision rhinoplasty to correct a nasal hump that was not fixed after his prior rhinoplasty.

13728

Primary Facial Fat Transfer

Full Facial Fat Transfer
55 Y/o Woman, 2 Years Post Full Facial. Fat Transfer Procedure Photos By Dr Samuel Lam.

14566

Revision/Corrective Rhinoplasty

Corrective Rhinoplasty Photo (Buckled Deformity Of Middle Nasal Vault From Trauma)
This Woman Sustained Major Trauma To The Nose Creating A Buckled Deformity Of Her Middle Nasal Vault (The Upper Lateral Cartilages). Corrective Rhinoplasty Procedure By Dr Samuel Lam

15075

Otoplasty (Cosmetic Ear Reshaping)

Ear Reshaping (Otoplasty) Correction Of Asymmetric Cup And Lop Ear Deformity
Correction Of Asymmetric Cup And Lop Ear Deformity (Otoplasty) By Dr Samuel Lam

18570

Facelift/Neck Lift

This lady had a facelift in the past elsewhere that required revising. She is shown before and one year after her revision deep-plane facelift along with close-up views of her incisions.

19091

Eyelid Rejuvenation

This woman is shown before and after an upper eyelid blepharoplasty.

15082

Otoplasty (Cosmetic Ear Reshaping)

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Male Otoplasty
Male Otoplasty Before And After Photo By Dr Samuel Lam (Frontal View)

18781

Facelift/Neck Lift

Close up photo following facelift to show how hard it is to see the incisions

20856

Rhinoplasty-Nose Job

The patient is shown before and 6 months following cosmetic and functional rhinoplasty. After the procedure, you can see the dorsal hump has been reduced, the radix portion of the bridge elevated to shorten the appearance of the nose, the angle of the nasal tip slightly elevated but still at a masculine angle, and the nostril show improved from the profile view. The key with male rhinoplasty is to preserve and enhance the masculine appearance of the nose.

48887


This 61-year-old woman gives her testimonial one month following a full-face fat transfer, upper and lower blepharoplasty, deep-plane facelift, and deep neck lift including partial resection of her submandibular glands, digastrics, and sub-platysmaplal fat. Why do a deep neck lift on a thin neck? Because it allows a better sculpted neck without hollowing out the neck and also the glands would have become visible as two golf balls in the neck after a standard facelift that tightens around these structures. She will continue to show improvement in the coming months.

14571

Revision/Corrective Rhinoplasty

Corrective Male Rhinoplasty Photo (Traumatic Nose Injury & Bulbous Nasal Tip)
This Photo Shows A Man Who Sustained A Traumatic Nose Injury In Youth And Is Shown With A Crooked Nose As Well As An Unaesthetic, Bulbous Nasal Tip. Corrective Rhinoplasty Procedure By Dr Samuel Lam

17176

Primary Facial Fat Transfer, Facelift/Neck Lift

This patient is shown before and almost 2 years after a deep-plane facelift, fat transfer, revision rhinoplasty, and upper blepharoplasty. She also gives her testimonial about her results.

19083

Eyelid Rejuvenation

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This woman is shown before and after an upper eyelid blepharoplasty.

13629

Corrective Facial Fat Transfer

Corrective Facial Fat Transfer
This Woman Underwent Prior Lower Facial Surgery Including A Malpositioned Chin Implant Performed Elsewhere. I Was Able To Use Her Old Photographs To Rejuvenate Her Face And To Correct The Lower Facial Work Through A Facelift, Removal Of The Chin Implant, And Facial Fat Transfer. She Is Shown Not Only More Rejuvenated Now 5 Years Out But Also More Natural In Appearance Than After All Her Previous Surgeries.

21379

Rhinoplasty-Nose Job

This 27-year-old Hispanic man is shown before and one month after rhinoplasty in which the nasal bridge was raised and narrowed with a carved and shaped Gore-Tex implant where most of the height was placed into the radix (upper portion of the bridge) along with nasal tip refinement by narrowing the tip through a cephalic trim and double-dome binding sutures, extending the nasal tip using a strong caudal septal extension graft and onlay tip graft and narrowing the base of the nose with a nasal sill reduction.

13736

Primary Facial Fat Transfer

Primary Fat Transfer
This Patient Is Shown 18 Months After A Fat Transfer, Right Upper Blepharoplasty, And Rhytec Plasma Skin Resurfacing. Fat Transfer Procedure Photos By Dr Samuel Lam.

14574

Revision/Corrective Rhinoplasty

Revision Nose Surgery Photo
The Photo Of This Gentleman Sustained Injury To His Nose In The Past And Required Revision Nose Surgery To Improve Both His Breathing And His Nasal Appearance. Corrective Rhinoplasty Procedure By Dr Samuel Lam.

21234

Chin Augmentation, Facelift/Neck Lift

This 53-year-old woman is shown before and 2 years after volume restoration around the eyes, an extended large chin implant, and a deep-plane facelift.
#facelift #dallasfacelift #faceliftsurgery #deepplanefacelift #chinimplant #chinaugmentation #chinimplants #chinimplantsurgery

13770

Primary Facial Fat Transfer

Fat Grafting
This Patient Is Shown 2 Years After A Single Session Of Fat Transfer With Remarkable Improvement. Watch Her Video Testimonial. Fat Transfer Procedure Photos By Dr Samuel Lam.

21125

Chin Augmentation, Facelift/Neck Lift

This woman had a deep-plane facelift and extended anatomic chin implant to achieve a more sculpted neck and jawline.
#faceliftdallas #dallasfacelift #faceliftsurgery #chinimplant #chinimplants

13566

Eyelid Rejuvenation

Traditional Lower Eyelid Blepharoplasty Photo (No Incision Technique)

16024

Rhinoplasty-Nose Job, Primary Facial Fat Transfer, Facelift/Neck Lift, Skin Resurfacing

This 54-year-old woman is shown before and after a rhinoplasty, fat transfer, laser skin resurfacing, and facelift.

21743

Rhinoplasty-Nose Job

This 63-year-old gentleman is shown before and one month after rhinophyma reduction of his nose for a condition that he has experienced for many years that had failed dermatologic therapy. Of note, he was unable to breathe due to the weight of his nose before surgery and now after surgery is able to completely breathe. He also gives a testimonial about his experience and his results in a related YouTube video. Given the fact that he is only one month out from surgery he has a slight bit more of healing to the skin that he has to undergo.

13569

Eyelid Rejuvenation

Traditional Eyelid Rejuvenation: Browlift & Blepharoplasty Photo

14580

Revision/Corrective Rhinoplasty

Corrective Rhinoplasty
This Woman Underwent Previous Rhinoplasty With A Resulting Pinched, Collapsed, And Unnatural Look. Corrective Rhinoplasty Procedure By Dr Samuel Lam.

32747

This 37-year-old African-American female is shown before and seven months after incisionless surgery: fat transfer to the lower eyelids and no-incision eyebag.

13539

Chin Augmentation, Facelift/Neck Lift

Chin Enhancement Photo (Large Chin Implant With Neck Liposuction And Lipocontouring)

13800

Primary Facial Fat Transfer

Facial Fat Transfer
This Younger 39 Year Old Individual Exhibits Significant Sun Damage To Her Skin. The Excessive Previous Sun Exposure Has Led Her To Have A Much More Gaunt Appearing Face That Ages Her. In Order To Create A More Balanced Face, I Slightly Widened The Lower… Fat Transfer Procedure Photos By Dr Samuel Lam.

16081

Rhinoplasty-Nose Job

This is an 18-year-old woman who desired to bring down the hump and refine the tip of her nose.

13733

Primary Facial Fat Transfer

Fat Grafting And Silicone Lip Enhancement
This 43-year-old patient is shown 1 year after a single session of fat grafting and lip enhancement. Watch her video testimonial.

17185

Chin Augmentation, Eyelid Rejuvenation

This gentleman is shown before and after upper eyelid surgery, transconjunctival (no-incision) lower eyelid surgery, periorbital laser, fat transfer, and chin augmentation. He declined having a neck lifting procedure at this time.

13424

Botox, Primary Facial Fat Transfer

Long Term Botox Photo Major Wrinkle Reduction
Long Term Botox Photos (Major Wrinkle Reduction, Improved Skin Texture And Tone). Botox Procedure Photos By Dr Samuel Lam
Fat Grafting For Men
This Gentleman Underwent A Fat Transfer 2 Years Prior And Is Shown With Good Aesthetic Outcome. It Is Very Important That Conservative Volumes Be Applied To Men So That A Face Looks Rejuvenated But Not Feminized. Fat Transfer Procedure Photos By Dr Samuel Lam

13557

Chin Augmentation, Facelift/Neck Lift

Chin Enhancement Photo (Large Chin Implant With Neck Liposuction And Lipocontouring)
Photo Of Large Chin Implant With Neck Liposuction And Lipocontouring. Cheek And Chin Enhancement Procedure By Dr Samuel Lam.

45307


This is a subtle revision rhinoplasty result seen better on closeup. The patient did not like how the tip was too rounded without definition (a unitip) (better seen from oblique view) and the deviation to the bridge (better seen from frontal view) as well as the fact that the tip was slightly too large for the bridge (better seen from oblique and side views). Dr. Lam underwent a revision rhinoplasty for her to separate her nasal tip to create more definition and refinement and straightened her nasal bridge along with raising the bridge slightly to match the nasal tip size. She is shown before and 5 months after surgery. She should have ongoing improvement over this year.