How will you rejuvenate this spring?

Facial Plastic Surgery Today

Facial Plastic SurgeryFrom spa services to surgery—and everything between—how will you rejuvenate this spring? Take advantage of the spring months to prepare for the skin-baring days of summer. Schedule your rejuvenating procedures now—from minimally invasive to cosmetic surgery—so that you won’t miss out on the summer fun.

Today, advanced skin care programs are available to address the specific needs of your skin. If it has been over a year, make an appointment to have your skin assessed. Your physician will be able to identify and treat problems, including deep cleansing, exfoliating, and extraction. You will learn the proper steps and recommended products to achieve healthy and clear skin. Besides your in-home routine, your facial plastic surgeon may recommend a deep cleansing facial, microdermabrasion, chemical peel, or laser skin resurfacing to improve skin texture, the appearance of fine lines, and hyperpigmentation.

Facial fillers, such as Restylane or Radiesse, work to fill in furrows, wrinkles, and folds in the lower facial region. Some of these fillers increase volume in hollowed or sunken facial areas. Botox and Dysport reduce wrinkles caused by contracting muscles in the upper face.

Take 10 to 15 years off of your appearance with a facelift. A good candidate is looking to improve the aging face by re-supporting muscles and removing excess skin. The enhancement to the lower two-thirds of your face not only smoothes the skin and lifts the sagging muscles, but also redefines your jaw line. The brow lift reduces severe wrinkles in the forehead and brow area. The neck lift focuses on reducing sagging skin only in the neck area. Blepharoplasty can remove excess fat deposits above and below the eye, and reduce certain wrinkles in the eye area.

Some patients have underdeveloped cheekbone structure or, due to the aging process, have loss soft tissues and the fat pad. This causes skin to sag and the cheek area to appear flattened or sunken and may produce wrinkles around the mouth. Cheek implants provide youthful fullness to the area that is permanent. If you are considering an improvement to your How will you rejuvenate this spring? profile and to distinguish your jaw line, chin augmentation might be a viable option for you.

The most prominent feature, your nose, is often a prime candidate for reshaping if you are looking to bring balance and harmony to your overall appearance. Rhinoplasty is the most popular cosmetic procedure performed.

From treatments to major procedures, your facial plastic surgeon can discuss what facial features you would like to rejuvenate this spring and answer all of your questions. Take the first step toward a better, revitalized you—your reward will be a spectacular summer.

Trends in facial plastic surgery: social media, ethnic population increase

Facial Plastic Surgery Today 2Reliance on social media, decreasing costs, and an increase in ethnic populations are just some of the interesting trends reported by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) in January 2012. While certain results were surprising, other findings reinforced the steady popularity of procedures and treatments such as Botox, laser resurfacing, filler injections, facelifts, rhinoplasty, and blepharoplasty.

More patients—42 percent in 2011 versus 29 percent in 2010— sought out social networking sites, rather than friends, for advice and information on facial plastic surgery before choosing a procedure in 2011. At the same time, the percentage of patients who obtain information on plastic surgery from friends dipped to 48 percent, down from 63 percent in 2010.

“We are encouraged by the possibilities that Facebook, Twitter, and other social channels offer for prospective patients, but urge all patients to exercise caution in researching facial plastic procedures to ensure information is from a reliable source,” states Tom D. Wang, MD, president of the AAFPRS. Beware of misinformation and consult a facial plastic surgeon who is qualified, experienced, and trained in performing facial plastic procedures.

Reversing a trend in past years, the average costs of both surgical and non-surgical procedures decreased in 2011. Non-surgical procedures performed remained steady, but continued to outnumber the amount of surgical procedures performed. The survey results also showed that 63 percent of procedures performed were cosmetic versus reconstructive procedures

An interesting finding, surgeons reported that 70 percent of their patients request procedures by describing the area of concern rather than requesting a specific product or procedure by name. The most common non-surgical procedures last year were Botox and hyaluronic acid injections. Rhinoplasties, ablative skin resurfacings, blepharoplasties and facelifts topped the list of surgeries.

For the third consecutive year, women outranked men in every category for both surgical and non-surgical procedures except for hair transplants. Age influenced surgery selection. Women under the age of 35 opted for less invasive procedures; the most common were Botox injections, hyaluronic acid injections, chemical peels, and microdermabrasion. Women between the ages of 35 and 60 most commonly underwent blepharoplasty, Botox, brow lifts, facelifts, filler injections, and chemical peels.

Facial Plastic Surgery Today 3

Facelifts, blepharoplasty, ablative skin resurfacing, rhinoplasty, and lip augmentation were the most common surgical procedures performed on women overall; while Botox, hyaluronic acid injections, and microdermabrasion were the most common non-surgical procedures in women overall.

Rhinoplasty continued to be the most common surgical procedure performed on both women and men under the age of 35. Both men and women between the ages of 22 and 34 underwent the procedure the most of all age groups, with the average percent of rhinoplasties up two percent for this age group from the previous year.

In addition to rhinoplasty, the most common surgical procedures for men were revision surgeries, hair transplants, and blepharoplasties. Botox, hyaluronic acid injections, microdermabrasion, and calcium hydroxyapatite filler were the most common non-surgical procedures performed. For men under 35, otoplasty and chin augmentation were the most performed surgical procedures after rhinoplasty.

Over 25 percent of the surgeons have seen an increase in the ethnic populations in 2011, with the number of Caucasian patients topping the list, increasing 37 percent from 2010. There was also an increase in Hispanic, Asian American, and African American patients in 2011. Of the four different popular cosmetic surgeries, African Americans and Hispanics were most likely to have received rhinoplasty (88 percent, up 10 percent from 2010 and 67 percent respectively). Asian Americans were most likely to have received blepharoplasty (56 percent) or rhinoplasty (35 percent); while Caucasians were more likely to get rhinoplasty (41 percent) followed by facelifts (34 percent).

If one of these procedures has peaked your interest, your first priority should be to trust your face to a facial plastic surgeon—one who is qualified, trained, and experienced in the face, head, and neck area. Research your options and schedule a consultation; your surgeon will evaluate your face and recommend a treatment plan based on your needs.

Talk to your surgeon about combining procedures to enhance results

Y ou come to a consultation appointment seeking options to improve one or more areas of your face. Your facial plastic surgeon will evaluate and discuss a comprehensive plan that will meet these goals. Combining surgical and non-invasive procedures may be part of the plan. Is it right for you?

If your facial plastic surgeon determines that two surgical procedures would be necessary to achieve the desired affects you are looking for, there are some advantages to having them done at the same time. For example, if a patient is unhappy with the size of their nose, a surgeon may recommend rhinoplasty (nose surgery) to reduce the size of the nose, in addition to a chin implant to balance the proportions of the face. The patient could opt to have these performed separately; however, combining the procedures—recommended on a case-bycase basis—can offer certain benefits. They include:

  • Less overall appointments
  • Less time in surgery
  • Overlap in recovery
  • Less time off of work
  • Less time to achieve desired results
  • Less cost, due to less doctor, anesthesia, and facility fees

The ability to combine a surgical and nonsurgical procedure at the same time depends on the combination. For example, if a patient is unhappy with the appearance of their neck, jaw line, and area around his or her mouth due to laugh lines, the facial plastic surgeon may recommend a facelift and dermal filler injection. The facelift would reduce the sagging skin in the lower two-thirds of the face and neck. The dermal filler would specifically target and improve the appearance of the laugh lines.

Combining minimal invasive treatments is quite common, although the advantages are not as significant. For example, a patient concerned with wrinkles between the brows and on the sides of the mouth (laugh lines), may decide to have Botox injections to treat the forehead wrinkles and a dermal filler to treat the laugh lines. While it is more efficient to get them done at the same time, there may not be a cost advantage.

Whether you are combining procedures or considering having them individually, the most important decision is trusting your face to facial plastic surgeon with specialized training and experience. You can ensure that you will be presented with all of the options to achieve the best and most natural results possible.

Cheek implants can restore fullness and prominence of your cheek area, making you appear more feminine and youthful. A pocket is created behind the muscles of each cheek and the permanent implant is inserted.


Ask DoctorI have a mole on my face that has started to bother me and I’m wondering if I should just get it removed. What are my options?

Any sudden color change, pain, or bleeding of a mole should warrant a visit to your doctor for full evaluation. The color, size, and depth of a mole, in addition to your skin tone, determine how it may be removed. Surgical removal of the lesion is the preferred treatment in cases where the mole has a high risk of becoming malignant. Laser surgery, surgical scraping, and cryotherapy (freezing) are not permanent solutions. The lesion will reappear eventually. Schedule an appointment with your facial plastic surgeon to review your options.


Ask Doctor 2Prepare yourself and those around you before surgery. The more support you have before your procedure, the less anxious you will feel during the process. Here is a checklist of what you can do ahead of time to make your recovery optimal.

  • Determine who will be taking you home after your procedure.
  • Plan to have a responsible adult stay overnight with you for the first 24 hours after you have been discharged.
  • Discuss with your surgeon the pain management plan so you know exactly what to do if you should feel any discomfort or pain.
  • Obtain postoperative prescriptions and have them filled before your surgery day.
  • Ask if you should pre-schedule your postoperative visits or wait until after your procedure
  • Follow all specific preoperative instructions regarding eating, drinking, taking medicines, etc. Be open and honest with your surgeon if you were not able to comply.
  • Bring a list of all your current medications with you—name, dose, schedule
  • Enlist friends and family to stock your refrigerator or freezer with premade, easy to reheat meals.


Ask Doctor 3The Archives of Facial Plastic Surgery recently published a study on the benefits of injecting Selphyl, an ultrapure platelet-rich fibrin matrix (PRFM), into the skin to enhance skin tone and texture. Using a small amount of the patient’s blood, the Selphyl system isolates and prepares PRFM for injection back into the patient. In a10-week study, four healthy participants were injected with the PRFM in their upper arms. Within a week, scientists identified collagen-producing cells and new collagen formation. By 19 days, new blood vessels developed. Scientists observed new fat cells after three weeks, which shows that PRFM was stimulating the body’s own production of what has been lost due to the aging process. After eight to 12 weeks, participants reported that their skin felt softer. These rejuvenating effects have been reported to last between 12 to 24 months. Ask your facial plastic surgeon for more information.