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Plastic Surgery Blog

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 […]

The Tent Pole of the Nose Revisited in Rhinoplasty

The Tent Pole of the Nose Revisited in Rhinoplasty I think it is worth exploring a concept that allows me to discuss with prospective rhinoplasty patients exactly how I approach noses and what the specific limitations are for a particular individual based on the unique characteristics of one’s anatomy.  The tent pole analogy is my […]

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 […]

OVA, my new Skin Care Line

OVA, my new Skin Care Line I launched my new skin care line earlier this year entitled, OVA; and it has been nothing short of revolutionary both for my patients and for those who have purchased it elsewhere.  I had some cast members of True Blood who heard about this miracle product and have been […]

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 […]