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According to the American Society of Plastic Surgeons, Americans spent more on plastic surgery in 2010 than they did in previous years. The 3 percent increase in volume of plastic surgery to the chin points to a new trend in chin plastic surgery. More Americans are interested in chin augmentation procedures using injectables in large cities such as Los Angeles. [...]
Archive for May, 2012
New Chin Trend
Thursday, May 24th, 2012Botox Benefits a Wide Array of Patients As Filler and Method of Migraine Relief
Thursday, May 24th, 2012As individuals begin to age, skin loses elasticity and wrinkles begin to appear. While some individuals embrace these signs of aging, others want nothing more than to hide them. For those who are not comfortable sporting these telltale signs of aging, cosmetic fillers like Botox are an option. What Is Botox? Botox injections are a non-surgical treatment [...]
The Effect of Facial Fat
Thursday, May 24th, 2012At the Spalding Drive Plastic Surgery center in Beverly Hills, our doctors and staff are committed to providing the best possible experience for their clients. Our high standards and our physicians’ dedication to the needs of their patients have gained them the respect of our peers. Our diverse staff specializes in a wide range of cosmetic surgery techniques. Many [...]
Consumers seeking balance
Thursday, May 24th, 2012More and more Americans are embracing plastic surgery. An example of this is a procedure called “high heels surgery”, where women have surgery to contour their feet to fit properly into their shoes. While new-age surgical procedures continue to evolve, the traditional surgical procedures like breast augmentation and injectables are still the most common. And consumers seem to be taking a conservative [...]
Can I work out after a Cosmetic breast surgery?
Thursday, May 24th, 2012After you’ve had your cosmetic breast surgery, your doctor may tell you to wait three weeks or more before beginning exercise again. But this doesn’t mean you have to completely refrain from doing any exercise. With some thought, care, and planning, you can have your workout and stay healthy without disturbing the results of the surgery. [...]
Blast Away Fat Cells with New Liposonix Procedure
Thursday, May 24th, 2012For years, the use of liposuction and other procedures related to cosmetic enhancement have been scrutinized by the general public. While some individuals have turned to these procedures as a final resort for stubborn areas, others doubt the safety of such procedures. New Procedure Approved by FDA Regardless of public doubt, one procedure has been [...]
Restalyne Recently Approved as a Cosmetic Gel Filler
Thursday, May 24th, 2012Overview Unlike other facial fillers, Restalyne is one of the only injectables that has been approved in a gel-form. In October 2011, the FDA approved this filler for use as a hyaluronic acid gel that can be used to increase lip size, smooth wrinkles and facial skin folds, and injected into facial tissue. This filler is based on [...]
What kinds of questions should I ask my surgeon?
Friday, May 18th, 2012Having a good understanding of what is involved before, during, and after rhinoplasty surgery is very important. The patient should ask their surgeon about what foods and/or medications should be avoided before surgery. Each surgeon has their own specific guidelines. In general, it is imperative to avoid alcoholic beverages and anti-inflammatory medications leading up to [...]
Q&A: Have you ever received plastic surgery? If so, what kind of procedure?
Monday, May 7th, 2012Please provide your answer in the comments section. Each week we will feature a new question for our users to answer.
Blepharoplasty Table
FAT REPOSITIONING
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| Figure 1 Frontal of a female patient following traditional transconjunctival removal of lower eyelid herniated orbital fat with resultant tear-trough deformity (nasojugal fold). | Figure 2a Frontal of a patient with midface decent and a double-convexity contour deformity (lower eyelid herniated orbital fat convexity followed by the cheek/malar mound convexity). |
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| Figure 2b One year post operative photograph demonstrating improvement in lower eyelid contour following lower eyelid transconjunctival fat repositioning and an endoscopic sub-periosteal midface lift. An endoscopic brow lift and upper blepharoplasty were also performed. | Figure 3 Transconjunctival incision at the inferior edge of the tarsus using a Colorado needle – right eye. |
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| Figure 4 A preseptal dissection is performed bluntly keeping the septum intact – right eye. | Figure 5 Sharp dissection between the medial fat pad and the inferior oblique muscle using scissors – right eye. |
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| Figure 6 The medial and central fat pads are grasped with forceps and a “see-saw” movement is made allowing free movement of the fat pads from the inferior oblique muscle – left eye. | Figure 7 A retractor is used to retract the lower eyelid and the orbicularis oculi muscle exposing the inferior orbital rim and arcus marginalis – left eye. |
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| Figure 8 A suture and needle is passed through the skin and orbicularis oculi muscle medial to the nasojugal groove and retrieved in the subperiosteal pocket – right eye. | Figure 9 The medial fat pad pedicle is splayed-out prior to placement of suture – left eye. |
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| Figure 10 The central fat pad is repositioned inferolateral to the medial fat pad – left eye. | Figure 11 Fat granuloma of the right lower eyelid following fat repositioning. |
| RESULTS | |
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| Figure 12a Before | Figure 12a After |
| A, Frontal of before (left) and after (right). | |
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| Figure 12b Before | Figure 12b After |
| B, Right (oblique), before (left) and after (right). A 55-year-old-woman with dermatochalasis and herniated lower eyelid fat. Before (left) and 1 year post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow lift and bilateral upper blepharoplasty. Notice the improvement of the lower eyelid contour and tear-trough deformity. | |
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| Figure 13a Before | Figure 13a After |
| A, Frontal of before (left) and after (right). | |
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| Figure 13b Before | Figure 13b After |
| B, Left (oblique), before (left) and after (right). A middle-aged woman with brow and midface ptosis, dermatochalasis and herniated lower eyelid fat. Before (left) and 20 months post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow and midface lift and bilateral upper blepharoplasty. | |
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| Figure 14 Before | Figure 14 After |
| Frontal of before (left) and after (right). A 38-year-old female complaining of “a deep groove under her eyes and heavy upper eyelids.” The before photo on the left reveals minimal herniated lower eyelid fat with a moderate tear-trough deformity. Following lower eyelid transconjunctival fat repositioning and an upper blepharoplasty, the after photo on the right shows improvement of the tear-trough deformity. | |
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| Figure 15a Before | Figure 15a After |
| Frontal of before (left) and after (right). | |
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| Figure 15b Before | Figure 15b After |
| Right Frontal Close Up, before (left) and after (right). A 35-year-old male complaining of “deep groove below my eyes.” The before photo on the left demonstrates minimal to no visible herniated lower eyelid fat with a moderate tear-trough deformity, especially of the right eye. Following lower eyelid transconjunctival fat repositioning, the hollowness is improved. | |
Blepharoplasty HTML Table
FAT REPOSITIONING
|
|
| Figure 1 Frontal of a female patient following traditional transconjunctival removal of lower eyelid herniated orbital fat with resultant tear-trough deformity (nasojugal fold). | Figure 2a Frontal of a patient with midface decent and a double-convexity contour deformity (lower eyelid herniated orbital fat convexity followed by the cheek/malar mound convexity). |
|
|
| Figure 2b One year post operative photograph demonstrating improvement in lower eyelid contour following lower eyelid transconjunctival fat repositioning and an endoscopic sub-periosteal midface lift. An endoscopic brow lift and upper blepharoplasty were also performed. | Figure 3 Transconjunctival incision at the inferior edge of the tarsus using a Colorado needle – right eye. |
|
|
| Figure 4 A preseptal dissection is performed bluntly keeping the septum intact – right eye. | Figure 5 Sharp dissection between the medial fat pad and the inferior oblique muscle using scissors – right eye. |
|
|
| Figure 6 The medial and central fat pads are grasped with forceps and a “see-saw” movement is made allowing free movement of the fat pads from the inferior oblique muscle – left eye. | Figure 7 A retractor is used to retract the lower eyelid and the orbicularis oculi muscle exposing the inferior orbital rim and arcus marginalis – left eye. |
|
|
| Figure 8 A suture and needle is passed through the skin and orbicularis oculi muscle medial to the nasojugal groove and retrieved in the subperiosteal pocket – right eye. | Figure 9 The medial fat pad pedicle is splayed-out prior to placement of suture – left eye. |
|
|
| Figure 10 The central fat pad is repositioned inferolateral to the medial fat pad – left eye. | Figure 11 Fat granuloma of the right lower eyelid following fat repositioning. |
| RESULTS | |
|
|
| Figure 12a Before | Figure 12a After |
| A, Frontal of before (left) and after (right). | |
|
|
| Figure 12b Before | Figure 12b After |
| B, Right (oblique), before (left) and after (right). A 55-year-old-woman with dermatochalasis and herniated lower eyelid fat. Before (left) and 1 year post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow lift and bilateral upper blepharoplasty. Notice the improvement of the lower eyelid contour and tear-trough deformity. | |
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| Figure 13a Before | Figure 13a After |
| A, Frontal of before (left) and after (right). | |
|
|
| Figure 13b Before | Figure 13b After |
| B, Left (oblique), before (left) and after (right). A middle-aged woman with brow and midface ptosis, dermatochalasis and herniated lower eyelid fat. Before (left) and 20 months post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow and midface lift and bilateral upper blepharoplasty. | |
|
|
| Figure 14 Before | Figure 14 After |
| Frontal of before (left) and after (right). A 38-year-old female complaining of “a deep groove under her eyes and heavy upper eyelids.” The before photo on the left reveals minimal herniated lower eyelid fat with a moderate tear-trough deformity. Following lower eyelid transconjunctival fat repositioning and an upper blepharoplasty, the after photo on the right shows improvement of the tear-trough deformity. | |
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| Figure 15a Before | Figure 15a After |
| Frontal of before (left) and after (right). | |
|
|
| Figure 15b Before | Figure 15b After |
| Right Frontal Close Up, before (left) and after (right). A 35-year-old male complaining of “deep groove below my eyes.” The before photo on the left demonstrates minimal to no visible herniated lower eyelid fat with a moderate tear-trough deformity, especially of the right eye. Following lower eyelid transconjunctival fat repositioning, the hollowness is improved. | |
