Question: Is a standard neck lift considered minimally invasive surgery?
Answer: You can certainly say that a neck lift is minimally invasive due to the fact that it is less invasive then a standard facelift but it still involves making some incisions in and around the ear, going under the skin and then lifting up the deeper layer called the SMAS to provide a very nice esthetic improvement in the jaw and neckline. I personally performed these procedures under local anesthesia in the office setting and the procedure itself takes about an hour. I would highly recommend seeking out a very experienced facial plastic surgeon to provide your neck lift so that you end up getting the results you desire without any untoward side effects of surgery.
Question: Are there any side effects of using Latisse?
Answer: Now the most common side effect of using Latisse is some minor pigmentation of the skin of the upper eyelid along the lash line. This can be avoided by blotting the product off of the eyelid skin after the application and blinking. Otherwise, eye irritation is relatively uncommon but can occur and other side effects are extremely unusual. A side effect that is talked about but so far has never actually been seen using the Latisse product is pigmentation of the iris or the colored part of the eye. The only reason this has been discussed is that the eyedrop with the same chemical has been shown to pigment or cause some browning of the iris in patients with green or hazel eyes. It is extremely uncommon but has been documented. Due to the fact that Latisse is not a drop that is placed in the eyeball but actually a product that is placed on the lash line, an exceptionally small amount of the product actually ends up on the eyeball itself and that is why there has not been a witnessed event of iris pigmentation to this date. Overall, Latisse has an exceptionally high satisfaction rate and patients can then go on a maintenance treatment with Latisse to maintain their longer, fuller, darker eyelashes.
Question: Does laser hair removal cause any problems?
Answer: Things that come to mind are skin color changes, skin irritation, and the formation of scabs. How likely are any of these to occur? Skin irritation is the most common side effect of laser hair removal and to a certain degree occurs in 100% of patients when the laser is used properly since we are trying to injure the hair follicle itself. Skin color changes should be extremely unlikely unless the patient has a tan prior to the laser hair removal treatment in which case the provider most likely should have told the patient to avoid any hair removal that day; otherwise, scabs really should be exceptionally unlikely to occur since that would obviously involve some significant injury to the skin which is exactly what we want to avoid when we perform laser hair removal. Ultimately I would recommend seeking out a very experienced center that has several different options regarding the devices that they use for laser hair removal so that ultimately you can get the result that you desire.
Question: I had been having chin augmentation with Radiesse. I absolutely love the shape but I am looking for something more permanent. Is it possible for surgeons to copy the shape of the Radiesse injection with an implant?
Answer: I do not know that it is possible to precisely copy the shape of a Radiesse injection with an implant but certainly we can evaluate your chin shape and decide what type of implant would give you the best results. There are other modifications to chin implant surgery that can be performed to the underlying muscle so that we can improve the appearance of a cleft or even theoretically create a cleft if one would be desired in the midportion of the chin.
Question: I have very thin lips and would like to have them enlarged and possibly re-sculpted. I have what looks to be a natural scowl even though I am not. Can this be corrected with lip enhancement or would I need some other type of plastic surgery?
Answer: It really depends on your exact anatomy as to what I would recommend but if you have an overly long upper lip that completely covers your upper teeth then we may want to consider a surgical procedure to not only lift the lip but to also enhance its appearance and shape. If the length of your lip is otherwise relatively normal then we might want to consider something simple such as filler injections or a fat transfer. Ultimately lip enhancement needs to be extremely customized for each individual so that we create a very natural appearing lip that the patient can be very happy with.
Question: I have had injections in the past to plump my lips temporarily. What procedure can make my lips permanently plump?
Answer: Now there are several procedures that can permanently plump lips but at this point in time I personally prefer the fillers as they are easily customizable, very natural appearing, and overall give patients exactly what they desire. Other options, however, are a lip lift which can be performed through small incision up underneath the nose, a vermillion advancement which leaves a scar right along the lip line between the skin of the upper lip and the lip itself or even permanent lip implants which can be soft silicone that is passed underneath the tissue to permanently enhance the lip. These all have drawbacks when compared to injectable fillers but the upside of these other techniques are that they are considered permanent.
Question: Is redness common when using Latisse?
Answer: No, redness is not common when using Latisse but certainly can occur in some individuals in the area where the product is placed. Some individuals also will cause some brown pigmentation of the skin in that area but this can typically be prevented by blotting the area after the application of the product. Overall, Latisse is extremely well tolerated and very effective.
Question: With Latisse do the eyelashes grow together in clumps or individually?
Answer: The eyelashes continue to grow as they would naturally and some people do have individual lashes while others have lashes that are closely positioned so that it looks like they are together in clumps. What Latisse does is make the lash grow longer, thicker, and darker and occasionally people will feel like these lumped together lashes are caused by the Latisse when in fact they have been present all along. They just are much easier to visualize due to the fact that the lashes are longer, thicker, and darker.
Question: I have read about the new Fraxel laser and would like the skin resurfacing procedure done. I am 69 years old and believe that I want the deepest treatment, Fraxel repair. I am retired so I will not need to take time off of work but I have a busy social calender. How long will I need to stay home after the procedure? Can I use makeup during this time if I need to go out briefly?
Answer: Everybody is different but for the most part if we perform a deep Fraxel repair type of a resurfacing, patients can expect anywhere from 3 to 6 days of oozing from that area and due to the fact that the skin oozes it is quite difficult to cover with makeup so we do tell patients to expect about 4 to 5 days of some minor downtime. Once the oozing resolves, cover makeup can easily be applied to camouflage any mild redness.
Question: What exactly is hyaluronic acid and how does that compare to Botox? I am considering some face touchups and want to explore all of my options.
Answer: Hyaluronic acid is a chemical that is composed of sugar molecules all linked together thousands of times in a chain. These chains are then linked across themselves so that they last longer in the human body. This is a natural substance that is found in our bodies and it is located between all of the cells in our tissue. Botox is a neuromodulator which means that it binds to nerve endings and prevents the nerve from making the muscle contract. This allows the muscle to relax and the wrinkles that are caused by the muscle motion are then improved. These two products are very different in that one treats dynamic lines or lines due to muscle motion and that would be the Botox situation whereas one treats lines that are static or lines that are there all the time which are typically in the lower face and this is where hyaluronic acid fillers would be useful. Ultimately I always recommend the patients see a board certified facial plastic surgeon who is experienced in comprehensive approaches to facial rejuvenation so that combination treatment such as Botox fillers and other procedures or techniques can be employed to give the patient the best result possible.