The Two-Finger Rule Almost every day a patient comes to me holding up the sides of her face and asking, “Can you do this for me?” The answer almost invariably is no, and I would like to take this blog to have you understand why that is. I like to call this the...
Category Archives: facial rejuvenation
Downturned Corners of the Mouth: How To Fix Them
Downturned Corners of the Mouth: How To Fix Them One of the banes of women's existence is the downturned corners of the mouth. Whether they are mildly present or severe, almost every woman regardless of age is overly focused on them to their own detriment. I often...
Understanding the Brow as a Balloon: The Role of Fat Grafting to the Brow
Understanding the Brow as a Balloon: The Role of Fat Grafting to the Brow One of the most confusing things that I do is to inflate a brow/upper eyelid with fat or filler when someone instinctively thinks that her brow is already too heavy and sagging. If someone...
Why I don’t use Sculptra
Why I don’t use Sculptra First, let me say that I truly do not believe Sculptra is a bad product. In fact, I have many trusted colleagues who use it and use it well. However, I have used it in the past but I do not anymore for several reasons. The motivation behind...
Understanding the Role of Artistry in Cosmetic Surgery and Enhancement
Understanding the Role of Artistry in Cosmetic Surgery and Enhancement One of the greatest compliments that I received was from an Italian plastic surgeon who flew from Italy trusting me to work on his wife’s face, which I performed in front of him. I undertook a fat...
Accent XL: Skin Tightening as an Important Adjunct to Cosmetic Enhancement
Accent XL: Skin Tightening as an Important Adjunct to Cosmetic Enhancement Sometimes skin tightening is overrated and sometimes it simply does not work. In the past I used infrared technologies but abandoned it due to short-lived results. I have instead relied on...
Kenny Rogers and Bad Blepharoplasty and Browlift Surgery
Kenny Rogers and Bad Blepharoplasty and Browlift Surgery Obviously, there is quite a bit of brouhaha about Kenny Rogers’ facial work. His alien appearance has clearly become the poster child for bad facial plastic surgery. If you are wondering what I see as far as his...
Eyebags, Shorelines, and Rocks
Eyebags, Shorelines, and Rocks When we talk about eyebags, we are focused on the obvious, which is that there is a protuberant bag of tissue. However, is this really the case in the majority of situations? My answer is no. What I oftentimes see is that the lower...
How I use Permanent Facial Fillers: Fat, Silicone, Bellafill(Artefill)
How I use Permanent Facial Fillers: Fat Transfer, Silicone, Bellafill(Artefill) In my clinical practice I use both temporary and permanent facial fillers depending on a mixture of budget, desires, and safety. Although permanent fillers carry the risk that they are...
Differentiating Type 1 from Type 2 Eyes When Considering Fat Transfer to the Upper Eyelid/Brow Complex
Differentiating Type 1 from Type 2 Eyes When Considering Fat Transfer to the Upper Eyelid/Brow Complex A colleague of mine really got it right when he created a new perspective on seeing youthful eyes. He called them Type 1 and Type 2 eyes. I cannot recall which one...