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At one time or another we all look into a mirror on some wall somewhere and a flaw glares back at us.  Time and time again women around the world see something on their face or body that screams “fix me.”   This could be due to a feature we were born with, or accident or could be age related.   Understanding the risks and rewards of any type of facial or body enhancement procedure is critical.  It shouldn’t  be thought of as some back room black magic process, but rather a relatively safe operation that can and does change a persons’ life when done by a qualified surgical professional.

There are times when surgical procedures can go wrong and that is a matter of record but if you choose your surgeon wisely and make certain that you have done your research there should be a very minimal risk.

If you are considering having facial or body enhancement,  the first thing that you should do is to choose the right doctor.

These days there seems to be a Plastic Surgeon  on every corner so how can one decide who is the best? This is especially true when contemplating having fillers such as Botox, Juvederm, Restalyne which are being offered in spas, salons and even at home by untrained professionals.

This would seem to be the time to offer up this WARNING!  Do not ever have anything injected into your face or body by anyone other than a Board Certified Plastic Surgeon or Board Certified Dermatologist who has experience with injectables.  Never have any of these treatments performed in a Spa, Salon, home or other non-professional environment.  This could be hazardous to your health and you could wind up with irreversible problems.  Stories abound about women looking to cut the cost of these procedures by having them done at someones’ home only to be injected with liquids that were NOT meant for the body but for automotive and other uses.  This is dangerous and the results  and most of the time irreversible.  These procedures are an investment in you and your future and you cannot cut corners when dealing with your face and body.  If something seems too good to be true…it is.  There are relatively standard charges for fillers so just do your  research.

The number one best way to find a doctor is by referral. Talk to friends and friends of friends about procedures they have had done.  Don’t listen to people who have second or third hand information about a matter this critical.  Don’t let your neighbor  tell you about a friend of her next door neighbor who has a cousin who lives in Iowa who has a sister who had a face lift from this doctor whoever.  You want to speak directly to the person who had the surgery and it is best to see that persons results.

Do a Google search of doctors in your area or in the closest major city.  Check out any comments or problems that may show up online and once you feel comfortable then visit  the doctor in his office and speak directly to him.  Interview him!  Be prepared with the appropriate questions to ask and listen carefully to his answers. Make sure that you look at his book of before and afters.  He should volunteer to show you his work but if he doesn’t ask to see it.   Take a look around his office and check out his credentials.  Make sure he has the right experience to perform the surgery that you want.  A doctor that is great with breasts is probably not the guy you want doing your eyes

When you Google the doctor's name make sure he has no lawsuits or problems surrounding his surgical procedures

Running a Google search is great in general when trying to find the best Plastic Surgeon in your area. It's typically online that a patient is able to learn of medical citations or malpractice suits surrounding the particular doctor via old news articles or medical review sites.

Ask the plastic surgeon how many procedures like yours they have previously

In the end you must  listen to your self when choosing a plastic surgeon.  You need to be totally comfortable with him or her.  Reading articles on the finest Plastic Surgeon in this city or that city should not be the final word.   Go with your best instincts coupled with the information that you have from your research.   This is the person that will be cutting you with a knife in very visible places, or injecting you with Fillers and you must be comfortable before signing off on cosmetic surgery.

Let’s talk about some non surgical procedures first.  These work to erase lines and fill in spots on your face that may need to be plumped.  When a face is too thin it ages you. 


As we age, our faces begin to show the effects of gravity, sun exposure and years of facial muscle movement, like smiling, chewing and squinting are all contributors to those little wrinkles we see. The underlying tissues that keep our skin looking youthful and plumped up begin to break down, often leaving laugh lines, smile lines, crow's feet or facial creases over the areas where this muscle movement occurs.

Soft-tissue fillers, most commonly injectable collagen or fat, can help fill in these lines and creases, temporarily restoring a smoother, more youthful-looking appearance. When injected beneath the skin, these fillers plump up creased and sunken areas of the face. They can also add fullness to the lips and cheeks. Injectable fillers may be used alone or in conjunction with a resurfacing procedure, such as a laser treatment, or a recontouring procedure, such as a facelift.

If you're considering a facial-rejuvenation treatment with fillers,  collagen or fat, this information will give you a basic understanding of the procedure.  The following are some of the tried and true fillers that have been used with success.  There are some newer fillers which we will discuss later.

The choice of filler depends on the typical area to be treated.

  •  Marionette lines (lines from the corners of the mouth to the jawline, accentuating the downturn of the mouth) and treated with Restylane or Perlane or Radiesse.
  •  The nasolabial folds (lines from the end of the nose to the end of the lips)are usually treated with Restylane or Perlane or Radiesse.

Radiesse is an injectable dermal filler that is injected below the skin into the dermis by dermatologists to treat folds, wrinkles, asymmetry, hollowness, thin cheeks (fat atrophy) and nasal bumps. Radiesse is FDA approved and is primarily composed of a material that is found in human bone tissue called Calcium Hydroxylapatite.  One of the most popular uses of Radiesse is facial volume restoration, which involves injecting the product in people who have had fat volume loss resulting in hollow cheeks. It is also commonly used to fill nasolabial folds and marionette lines.

 “tear-trough deformity” (hollow under-eye circles) and  brow-lift treated with Restylane or Perlane and Radiesse

  •  Hollow cheeks, cheek-lifting and jawline rejuvenation  treated with Perlane or Sub Q or Radiesse,
  •  Resculpting the jaw line by lessening the effect of jowls and sagging  treated with Perlane or Sub Q
  •  Wrinkles of the cheeks and around the mouth  is treated with Restylane Vital or Restylane Lite
  •  Lip augmentation  which provides definition without looking overdone to lips which have become thin and wrinkled. is treated with Restylane Lipp
  •  Perioral area (wrinkles around the lips) is treated with Restylane Lipp
  •  Ageing hands, décolleté and smokers lines Restylane Vital or Restylane Lite .  In addition, Radiesse can also be used to treat fat atrophy in the hands, which give hands an aged appearance with prominent veins.

Radiesse can also be used for nose reshaping.  An injection along the sides of a bump on the bridge of the nose can fill the area creating a visible difference immediately. This is often referred to as a non-surgical rhinoplasty (nose-job).  This correction can last up to two years

  •  Other areas include filling in acne scars, treated with Restylane or Restylane Vital or Restylane Lite





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