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Plastic Surgery Blog

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 […]

Cut-off Nostrils Following a Nose Job (Rhinoplasty)

Cut-off Nostrils Following a Nose Job (Rhinoplasty) One of the ugliest things that I see with a traditional rhinoplasty, or traditional nose job, are cut-off nostrils.  A nostril should naturally taper and curve onto the face with a shelf like portion on the upper lip known as the nasal sill, like a window sill.  When […]

Why 3 Syringes of Fillers Can Look Overfilled and Why 30 May Not

Recently, I had a lady who at the age of 57 started modeling for the first time in her life thanks in large part to the syringes I have put into her face to make her look better.  Her new boyfriend remarked that she looked better than she had when he saw her 7 years […]

Plastic Surgery Stories: Improving One’s Blink Effect

I love stories because in a story I am able to convey a lot and make it memorable for a person.  I remember a couple of stories that involved the Transport Security Authority (TSA) at the airport.  I had one lady in whom I had done many facial fillers to make her face look a […]

Notched Nostrils Following a Nose Job (Rhinoplasty)

Notched Nostrils Following a Nose Job (Rhinoplasty) Another problem after a bad nose job rhinoplasty that to me is a telltale sign of bad work is a notched or V-shaped nostril.  The curvature of the nostril rim should form a gentle upside U-shape.  When it has been operated on in the past, it can look […]

Correcting Fat Loss in IPL Damage: My Thoughts

Correcting Fat Loss in IPL Damage: My Thoughts Unfortunately, I have heard a lot on the Internet about facial fat loss following a laser treatment like intense pulsed light therapy, or IPL.  Fortunately, I have never seen a patient of mine with this outcome.  I think partly because this phenomenon is rare and partly because […]

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 […]