February 13, 2011

I had a chin implant in the past. What are my options for improving my appearance now?

There are many different styles of chin implants that vary from the old-style button-chin implants to oversized, so-called anatomic implants. The differences range from attachment method, material, size and shape. Whether your implant is porous silicon, held in place by your own tissue or secured via bone screws, the results are a balanced appearance and striking silhouette. Mentoplasty provides a look of youth and vigor, but as you age, the appearance of your implant can change. As we age, our faces naturally lose the sub dermal fat that contributes to the shape and volume of our facial features. With the inevitable loss of facial volume and the natural changes we all face as we age, the contours of your chin implant can become increasingly evident. Cosmetic surgery can have long-lasting benefits, but it can’t stop the clock—you may find that as you gradually see the benefits of a past chin implant fade, with the gradual loss of soft tissue volume.  This progressive change over time compromises the silhouette that was originally achieved by the implant.

Maintaining the shape of your chin

A variety of methods can address the loss of facial volume and prominent chin implant contours based on the individual and their concerns. For some, Dr. Steinsapir may recommend removal and replacement of the original implant as the most appropriate treatment. By replacing the original implant with a different type or style of implant, the effects of aging can be reversed without sacrificing your appearance and facial shape. By replacing an older implant with a newer model and style that reflect medical advances in facial cosmetic surgery, the proportions of your face are restored to a more youthful appearance.

Minimally invasive methods

For some individuals, chin irregularity associated with the loss of natural facial volume can occur. If you’re beginning to experience this particular result of aging, you don’t need to have a chin implant to improve your appearance, you may benefit from injections of BOTOX® and hyaluronic acid fillers. Injections with facial fillers do not require surgery and last well over a year.  This is an excellent option for many individuals who do not wish to have surgery or a revisional procedure to replace a prior chin implant.  Revolumizing the chin, without changing the implant is a highly effective solution.  Fat grafting can provide a natural appearance and is an excellent option for some individuals. However, given the option most people are now choosing hyaluronic acid fillers like Perlane as a means of rapidly improving the appearance of the chin.

About Dr. Steinsapir

Dr. Steinsapir is a much sought after oculofacial cosmetic surgeon.  He is an innovator in minimally invasive cosmetic procedures and has invented new methods for treating with BOTOX, Fillers and cutting edge facial surgery.  He specializes in high precision eyelid surgery and is a leader in correcting prior facial and eyelid surgery.  He attended medical school at the UCLA and completed ophthalmology residency at The University of Chicago.  He is multiple fellowship trained including three years of fellowship training in oculofacial plastic surgery at UCLA, and a two year cosmetic surgery fellowship in Rancho Mirage.  He is widely published and lectures to other surgeons nationally and internationally.  He is an associate clinical professor of Ophthalmic Plastic and Reconstructive Surgery at the Jules Stein Eye Institute at UCLA.  His private practice is located in West Los Angeles, immediately serving the Los Angeles and Bevery Hills communities.  Additionally, individuals from all over the country and the world regularly come to Los Angeles for this expert care  Please contact us today to learn more about how Dr. Steinsapir can help you attain your aesthetic goals.

February 16, 2010

Which Type of Facelift Should I Get?

There are a lot of facelift methods you’ve probably heard about and it can be confusing to figure out the best one for your particular needs.  Our advice?  Don’t try to figure out which type of facelift you need because you’re asking the wrong question.  A great facelift is not characterized by type, but by customization.  The best way to get disappointing results is by looking for a cookie-cutter procedure.  A skilled surgeon can produce amazing results with almost any method if he or she customizes the procedure to your individual circumstances.

facelift before and after photo

facelift before and after photo

The right facelift surgery for you is not a matter of reading about incision methods, dissection planes, or vectors of lift, but about finding a reputable surgeon whose results (unretouched before and after photos) you like. You need to be comfortable in your surgeon’s ability both through your research and through an individual consultation.  If your potential surgeon says that every facelift procedure is the same or the focus is on how fast the surgery can be performed, it’s time to worry.  The best type of facelift is one tailored to meet your needs.  Whether it be the deep plane lift, the superficial musculoaponeurotic system (SMAS) facelift, an endoscopic facelift, S-lift, or a MACS lift, the short scar facelift, or another method, the procedure must be customized to your unique features and goals to obtain natural, satisfying results.

How does the Deep Plane Facelift compare to other methods?

As stated above, most any type of facelift can procure excellent results if customized by an experienced facial cosmetic surgeon.  The deep plane facelift can be as effective as other methods, but the problem is that this is a riskier procedure and the benefits usually aren’t worth the risk when there are other options available.  With the deep plane facelift, there is an increased chance of injury to a facial nerve that can even happen in the best of hands.  The chance of these facelift complications are small but if it happens to you, it was 100%.  If this happens to you, some of your facial muscles will cease to work properly.  Since properly functioning facial muscles are essential to your appearance, your results will not be good.  Since there is no clear advantage to the deep lane facelift, why take the risk, even if it’s small?  If you are set on receiving this method, you will probably find someone who will perform it for you if you knock on enough doors and have enough money, but may end up regretting your inflexibility.

Can I use a home remedy?

There are a lot of proclamations about so-called miracle cures, like a non-surgical facelifts at home.  A useful rule to follow is this: if it sounds too good to be true, it probably is.  If someone tells you they can give you a facelift in a bottle, be skeptical.  The truth is that moisturizers, so-called facelift creams, and other concoctions are generally a waste of money.  If you think about the hyped claims for these products, you’ll realize they don’t make logical sense.  There is certainly nothing stopping you from testing out these promises, but don’t expect much from them.

If what you really want is a facelift alternative, seek a personal consultation with an esteemed and qualified facial cosmetic surgeon.  A facelift is usually not indicated without the loose “turkey” neck skin, and in many cases a treatment like BOTOX or safe neck liposuction is a good option.

The Bottom Line

Of all cosmetic facial procedures, a facelift is the most powerful.  When it comes to something so important and complex, to obtain the best results it’s critical that you allow your physician the flexibility needed to customize your results.

Dr. Steinsapir is a cosmetic surgeon in Los Angeles who strives for the most natural, youthful results through minimally invasive procedures with the shortest possible recovery times.  He has been a leader in the move toward small-incision facelifts since 1990.  He is a Clinical Associate Professor of Oculofacial Surgery at UCLA.  Your surgery will be in the safety of the Surgery Center at the UCLA Medical Center.    Dr. Steinsapir is sought out by individuals both in California and across the nation and world for his expertise in designing individual facelifts and other facial cosmetic procedures.  Rather than directing you to a technician, nurse, or assistant, Dr. Steinsapir is personally available to answer your facelift questions, discuss options suitable to your aesthetic needs, and work with you to customize your facelift if your assessment indicates that one is needed. Contact us today for an individual assessment.