Posts Tagged ‘preventitive treatment’

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.

 

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