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Over Plumping

May 5th, 2009

Foster Farms vintage ad campaign for their chicken products uses a parody of over-plumping with artificial fillers. In their television commercial, chickens are seen in a plastic surgeon’s office receiving injections to make them plumper. It is quite obvious that they are way too plump.This situation is underscored by the distorted facial appearance of the surgeon’s nurse when she finally reveals her face to the camera. This crazy parody pokes fun at the sometimes over-zealous use of fillers in Hollywood.

I see over-plumping all the time, especially in the lips. The individuals, usually women, lose all of their natural lip shape. The over-injection usually masks all natural proportion. The television commercial effectively uses this phenomenon  for optimum comedic effect.  However, I agree with the tagline, “over-plumping” is never good.

A word of caution, the over-injection of any area of the body can lead to skin loss and terrible, uncorrectable scarring. The large volume of material simply reduces the blood flow to the treated area in such a way that the skin, muscle and fat die. Fortunately, this complication is very rare when only modest amounts of filler materials are used.

Finally, please avoid all silicone injections for cosmetic reasons. The risk of chronic long term inflammation which arises is not worth it. Fat Grafting is a natural technique used more commonly now for facial rejuvenation and avoids the use of artificial fillers. See more on fat grafting injections.

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Psst, did you hear?

May 4th, 2009

“What should I tell my family and friends?” or “I am afraid of what they might think or say.”     These are important considerations when contemplating cosmetic surgery.     Many cultural, personal, and family factors come to play.

Some patients fear the comment, “You should accept yourself just the way you are.”     Unfortunately, life changes including aging, injury, pregnancy or weight loss contribute to the way you are “now,”  which may be different from the way you “were.”     Both Melissa and Jennifer relate changes which occurred as a result of multiple pregnancies.     They wanted to go back to the way they were.   It is their prior body image which has persisted in their minds eye, different from the image in the mirror now.

Others hear, “You shouldn’t spend this money for selfish reasons, your family should come first.”     They imply that the surgery denies the the family of something.     Obviously in Melissa’s case this is not true, as her husband got the flat screen TV before she even considered breast surgery.  Arguably, according to Jennifer, her  improved feelings of self-confidence and self-esteem helped to improve her interactions with her husband and children.

I always advise patients to be honest with family and friends.  Most of the time, supportive comments outweigh negative feedback.  Invariably, patients are often surprised by the support regarding their decision to have cosmetic surgery.     Jennifer states her husband’s view was, “Whatever makes you happy,” while Melissa’s friends approach her with comments of support and questions to get more information.     After all, aren’t the best relationships based on honesty?

On rare occasions, there are family and friends which can be very vocal in their opposition to a patient’s decision.     This is unfortunate.     Try to understand that they may have the same feelings as you do about themselves (misery loves company).     Ironically, friends and family who protest the most, are frequently the first referrals to arrive in my office for similar surgery!

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