Posts Tagged ‘plastic surgery’

LOSE YOUR CANKLES AT CHANGES PLASTIC SURGERY IN SAN DIEGO

Tuesday, January 17th, 2012
What is a cankle? The Urban Dictionary lists numerous definitions and any one of them will give you a chuckle. For example:
 
The seamless blend of calf into ankle. accomplished by inflammation, obesity, athleticism or a combination of the three. The affected leg takes on the shape of a summer sausage with a human foot at the end. There is no definition of the calf because it is obscured most often by fat which spills down over the ankle, hiding it, and causing a cankle to form.
 
and this one:
 
The area in affected female legs where the calf meets the foot in an abrupt, nontapering terminus; medical cause: adipose tissue surrounding the soleus tendon, probably congenital, worsened by weight gain and improved in appearance only by boots.
 
The definitions may be funny, but cankles are no laughing matter. The “cankle” condition is attributed mostly to women, although men suffer cankles in equal numbers. Men are less singled out - I suspect because tree trunk-like lower extremities in men are gratefully hidden beneath trouser legs. Women can fly under the cankle radar by wearing pants 24/7 or, as the definition above sites, by wearing boots (again 24/7). 
 
But seriously, isn’t there something (other than outerwear) to improve the look of cankles?
 
At Changes Plastic Surgery & Spa in San Diego, Gilbert Lee, M.D. gives hope to cankle sufferers by performing circumferential liposuction of the calf and ankle area. 
 
The procedure takes about 2½ hours and it works. There is significant swelling, however, and because of the time involved, it is not a cheap procedure. But for those men and women tired of choosing their wardrobe based on cankle concealment, no amount of time or money will stand in the way.
 
Want to learn more about liposuction and other plastic surgery procedures? Subscribe to our blog at www.changesplasticsurgery.com/blog or call Changes Plastic Surgery & Spa at 858-720-1440.

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.

 

Men & Cosmetic Surgery

Friday, June 10th, 2011

As a new voice at Changes Plastic Surgery & Spa, and a feminine voice at that, it's ironic that my first blog is about a masculine topic. It's all about men in June, including that day of celebration just for men that we call Father's Day. This well-deserved day of recognition for our paternal types seems to trigger a month-long focus on men in general. 

The media in all its forms, social and otherwise, seems to be delving into the subject of men this month too. Men and cosmetic surgery to be exact. From CBS News to the Cannes Film Festival, stories about this topic have hit the airwaves. I had to turn my attention to the television when I heard mention of Mickey Rourke and his infamous "altered" appearance. A classic case of a once attractive man who, maybe in effort to hold on to fading popularity and looks, decideded to do what most of us wish he had not. Kenny Rogers sought out a little help years ago with eyelid and facelift surgery that left him looking odd and not very Kenny Rogers-like. We won't even talk about Michael Jackson here. 

But wait, does this mean that I am not a fan of MANipulating one's appearance?  Absolutely not. Cosmetic surgery and anti-aging treatments are not just for women any more.  New therapies and non-surgical  treatments in cosmetic rejuvenation make it possible for men to sneak under the radar, do a little this or that, look younger almost immediately, and then soar above his male counterparts looking refreshed, more youthful…and still distinguished. Most men that do rejuvenative procedrues (even small ones) excel in their professional lives. It seems that looking your best helps promote successful business careers, especially in sales and consulting.

A previous Changes Plastic Surgery blog post on the subject of the facial aging outlined three distinct components: skin surface damage (sun damage), volume loss (hollowness) and skin redundancy (sagging).  For the most part, these changes can be corrected with non-invasive, non-surgical methods and can result in a natural and gradually more youthful appearance.  To restore fullness to the face, Sculptra (a volumizing agent) and dermal fillers, Artefill and Radiesse can be injected to hollows and deep wrinkles. Sun damage and uneven pigmentation can be improved with Fraxel and Total FX laser treatments for a clearer (read more youthful) complexion. 

I encourage men to seek a more youthful look, more power to them. We women have been doing it for quite some time. However, because men do look more distinguished with age, going too far, too fast, being too aggressive with cosmetic procedures can sometimes backfire and result in the "what was he thinking" look.

Men, take a tip from Dr. Gilbert Lee, who at 50+ could easily pass for 10 years younger. In your quest for anti-aging options, stop short of doing too much too soon. Seek injectables for smoothing wrinkles and filling in sunken areas, laser treatments for a younger complexion, and if diet and exercise aren't enough, consider a little liposuction. Conservative correction will leave you looking naturally younger, still distinguished, and best of all, still looking like You.

How our faces age (and a few misconceptions)

Friday, May 6th, 2011

Facial aging is a fascinating subject to study and understand. It isn't a fun subject to live with, but it is a natural part of life that everyone will face. So why is it that as we get older we look, well, older? The answer is that a number of small changes combine to make you look aged. These small changes can be categorized into three main groups: skin surface defects, volume loss, and skin redundancy. Most people have all three in varying ratios and the combination creates an overall aged appearance.

Sample aged face with sun damage, volume loss, and sagging skin

The first thing that usually happens is skin surface imperfections. These imperfections include fine lines and hyperpigmenation, both of which contribute to an aged appearance. The primary culprit for these is the sun. The more time you spend in the sun, the more damage you cause your skin. Of course, you can minimize this with regular, quality skin care. Proper cleansing, moisturizing, and most importantly – sunscreen – will limit the sun's damage to your skin. If you like being tan, spray tanning is much healthier for your skin.

Sample aged face with laser skin resurfacing

The second thing that people experience, but may not notice is volume loss.  More often than not, when a patient comes in with loose skin, it is not that the skin is stretched but rather that the substance or fill underneath is dissappearing. Your skin is designed to wrap around your face.  As you lose volume in the face, the skin loses its tension and starts to look saggy. So why do we lose volume? As we age our body breaks down the collagen in our skin (the connective tissue that gives our skin thickness and elasticity), the fat underneath the skin dissolves, and even the bones in our faces resorb. To further complicate this problem, our face doesn't lose volume evenly across the face. Every person loses volume at different rates in different areas.

Sample aged face with fillers

The third and final problem is skin redundancy. This is usually the last sign of aging to occur and can be limited by proper maintenance of the first two issues. Over time, the tension and tautness of the skin starts to relax, resulting in skin redundancy. This most severe facet of aging is treated surgically, whereas the first two signs of aging can be treated non-surgically.

Sample aged face with a facelift

After knowing what causes your face to appear aged, we can begin treating. To create a natural looking appearance, you have to treat all three issues individually. The skin surface can be treated with laser treatments and medicated creams.  The volume loss is corrected with fillers or fat injections.  Finally, the skin redundancy is treated with a surgical lift or tightening (facelift, blepharoplasty, browlift). By applying all the tools we have to treat each problem individually (and in moderation), we can achieve a younger, natural look that still looks like you, just a younger you. Where people often run into problems is when they try to treat all three problems with just one solution. This is most commonly seen in people who have treated all of the aging effects with just facelifts, leading to the "windswept" look (think Phyllis Diller, Nancy Reagan, Joan Rivers).

Sample aged face with laser skin resurfacing, fillers, and a facelift

Remember, you didn't age in one way, so don't expect to reverse it using just one method.  And, don't underestimate the power of lasers and volume replacement in facial rejuvenation.  They should usually be the first treatments against aging.  And, when you are finally ready for a facelift explore all options as there are less invasive surgeries like the Changes Rapid Lift which can achieve your goal with less downtime and cost.

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