What can be done?Non-surgical Fillers (restylane/juvederm) Neurotoxins (botox/dysport) “permanent” fillersSurgical Face Body Breast
• How do they work?• -block nerve impulses• -muscles that cause wrinkles are “paralyzed” temporarily• Is it permanent?• -No• How long do they work for?• -3-4 months• What is the difference between the two?• -Apples and oranges• -different molecule sizes• Will I get addicted?• -NO!
Am I a candidate?Forehead WrinklesBunny linesGlabellar linesCrows feetDown turning mouth“strong” jawlineDo not have Multiple Sclerosis or any other neuromuscular diseases
What are they “made” of?-hyaluronic acidHow long do they last?-9 to 12 monthsWill I will look fake/plastic/have that look?-NO!What is the difference between the two?-apples and oranges-Physician preferenceDoes it hurt?Will I need to take the day off of work?Is there a scar?What about those other ones I’ve heard of?
Am I a candidate?-nasolabial folds-deep glabellar lines-marionette lines-grooves
What???- fat is taken from your abdomen or thighs- It can then be injected into areas needing augmentation or fillCan you do it in the office?-yes, depending on the areaDoes it hurt?-noAre there scars?-small and heal wellDo I need to take off work?Is it permanent?
Am I a candidate?Do you have areas that need fill/augmentation? Cheeks Folds Lips Temporal area Deep wrinkles “sagging” Old scarsDo you have spare fat?
Rhinoplasty“nose job”Lifts tip, reduces hump, narrows nose, improves outward appearanceImproves breathing1-3 hours in the operating roomGeneral anesthesia (can be MAC)Swollen for 1-2 wksBruised if osteotomy done
Am I a candidate?You’ve been thinking “it’s time”You’ve always wanted to get it doneTip of nose is drooping with timePrevious traumaDifficulty breathing“breathe right strips” help a lot with breathingCan be done in combination with face, etc.
Blepharoplasty (eye lift)-1-2 hour outpatient surgery-asleep-upper and/or lower lids-one week recuperation(mostly due to bruising)-excess fat and skin removed-incisions well hidden
Am I a candidate?Drooping eyelidsPeople tell me I look tired when I’m not“I hate the bags and wrinkles under my eyes”“I have to lift the skin of my upper lid to see better”
Forehead lift-1-2 hour outpatient procedure-can be done different ways: open, endoscopic-lifts brow-eliminates glabellar furrow and forehead wrinkles-usually done in conjunction with other procedures (facelift, blepharoplasty)
Am I a candidate?You pull your brow up to see betterSick of getting botox in the forehead and glabella every 3-4 monthsEyelids look even droopier after getting botox in the foreheadUpper eyelids are still saggy despite getting a blepharoplasty
Facelift-asleep in the operating room for 4-6 hours-can be done in combination with eyes, forehead, nose, fat injection-lifts the jaw line, cheeks and neck-incisions are well-hidden-can do neck alone-will want to recover for 1-2 weeks-skin and soft tissue (SMAS) tightening and lift
Am I a candidate?You’ve been thinking “it’s time”Sagging neckJust want to turn back the clock 10 yearsWant the cheekbones you had when you were younger“I just want a better neck”
OthersEars (augment lobe, reduce or “pin back”)Chin (genioplasty or liposuction)Cheek implant/fillerScar revisionsLesion/skin cancer removalKeloid/hypertrophic scars
Tummy Tuck (Abdominoplasty)Asleep in the operating room for 2-4 hoursCan be done in combination with breast lift, face surgery, etcNo exercise/heavy lifting for 4-6 weeksOk to return to work within a week (depending on work)Tightening of muscles and skin+/- liposuction
Am I a candidate?Sagging bellyweight loss with residual skin/hanging tissuePrevious pregnancies/childrenClothes don’t fit right“I hate my pooch”Lower back painGetting hernia fixed
Breast liftImplants aloneMastopexy (surgical lift)Lift and implantsCan be done in combination with other surgeriesAsleep in operating room (1- 3h:depending on procedure)Approx 1 week off of workNo strenuous exercise/heavy lifting x 4-6 weeksSupportive bra x 6 wks
Am I a candidate?Breast ptosis/saggingNormal mammogram“I’m going to finally get this done”
LiposuctionSuction/power-assistedGood for abdomen, thighs, hips, knees, chin, armpits/outer breasts, lovehandlesOutpatient surgeryCan be combined with breast reduction, facelift, tummy tuck
Am I a candidate?Work out but can’t get rid of that extra “fat”?Have extra bulk in your thighsWant to contour your waistHips just “a little too wide”Have extra fullness in your chinGetting a breast reduction and want to contour the outer breast