Fourth Quarter 2010, Volume 24, Number 3

Ask the Surgeon | What’s New | Health Tip


Reducing the impact of stress on your skin

Teenage rhinoplasty. Is your teen a good candidate? What you

Ask the Surgeon / Health Tip / What’s New

Medical advances benefit the consumer

As a parent, you want your child to feel selfassured and to help your child avoid any hardship. If your teenager approaches you regarding changing his or her physical appearance, be sensitive, ask questions, and be realistic. Make an appointment with a facial plastic surgeon who can screen your teen for maturity, motivations, and expectations, in addition to the physical examination. Then together, you can discuss the possibility of rhinoplasty or other treatments.

Is your nose symmetrical? Your surgeon will evaluate your nose from several different angles before surgery. From the frontal view, the nose should lie within parallel lines drawn down from the inner corners of the eyes to the nostrils. From the base view, the nasal tip should appear triangular, and the nostrils should be symmetrical in size and shape. These are guidelines; minor asymmetries are normal. In fact, many great beauties have visibly asymmetric features. Surgery should not be relied upon to make a nose perfectly symmetric.


I am pregnant and noticed some dark spots developing on my face. What are these spots? Can I get rid of them or will they go away eventually?

Approximately 90 percent of pregnant women develop hyperpigmentation, an overproduction of melanin, which produces dark spots on their skin. About 70 percent develop melasma, which are dark spots located on the face; it is also known as the “mask of pregnancy.” Melasma develops as a result of hormone changes. These spots usually disappear in the months following birth. Make sure you avoid any sun exposure to these areas. Follow-up with your facial plastic surgeon for a thorough evaluation. You may be able to apply a topical cream to improve the appearance of your skin. In more severe cases, your doctor may recommend a chemical peel or laser treatment.


Hair extensions can do more than just lengthen your locks—they could cause hair loss. Experts believe that keeping hair extensions for an extended period exerts tension on the scalp and hair follicles causing hair loss. There has been a trend of women in their 20s seeking hair restoration surgery due to permanent bald spots caused from wearing hair extensions.

Reduce the chance of damage or shedding by having a professional stylist apply the extensions. Be sure to take proper care of your existing hair and the extensions as long as they are attached. Consider only wearing the extensions for a short period.

If you are already suffering from thinning hair and hair loss, you may see the use of hair extensions as a great option for fuller, healthier looking hair. However, this is only an option that will allow you to hide your condition temporarily. If you are looking for a permanent solution, make an appointment with your facial plastic surgeon to discuss your options.


Botulinum toxin type A, Botox, has been widely used to reduce the appearance of wrinkles and folds. It has also been used to treat migraines; however, in a recent study, Botox was found to work especially well as a prevention for chronic migraines. As a result of this study, Allergan, the company that produces Botox, announced that Botox has been licensed by the Medicines and Healthcare products Regulatory Agency (MHRA) in the United Kingdom for the prevention of headaches in adults who have chronic migraines. This is the first license worldwide of Botox for this preventative treatment.

The study showed that patients who received Botox injections into seven specific head and neck muscles had significant improvement in functioning, vitality, psychological distress, and overall quality of life. Doctors and chronic migraine sufferers welcome this new treatment option, since acute pain medication does not always work.