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Lower eyelids typically require more maneuvers than upper eyelids for both to look evenly rejuvenated. Skin quality is more visible on the lower eyelids. So besides removing loose skin it may be necessary to improve its texture with either a laser or chemical peel treatment at the same time. Older patients with weak lower eyelids may require a tightening procedure in the outer corner. This patient is actually a candidate for that but this would change his eye shape considerably, a prospect outside our goals. Instead he had only a temporary tightening to get him through the swelling period.  In contrast, young patients with familial bags typically just need them removed as a single maneuver.  In any event, regardless of what is involved, patients generally look good in two weeks after upper and lower eyelid surgery. 

#eyes #young #surgery

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Rhinoplasty has evolved and is technically more complex today despite its simple conceptual nature. The nose has three structural parts: the upper third are bones, the middle third are cartilages that affect both appearance and breathing, and the lower third are the tip cartilages. Changes are typically made to all three areas. This is shown in schematic representation here but the actual changes made are much more extensive than indicated. It takes a lot of time, effort, and finesse is to create a pleasing and elegant shape, with no margin for error!  Rhinoplasty surgery is truly a labor of love. 
#nosejobbeforeandafter #nasalbones #cartilage #rhinoplastysurgery

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Welcome back to the Sam & Meg series!  It’s easy to look like a genius on social media doing facelifts on 45 year olds. The true need in that age group is very rare indeed.  Facelifts are a big commitment and are not done for preventive purposes. Don’t jump the gun and use them up prematurely. #faceliftsurgery #faceliftbeforeandafter #facialrejuvenation

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