First, some background. Breast implants are available in both round and tear drop shapes and each type can have either a smooth or rough (textured) outer surface (Figure 1). The material inside the implant, either saline water or silicone gel, have both been proven safe after decades of investigation and are not in question. However, […]
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The vast majority of women have successful breast augmentation surgery and are pleased with their results for decades. However some women are tempted to have a second procedure to make a good result even better. In other instances a problem may exist or develops over time that warrants additional surgery. An important goal is to
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What are shaped breast implants? Shaped breast implants, also known as anatomic or tear-drop implants, have an asymmetric shape with a round base that tapers to a thin top (Figure 1). They are designed to mimic the natural downward slope of the upper breast while providing sufficient volume in their lower portion to enlarge it.
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It’s hard to take a lot of credit for this beautiful result when there were so many favorable factors: strong bone contours, particularly a wide jaw shape, holds the skin taught like the stretcher frame does for a painting canvas; great “fabric” (good quality skin) adds luster, softens contours, and preserves facial shape; thin soft tissues (cheeks) re-drape easier, reveal underlying bone contour better, and also contributes to result longevity.
Age is another factor but not notable here as this patient is in the normal age range for facelift surgery (mid 50s). Anyone can look like a genius by operating on 45 year olds, a growing trend today. The vast majority of 45 year olds don’t have enough aging changes to justify taking the whole face apart IMO.
#face #lift #surgery
There are multiple factors in breast augmentation to consider. Among the most important are implant size and type (saline or silicone), incision location, and above or below the muscle implant positioning. There are also aesthetic considerations such as the amount of “cleavage” produced, which is discussed here. Surgeons do not have much control over this particular issue which instead is largely predetermined by intrinsic anatomy.
#beauty #anatomy #breasts
Our patients is seen 6 weeks following a facelift with a lip lift added. The latter is a popular adjunct today and makes a subtle but definitive improvement in the overall result. She underwent a “deep plane” procedure with tightening of the neck muscles in the front in order to eliminate the visible cords. The goal is always a fresh, natural result that simply re-sets the aging clock without causing any distortion. It’s surgery without leaving fingerprints!
#face #young #surgery
Brow lifts seem to be over utilized today and are often done for marginal indications. The vast majority of patients benefit from eyelid surgery alone. Endoscopic brow lifts were popularized in the 90’s. The small incisions required were much more palatable to patients. Having done them for 10 years it became clear that the results do not stand the test of time. Unless you take out a strip of scalp skin out the forehead will not stay up. Temple lifts have gained popularity because they are also less aggressive. Sadly, they produce very modest changes that also do not seem to last. So the good news is that few patients really need to have a brow lift, but if so, the traditional technique works best and lasts longest, typically being a “one and done” procedure.
#eyebrows #lift #eyes
