• Anti-Aging ProductsThere’s actually nothing wrong with most of the so-called anti-wrinkle products on the market today; most of them are formulated using good quality moisturizers with a tiny amount of “active ingredient”.Anyone who notices signs of aging – fine wrinkles around the eyes, either side of the mouth or over the lips, or suffers from dry sagging skin will naturally show a positive initial effect from a renewed cleansing/moisturizing regimen which softens or moisturizes the epidermis, or outermost layer of the skin.

    The problem is, the actual aging process is going on underneath the epidermis, in the layer called the dermis where collagen is produced and the skin’s moisture-retaining capability originates.If the creams, gels, or serums don’t deliver this “active ingredient” by penetrating the dermis – as most of them simply cannot – there is no real therapy going on.

    For real results that aren’t just “skin deep”, a consultation with a Board-Certified plastic surgeon will have two important benefits for you:first, a plastic surgeon is qualified to analyze your individual skin characteristics and recommend a dermal filler containing a much more potent “active ingredient” that is uniquely suited to your needs.And second, as a surgeon, he is skilled in delivering the “active ingredient” directly into the dermis with the use of carefully placed fine surgical needles where it will have an internal and long-lasting effect.

    If you add up all the money you’ve spent on anti-aging products I believe you’ll find that consulting with a true specialist may also turn out to be more cost effective in the long run.

  • FaceliftEspecially in the San Francisco Bay Area, facelift patients prioritize a natural non-operated appearance.  And there is no procedure where plastic surgery can be more apparent than a facelift.In the 70’s and 80’s the popular technique was to just pull on the skin to tighten things up, but we all know where that got patients: straight to a wind-blown appearance.

    The secret to a balanced, non-operated look, is for the surgeon to utilize one of many techniques that are available to lift the structures (called the SMAS) deep to the surface of the skin, while closing the skin incision under minimal tension.Only by emphasizing a SMAS-based procedure can a surgeon treat the skin kindly and therefore avoid the tension being placed on the skin, with the abnormal facial appearance that this causes. All of my facelift and partial facelift procedures are performed with a SMAS lift because, quite simply, it’s the most natural result available.

  • Eye ProcedureWe communicate constantly with our eyes. Even throughout the day when we are silent, our eyes convey volumes of information about what we think and feel to the outside world. The problem is when the appearance of the eyes is inconsistent with the emotions inside of a person. Many patients come to me frustrated that the energetic vibrant person that they are inside is communicated incorrect by eyes that look tired or disinterested.

    Skilled surgery in the eyelid and brow areas removes the features commonly associated with a tired, apathetic appearance, and brings those eyes back into balance with the person on the inside.

  • Breast ImplantI’m aware that it must be all over the internet that the lifespan of a breast implant is 10 years.  And, like all things in medicine, the issue just isn’t that simple.  In short, plastic surgeons use a 10-year period to discuss the risk of needing to go back to surgery for some sort of implant-related issue.  Because of us choosing this timeline, the common perception is that implants somehow last 10 years and then just run out of steam, but this simply isn’t true.  In fact, there is a greater chance that a patient will not have to go back to surgery in 10 years than a chance that she will.

    But just how long do they last then? And what are the new complication rates for the more advanced, modern implants?  Well that’s a difficult question to answer until we have more data.When the US Food & Drug Administration finally lifted its 14-year ban on silicone breast implants for use in the US in November 2006 it set some restrictions and limitations.One of those was that the manufacturers of the silicone implants are obliged to collect follow-up data on 40,000 implant users for 10 years following surgery.

    This was a very conservative step, especially since the FDA approval was based on safety studies carried out over the previous 10 years.The next 10 years will surely settle the question of implant lifespan.

    Silicone implants have been in use worldwide without restriction for over thirty years and in the US for reconstructive surgery and approved trials throughout the years of the FDA ban.Studies show that silicone implants are as long lasting and safe as saline implants and that both, while classified as non permanent, can last a lifetime.

  • Breast AugmentationOne of the most important decisions in breast augmentation is the choice of breast implant size. There are many steps to finding a good size, but really the best and most accurate method is to use a real implant to show patients how it will look. In my office patients place real implants on their bodies to see how comfortable they feel with each size level.

    Natural breast augmentation is all about bodily balance, and it’s best to put a little work in trying on implants in order to really get this right. Actually, most breast augmentation patients find that trying on implants isn’t work at all – it’s actually very enlightening and fun for patients to explore their breast size comfort zone with implant sizers.

  • Breast ProceduresBecause it is not often discussed, most women with considerable breast asymmetry feel that they are alone in their situation.However, I can say that the majority of women I see, regardless of the reason, have a difference in size, shape or position of the breasts from side to side.

    One of the goals of all types of breast surgery is to improve the symmetry of the breasts.In breast augmentation, different amounts of volume can be added, and in breast reduction or breast lift surgery a small amount of extra breast tissue can be removed from the larger side.

  • Tummy TuckYou may be the best candidate for a tummy tuck if you have lost a significant amount of weight recently but are still not pleased with your new body shape.Whether your weight loss plan was based on diet or exercise, or both, you may still be plagued with loose or sagging skin or pockets of fat which just didn’t disappear.

    Especially if you were overweight for many years or are more mature you may find that your skin elasticity has diminished somewhat, and no amount of exercise or massage will give it the firmness you desire.

    This would be the ideal time to consult with a board-certified plastic surgeon to see what procedures are available.One procedure used to remove excess skin and also to tighten the abdominal muscles beneath is abdominoplasty, also known as a tummy tuck.Also ask about a mini-tummy tuck, liposuction, lower body lift, and upper arm lift, all procedure than can help you obtain the body contour to match your new slimmer look.

  • LiposuctionShow me someone with excellent skin elasticity and an isolated area of excess fat in a particular trouble area, and I’ll show you a fantastic candidate for a liposuction procedure.With liposuction, it’s always best to have skin that is elastic – meaning that it will “shrink-wrap” down against the body after we remove the extra fat, instead of sagging as extra skin.

    Also, though liposuction can be used to improve larger body areas, it’s best suited for making a particular problem zone disappear, such as when we use liposuction to make the outer thigh (saddlebag) area come into perfect contour with the rest of the thigh areas.

  • Fat GraftingMany things have been tried to improve the size and shape of the buttock area.Newer developments in fat grating (called microlipofilling) have enabled the fat that is taken out of the body with liposuction to be used again in the buttock areas.  With a meticulous approach, a surgeon can ensure that up to 70-80% of the fat remains in the grafted area.

    The result is what is commonly called a Brazilian butt lift, but is really a form of liposuction sculpting of the waist and back, and subsequent augmentation of the buttocks with a patient’s own natural tissue.

  • Support System In Time of SurgeyAll life changes, even cosmetic surgery, can have an associated element of stress. That’s why, whenever possible, it’s a good idea to have some important members of your support system behind your decision to undergo surgery. This might be your family, partner or simply a good friend.

    Sometimes it is difficult to get a loved one on board with the plan to have cosmetic surgery. Their priorities are different, and they might not clearly see the goals you have for your face and body. In these settings, it’s best to keep communication open and help them understand your priorities, so that they can better accompany you on your journey of self-improvement.