Posts Tagged ‘3D imaging’

Know Your New Nose Before Surgery – Rhinoplasty with 3D Images at Changes Plastic Surgery

Friday, October 19th, 2012
Nothing has a greater impact on how a person looks than the size and shape of their nose. The decision to alter such an influencing feature is not an easy one for a person to make and they worry about the outcome. Most patients seeking rhinoplasty are not looking for the “perfect” nose nor are they looking to wear someone else's nose. The aim is usually an aesthetically pleasing and proportionately appropriate nose for their face. But the question remains for the patient “what will I look like after?”
 
A quick look at what determines a pleasingly proportionate nose is based on a few rules or guidelines.

1. Rule of Thirds:  A well-portioned face may be divided into equal thirds by drawing horizontal lines through the forehead hairline, the brow, the base of the nose, and the edge of the chin.

 

 

 

 

2. Rule of Fifths: Vertical guidelines divide the face into five equal columns. The two outermost fifths are measured from the perimeter of the ear to the outside corner of the eye. The distance from the outer to the inner corner of each eye should account for one-fifth of the overall facial width. The central fifth is measured between the inner corner of one eye to the inner corner of the other eye, and should be equal to the remaining fifths.

 

 3. Bilateral symmetry:  An attractive face exhibits a high degree of similarity between one side of the face and the other.

 

 
 
These 3 measurements provide a blueprint for good proportion and can help in reshaping, but for the patient just exactly what a new nose would look like depends mostly on conception and it can be very hard to visualize.  Until the advent of 3-D Imaging.
  
In 2009, Gilbert Lee, M.D. of Changes Plastic Surgery & Spa began offering the Vectra 3-Dimensional Imaging System™. The system employs six cameras to capture simultaneous images of a patient. Mirror™ software then combines each image pixel by pixel into a rotating 3-dimensional  image. 
 
The image is then enhanced and altered using various “tools” that can remove a bump on the nose, alter the angle of the tip, narrow the width of the nose and numerous other adjustments.  Patients are able to see their real-time image side-by-side with a post-surgery re-creation.

3D Imaging helps to answer the question of “what will I look like after” and is a priceless tool in the decision to undergo a nose job.  It not only puts the patient on the same conceptual page as Dr. Lee, it lets patients know their new nose will not only be improved proportionally and aesthetically, but that they will look good wearing it. 

Visualize your nose before actual rhinoplasty at Changes Plastic Surgery & Spa by calling 858-720-1440 to schedule your consultation with complimentary 3D Vectra Imaging.

 

Vectra and Mirror are registered trademarks of Canfield Scientific, Inc.

Five Facial Features and How They Age

Wednesday, July 20th, 2011

It happens to the best of us. Aging.  It creeps up on us in our late 20's and has us in a stranglehold by 70.  We notice the first signs of aging, usually in a panic, as we first detect a line or two that doesn't go away.  Lightly etched, but taking a permanent position near our eyes and above the mouth, the aging process has begun.

But just how does our face change with age? Long ago, I learned that noses and ears keep growing throughout our lives. Looking at my grandparents, each with a pretty generous schnoz, I wondered what else is true of an aging face? What can we really expect? And most importantly, can we correct these changes?

EYES APPEAR MORE SUNKEN

As fat pockets in the cheeks flatten and shrink with age, facial skin looses support and begins to sag leaving a hollow trough under the eyes.  Furthermore, the brow drops adding to excess upper eyelid skin. The upper lid visually disappears. 

To age-defy the eye area, Dr. Gilbert Lee can perform a blepharoplasty (or eyelid lift) to remove excess, drooping skin. Tear trough implants can be surgically placed to correct a sunken look as well as dermal fillers injected into the area.

patient before eyelid surgery

patient after eyelid surgery

EARLOBES DROOP

Gravity loves to pull on these pendulous appendages. Over time, the earlobes get bigger and longer adding to the overall size of the ears.

If you are getting long in the lobe, Dr. Lee can surgically reduce their size in a simple in-office procedure.  Individuals with small, atrophied earlobes see improvement with the injection of a dermal filler such as Juvederm, Restylane or Radiesse to restore volume and plump the earlobes.

THE NOSE GROWS

Although bones cease to grow and in fact shrink with age, the cartilage of the nose does continue to grow. As a result, the end of the nose may appear larger as a person grows older. Gravity does its thing on the tip of the nose pulling it downward extending the length of the nose.

Rhinoplasty is a surgical option for reducing the size of the nose.  

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LIPS SHRINK

Lips change their shape and begin to look thinner and weaker with a loss of definition to the lip border. Loss of skin elasticity and facial fat volume amplified by the pull of gravity contributes to the development of wrinkles around the mouth (lip lines).  

Fractional laser rejuvenation (TotalFX) is a minimally, invasive  method of resurfacing the skin to reduce the depth of wrinkles and improve their appearance. A liquid gel dermal filler such as Restylane or Juvederm can be injected directly into the vertical lines around the mouth or directly into the lip to temporarily add volume and minimize the lip lines.  Another option is the injection of fat for a more permanent correction.

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  THE CHIN RECEDES

As bone density diminishes and soft tissue support shrinks, the chin appears to recede. A receding chin causes the nose and upper teeth to appear more prominent. Sagging skin adds to an ill-defined jawline and the prominence of jowls.

Dr. Lee can correct a receding chin and improve your profile with the surgical placement of a chin implantRadiesse can also be injected into the chin to add volume. Although not a permanent correction, Radiesse can last up to 18 months.

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Although aging isn't something we look forward to, it is nice to know these five features have more than five ways to defy their aging appearance.  Read more about anti-aging surgical and non-surgical options at www.ChangesPlasticSurgery.com.

 

The power of 3D imaging

Friday, February 18th, 2011

Hi everyone,

Brian here. This is my first go at a blog post, so bear with me.

I wanted to talk about our newest toy, the Vectra 3D Imaging System. To say this system is absurdly awesome would be an understatement. For those who are unaware, the Vectra 3D is an imaging system for use in the aesthetics industry. The machine employs six digital SLR cameras to simultaneously take photos of a patient from multiple angles. The computer then takes these 6 hi-def photos and stitches them together into a 3D construction of the face that we can then use to simulate procedures on.  Speaking as an engineer, the system has unbelievable capability and is taking a large step forward for photography and imaging software. Speaking as a marketer, this system fills a huge void in the cosmetic surgery industry for both the patient and the doctor.

We've now been using the system for about a month and half. While we're admittedly not 100% fluent in its use yet, we continue to improve everyday. The early results though have been remarkable. By having a visual aid, patients are able to specifically point out items that they would like to address. Simultaneously, we can demonstrate exactly what we intend to do to correct the item. What this has done is allowed us to really refine our target look with immediate patient feedback and hone in on a look that makes the patient happy. Patients seem more excited and less anxious about their procedure after seeing what they are going to look like.

The procedures that we're seeing the most success simulating so far are breast augmentations, facial fillers, laser skin resurfacing, and rhinoplasties. Those are also the areas that we've been the most trained on. We've got several more trainings scheduled and will continue to simulate new procedures as we become proficient in the software. Stay tuned for more info (and maybe some case studies). In the meantime, I'm happy to talk more about the system with anyone interested in learning more.

Forecasting 2011

Wednesday, January 19th, 2011

Hi everyone, it’s a new year and of course with that comes new possibilities, new ideas, and new trends for plastic surgery. I’m putting together some of my predictions for 2011 from both a very local level to a global level. Let me know if you agree or would like to offer up an alternative prediction.

Let’s start first with where 2010 went. Like many plastic surgeons, we  had to adapt to the economic state. Quite understandably, patients want to spend less, take less time off from work, and want immediate results. This led us to really innovate ways of saving money on surgery like expanding options for surgery under local anesthesia. We also incorporated more non-surgical services like injectables and lasers into our treatments than ever. This has been a real benefit to the practice as well as to our patients who are really reaping the benefits from these new techniques and products.

But enough with the looking back. So what’s going to happen in 2011? Well, we haven’t pulled out of this recession yet. Because of this, I think there is still going to be a real emphasis on value. This means even more use of non-surgical services in new and different ways. Plastic surgeons are going to continue to push the boundary in those areas to create more alternatives to surgery and therefore more cost saving opportunities for patients.

Another big trend that we’re going to see is imaging. Knowing what to expect has always been a difficult thing to do in this field because every patient has a unique goal with a unique body/face and will get a unique result. However, we’ve recently taken a big, BIG step in addressing this issue. We’ve purchased the first 3D imaging system in San Diego for cosmetic surgery, the Canfield Vectra 3D Imager. This new system allows us to take 3D pictures of a patient and simulate procedures on the patient’s actual 3D image. We are really excited to bring this amazing technology to San Diego and to our patient base.   Eventually, within 3 to 5 years, 3D imaging will become common place in plastic surgery. For now, it remains a precious and rare technology.

In 2011, I expect more patients to be looking for treatments at a younger age. These are not the patients that are looking for a whole overhaul, but rather people who are noticing small things and want to address them earlier. I’ve always advocated that “maintenance” procedures like Botox and fillers and lasers help to prevent the big surgeries later in life. Patients are getting more and more knowledgeable all the time, and are following the advice of experts who realize that small amounts of maintenance sustain a youthful and natural appearance.

The last trend that I expect to see is increased attention to field of genital rejuvenation. This has traditionally been a bit of a taboo subject, but changing times have made this a more common topic of discussion with patients. The simple fact is that more and more women are looking this up on the web, talking about it in chat rooms, and asking me about this in consultations.  Here’s the reality: childbearing changes the female anatomy.  Big surprise, right?  It is commonplace to seek opinions for tummy tucks, breast lifts, liposuction, and more. However, the genitalia are historically ignored either out of naiveté or unwillingness to bring it up. There are great, simple procedures such as labiaplasty and vaginoplasty to rejuvenate the genitalia, greatly benefiting the patient and her partner. And yes, these procedures really work.  This fact is being understood more by patients and I think this trend will continue.

Chime in if you have any predictions or feedback. We’re excited for 2011 and hopefully you are too!

-Dr. Lee