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Red Carpet Over-Plumping

January 30th, 2012

It’s Hollywood Award Season again.   You might remember the Foster Farms ad campaign for their chicken products about over-plumping.   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.   It is a funny parody of the sometimes over-zealous use of fillers in Hollywood,  perhaps on the Red Carpet this time of year.

I see over-plumping all the time, especially in the lips.   The individuals, usually women, loose all of their natural lip shape and end up with what is often referred to as “trout pout.”   They look as if the they have sausages for lips.   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 any  cosmetic reasons.   The risk of chronic long term inflammation which arises is not worth it.

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Goodbye to Lip Wrinkles

August 23rd, 2011

I find that a significant part of doing cosmetic surgery is sculpture.   Whether I am removing (liposuction), adding (breast enlargement) or rearranging (facelift), the quality of the result and achieving a natural appearance is the direct result of aesthetic sculpture.   Lip enlargement using injectable material 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 last week, I did three lip injection procedures to rejuvenate lip wrinkles.  My patients all wanted a more youthful appearance.   They now have nice improvements in their appearance, without the over-inflated   “trout pout” appearance that seems to be so popular in Hollywood.

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.   Over-inflation destroys this subtle curve.   By paying careful attention to anatomy,  a more natural appearance may be achieved.

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