One of the most challenging – and satisfying – parts of a full rhinoplasty is adjusting the rotation of the nasal tip. Tip rotation is defined by the position of the nasal tip relative to the nasal dorsum (bridge) and the lip. The angle between the lip and the nose (the nasolabial angle) is smaller in an under rotated nose than it is in an…
Neck Lift, Submentoplasty and Playsmaplasty: I often see patients who are unhappy with the age related changes that have occurred in their neck. Often I am told that the changes happened literally overnight. What do patients notice? Mainly three things: first, skin changes – either a change in the texture and appearance of the skin or a change in the amount…
We all know that people age at different rates. Major factors influencing the process include genetics and lifestyle choices. Despite this the general pattern of aging is quite predictable. Skin becomes lax as the elastin and collagen proteins lose their strength over time. The subcutaneous fat layer (fat immediately beneath the skin) which is associated with a youthful facial contour thins…
The following two sets of photographs are of a neck lift patient before and several months following the procedure: A neck lift is used to rejuvenate the neck and reverse many of the age related changes that occur in this area. Over time, the skin of the neck becomes loose and the muscles in the front of the neck…
Volbella is the newest hyaluronic acid based filler from Allergan. Other hyaluronic acid based fillers from Allergan include Juvederm, Juvederm Ultra, Juvederm Ultra Plus and Voluma. Volbella is the first hyaluronic acid based soft tissue filler approved for use in the lips that has been shown to last up to 12 months. Up to this point, all of the patients…