Melonie’s Blog: Surgery Today
October 21st, 2009
My pre-op experience today was informative and really put me at ease. I was greeted by Sandy, the Patient Coordinator, who instructed me on what I would be wearing during surgery, informed me of the estimated start time, my estimated time in recovery and who I would be seeing before my surgery began. She then took the “before†photos of my before and after pictures (not at all uncomfortable).
I was then greeted by Dr. Bashioum and asked if I had any last questions before the surgery. I had chosen the 500 cc implant, so Dr. Bashioum confirmed my decision and based on my physical stature, he felt this would be an appropriate size for me. He evaluated the symmetry of the size of my breasts, as it is very common for women have a slight difference in size. I felt that my left was slightly smaller then my right side. After some discussion I felt that 525cc in the left and 500cc in the right would be what I would like to balance out the small size difference. I was curious about the position of the implant, so we discussed placement and how it was determined. He made a few makings on my breasts and then I was to meet with the nurse (Jackie) to go over post-operative instructions. She answered a few questions regarding the after care and then I met with anesthesia. We discussed my past surgeries and how I felt following other surgeries that I might have had. He assured me that he would take every measure to prevent any nausea. Then I was off to surgery.
My surgery is being filmed, so check back later this week to watch actual video clips of my augmentation.
Lip Sculpting
October 16th, 2009
I find that a significant part of doing cosmetic surgery is sculpture. Whether I am removing (liposuction), adding (breast enlargement) or rearranging (face lift), the quality of the result and achieving a natural appearance is the direct result of sculpture. Lip enlargement using injectable materials is no different. I first start out with mental image of what normal lips look like. The lips are then sculpted with the injections to look like normal lips. Just this past week, I did three lip injections to minimize wrinkles and give the face a more youthful appearance. All of my patients have a nice improvement in their appearance, no hint of the “sausage lips” look, that seems to be popular in Hollywood.
I have noticed that many injectionists must think lips look like sausages! Jimmy Dean fills cylindrical tubes with meat to create this shape. I do not find this look to be attractive. Nobody’s lips look like sausages except the ones which have been injected! Lips have a subtle curve know as a “Cupid’s Bow.” This complex curve is created by the mirror image of the upper lip meeting the lower lip. The Cupid’s Bow shape is most apparent along the upper lip where the red lip meets the flesh-colored skin also known as the vermillion border.
Lips injected with fat, collagen or hyaluronic acid will look like sausages if they are injected evenly along their length. It is a simple matter of physics. To maintain a normal appearance, they must be injected differentially, maintaining relative fullness of the central upper lip compared to the lateral upper lip. The lower lip should be the mirror image of the upper lip. The lower lip should be fuller lateral to a central relative thinness. You might think of the lips like gears which mesh. Full on top meshes with thin on the bottom and thin on top meshes with full on the bottom.
Three other things to remember. First, the lower lip is almost always fuller than the upper. Julia Robert’s lips are an exception to this rule. In other words, they are not normal. Seeking this appearance will give you unnatural looking lips. Second, lips naturally taper toward the corners of the mouth. Injections here distort this natural shape. Finally, lip enlargement can be accomplished with about 2 ml or cc. This equates to two syringes of most products. Injecting more than 2 ml, increases the risk of getting an unatural appearance (or sausage lips) and more importantly, the risk of terrible scarring from skin necrosis or skin death.
In other words, there is more to creating a naturally pouty lip than most people might appreciate.
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