May 26, 2010

Will a forehead lift affect my hair grafts?

If you have suffered from hair loss in the past and now seek further treatment for other concerns, it is natural to want to ensure that any new treatment does not erase the effects of an old one.  Most people we see who have had hair grafts and are also seeking a forehead lift or facelift ask us this question.  The answer is that the forehead lift can and will affect your hairline.  The issue is how to best manage your particular circumstance so any changes are natural and minimize compromise of your grafted hair.

Facelift Before and After Photo

Facelift Before and After Photo

The open forehead lift or coronal forehead lift relies on an incision above the hairline from ear to ear and is sometimes justified on the basis that the long scar is “hidden” behind the hairline.  The problem with this statement is that such a large scar is hard to hide and can be visible through thin hair.  This incision when closed puts stress on the scalp and is commonly associated with permanent loss of hair along the course of the incision.  Some advocate moving the coronal incision to the hairline, which is the so-called pretrichial hairline.  Proponents of this tout the relative invisibility of the hairline when beveled so that hair can grow through the healed scar.  As good as this sounds, the actual result of these incisions seldom live up to their promise.  The pretrichial incision and the beveled pretrichial incision create subtle and sometimes not so subtle compression of the hairline.  The results in something a bit unnatural.  Sometimes the hairline incision is advocated because it “lowers the hairline.”  While this statement is basically true, the visible scar and hairline compression overcome any benefit obtained by “lowering the hairline”.  The bottom line is that open forehead lift is outdated, and it’s almost always better to opt for an endoscopic forehead lift.  In fact, the loss of a small number of hair grafts during the endoscopic forehead lift is generally not noticeable.  There is a small upward shift in the hairline but this is generally quite small and on balance; this is a much better option than disturbing and compressing the hairline.

Consult with a leading physician in endoscopic facial surgery.

Dr. Steinsapir has been a leader and advocate of the minimally invasive endoscopic forehead lift since 1990 and onward, even before most recognized the superior value in this technique.  With faster recovery time, optimal results, and a natural hairline, an endoscopic forehead lift is the clear choice for those who have had hair grafting or wish to have hair grafting in the future.  These are powerful procedures that have the ability to truly transform your looks, and you needn’t put off your consultation with a specialized physician out of fear that improving your facial features will compromise prior hair grafts.  When we look at results, we find that:

•    Hair grafts are only minimally affected by an endoscopic procedure if at all.
•    The benefits of a forehead lift vastly improve your entire appearance.
•    Many people benefit from both hair grafting and a forehead lift, but they should not be performed at the same time.
•    Facial cosmetic surgery must be tailored toward each individual’s specific needs and concerns, by the right doctor.

We invite you to your no-risk consultation with Dr. Steinsapir where you can ask questions, express your concerns, learn about his expertise as an oculofacial plastic surgeon who specializes in the forehead lift in Los Angeles along with other specialized cosmetic procedures.  Dr. Steinsapir has extensive education, fellowships, experience, and proven results that can assure you of his qualifications to custom-tailor your treatment.  As an Associate Professor at UCLA, a leading researcher, and a practicing physician with astounding results, he is internationally respected in his field as a caring cosmetic surgeon.  Call us today to find out how treatment with Dr. Steinsapir can be balanced with your hair grafts to give you all of the results you’re looking for.

May 24, 2010

Skin needling – is it the answer?

Skin needling is often a do-it-yourself treatment wherein you use hundreds of tiny needles to puncture your skin, usually with a roller after a low-strength numbing cream is applied.  This is supposed to increase collagen production in your skin to remove wrinkles, erase scars, eliminate cellulite, and reverese hair loss.  Proponents say that this makes it easier for your skin to absorb lotions like face creams and stimulate healing, allowing your skin to repair itself.  This sounds like a revolutionary treatment, but unfortunately all of these claims are unproven.

Separating Fact from Fiction
Skin needling is marketed very persuasively, and we’re not going to dispute their claims.  There may be some benefits to this treatment, but the concern is that these claims are not supported by scientific data.  When this is the case, it can be very difficult to evaluate treatment claims without extensive training and experience in the practice of medicine.  One should be especially wary of products for sale that claim to cure a wide variety of unrelated conditions or offer results that seem miraculous.  Can skin needling really eliminate your winkles, remove your scars, and reverse your hair loss?  We can’t say no with certainty because there’s always the off-chance that someone somewhere might experience this, but we can confirm that there is no hard evidence to back this up.  A treatment advertised as a great deal isn’t ever a good use of your money if it can’t deliver the results you need.  That’s why it’s crucial to find a trusted cosmetic surgeon who can help you sort through all the smoke and mirrors.  For example, a trustworthy doctor will recognize camera tricks in before and after photos to evaluate the actual results.

Alternative, Proven Treatments

We do not mean to say that new treatments lack validity or promise; in fact, Dr. Steinsapir has been a leading cosmetic surgeon and researcher in finding new, better ways to treat people.  Technology is rapidly changing and improving, but that does not mean we have no good reason to value one new treatment over another; if a solution has a sound scientific foundation and subsequent studies to back it up, it may be considered an emerging field with strong credibility.  Dr. Steinsapir has seen fads come and go, and he has also seen new treatments being researched, developed, and then ultimately become a respected medical practice here to stay.  He has been on the forefront of developing and perfecting treatment methods like the midface lift, Restylane as a facial filler, and the chemical peel – all of which can be great facial cosmetic treatments depending on your needs.  And, as a peer reviewer of major cosmetic surgery and ophthalmology journals, he understands how to interpret raw data from a study in ways that media reporters cannot.

What you need will depend on your goals, your situation, and the severity of your concerns.  Cosmetic surgery and other cosmetic treatments for the face that are established as proven treatments are usually the best options to address problem areas in the face.  A trusted physician will be able to evaluate your condition and develop an individual treatment plan for you – because let’s face it, we all look different!

Choosing a Doctor Who Cares

If you are seeking the best facial plastic surgeon in Los Angeles, we invite you to consider how Dr. Steinsapir can address your needs.  He personally performs all treatments at his practice of cosmetic surgery in Beverly Hills rather than turning you over to an assistant, intern, or nurse, and he furthermore only relies on treatments with sound scientific basis and a proven treatment record – both in medical journals and reflected in the satisfaction of individuals he’s treated.  Call us today to schedule your no-risk consultation to find out how a proven treatment with a leading oculofacial plastic surgeon can save you from the stress and cost of failed fad procedures.  It will make all the difference in your treatment experience.

May 19, 2010

Will Health Insurance Cover my Eyelid Surgery?

People seek an eyelid surgeon for a variety of reasons, including personal preference, aesthetic concerns, professional desires, trauma, and medical necessity.  Whether your health insurance will cover your cosmetic eyelid surgery depends on your condition, the reason you seek surgery, and of course your insurance.

Eyelid Ptosis Surgery Before and After

Eyelid Ptosis Surgery Before and After

Health insurance does not cover most cosmetic procedures because they usually are not medically necessary.  Health insurance plans are there to help you when you medically need treatment, so while there are many good and legitimate reasons to seek eyelid plastic surgery, if your primary goal is to improve your appearance with no health benefit (other than peace of mind), then your insurance probably won’t cover the cost, nor should it have to.  This is not to say that you should not seek cosmetic treatment or that you have few payment options; these are all points to discuss with your doctor, and you may be happy to learn that many doctors offer a variety of cosmetic surgery payment options.

How can I find out if my health plan will cover my surgery?

Health insurance does not cover cosmetic surgery.
It may cover medically necessary reconstructive surgery.  May is the operative word.  Health insurance companies are increasingly unlikely to cover procedures that they previously did cover.  This is their effort to maximize profit and minimize expenses.  Examples of items that generally are covered include eyelid ptosis surgery because of vision problems, or if you have skin cancer and need mohs surgery for basal cell carcinoma, your insurance may help.  To find out, call your insurance provider or read your insurance handbook.  If you call, you can describe your situation and treatment desires, and also ask under what circumstances eyelid surgery is covered.  Be honest and don’t try to scam an insurance provider into paying for care that isn’t really in your plan or that you don’t truly need for good physical health.

Will Dr. Steinsapir accept my insurance?

Dr. Steinsapir is not a network provider in any health care plans, so check with your insurance to find out if they offer out-of-network payment.  For reconstructive surgery, you will be asked to make a good faith deposit for surgery.  As the doctor is not an in-network provider, his fees are likely to be more than what is allowed or paid by your health insurance.  Following surgery, a courtesy bill will be provided for you to submit to your health insurance company.  However, they are only obligated according to their fee schedule.  This generally means that you will be out of pocket for much of Dr. Steinsapir’s fees.  The good news is that many health insurance plans do cover the hospital and anesthesia fees and part of their network.  Because of how medically necessary surgery is billed, many patients are surprised to learn that they may actually save money when surgery is performed as self-pay cosmetic.  If you have Medicare, you will be asked to sign a so-called opt out form that waives your right to bill Medicare for Dr. Steinsapir’s work.

I want to see Dr. Steinsapir, but my insurance won’t help.

There are a variety of ways individuals have financed their cosmetic treatment plan, including saving up or using CareCredit card, which offers care credit cosmetic surgery options.  This leading patient payment program can help you to completely finance your cosmetic eyelid surgery in the Los Angeles and Beverly Hills area with Dr. Steinsapir on approval of credit.  CareCredit is a great program that we are happy to offer as a service to our patients.  This will enable you to seek treatment today that you can pay for in monthly installments.

Discuss Your Options

Depending on your need and condition, there is a good chance that your health insurance will cover a portion of your eyelid reconstruction in Los Angeles in medically necessary situations.  We invite you to make Dr. Steinsapir a part of your treatment and healing.  As a service to you, we will do our best to work with your insurance.  Let us remind you that although Dr. Steinsapir may not be part of your insurance company network, we are still obligated to communicate honestly with your health plan regarding your health needs.  At the same time, there are many responsible ways to pay for your treatment without health insurance.  We find that if you carefully plan your treatment decisions, seek professional advice from your doctor, and keep communication open, then you will be very pleased with your decision to seek treatment from the best.  Contact us today to for a private consultation with Dr. Steinsapir to learn how the best eyelid surgery available can be a reality for you.

May 12, 2010

Should I Get a Midface Lift or Under Eye Filler?

If you are seeking to improve your facial appearance by restoring it to a natural, youthful, and alert look, do not overlook the important difference that midface improvement can make.  When the malar fat pad descends on our faces, it shows up in our midface – the triangular area on each side of the nose.  This can translate to a loss of volume, hollow eyes, and a tired, haggard look.  When there are multiple procedures that can address similar issues, it can be hard to know which one to choose.  These are the times when it is especially important to choose an experienced specialist to aid you in your treatment decisions.  A cosmetic surgeon who has extensive midface experience will be able to give you the best results regardless of what treatment method you go with, which is why it’s always much better to seek guidance from an expert rather than choose a procedure based on what you find online and then use a doctor whose specialty lies elsewhere.

Midface Lift Before and After Photo

Midface Lift Before and After Photo

Dr. Steinsapir almost always recommends choosing the least invasive option that addresses your needs, which of course is different for everyone.  Often patients seeking a midface lift consultation only need Deepfill Restylane treatment, which is a detailed precise technique that requires great skill yet is minimally invasive, offers little to no downtime, and provides great results in the under-eye and midface areas.  At other times when the loss of soft tissue or deficiency in bone projection is profound, Dr. Steinsapir recommends midface surgery, which creates dramatic and long-lasting results.

Benefits for Your Whole Face

Many people don’t realize the extent to which their drooping midface and loss of skin elasticity affects their eyes, which are the focal point of the face.   The midface descent and sagging skin detract from our eyes significantly, causing hollow undereyes and lower eyelid concerns.  Restylane can address the hollow undereyes, but in cases where midface descent is severe, a midface lift is indicated to restore balance.  You may be surprised by the facial improvement possible with a midface lift.

Midface Lift or Restylane?

If you and your doctor opt for Restylane filler treatments, you will need to go in for more treatment periodically, perhaps once a year.  This is a great solution for those who need treatment but do not have severe issues.  You may benefit from a midface lift down the line but only need Restylane right now.  This all depends on the individual.

The midface lift is useful for more dramatic concerns by successfully addressing the way the descent of the midface dynamically impacts the rest of the face.  A midface lift can correct deficiencies like the undereye hollow and even address wrinkles, taking years off your face and helping you to feel better.

Ultimately, you cannot determine your solution until you seek professional advice and receive an examination to determine your needs.

A Midface Lift Pioneer

Dr. Steinsapir is an expert in the midface lift in Los Angeles.  This procedure has been relatively new over the last twenty years, and Dr. Steinsapir has been at the forefront of its study, development, practice, and perfection.  There are a number of midface lift techniques including the arcus marginalis release, tailored lower eyelid surgery combined with reinforcement of the orbitomalar ligament, and the vertical midface lift.  Dr. Steinsapir’s approach is to tailor your treatment depending on your unique condition, facial anatomy, and goals.  He has innovated new approaches and is widely renowned for his reconstructive midface surgery to fix prior failed surgeries. His solutions include minimally invasive techniques, short midface lift recovery time, and his acclaimed approach of using hand-carved ePTFE orbital rim implants.

Dr. Steinsapir will personally perform all your treatment and never relies on assistants or technicians to perform your treatment.  He will work with you closely and keep communication open, so you will not run into any surprises.  At a personal consultation he can answer your questions and give you advice based on your individual circumstances.  Contact us today to find out how a midface lift or Restylane in Los Angeles can help you achieve the results you desire.

May 3, 2010

Definitive Asian Eyelid Surgery Results with Dr. Steinsapir

If you are seeking Asian eyelid surgery in Los Angeles, we invite you to consult with the best.  Choose Dr. Steinsapir for definitive Asian eyelid surgery results and find out how double fold surgery, blepharoplasty, or another specialized eyelid surgery in Beverly Hills or Los Angeles with Dr. Steinsapir can make the difference you’ve been seeking.

Asian Eyelid Surgery Before and After Photo

Asian Eyelid Surgery Before and After Photo

Dr. Steinsapir distinguishes himself among eye plastic surgeons in Los Angeles and throughout the world with his extensive experience, fellowships, training, and focus on cosmetic eyelid surgery with an emphasis on Asian eyelid surgery.  This exceptional surgeon studied medicine at the David Geffen School of Medicine at UCLA, then further pursued his talents at The University of Chicago to become an ophthalmologist.  Dr. Steinsapir’s separate training in both oculofacial and cosmetic surgery combined with his natural aptitude for artistic detail orientation make him the ideal surgeon for those seeking dramatic yet natural results.

When you seek Asian oculofacial surgery, you need a surgeon who is not only exceptionally trained, but who also has extensive experience in treating this distinctive feature with exceptional results.  Dr. Steinsapir specializes in natural Asian eyelid surgery with proven results and seeks to compliment the eye’s natural contour to enhance its features, rather than “westernize” the eye.

The eye and surrounding tissues are incredibly complex features that require a specialist with precise abilities, artistic skills, extensive experience, and premier training and education.  If you are searching for any number of plastic eyelid surgery procedures, be sure to find a surgeon with all of these qualities.  We invite you to consider Dr. Steinsapir, a clinical associate professor of ophthalmology at the world-renowned Jules Stein Eye Institute at UCLA where he is on staff and also shares his expertise as he teaches about specialized facets of cosmetic eyelid surgery, including Asian eyelid surgery and how the underlying anatomy determine what must be done surgically.

As a practicing surgeon at UCLA and at his private practice base in Beverly Hills and Los Angeles, Dr. Steinsapir takes an individual approach to every single individual in order to emphasize and enhance the natural eyelid features.  A cookie-cutter approach to surgery will not work for anyone, which is why Dr. Steinsapir meticulously plans each treatment with your help and never uses assistants, technicians, or physician extenders to treat you.

Dr. Steinsapir likes to discuss the needs of each individual seeking treatment in a relaxed atmosphere where you can feel free to ask as many questions as you need to in order to make an informed decision.  If your eyes and situation are particularly unusual, it’s understandable that you may be apprehensive about seeking the changes you want; in such cases, we advise you to meet with potential surgeons and see if you are confident in their abilities and comfortable with their personality.  If your potential surgeon tells you that performing Asian eyelid surgery is the same as performing any other eyelid procedure, this is a red flag that tells you the doctor does not specialize in understanding how subtle differences between every eye influences treatment.  There is not even a standard treatment method for all individuals with Asian eyes.  While your doctor should possess experience in treating concerns similar to yours in people who have similar eyes, it takes a doctor who individualizes each treatment for truly exceptional results.

We invite you to a no-risk consultation with Dr. Steinsapir today.  At this appointment, feel free to express your concerns, ask many questions, and learn about Dr. Steinsapir’s experience in treating a wide variety of eyelid concerns.  Dr. Steinsapir can show you many examples of before and after Asian eyelid surgery photos, which will help you understand his abilities.  You can also evaluate how comfortable you feel, decide if Dr. Steinsapir is a good match for your needs, and discuss treatment options.  Dr. Steinsapir is world-renowned for his leadership as an oculofacial surgeon, and he’ll be happy to help you achieve the results you desire.  Please give us a call us to learn more.