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...
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...
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...
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...
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...
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...
Recovery and Cost of Fillers vs. Fat Grafting I would like to focus on two specific pros and cons with fillers and fat transfer: cost and recovery. In the younger patient (under 35 years of age), fillers typically are the most affordable way to make a face look more...
Top 10 Things People Worry about After a Fat Transfer (During the Recovery Period) When I call one of my patients the night following a fat transfer procedure, I usually mention the top few things that can make them alarmed that will resolve over the period of the...
Understanding the Aging Process Using Fat Grafting: A Glass of Water Emptying The face undergoes significantly less gravitational descent than was once thought. Although everyone oftentimes takes two fingers to lift up what appears to be sagging, this maneuver does...