Posts Tagged ‘imaging’

What Accounts for Facial Beauty?

Tuesday, September 27th, 2011
What accounts for facial beauty? Classic beauty brings to mind icons past and present, each undeniably a beauty standard for the time.  What do these faces have in common? 
“Classic beauties have some of the most symmetric faces and ideal facial proportions” says Gilbert Lee, M.D. “Unfortunately, for the rest of us, facial asymmetry is more the rule than the exception.” 
 
So, is it symmetrical facial features that make one beautiful?
 
The Vectra 3D computer imager can demonstrate symmetry by mirroring each half of the face to create a new one as shown below. The image of Marilyn Monroe in the center is untouched. The images on either side have been created by merging each side of the face with its mirror image.   Right with mirror right and left with mirror left. If symmetry creates beauty, the right and left image should appear more attractive than the image in the middle. Do you find this to be true?
Leonardo De Vinci created a standard of perfect proportion for the human body based on the circle and the square. Most research into physical beauty is based on geometrics and proportion. Retired Oral and Maxillofacial Surgeon, Dr. Stephen R. Marquardt (southern California), has researched the concept of beauty and facial attractiveness. With the use of mathematics, computers and massive databases of “attractive” faces, Marquardt has been able to quantify facial attractiveness in a consistent mathematical computer model. Named the Marquardt Mask, see how an overlay of the mask on images of Angelina Jolie and Marilyn Monroe fit nearly perfectly.
 
Marquardt’s Beauty Mask has more than its share of skeptics, but one thing is obvious. It is not just symmetry, but a combination of geometric planes and mathematical proportion that contribute to the face of beauty.
  
Beauty is in the eye of the beholder… and analyzed by a computer. Changes Plastic Surgery & Spa performs 3D imaging for facial procedures. An assessment of your image for symmetry is just one of the tools available. With Vectra 3D analysis, Dr. Lee can demonstrate how your own classic beauty can be achieved through surgical and non-surgical procedures resulting in better facial proportions and enhanced symmetry.
 
For more information call Changes Plastic Surgery & Spa, 858-720-1440 or info@changesplasticsurgery.com
Dr. Gilbert Lee, voted Top Doc in Plastic Surgery, San Diego 2007-2011

Top Plastic Surgeon San Diego Gilbert Lee, MD

Friday, July 22nd, 2011

We are proud to announce that Dr. Gilbert Lee has been named Top Doctor in Plastic Surgery as voted by his peers, the physicians of the San Diego County Medical Society. Voting is intended to identify and honor doctors who command the confidence and respect of their peers.

Top Plastic Surgery Doc in San Diego, Gilbert Lee, M.D.

Selection process for the "Top Doctor" list consisted of asking all San Diego board-certified physicians to whom they would send a family member or patient who needed a specialist in their own field. Selectees were then reviewed by SDCMS to confirm board certification, Medical Board of California standing and current practice standing.

Dr. Lee is thrilled to receive the Top Doc Award for Exceptional Excellence in Plastic Surgery bestowed upon him by his fellow physicians and is extremely honored to have garnered this respected achievement for the 5th consecutive year.

For more information on Dr. Gilbert Lee and Changes Plastic Surgery & Spa in San Diego, California visit www.changesplasticsurgery.com.

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