I am pleased to announce the initiation of our new blog, which will allow our patients to stay informed on the latest advances and other news in Facial Plastic Surgery. I will be posting articles and other entries that help to ensure that you are exceedingly well-prepared for any procedure, and keep you updated on new developments and specials here at Cincinnati Facial Plastic Surgery. Importantly, I also encourage each of you to submit anything you might be interested in, including any articles, questions, or comments about recent developments. Having a running dialogue like this is a fantastic and stimulating way to learn more about how to get the best results and the best bang for your buck!
To kick things off, those of you who have been asking about alternatives to Botox will be happy to know that the long-awaited competitor, Reloxin (to be distributed by Medicis, the makers of Restylane and Perlane), is finally under review by the FDA. It's impossible to predict when exactly the review will be completed, but I will let you know as soon as I do. The Botox brand has had a monopoly on this market in the U.S. for years now, and we welcome the prospect of competition in this area to stabilize, or even improve, the affordability for all of our patients.
I also have a backlog of interesting articles I've accumulated over just the past few months. I'll start with this one from the front page of the Enquirer--it's a very well-written article. Please also see my reply to the author, pointing out the benefits of Fat Transfer for a more long-lasting effect of Volume Replacement in the face.
Dr. Donath
Revision Rhinoplasty
http://www.cincyfacialplastics.com/Rhinoplasty_01.html
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Injectable Fillers
Many patients coming to our office have been treated elsewhere with fillers such as Restylane, Juvederm, and Radiesse, who have had this placed either too superficial or too deeply, both of which can be problematic. When the HA (hyaluronic acid) fillers, such as Restylane and Juvederm, are placed too shallow, they can leave a distinct line or a permanent bluish discoloration. When Radiesse is placed too shallow, the result can be a prominent white discoloration from the filler itself or red discoloration from inflammation around the Radiesse particles. Unfortunately, there is very little that can be done about Radiesse placed too superficially aside from applying steroid ointment and occasionally removing the particles if they are just beneath the surface. For the HA fillers, like Restylane and Juvederm, an enzyme can be used to break down the portion of the material that is too shallow. This requires that the enzyme is placed in the proper level of the skin to get a good effect; many doctors are not comfortable with performing this technique, but it is something that we routinely perform at both our Kenwood (Cincinnati) and Centerville/Dayton offices.
http://www.cincyfacialplastics.com/Injectable_Fillers_01.html
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ForbesLife Executive Woman
Beauty: Face Time Feeling under the gun about going under the knife
For a growing number of executive women in their 40s, 50s, and older, the perception of cosmetic surgery as a pursuit of the vain and frivolous is giving way to a new reality. At the peak of their careers, with at least a decade or two of earning power in front of them, they see their futures in sharp focus. But the reflections in the mirror can be a little fuzzy. "I'm impressed by how many patients I meet who are this type of woman," says Manhattan facial plastic surgeon David Rosenberg, M.D. "They're executives, lawyers, bankers--people who want to work longer, not retire at 58. And they want to look like they're on their A-game, to appear as defined and rested as possible without a trace of surgery. That communicates confidence and wellness."
Many women (and men) are acquiring refreshed looks through so-called lunch-hour treatments, which get you out and on your way in the time it takes to have a three-course meal. These include the use of lasers, such as Fraxel and Laser Genesis, the ubiquitous Botox and Restylane injections, and light chemical peels. But there comes a point when the various noninvasive treatments are no longer enough.
The moment of truth, as Rosenberg notes, can be highly subjective: "There are some people who look fabulous at 65 who've never done anything. And there are those at 44 who just look worn out. I think of the lunchtime procedures as polishing agents. What we're talking about with surgery is taking away the sagging that comes with time."
"Do everything you can before the cutting," says Charla Krupp, author of How Not to Look Old (Springboard Press). "Once you have a face-lift, people know you're old enough to get a face-lift!" That's always been the risk with the standard-issue lift, which sometimes can result in an unnaturally taut look to the skin.
Over the past decade or so, some surgeons have been paying more attention to how the face fills out after surgery, modifying their techniques to make sure they preserve or restore fullness to the face. These face-lifts place more emphasis on so-called volumizing, although the procedures do not have a specific medical term. Volumizing lifts tighten the facial structure, restoring youthful contours instead of merely trimming sagging skin. This is accomplished surgically by repositioning the deeper tissue of the face, causing the fat attached to it to move as well.
Since the American Society of Plastic Surgeons does not have a separate designation for these procedures, it's unclear how many of 2007's nearly 120,000 face-lift patients--who paid from $6,000 to $25,000, depending on such factors as a surgeon's reputation and extras like eye-lifts--opted for the newer types of surgeries. (New York Magazine recently referred to the results of volumizing lifts as "the New New Face").
As if workplace pressures to have a face-lift weren't enough, consider escalating media demands on prominent businesspeople and the concerns about how one might look on high-definition television or projected onto a movie-size screen when speaking at a corporate conference. And it's not just the Michelle Pfeiffers of the world making things difficult: There has been widespread speculation in the press about Speaker of the House Nancy Pelosi's preternaturally youthful 60-something face. And gossipy New Yorkers have gone so far as to credit a specific surgeon (Dr. Sherrell Aston) with Vogue editor Anna Wintour's reported work.
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"Look at the women on television--the real pioneers like Lesley Stahl and Diane Sawyer," says Charla Krupp. "Everyone wants to know who did their work. Look how gorgeous Lesley Stahl is. Then there's Morley Safer. He isn't getting a face-lift. . . . It's very unfair. We don't allow women to look like that on television in America. The bar is also much higher for women who have powerful corporate jobs."
While Safer may feel comfortable aging on camera, more and more men are seeing the benefits of going under the knife. George Clooney admitted to an eye-lift on an Oprah Oscar special. Michael Douglas and Rob Lowe (nyse: LOW - news - people ) are rumored to have had some plastic surgery. According to the American Society for Aesthetic Plastic Surgery, men had 1.1 million cosmetic procedures in 2007, up 17 percent from 2006--so it's not just Hollywood aiming to look better. More likely, it's the senior vice president of marketing down the hall. But even with this uptick, men account for only about 9 percent of total procedures.
"Every week I hear of another supersuccessful, accomplished woman in her 50s being let go," says Krupp. "My opinion is that they [cosmetic procedures] should be a tax write-off. You have to look good for work, or the next generation thinks they can get a bit of an edge."
While the idea of having plastic surgery to stay competitive in the business world is gradually gaining acceptance, it still bears a stigma in many corporate suites. Even women in so-called image businesses, like cosmetics and fashion, contend there's risk in owning up to a nip and tuck. "If you're a powerful woman executive, you don't want to look frivolous," says 48-year-old cosmetic company exec Francesca (declining to give her last name), who recently underwent a combination face- and eye-lift.
The irony of a cosmetics executive's reluctance to go public about going under the knife is not entirely lost on Francesca. Still, she insists her industry is hardly immune to the competitive forces that dominate corporate America, and that questions about someone's age are inevitably raised with news of her or his plastic surgery. But even though Francesca was cautious about announcing her intentions beforehand, she says that, with time, she has become a bit more relaxed in discussing her surgery. Indeed, if someone flat-out asks, she's now willing to tell them what she has had done. That degree of openness, Francesca maintains, might be much more difficult in other industries.
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Interesting stats on facial plastic surgery procedures:
AAFPRS (ARA) - Our faces are our calling cards. They identify us, they show our emotions and they are connected with three of the five senses bringing outside information to our brains. But what happens when our identity starts to droop and turn us into someone else? Or eye and nose restoration is needed to help us look younger? It may be time to research facial plastic surgery and find a facial plastic surgeon you would trust working on your face.
A recent study conducted for the American Academy of Facial Plastic and Reconstructive Surgery reports that 85 percent of adult Americans would undergo a facial plastic surgery procedure if given the chance. Furthermore, 80 percent of those surveyed would rather trust their face to a facial plastic surgeon when having their procedure performed.
Last year Americans underwent 2.3 million facial plastic surgery procedures and more than 38,000 revision surgeries. Some were for a younger-looking face, while others were to correct breathing difficulties or drooping eyelids. Some were just because people feel better when they enhance their appearances. Eighty percent of men and women look for an experienced, certified facial plastic surgeon over generalists when it comes to facial plastic surgery.
Trust your face to a facial plastic surgeon. By doing your homework ahead of time, you can find a facial plastic surgeon you trust to maximize the benefits of your chosen treatments. A facial plastic surgeon should discuss options and make recommendations to correct the issues.
AAFPRS facial plastic surgeons have extra training for their specialties. All complete approved, post-graduate specialized residencies addressing facial plastic surgery. For most that includes four-year specialized residencies in otolaryngology - head and neck surgery - which includes facial plastic surgery. Many also undergo additional year-long AAFPRS fellowships in facial plastic surgery.
The AAFPRS is an excellent resource for researching the surgeons in your area and types of facial procedures. It is the world's largest association of facial plastic and reconstructive surgeons, with more than 3,000 members who concentrate on the face, head and neck.
Referrals from family and friends who have undergone a procedure are also good places to start your research. Or get a recommendation from a trusted physician or health-care professional. Once you find a surgeon, ask how many procedures of the type you are considering the surgeon has performed, and if the surgeon operates in an accredited facility. The surgeon needs to be one to whom you would trust your face.
The AAFPRS Web site, www.facemd.org , has information and brochures about different surgeries, and includes a listing of facial plastic surgeons in your area with board certification.
Courtesy of ARAcontent
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