Wednesday, November 4, 2015

Baby Butt Face@ SmilemakerNYC



Turning back the “face-clock” with minimally invasive facial sculpting

Pearls:

1. Be 100% sure of your anatomy before you inject botox or fillers!
2. Better to undercorrect with fillers,especially in the tear trough or cheek area in order to avoid those "hey,doc you made me look lumpy and bumpy after restylane!"

After  nearly fifteen years in the field of aesthetic and reconstructive surgery of the face ,I realise that more and more plastic surgeons are going to have to shift gears and venture into the exciting new world of aesthetic medicine which uses minimally and non invasive methods of facial rejuvenation. The business is not only less labour intensive, but also has better predictable results and can turn out to be a lucrative proposition in the long term.But I for one,am not buying into all that hype about vampire facelifts with PRPM and that kind of stuff because first of all,it has to be evidence based and not just a feel good experience that costs over a thousand dollars for less than half an hour's work.
The days of the Japanese doll eye look and Jane Fonda stretched plastic facies are long over and most patients know exactly what they would like have changed or modified. One word of caution however, for all those involved in this art of aesthetic practice. You are bound to come across the occasional metro sexual type A, or Angelina Monroe Wannebee who may want a picture perfect outcome. A detailed pre treatment consult, several digital images before and after the treatment and additional informed consent would solve the headaches in most cases. I personally, am non confrontational and would  prefer not to refer such troublesome patients to doctors who are not always kind to me, or my colleagues in practice.
Imagine the many benefits of not going under the surgeon’s knife but instead walking out of the clinic the same day looking like a hot momma or a 64 to 46 mischievous granny X!
Botox can lift the lateral brow by specifically placed minute injections of the neuromodulator, giving the model like female arched eyebrow. There you have it, a pleasant eyebrow raising experience and very little or no discomfort. Perpetual frown lines, forehead lines, bunny lines on the nose, crow’s feet all taken care of by a few injections. Did you say you wanted your slightly droopy nasal tip lifted? Aha, just a teeny amount of Botox fixes the problem and soon you are going to have a nose tip lift without all the blood and guts!
Okay, let’s move onto the lower face and see what else .Your nasolabial folds,perioral wrinkles, and those aggressive lip depressor muscles that pull your lips down and make you look sad even when you are happy.That gummy smile is easily fixed with a small dose  of botox injected at a few spots under your nose. An unfortunate Kirk Douglas chin cleft can also be treated with a carefully placed dose of Botox into the mentalis muscle of the chin. You are now ready to rock and roll.Inhale.Now exhale slowly. Spell Angelina Marilyn Monroe minus one backwards.The transformation is happening,even in the recesses of your mind.
The next step for us is to fine tune your face with temporary fillers which contain a very safe substance called hyaluronic acid which absorbs water on injection and takes care of volume loss .It also reshapes your lips, malar region,tear trough and parts of the nasal bridge. Your lip volume looks a lot better with this filler and if you want that madame diabolique Parisian,“voulez vous?” pout, a little amount is placed at specific points on your Cupid’s bow and sniffle ridges.Hello, Marylin minus one Monroe! But we are getting there, not to worry. The loss of volume in your cheeks is corrected easily with the filler after we trace the apex of your cheek  using some specific,time tested landmarks.This ensures a symmetrical result.
Ok, you look beautiful now but you say you have had some acne scars for many years which you are worried about even after several fraxel laser treatments? Easily taken care of with a small needle called a Nokor needle which is used to break the fibrous bands under those scars and the space filled with platelet rich  plasma which takes care of the problem.Smaller scars are easily treated with micro needling and PRPM. PRP treatment is one of the hottest trends in aesthetic medicine today and is being increasing and successfully used in the treatment of scars.
The good news is that Botox and fillers can also be used to take care of the neck and those crinkly lines above the breast.
Take a good look at yourself  in the mirror today. Go out and paint the town red with your friends tomorrow.
Sorry granny, if your wrinkles are severe and there is too much skin sag, I prefer to do a mini incision facelift to take care of the problem.A minute amount of botox is injected along the scar line to make the scar inconspicuous. Forget Russian roulette. You will look even better after we continue the works with botox, fillers and even some chemical peels plus laser touch ups.You will look a lot younger as a result.It will only take a few more sessions. Rules of engagement in the ageing process.Nothing more.
May you stay forever young, at heart. Bon chance!


Note: I believe that futuristic aesthetic cleft touch up procedures will include some variations on a theme of this repertoire. As the adult cleft lip patient goes through the ageing process,the addition of minimally invasive facial sculpting will greatly enhance the person’s self esteem and make that person more confident in general. A type of wholistic approach to aesthetic cleft management in the long term.

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