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4 Steps for Cosmetic Surgery: Minimize Scars

August 27th, 2012

Cosmetic plastic surgeons are trained to minimize scars following surgery.  The surgical design plan determines where the scar(s) will be located.  This determines the appearance after surgery.  There are several choices to consider when designing incision placement based on the type of surgery I am doing.  I evaluate  placement using key solutions such as, whether it can be covered with clothing, camouflaged by make up, obscured by hair style, hidden within body orifices (nostrils) or concealed within the natural creases of the face or body.   My overall philosophy is to utilize all these elements, so that minimal efforts are sufficient to keep any scars out of plain sight or minimized following cosmetic surgery.  I suggest patients look at Before/After photos to help get an idea of the surgeon’s aesthetic skill in reviewing their final results.

I also custom design most surgery scars to be as short as possible. The length of a scar will ultimately be determined by the goals of the surgery and the limitations of technology.   Obviously, a longer scar will usually be more conspicuous than a shorter scar.  For instance, I use a 2 cm incision to do breast enlargement with saline implants. The implant simply cannot be inserted through a smaller scar at this time.  However, as technology changes and there are advances in cosmetic surgery, our techniques evolve.  It is important to refrain from exposing new scars to the sun.  Tanning a scar before it has healed completely (soft and white) can cause discoloration, which may be permanent. Scars are not fully mature for up to six months, so keep them covered or applied with adequate sunscreen applications.


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Fixing Pesky Lip Winkles

May 23rd, 2012

Lip wrinkles or sometimes referred to as “smokers lines,” are the lines that radiate out from the lip margin.   They can be the result of aging, sun exposure, smoking, and /or genetics.   They often may make a person look older.   Women generally dislike them because their lipstick runs into the wrinkles, giving a pronounced pursed look.  Skin resurfacing may reduce these wrinkles, but this procedure frequently carries a possible downside. Invariably there is bleaching of the skin, which more often than not requires make-up to conceal.

Fortunately there are other choices to reduce lip lines.   Injectable materials have made a dramatic contribution in the area of treating these wrinkles.  Filler materials are currently the first line of defense.   Products like Restylane, Juvederm, and Perlane are a few of the ever-increasing number of dermal filler type materials on the market today.   They are injected under the skin and actually fill in the lines.   These newer products are based on a  hyaluronic acid  formulation, a natural component of your normal skin.   Interestingly, when lip lines become apparent, there is frequently a loss of lip size or fullness at the same time.   Not only can the lines be corrected, but the lips can be restored to more youthful size and shape, as well.

It is important to seek qualified professional advice when considering these procedures.  Most cosmetic surgeons do not charge for patient consultations.  Here are some links for locations near you.  The American Society of Plastic Surgeons (ASPS)  and Dermatology  Clinic Directory.

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