Kim Kardashian makes hers smaller, while Eva Longoria has hers made bigger. I talking about arms, of course. It is no secret that many celebrity photos are air brushed, and the three areas almost always made smaller are the waist, thighs and arms. While maintaining a balanced diet and getting exercise remain the best ways to maintain a healthy weight, the ideal body for advertising seems unobtainable. When we have to air brush even the most beautiful women in the world to sell swim suits, the bar is quite elevated.
How to Thin the Arms
When it comes to a well proportioned body, it’s hard to beat good genes, but maintaining a healthy weight can help. In some cases, however, the genes are working against us. Sometimes, the fat is not stored evenly, and the result is sequestered fat causing disproportionate bulges. As we talked about in the Liposuction Video from last week, when diet and exercise are not vanquishing that stubborn fat pocket, a little spot removal can help. But what happens when the weight is lost, the arms deflate, and large “bat-wings” of skin remain?
Arm Lift Video (Brachioplasty)
This month on the San Francisco Bay Area’s News Station, KRON 4, I discussed Arm Lifts. The Arm Lift or Brachioplasty was created to remove excess skin from the upper arms. Host Janelle Marie and I discuss the indications and the typical results after Brachioplasty, illustrated with sets of Arm Lift Before and After Pictures and answers to many Arm Lift frequently asked questions.
Brachioplasty (Arm Lift) Video Presentation (As Seen on TV)
Arm Lift Consultations
Arm Lift Surgery is not as common as many other Cosmetic Plastic Surgery procedures. So, if you are considering Brachioplasty, contact a Board Certified Plastic Surgeon near you, who is experienced with the Arm Lift procedure, its variations and alternatives. This gives you the best options to choose from, and a qualified Plastic Surgeon to help you through the process.
Greater San Francisco Bay Area patients, can reach me at (925) 943-6353. We will schedule your confidential and informative Arm Lift Consultation appointment, so you can learn the latest and best treatments available specific to your arms.
The concept of Liposuction is very simple. It is the suctioning of excess fat from an area of the body that is overstuffed with fat. While it cannot be used for weight loss; however, liposuction can remove fat directly from a specific area of excess.
What Does Liposuction Mean?
Sometimes Liposuction is just what the doctor ordered for flattening that stubborn belly fat. These liposuction before and after photos show off the flatter belly that she has worked hard for.
Lipo means fat. Body bulges are caused when there is too much fat in one place. Fat is soft so, the excess can be vacuumed away. Fat sucking is literally what Liposuction means, and is exactly what Liposuction does.
What Does Liposuction Do?
Liposuction is sometimes all that is needed to smooth out stubborn man boobs (moobs). If the fullness is due to fat, and the area under the nipples is soft, liposuction may be the cure.
Liposuction removes disproportionate fat. Ideally, other than temporary bruising and swelling, Liposuction does not effect the skin above, or the muscle deep to the fat. The fat can be reduced from many different areas safely and effectively. Here are a few common examples:
The neck (under the chin)
The upper arms
The chest (most often for men)
The back and flanks (love handles)
Liposuction Before and After Photos
Liposuction of the abdomen can be extended around the sides and back to remove the love handles and the muffin top.
Liposuction Before and After Pictures are included on my main web site (www.DrMele.com) and some are included below in the Liposuction Video. The following television segment aired on the Bay Area’s News Station, KRON 4’s, Body Beautiful. It includes information about Liposuction including: Who is a good candidate; the liposuction surgery, recovery and aftercare.
Liposuction Video Presentation
If you are considering liposuction, contact a Board Certified Plastic Surgeon near you. A qualified and experienced Plastic Surgeon can evaluate your needs and determine if Liposuction is right for you, or if another Cosmetic Plastic Surgery would be a better choice.
If you are in the Greater San Francisco Bay Area, give me a call at (925) 943-6353 and schedule your private Liposuction Consultation appointment. If you have Liposuction questions check out Liposuction under Categories in the column, or fill out our contact form.
Dennis Aabo Sørenson from Denmark wired with the LifeHand 2 bionic prosthetic in 2013 was able to identify the shape and hardness of items through electrodes implanted in his nerves, while wearing a blindfold and ear buds too. photo credit: LifeHand 2 / Patrizia Tocci
In February, I wrote about innovations in bionic hands; specifically, how the newest prosthetics provide not only increased movement and dexterity, but can also move with input directly from the brain. The peripheral nerves that would normally drive the injured limb, are sensed and relay the commands directly to the motor units in the prothetic hand. It is very exciting to have the ability to move your artificial limb by just thinking about it, but what’s next?
Hands are very important for getting through the day. They help us take care of ourselves and others. I could not perform Plastic Surgery without a good pair of hands. Hands are extremely efficient for manipulating our environment and communicating. They protect and caress. It is difficult to compensate for the loss of a limb, especially an arm. While great strides have been made in fine motor control, it is really only half of the equation.
What If You Could Feel With Your Prothetic Hand Too?
The ability to grasp and assist with an artificial hand is great, but what if it could provide sensory feedback too? Accessing pressure, temperature, weight, texture and protective sensation are jobs our hands perform every day. Increasing sensory input in the artificial limb is the next frontier for artificial limbs.
Very exciting work is being done by Plastic Surgeons at the University of Michigan. Chair of the Division of Plastic Surgery, Paul S. Cederna, M.D., has received a $5,500,000 from the Department of Defense, Army Research Office, for the development of a totally biointegrated upper extremity control system. In other words, a system that allows one to move their artificial limb by thinking about it. In the June issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS), Dr. Cederna and coauthors write, “The ultimate goal is to develop a prosthesis that closely mimics the natural limb, both in its ability to perform complex motor commands and to elicit conscious sensation.” The artificial limb should look, act and provide the feedback of a normal arm.
How To Feel With Your Artificial Limb
The hand pictured at the top of this article has evolved to the IH2 Azzurra Series from Prensilia. It is lightweight (640 grams), has its own embedded CPU and can produce a full strength grip with an 8 volt, 5 amp current.
Without sensation, you have to compensate with your eyes. You need to see what the limb is doing in order to get the feedback necessary to successfully complete a task. While this is still better than not having a limb, sensory feedback allows the wearer to feel their arm, and to not have to stare at their arm to make it work. Having to watch every move is a “cognitive burden” on the brain, relieving this burden is the goal of direct sensory feedback from the limb to the pathways our body already has developed to interpret this kind of information. Several techniques are available or are currently in development.
One method currently in use is Sensory Substitution, where one type of sensation is substituted for another. For example, and intact area of skin is fitted with a device that vibrates when the prothesis touches an object. This can be on the limb, or somewhere else on the body, and provides feedback for touch without visual cues. Advantages to this are that the devices can be simple and cheap, and since they are applied to the skin, surgery is not necessary.
Direct Neural Stimulation
Another technique involves directly stimulating the nerves. Similar to sensory stimulation, sensors on the prosthesis are sensitive to pressure. Instead of providing a vibratory stimulus, the prosthetic sensors stimulate electrodes placed in or near the nerves. By varying the sensors output, properties like stiffness, shape, and size can be conveyed. This allows the wearer to control fine-motor movements without having to look.
Targeted Muscle Reinnervation
Targeted muscle reinnervation (TMR), involves the transfer of nerves to provide sensation to intact skin and muscles. TMR was developed to improve control of the prosthesis; however, by providing sensory feedback from the prostheses, the feedback loop of action, response and compensation is closed.
Alternatives to Direct Electrical Stimulation of Nerves
Sensory Regenerative Peripheral Nerve Interface (SRPNI) is more than just a mouthful. It is still experimental, and seeks to avoid the need for nerve electrodes, by providing an interface that transfers sensory signals directly from a prosthetic sensor to the remaining nerve. Another developing approach is using lasers to control nerve signaling. Potentially, this could be provided topically also, and may be a viable alternative to direct electrical stimulation of nerves.
The great variety of what Plastic Surgeons do is one of the qualities that attracted me to Plastic Surgery. Most people do not think of Plastic Surgeons as researchers, but we all are. Some pursue a better prosthesis, others are trying to find a skin shrinking ray. Whether it’s an arm prosthesis to help patients get dressed, or a breast prosthesis to help the dress fit, Plastic Surgeons are constantly looking for ways to improve our patients lives.
My surgical oncology professor, Dr. James E. Goodnight, of the University of California, Davis Medical Center, used to say,”Melanoma is the tumor that gives cancer a bad name.” Melanoma is the most deadly form of skin cancer. While it accounts for only 2% of all skin cancers, it is responsible for the majority of skin cancer deaths. 70,000 new cases of melanoma are diagnosed each year, with a projected 9,000 deaths.
The Typical Melanoma has: A) Asymmetry; B) Borders that are irregular and not smooth; C) Colors that vary from red, white to blue; D) Diameter that is increasing in size. These are the ABCD’s of melanoma.
Prevention is the Best Medicine
While melanoma treatment has come a long way, the incidence of melanoma is going up, according to data presented this week at the annual meeting of the American Society of Clinical Oncology. Over the past 40 years, the incidence of melanoma among U.S. children and young adults has increased over 250%. Young women are particularly vulnerable, despite nation-wide educational efforts to increase awareness of the dangers of UV exposure.
Tanning beds and Skin Cancer Go Hand-In-Hand
According to the FDA, anyone who uses a tanning bed before age 35 increases their lifetime risk of melanoma by 75%. Young patients who use tanning booths more than ten times a year increase their risk of melanoma seven fold. Moreover, UV exposure also increases the risk of squamous cell carcinoma, the second most deadly skin cancer by two and a half times, and the risk of basal cell carcinoma of the skin by one and a half times. In addition to the increased risk of cancer, tanning is associated with premature aging, immune suppression, eye damage and allergic reactions. This has sparked many states to restrict the use of tanning beds for minors, a movement that has more recently become international.
There is No Such Thing as a “Safe Tan”
Whether you get your UV exposure from the Sun or a tanning bed, there is no such thing as a safe tan. Sun protection is a must. The umbrella would do more good shading her body than shading her possessions.
All tans, whether from the sun or a sun bed, are bad; however, sunburns are even worse. As few as five blistering sunburns as a child is associated with and increased incidence of melanoma, squamous cell carcinoma and basal cell carcinoma. The risk of melanoma continues to rise with an increasing number of sunburns. This is true for children, adolescents and adults.
Other Melanoma Risks
There are several risk factors for melanoma including:
Excessive ultraviolet (UV) light exposure – Natural sun or otherwise
A history of sunburn – Even just one
Fair skin – Less pigment = less protection, especially if you can’t tan
Lighter hair color – The lighter the worse
Living closer to the equator – Less atmospheric refraction
Living at a higher elevation – Less atmospheric diffusion
Having many moles or unusual moles
more than 100 “normal” moles increases the risk
more than 10 “normal” moles on your arms increases the risk
moles greater than 10 mm in diameter
multicolored or irregularly shaped moles
A family history of melanoma – more family members and more closely related family members
Weakened immune system – immunosuppressive drugs or diseases
Increasing Age – Older then 55
Male Gender – sorry guys
Previous melanoma – 8-12% melanoma patients have more than one
History of Breast Cancer – may be due to a weakened immune system
What to Look For
Each melanoma above depicts a typical finding. From left to right they are: A) Asymmetry; B) Borders that are irregular and not smooth; C) Colors that vary from red, white to blue; D) Diameter that is large or increasing in size.
90% of melanomas can be cured, and the key is early detection and treatment. A yearly full body check with a Board Certified Dermatologist is recommended for anyone with an increased risk for skin cancer. Self examination can help, if you know what to look for. Seek care from a dermatologist or your family doctor for moles with any of the following:
Bleeding or itching
Change in shape or color
Increase in size
New mole or freckle
Not All Melanomas Are Black!
As if melanoma was not evil enough, 5% of melanomas are “amelanotic”, or without pigmentation. These are the toughest to diagnose, and can give even experienced doctors trouble. Unlike their darker cousins, amelanotic melanoma can look very bland.
Though we Californian’s will have less water for our pools this summer, the sun will still be shining. Be certain to wear sunscreen, and avoid excess sun whenever possible. And if any of your moles are growing or changing, be certain to get them checked out.
Breast Implant Revision Surgery Before and After Pictures Bottoming-Out Correction
Severe Bottoming-Out: Breast implant revision surgery before and after pictures of the correction of severe bottoming-out with an internal lift. No additional exterior incisions were needed to provide correction.
Breast Implant Malposition
Malposition literally means “Bad Position,” and it is a generic term applied to any situation where the breast implant is not in its ideal position. Breast Implant Malposition can be too high (superior) or too low (inferior) like Bottoming-Out. In can also be too far to the side (lateral) or too close to the middle (medial) also known as Symmastia, Uni-Boob or Bread-Loafing.
Breast Implant Revision Surgery Before and After Photos Bottoming-Out Correction Side View
Severe Bottoming-Out: Side view of breast implant revision surgery for severe breast implant inferior malposition and lower pole rippling. Correction was obtained with an internal capsulorrhapy (pocket tightening) and no additional exterior scars.
Correction of Bottoming-Out
Breast Augmentation Revision Surgery is used to correct problems with Breast Implant Malposition, and there are several methods for correcting bottoming out. The most common methods tighten and reinforce the lower pole of the internal capsule, which supports the implant. When the lower capsule is stretched out, the breast implant falls. Tightening the pocket raises the implant on the chest. If the capsule is too weak to repair primarily, reinforcement with a surgical scaffold like an acellular dermal matrix (Allo-Derm, Statice and others) or Seri, may be helpful. If the problem is that the skin can’t support the weight of the implant, a smaller implant may be a good compromise.
Breast Implant Revision Surgery Before and After Photos Mild Bottoming-Out Correction with Nipple Reduction
Mild Bottoming Out: Most the volume of the breast implant is below the nipple before the breast implant revision surgery. Note the enhanced fullness above the nipple and the improved angle at the bottom of the breast. Nipple reduction was also performed.
Mild Bottoming-Out and Large Nipples
Even mild Bottoming-Out can cause problems. In the case below, the obtuse angle underneath the breast made finding a comfortable bra difficult. The open angle allowed the bra to ride up on the breasts. After Breast Augmentation Revision Surgery, the infra-mammary fold under the beasts is crisp and well defined, allowing the bra to engage properly. It also provides enhanced fullness to the upper pole of the breast. Additionally, she complained about large nipples that were easily visible through clothing. Nipple Reduction Surgery was performed at the same time as the correction of her bottoming-out.
Breast Implant Revision Surgery Before and After Pictures Mild Bottoming-Out Correction and Nipple Reduction
Mild Bottoming Out: The breast implant was too low before this breast revision. The breast implant volume was moved from below the nipple to a more centralized position, providing enhanced upper breast fullness, and a sharper infra-mammary fold under the breasts. Nipple reduction surgery was performed at the same time.
Breast Augmentation Revision Surgery
When considering Breast Augmentation Revision Surgery be certain to find an experienced and Board Certified Plastic Surgeon near you. Dr. Joseph Mele, is Board Certified by both the American Board of Plastic Surgery and the American Board of Surgery.
To schedule a private consultation with Dr. Mele call (925) 943-6353 today, or use the contact form in the margin.
As the number of auto safety devices increases, the number and severity of injuries decreases.
The recent headlines about the Massive Takata Airbag Recall, got me thinking about how many fewer Facial Fractures I see in the ER. It is true that an increasing number of drivers, and passengers, are seen with facial abrasions from hitting these powerful air cushions. However, the number of patients seen in Emergency Departments with facial fractures continues to decrease.
Maybe We Are Driving Safer? (Why Are You Laughing?)
The incidence of facial fractures decreases (P < .01).
The probability of facial injury with newer car models decreases (P < .01).
The risk of facial fractures decreases (OR, 0.14; 95% CI, 0.09-0.22).
Interestingly, air bags alone were not associated with a reduced probability of injury (OR, 0.78; 95% CI, 0.58-1.06). Moreover, side impacts (OR, 1.81; 95% CI, 1.14-2.86) and mismatch in the sizes of the crash vehicles (OR, 1.99; 95% CI, 1.27-3.12) were associated with an increased risk of facial fractures.
Rene Le Fort documented how the face breaks with severe trauma. In Le Fort I fractures, the upper jaw is separated from the face. With Le Fort II fractures, the nose and upper jaw are separated from the face. A Le Fort III fracture is the separation of all the facial bones from the skull. All Le Fort fractures are worth avoiding, and are less likely, if you wear your seat belt.
Plastic Surgeons classify Facial Fractures by the location and pattern of the breaks. The most commonly used terminology is based on the often gruesome work of French surgeon Rene Le Fort. While the number of facial fractures is reduced by the combination of air bags and seat belts, the pattern of fractures is almost the same. The only exception was for ZMC fractures of the cheek, which points to an area that can still be improved.
Memphis Grizzlies point guard Mike Conley is familiar with the ZMC fracture. You may have noticed him wearing a protective mask during his team’s attempt at eliminating The Golden State Warriors from the 2015 NBA playoffs. Go Dubs.
Use It, or Lose It
Studies show the importance of personal protection while driving. The human body was not designed to accelerate, or more accurately decelerate, as fast as our cars can. With more states mandating the use of passive restraints, and more requirement for smart restraints, fewer facial fractures can be expected. On the other hand, your seat belts only protect you if your are wearing them properly.
Vehicles on the Takata Airbag Recall List
Takata has been the subject of several recalls recently. Be certain to check the site below for an up-to-date list.
I have tried to include all vehicles on the Takata Airbag Recall List here:
2005 Acura RL
BMW (approximately 765,000):
2000–2005 3-series sedan and wagon
2000–2006 3-series coupe and convertible
2001–2006 M3 coupe and convertible
Chrysler (approximately 2.88 million, including Dodge):
2004–2008 Chrysler 300
Dodge/Ram (approximately 2.88 million, including Chrysler):
2003–2008 Dodge Ram 1500
2004–2008 Ram 2500, Dakota, and Durango
2004–2008 Ram 3500 and 4500
2008 Ram 5500
Honda (approximately 5.5 million, including Acura):
2001–2007 Accord (four-cylinder)
2001–2002 Accord (V-6)
2001–2004 Infiniti I30/I35
2002–2003 Infiniti QX4
2003–2005 Infiniti FX35/FX45
2006 Infiniti M35/M45
Mazda (330,000, est):
2004–2008 Mazda 6
2006–2007 Mazdaspeed 6
2004–2008 Mazda RX-8
Nissan (approximately 1,091,000, including Infiniti):
2002–2006 Nissan Sentra
2003–2005 Baja, Legacy, Outback
2004–2005 Impreza, Impreza WRX, Impreza WRX STI
Toyota (approximately 1,514,000*):
2002–2007 Toyota Corolla and Sequoia
*Estimate including Lexus and Pontiac Vibe
Other Auto Recall Resources
You can also lookup your vehicle by Vehicle Identification Number (VIN) on the SaferCar.gov website. The site includes all recalls, not just airbags. Since it can take a few weeks for new defects to be listed, be certain to recheck the site periodically.
Maybe you noticed. DrMele.com got a Facelift. This is the fourth complete rewrite of the site, and version 4.0 contains all the latest features to enhance your desktop, tablet and mobile experience.
DrMele.com v4.0 Released – Desktop Version pictured above.
Responsive Plastic Surgery
The new DrMele.com site is fully responsive. Just like I adapt the latest techniques to each individual patient, the web site morphs to fit your screen. No matter how large or how small, the pages are created to give the most information, with the best possible layout.
DrMele.com’s mobile friendly version has bigger icons and larger text.
The 800 pound gorilla known as Google has decreed that sites, which are not mobile friendly, will begin to lose ranking. According to Search Engine Watch, Google currently holds a 67.6% market share of the world’s searches.
For mobile searches, Google is even more dominant with an 83.3% market share. Google defines mobile friendly, by objective criteria like the size of the fonts used and the separation between buttons. So, DrMele.com now adapts to the size of your screen automatically.
Content is King
The organic links are ranked by how well they fit the search criteria. While Mobile Friendly may help presentation, the information presented is what makes the a site useful. The main reason DrMele.com has enjoyed success in the organic links is its content. Certainly, a website cannot substitute for an in-person consultation with a qualified and experienced plastic surgeon; however, a website with updated, accurate information can help supplement your decision making process, by providing a framework and some direction.
Plastic Surgery by Body Area
The site is organized into body regions, so if you are looking for face, breast, body or skin enhancement, your choices are just a click away.
More Before and After Pictures
DrMele.com’s new Before and After gallery is organized by body region.
Plastic Surgery Before and After Pictures can give you an idea of what is possible. More photos have been added to the Plastic Surgery Before and After Picture Gallery. The new galleries are HTML5 compatible. They are designed to reduce the need for plugins, and the potential security problem that come with them. While pictures are helpful, they need to be framed with the guidance of a Board Certified Plastic Surgeon. Individual results depend on the individual.
More Plastic Surgery Videos
The number and scope of Plastic Surgery Videos has also been expanded. There are videos that discuss each procedure, and these are augmented with television appearances that go over many more specific details of today’s plastic surgery. The videos and before and after pictures have been distributed to each procedure’s page, and the videos also collected on the Plastic Surgery Video Page.
San Francisco Bay Area Plastic Surgery
The San Francisco Bay Area is in known for its tech. I am proud to bring you Bay Area’s Newest Hi-Tech Plastic Surgery Web Site. Whether it’s the design of a new website, or the practice of Plastic Surgery, the drive for improvement is continuous. If you are considering plastic surgery in the San Francisco Bay Area, give me a call at (925) 943-6353 or write the office via the contact form in the margin.
I read a funny editorial this morning. The title, Immediately Everything Was Wrong, and the author, Conan O’Brien, caught my eye. It was written in honor of David Letterman’s final season. The full article is here: “Immediately Everything Was Wrong”
Immediately Everything Was Wrong
One of the most frequently asked questions I get in my San Francisco Bay Area Plastic Surgery practice is, “Am I a good candidate for Plastic Surgery?” In the spirit of David Letterman, I put together a top ten list of some characteristics found in good candidates for cosmetic surgery.
Top Ten Reasons You Might Be a Good Candidate for Plastic Surgery
A primary goal of Cosmetic Plastic Surgery is a result that is safe and predictable. Below, I have outlined the top ten items that can help improve both the safety and predictability of your desired cosmetic surgery results.
You Are Healthy.
You have no health issues.
Your health problems are well controlled.
Exercise leads to better circulation, oxygen delivery and faster healing.
Exercise promotes a lower inflammatory state and better healing.
You Eat Well.
A good diet promotes healthy reserves for healing.
Good building blocks are available to optimize recovery.
Check to see if they are Certified by the American Board of Plastic Surgery. Despite my best efforts to effect change, the American Board of Plastic Surgery website remains perhaps the ugliest plastic surgery website ever created.
The real Botox bottle and box have many security features to prevent counterfeiting.
Botulinum Toxin remains the number one non-surgical cosmetic treatment year after year. In 2014, 3,588,218 neuromodulating wrinkle treatments were reported by the American Society for Aesthetic Plastic Surgery alone. Botulinum Toxin Treatments were more popular than the next four nonsurgical beauty treatments combined:
The latest counterfeit Botox bottles look a lot like the old Botox bottles. They are taller, thinner, lack holograms, lack unique lot numbers, lot numbers on bottle and box may not match and they have “Botulinum Toxin Type A” instead of “Botox Cosmetic OnabotulinumtoxinA.”
When I say, “Counterfeit Botox,” I am not talking about competitive brands of FDA approved Botulinum Toxin. Botox was the first to market in the US, while Dysport was the first to market in Europe. Both are FDA approved, as are two others:
FDA Approved Botulinum Toxin – What’s The Difference?
Dysport was the first to market in Europe, second in the US and is also FDA approved.
There is a big difference between FDA approved Botulinum Toxin and everything else fraudulently making the claim. The approved drugs are deemed safe and effective when administered in the prescribed fashion by a qualified and experienced injector. These drugs have been tested, and are manufactured under the supervision of the FDA. Their factories are open to surprise inspection at any time, and the distribution can be stopped when problems are found.
Counterfeit Botulinum Toxin on the other hand, is not manufactured with the same quality controls. It may not contain any Botulinum Toxin, and when it does, the dosing can range from ineffective to lethal.
How to Avoid Counterfeit Botox
You get what you pay for, and beauty is not cheap. If an offer seems too good to be true, it’s most likely false. It takes experience to become a good injector, so look for an established practice with experienced injectors. Ask questions:
How many Botox injections do you do a month?
How long have you been performing Botox injections?
What is your training?
Can I see the bottle? (for Botox look for the Allergan hologram)
How long between mixing the Botox and Administration?
Reputable doctors will be happy to explain. Grumpy or evasive responses are a red flag.
Wrinkle Ridding Consultations
As a Board Certified Plastic Surgeon, I perform everything from Botox to Facelifts. Botox is usually performed in the office on the third Wednesday of each month. It’s a busy day, but it allows me to use Botox or Dysport within a few hours of mixing, so nothing gets stale. If you are interested in Botox, Fillers or Surgical Correction of Facial Wrinkles, give me call at (925) 943-6353. More Plastic Surgery Information is available on our newly revamped and mobile friendly web site: DrMele.com.
Today, Lip Augmentation is dominated by injectables. Fillers like Restylane, Juvederm and Perlane, were used a few million times last year to plump the American’s lips and the treat facial wrinkles. Fillers are second only to Botox in number of non-surgical cosmetic procedures performed.
With the advent of improved dermal fillers, Lip Augmentation has become one of the most popular facial procedures. Lips are very important in defining facial beauty. In fact, the lips and the eyes together are the most important features in facial aesthetics. Lipstick and eye makeup are used to enhance their appearance and to focus our attention on these areas.
Large Lips are sexy and are associated with youth and fertility. Did you know the lips are largest when a woman is pregnant? While tout pouts, duck lips and some well known Lip Tragedies occur, modern lip fillers are safe, effective and FDA approved. Injectable HA fillers most often give a natural, soft enhancement that lasts for months.
Lips begin decreasing in size in the late twenties and early thirties. The loss of volume is natural, so Thin Lips are associated with advancing age.
While the perception of age is important, there are other practical considerations too. Thin lips begin to wrinkle around the edges, causing lipstick to bleed, defeating lipstick’s enhancing ability.
Dermal grafting offers a longer lasting Lip Augmentation. This type of Lip Enhancement is frequently combined with the Facelift.
Lip enhancement is one of the most popular procedures at my San Francisco Bay Area Plastic Surgery office. In terms of the non-surgical procedures offered, the fillers used for Lip Augmentation, Restylane, Juvederm and Perlane, are second only to Botulinum Toxin, Botox and Dysport, in terms of demand. Since the later inhibit motion, they are not often used for Lip Enhancement.
The Lip Augmentation Video segment below was taken from the Bay Area’s News Station, KRON 4’s, Body Beautiful. Host Janelle Marie and I recently discussed the non-surgical and the surgical methods currently available for Lip Enhancement. While fillers are quick and convenient, they do require maintenance and periodic touch-ups. Surgical alternatives can provide longer lasting results; however, the recovery is longer.
The pro’s and con’s of Non-Surgical and Surgical Lip Augmentation are discussed further on the Lip Enhancement Video below. Before and After Pictures are also included to help illustrate what is possible.
Lip Augmentation and Enhancement Video
Lip Enhancement Options
If you are considering Lip Enhancement, give us a call at (925) 943-6353. Only an in-person consultation can offer you the full scope of your options. Whether it’s the quick plumping afforded by the latest in modern lip fillers, or the longer lasting results of surgical lip augmentation, Dr. Mele’s office in East San Francisco Bay Area city if Walnut Creek, CA, can get you the information you need for a safe and predictable result.