2015 Plastic Surgery Statistics

Posted March 20, 2016 in Breast Augmentation, Breast Lift (Mastopexy), Breast Reduction (Men), Eyelid Lift (Blepharoplasty), Facelift (Rhytidectomy), Home, Liposuction, Plastic Surgery Societies, Rhinoplasty (Nasal Surgery), Tummy Tuck (Abdominoplasty)

The numbers are in and America, you like Plastic Surgery. The American Society for Aesthetic Plastic Surgery has released the data collected for Cosmetic Plastic Surgery performed in 2015.

Plastic Surgery 1997 – 2015

When I started my San Francisco Bay Area Plastic Surgery practice in 1997, cosmetic procedures were performed one eighth as often as they are today.

When I started my San Francisco Bay Area Plastic Surgery practice in 1997, cosmetic procedures were performed one eighth as often as they are today.

In 1997, over 1.6 million cosmetic plastic surgery procedures were performed, and most of them were surgical. The breakdown was 55% (900,933) surgical and 45% (740,751) non-surgical.

In 2015, almost 13 million cosmetic plastic surgery procedures were performed. The number of surgical procedure performed more than doubled, from 900,933 to 1,912,468. Percentage-wise, however, surgery slipped to only 15% of all cosmetic procedures. There was a tremendous surge in the number of non-surgical procedures performed driven by new technology and expanded FDA approval. In 2015 10,879,909 non-surgical procedures were performed, a 1400% increase.

Non-surgical Plastic Surgery Procedures Then and Now

The nonsurgical procedures of 1997 were not the same as today’s. The sole filler was collagen, which only lasted a few weeks, sometimes months. Botox was available, but the use of Botox for wrinkles was not FDA approved. In 1997, using Botox for frown lines and wrinkles was strictly an off label, use confined to selective Dermatology and Plastic Surgery practices (like mine).

In 2016, there are a variety of FDA approved fillers are available, each lasting months, sometimes years. The most commonly used dermal fillers are Hyaluronic Acid based including: Restylane, Juvederm, Restylane Lift (Perlane), but Radiesse (Calcium Hydroxyapatite spheres) has also emerged for boney augmentation (Cheeks and Chins) and the nasolabial folds. Botox is FDA approved for wrinkles, and is now found in just about every spa in the San Francisco Bay Area.

Surgical Plastic Surgery Procedures Then and Now

Unlike their non-surgical counterparts, the majority of the surgical procedures performed today are largely the same. New techniques and material (sutures and implants), have developed, but the most popular procedures of 1997 are the most popular procedure of 2015 too. To date, they have not been replaced by non-invasive procedures because non-invasive procedures cannot accomplish the same results. Women continue to dominate men in numbers, so let’s break down the procedures desired by each sex.

Plastic Surgery for Women

The headlines read that Buttocks Augmentation is the fastest growing cosmetic surgery. The 30% increase is statistically true, but is magnified by the fact that not as many Buttocks Augmentation are done as Breast Augmentation. Looking at the number of cases performed in 2015 reveals the popularity of the procedures:

  • Buttocks Implants – 5678
  • Buttocks Lifts – 5008
  • Brazilian Butt Lifts (Fat Grafting to the Buttocks) – 15,705
  • Breast Implants – 305,856

Comparing Buttocks to Breast Augmentation, if 3000 more Brazilian Butt Lifts are performed this year, that will almost be a 20% increase. On the other hand, if 3000 more Breast Augmentations are performed, that will be an increase of less than 1%. It’s all relative to how many procedures are performed.

The most popular Cosmetic Plastic Surgeries for women  are Liposuction (Suction Assisted Lipectomy), Breast Augmentation (Augmentation Mammoplasty), Tummy Tuck (Abdominoplasty), Breast Lift (Mastopexy) and Eyelid Lift (Blepharoplasty).

The most popular Cosmetic Plastic Surgeries for women are Liposuction, Breast Augmentation, Tummy Tuck, Breast Lift and Eyelid Lift.

The most popular Cosmetic Plastic Surgery procedures from women have been pretty consistent over the last 18 years:

When the men are added, these five procedures account for 1.2 million of the 1.9 million cosmetic surgeries performed in 2015.

Plastic Surgery for Men

Men account for about 10% of all the cosmetic plastic surgeries performed in the United States.

The most popular Cosmetic Plastic Surgeries for men are Liposuction (Suction Assisted Lipectomy), Nose Surgery (Rhinoplasty), Eyelid Lifts (Blepharoplasty), Male Breast Reduction (Gynecomastia Reduction) and Facelifts (Rhytidectomy).

The most popular Cosmetic Plastic Surgeries for men are Liposuction, Nose Surgery, Eyelid Lifts, Male Breast Reduction and Facelifts.

The most popular Cosmetic Plastic Surgery procedures from men are also pretty consistent over the last 18 years, but there has been a proportionately larger increase in Gynecomastia Reduction:

Since men do not get pregnant, procedures like Breast Augmentations, Breast Lifts, Tummy Tucks and other Mommy Makeovers are not as often needed.

Comparing the male and female procedures, Rhinoplasty, Facelifts and Breast Reduction are pushed out of the top five by Mommy Makeovers; however, they are next. Cosmetic nasal surgery was number 6; Facelifts was number 7, and breast reduction was number 8 for women. When it comes to Cosmetic Plastic Surgery, men and women seem to want the same things.

Cosmetic Plastic Surgery Consultation

If you are considering Cosmetic Plastic Surgery in the San Francisco Bay Area, call (925) 943-6353 today, and schedule a private consultation appointment. Every consultation is tailored to your specific needs. The decision to proceed, or even to explore, cosmetic surgery is personal. My goal is to provide you the information you need to make your own informed decision.

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How to Help Your Face – San Francisco Bay Area

Posted January 24, 2016 in Botulinum Toxin (Botox Dysport Xeomin), Chemical Peels, Eyelid Lift (Blepharoplasty), Facelift (Rhytidectomy), Fillers (Restylane Juvederm Perlane Radiesse), Home, Rhinoplasty (Nasal Surgery), Smoking and Plastic Surgery, Wrinkle Reduction (Non-surgical)

If we are lucky, Facial Aging is something we all experience. It can present as changes in skin tone or coloration, fine lines or deeper wrinkles, and even loose or saggy skin. It happens, if we stick around long enough. While Facial Aging cannot be altogether prevented, how you look is influenced by how you treat your skin. Some of our normal daily activities help, while others hinder the effects of time.

Good Genes and Bad Habits

We all know someone who never wears sunscreen, drinks, smokes and whose skin looks great. It’s hard to beat youth and good genes, but you can if you try hard enough. Skin likes Protection, Hydration and Circulation, so here’s how to earn your PhC in beautiful skin:

  • Protect your skin. It protects you.Protection – Prevention is the best medicine, and this is true for your skin, too. While we need a small amount of sunlight to activate vitamin D, the amount we subject our skin to, especially when we are young, is excessive. The high-energy ultra-violet light in the sun’s rays breaks the DNA inside the skin cells. At a minimum, sunshine dehydrates the skin, but it also damages the elastic fibers that keep skin supple, reduces the skin’s ability to heal itself and if too much damage is done, leads to the development of skin cancer. We would all treat cancer after it’s found, but why not treat it before it starts, by protecting your skin?

    Skin cancer can occur even where the sun does not shine, but it is most commonly found in areas exposed to the sun. Moreover, the risk of Skin Cancer increases with the amount of sun exposure. Today, sunscreen is incorporated into many moisturizers, cosmetics and even fabrics. Hats and long sleeves help, but sunscreen is a must. Personally, I could not survive a trip to Hawaii without sunscreen, a hat and a swim shirt. When I was young, it may not have made me look cool, but it did allow me to have fun with my friends without a week of recovering from sunburns. Now, if you go to the beach, sunscreen and sun shirts are common, and using them shows that you care about your body.

  • Your skin likes being hydrated.Hydration – Our skin keeps us from drying out, but it is not impermeable. I remember a junior high school science project during which we placed a plastic bag over one hand. The water that is normally lost through the skin was trapped in the bag. It made it quite clear that we are constantly dehydrating.

    If you’ve ever watched Naked and Afraid, or any of the other survivor “reality” shows, you know that water is more important than food. Keeping hydrated keeps us healthy. It improves circulation and allows the body to rid itself of toxins. Alcohol, on the other hand, tends to dehydrate us, so all things in moderation.

    You can help your skin by using a moisturizer. Moisturizers do not supply moisture to the skin, but trap the normal water that is lost through the skin. Petroleum Jelly (Vaseline) is very effective. It certainly helps injured skin heal with better scars, but its sheen is a bit obvious and it greasiness makes using vaseline quite messy. Most moisturizers are not as good as Vaseline, but are easier to live with. It’s a compromise.

  • Good circulation makes for healthy skin.Circulation – Good hydration promotes good circulation. The blood is mostly water, and when we are dehydrated the skin suffers more than another other organ. Circulation is also effected by our habits. Good habits, like daily exercise, promotes increased circulation and may improve the look of our skin, too. Bad habits, like smoking, decreases circulation, and the skin is especially hard hit.

    As a Cosmetic Plastic Surgeon, I am operating on the skin, and I need healthy skin and circulation to get the best results. Several cosmetic operations are known to have increased risk in people who smoke. For procedures like Face Lifts, Breast Reduction and Tummy Tucks, smoking increases the risk of wound healing problems by six-fold. Because of this, Plastic Surgeons recommend smoking stop at least four weeks before and after any elective surgery. If you can quit smoking for surgery, you can quit for life, literally your life.

Good Genes and Good Sense

There are many simple actions we can take to keep our face and skin happy, and earn our skin a PhC. You have probably heard many of them before, like eating right and sleeping, but good advice only works if you act on it. I will share additional pearls in additional posts.

With the title How to Help Your Face, you might have thought I was going to review all the plastic surgery options for Facial Rejuvenation. That information is certainly available here on the the San Francisco Plastic Surgery Blog. The most common, Eyelid Surgery (Blepharoplasty), Face Lifts (Rhytidectomy), Nasal Surgery (Rhinoplasty), Chemical Peels, Fillers and even Botox, all work better with skin that is cared for.

If you would like to learn more about Facial Plastic Surgery procedures, feel free to follow the links in this post article to access more information, or give me a call at (925) 943-6353, to schedule a personal consultation appointment at our San Francisco Bay Area Plastic Surgery office in Walnut Creek, CA.

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Lip Augmentation SF Bay Area Lip Enhancement

Posted April 18, 2015 in Facial Augmentation, Home, Lip Enhancement/Augmentation, Videos

Today Lip Augmentation is dominated by injectables. Fillers like Restylane, Juvederm and Perlane, were performed a few million times last year in the US for Lip Augmentation and the treatment of facial wrinkles last year, second in number only to Botox for all non-surgical cosmetic procedures.

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.

Lip Augmentation

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.

Thin Lips

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.

Lip Enhancement

Dermal grafting offers a longer lasting Lip Augmentation. This type of Lip Enhancement is frequently combined with the Facelift.

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.

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Non-surgical Cheek Augmentation – San Francisco Bay Area – Walnut Creek, CA

Posted October 26, 2013 in Cheek Implants/Augmentation, Facial Augmentation, Fillers (Restylane Juvederm Perlane Radiesse), Home, Wrinkle Reduction (Non-surgical)

Cheek Augmentation is not the most frequently requested cosmetic plastic surgery procedure, but it is an excellent procedure for the right person. In cases where the cheeks are flat, narrow or even recessed behind the front of the eyeball, cheek enlargement can create a more harmonious balance for the face overall.

Allergan Announces a New Cheek Filler

Voluma XC - Allergan's new entry into the cheek enhancement arena.

Voluma XC – Allergan’s new entry into the cheek enhancement arena.

This week, Allergan released their latest answer to flat cheeks: Voluma XC. The XC stands for eXtra Comfort and alludes to the fact that Voluma is manufactured with a local anesthetic (Lidocaine) in it.

Voluma is related to Juvederm, another Hyaluronic Acid (HA) based filler. Where Juvederm is approved for filler facial wrinkles around the mouth, Voluma is FDA approved to provide volume to the apex, apple of the cheek and the hollow inferior to these. Like Juvederm, Voluma is injected into the area where augmentation is desired right in the office. The results are immediate, and the down time is minimal. Common side effects as listed on the Allergan website include temporary reactions at the treatment site such as: tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching.

Other Methods of Cheek Augmentation with Fillers

For years, HA’s have been used for Non-surgical Cheek Enlargement. The off-label use of Juvederm, Perlane and Restylane has been common practice. Voluma is the first HA that is FDA approved specifically for the cheeks.

Radiesse is not an HA filler. It is made of calcium hydroxyapatite (CaHA). Radiesse is FDA approved for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds, and it is also intended for restoration and/or correction of the signs of facial fat loss (lipoatrophy) in people with human immunodeficiency virus. Radiesse has also been used off label as a cheek filler for people without HIV also. I have used it for both cosmetic and reconstructive patients with good results.

Cheek Implants

Cheek Implants are the only “permanent” cheek fillers, and have been around longer than any of the facial fillers. The insertion of Cheek Implants is a surgical procedure and requires meticulous attention to detail and sterile technique. I use cheek implants to balance the face when a long term solution is desired.

Frequently, I combine Cheek Implants with lower eyelid lifts in patients with a recessed cheek, to help prevent ectropion (drooping of the eyelid). Cheek implants also can improve the results of a Facelift when the volume of the cheek is deficient, as seen below.

Facelift with Cheek Implants

Facelift with Cheek Implants to balance the more youthful face.

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Top 5 Cosmetic Plastic Surgery Procedures – Fifth Place

Posted March 17, 2012 in Botulinum Toxin (Botox Dysport Xeomin), Facelift (Rhytidectomy), Fillers (Restylane Juvederm Perlane Radiesse), Home, Tummy Tuck (Abdominoplasty), Videos, Wrinkle Reduction (Non-surgical)

Over 13.8 million cosmetic procedures where performed last year, and we are counting down the top five cosmetic plastic surgery procedures as reported by the American Society of Plastic Surgeons.

Top 5 Plastic Surgery Videos

Today’s Top 5 Plastic Surgery Video is from a recent Body Beautiful appearance on the Bay Area’s News Station KRON4. This video reveals the procedures tied for fifth place. The top four procedures will be revealed in the coming weeks.

If you have general questions about the Facelift or Tummy Tuck procedures please call (925) 943-6353. You can also schedule an in person private consultation appointment for specific recommendations to achieve your goals. The (415) number shown in this video was only for the live show, for viewers to call in with questions.

Non-Surgical Cosmetic Procedures

12.2 million are non-surgical procedures for Wrinkle Reduction, accounting for 89% of all cosmetic procedures. Treatments with neuromodulators (Botox and Dysport), wrinkle fillers (Restylane, Juvederm, Perlane and Radiesse) and chemical peels lead the way. Laser hair removal and microdermabrasion are also included in the top 5, non-surgical numbers.

Surgical Cosmetic Procedures

1.6 million cosmetic plastic surgeries were performed in the United States last year. With the top 6 procedures accounting for 75% of total cosmetic surgeries performed, a percentage I can confirm at my San Francisco Bay Area plastic surgery practice in Walnut Creek, CA.

Facelifts (Rhytidectomy) and Tummy Tuck (Abdominoplasty) – It’s a Tie

With 120,000 surgeries performed for each last year, the Facelift and the Tummy Tuck are tied for fifth place in our countdown of the most popular cosmetic plastic surgery procedures.

To learn more about the cosmetic procedures listed above, please feel free to search the San Francisco Plastic Surgery Blog or follow the links under Categories. For specific questions, use the contact form or give us a call at (925) 943-6353. The office is open weekdays from 9 AM to 5 PM.

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The Top 5 Cosmetic Plastic Surgery Procedures

Posted March 08, 2012 in Breast Augmentation, Eyelid Lift (Blepharoplasty), Facelift (Rhytidectomy), Home, Rhinoplasty (Nasal Surgery), Tummy Tuck (Abdominoplasty), Wrinkle Reduction (Non-surgical)

Live on KRON channel 4 next Monday, March 12, 2012, at 11:00 AM, I will be discussing the top 5 (or 6) cosmetic plastic surgery procedures. The show is live, so you can call in with any questions you might have.

ASPS 2011 Stats

The American Society of Plastic Surgeons 2011 Cosmetic Plastic Procedure Statistics are Released.

Every year the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS) publish their Cosmetic Plastic Surgery Statistics. The 2011 statistics show a gradual increase in the number of cosmetic plastic surgery procedures.

Cosmetic Procedures on the Rise

Overall Americans had 13.8 million cosmetic procedures in 2011. The majority of these were minimally invasive procedures with the neuromodulators (Botox, Dysport) and dermal fillers (Restylane, Juvederm, Perlane and Radiesse) accounting for the majority of treatments.

The Top 5 Minimally Invasive Procedure

Top 5 Minimaly Invasive Cosmetic Procedures

Top 5 Minimaly Invasive Cosmetic Procedures

12.2 million minimally invasive procedures were performed in 2011. Here is how the top 5 minimally invasive procedures rank:

The Top 5 Cosmetic Surgical Procedure

Top 5 Cosmetic Surgeries

Top 5 (or 6) Cosmetic Surgeries

1.6 million cosmetic surgery procedures were performed in 2011. Breast Augmentation remains the number one choice, while the Facelift and Tummy Tuck are essentially tied for fifth place. Here are the numbers:

For More Cosmetic Surgery Information

To schedule a consultation appointment, please call my office at (925) 943-6353. You can click on names of any of cosmetic plastic surgery procedures listed above to visit the main website, or use may use the contact form in the side bar to send your questions to me. Thanks for visiting the San Francisco Plastic Surgery Blog.

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Wrinkle Correction – Fillers, Botox and Plastic Surgery – Part 4 of 4

Posted February 16, 2012 in Botulinum Toxin (Botox Dysport Xeomin), Fillers (Restylane Juvederm Perlane Radiesse), Home, Videos, Wrinkle Reduction (Non-surgical)

Seven million minimally invasive wrinkle reduction procedures were performed in 2011. Neuromodulators like BOTOX Cosmetic, Dysport and Xeomin enjoyed a 5% increase in number of treatments compared to the 2010 statistics, while dermal fillers like Restylane, Juvederm, Perlane and Radiesse experienced a 10% increase from a year ago.

Facial Wrinkle Reduction

Prevention is the best medicine, so sun protection and moisturizers are always recommended, but once the damage is done, how can it be corrected? Facial wrinkle reduction can be actively corrected with cosmetic plastic surgery like:

Or with minimally invasive techniques like:

Minimally Invasive Facial Wrinkle Correction

As a Board Certified Plastic Surgeon, I offer the full spectrum of facial wrinkle correction. From surgical procedures that offer more effective and longer lasting results, to injectables that offer fast results and minimal downtime. The video below focusses on minimally invasive correction, but information on the cosmetic plastic surgery procedures is available on my main web site by clicking on the links above.

Facial Wrinkle Correction Video

Today’s video is the final segment about how to use minimally invasive procedures to achieve maximum results. It is part 4 of a recent television appearance on San Francisco’s KRON‘s Body Beautiful. The (415) number in this video was for viewers to call during the live broadcast only; however, if you have questions about dermal fillers, botox or other cosmetic plastic surgery procedures, please a call us at (925) 943-6353.

The offers in this video expired in 2011; however, special discounts are available from time to time. Be certain to call the office to find out what offers are available now.

Facial Wrinkle Correction Video Contents

This Facial Wrinkle Correction Video includes:

  • Liquid Facelifts and Facial Wrinkle Reduction
  • What are the risks associated with non-surgical wrinkle treatments?
  • How often do bruises occur after non-surgical wrinkle treatments?
  • How long do bruises last after non-surgical wrinkle treatments?
  • What are stretch marks?
  • Are there reliable treatments for stretch marks?

Who Am I?

I am a Board Certified Plastic Surgeon in private practice in the San Francisco Bay Area city of Walnut Creek, California, for 15 years. My practice includes a wide range of plastic surgery, with specialization in cosmetic plastic surgery. To learn more about my practice visit the Meet Dr. Mele page.

Why see a Plastic Surgeon for Non-Surgical Wrinkle Correction?

While I specialize in Cosmetic Plastic Surgery, the development of injectable therapies has revolutionized the way I approach facial rejuvenation. Dermal Fillers and Wrinkle Relaxers are no substitute for real plastic surgery; however, they do allow for real improvement in the appearance of facial lines and wrinkles, in ways that were just not possible before. The advantage of seeing a Board Certified Plastic Surgeon for your non-surgical wrinkle correction is two-fold. You get the immediate advantage of a trained plastic surgeon’s advanced knowledge of facial anatomy, and the future advantage having a trusted relationship with that plastic surgeon should longer lasting, surgical correction be desired.

More Wrinkle Correction Information

Information on facial wrinkle reduction is available in English and Español. Please follow the links below:

More Wrinkle Correction Videos

This is part 4 of 4. Below are links to the previous postings:

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Wrinkle Correction – Fillers, Botox and Plastic Surgery – Part 3 of 4

Posted February 08, 2012 in Botulinum Toxin (Botox Dysport Xeomin), Fillers (Restylane Juvederm Perlane Radiesse), Home, Videos, Wrinkle Reduction (Non-surgical)

In the not so distant past, wrinkles were treated with creams or plastic surgery. Now, all that has changed. The new millennium has brought a wide range of treatments that fit nicely between creams and plastic surgery. They offer better, stronger, faster correction than creams, with quicker recovery and lower cost than the gold standard — plastic surgery.

Wrinkle Fillers

Products like Restylane, Juvederm, Perlane and Radiesse allow for quick correction of moderate wrinkles with minimal downtime. They are all dermal fillers, and as the name implies, they are used to fill in unwanted wrinkles and folds. The correction can be increased with increased volume, and the downtime is about 24 hours of mild redness and sometimes longer for resolution of the occasional bruise. The improvement is immediate, and continues to improve for the first month. They can be used anywhere on the face. Since fillers do not inhibit muscle motion, they excel in the correction of lines around the mouth and in the lower face.

Neuromodulators

Products like BOTOX Cosmetic, Dysport and Xeomin are neuromodulators. They relax the muscles that cause wrinkles, like the frown lines found between the eyebrows. These take a few days to relax the muscle, and gradual improvement is seen as the skin is no longer folding from the muscle motion. Since neuromodulators reduce, or even stop, muscle motion, they are used mostly in the upper face. Use around the mouth needs to minimal and requires advanced techniques and good judgement.

Facial Wrinkle Correction Video

Today’s video is about how to use minimally invasive procedures to achieve maximum results. It is from a recent appearance on KRON‘s Body Beautiful. The (415) number in this video was for viewers to call during the live broadcast. If you have questions about dermal fillers or botox, please a call us at (925) 943-6353.

Facial Wrinkle Correction Video Contents

This Facial Wrinkle Correction Video includes:

  • Liquid Facelifts and Facial Wrinkle Reduction
  • Why have a Plastic Surgeon do your non-surgical wrinkle treatments?
  • Is Wrinkle Reduction Art or Science?
  • What happened to Collagen?
  • What are the problems with dermal fillers?
  • What is Hyaluronic Acid?
  • How does Hyaluronic Acid improve wrinkles?
  • Can you get Botulism from Botox?
  • Viewer Question – How can a scar beneath the eye be improved?
  • What can be done at home to improve scars?
  • Does massage or using topical silicone improve scars?

Who Am I?

I am a Board Certified Plastic Surgeon in private practice in the San Francisco Bay Area city of Walnut Creek, California, for 15 years. My practice includes a wide range of plastic surgery, with specialization in cosmetic plastic surgery. To learn more about my practice visit the Meet Dr. Mele page.

Why see a Plastic Surgeon for Non-Surgical Wrinkle Correction?

While I specialize in Cosmetic Plastic Surgery, the development of injectable therapies has revolutionized the way I approach facial rejuvenation. Dermal Fillers and Wrinkle Relaxers are no substitute for real plastic surgery; however, they do allow for real improvement in the appearance of facial lines and wrinkles, in ways that were just not possible before. The advantage of seeing a Board Certified Plastic Surgeon for your non-surgical wrinkle correction is two-fold. You get the immediate advantage of a trained plastic surgeon’s advanced knowledge of facial anatomy, and the future advantage having a trusted relationship with that plastic surgeon should longer lasting, surgical correction be desired.

More Wrinkle Correction Information

Information on facial wrinkle reduction is available in English and Español. Please follow the links below:

More Wrinkle Correction Videos

This is part 3 of 4. Below are links to the rest of the series:

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Wrinkle Correction – Fillers, Botox and Plastic Surgery – Part 2 of 4

Posted February 01, 2012 in Botulinum Toxin (Botox Dysport Xeomin), Fillers (Restylane Juvederm Perlane Radiesse), Home, Videos, Wrinkle Reduction (Non-surgical)

Like most Plastic Surgeons, I like to operate. Plastic Surgery is a versatile tool. It can restore function after injury or disease, and it can improve form for even the normal body. But just because I have a hammer, I don’t think the whole world is a nail.

Plastic surgery is extremely personal, and I depend on you to help me know what the best course of treatment will be. Sometimes plastic surgery is the best answer, and sometimes less is more appropriate.

Many plastic surgeons use Botox and Restylane in their practices. While non-surgical, these products are complementary to what we Plastic Surgeons do. For example:

Forehead Wrinkles and Frown Lines

Relaxing the frown lines and forehead wrinkles has always been a part of the Brow Lift procedure. If you have droopy eyebrows that are pushing skin onto your upper eyelids, deep wrinkles running across your forehead, or vertical lines between the eyebrows that make you look angry (frown lines), a brown lift might be for you. On the other hand, if you have the frown lines the forehead wrinkles, but the eyebrows and eyelids are fine, Botox, Dysport and Xeomin, may provide you with an equally attractive result.

Lower Face Wrinkles

Lower facial wrinkles include the Naso-Labial Folds (NLF’s), Marionette Lines (ML’s), lip lines and other wrinkles found on the lower face. These areas can be treated with a Facelift, when coexisting with lower facial skin laxity, but when found in isolation, a face lift is more than what is needed. Dermal fillers like Restylane, Juvederm, Perlane and Radiesse can pinpoint the treatment to exactly where it is needed, without the downtime associated with surgery.

Naso-Labial Folds (NLF’s)

The Naso-Labial Folds are the lines that extend from the sides of the nose down to the lips. They are the result of muscle attachments to the skin, and are deepened when we smile. The more firmly the muscle is attached, the deeper the resulting fold. Filling the NLF’s with Restylane, Juvederm, Perlane or Radiesse can reduce the appearance of folds without affecting the ability to smile. Unlike botox, dermal fillers do not inhibit motion.

Marionette Lines (ML’s)

The Marionette Lines are a continuation of the NLF’s, extending from the corners of the mouth down to the jaw line. These too are reinforced when we talk and smile broadly. Like the Naso-Labial Folds, the Marionette Lines respond well to fillers. The ML’s often require more volume than the NLF’s for what would seem to be wrinkles of similar depth.

Lip Lines

Lip lines are the fine lines that radiate out from the lips. Often referred to as Smoker’s Lines, the lines are formed when we pucker our lips. Lip lines allow lipstick to bleed, and can make maintaining a clean line at the edge of the lip difficult. By carefully filling in the edge of the lip, a smoothed contour can be formed, and less lipstick bleed occurs. This can be done with or without Lip Augmentation, or purposefully adding volume to the lips.

Facial Wrinkle Correction Before and After Photos

This segment focusses on dermal fillers, and shows numerous before and after pictures illustrating the areas more commonly treated with fillers like Restylane, Juvederm, Perlane and Radiesse. Wrinkle relaxers, like Botox, Dysport and Xeomin can complement results in facial wrinkle reduction, but were not used for the areas shown in these before and after pictures.

Facial Wrinkle Correction Video

Today’s video is from a recent appearance on KRON‘s Body Beautiful during which I discuss how to use minimally invasive procedures to achieve maximum results. The (415) number in this video was for viewers to call during the live broadcast. If you have questions about dermal fillers or botox, give us a call at (925) 943-6353.

Facial Wrinkle Correction Video Contents

This Facial Wrinkle Correction Video includes:

  • Liquid Facelifts or Facial Wrinkle Reduction
  • The effects of gravity and aging on the face.
  • Who is a good candidate for wrinkle reduction treatments?
  • Before and After Pictures of Dermal filler treatments
    • Before and After Pictures of Howdy Doody Line treatment
    • Before and After Pictures of Naso-Labial Fold treatment
    • Before and After Pictures of Facial Wrinkle treatment
    • Before and After Pictures of Acne Scar treatment
    • Before and After Pictures of Lip Augmentation
    • Before and After Pictures of Non-Surgical Rhinoplasty
  • Dermal fillers used include
    • Restylane
    • Juvederm
    • Perlane
    • Radiesse
  • Neuromodulators can also enhance the results of fillers. For example:
    • BOTOX Cosmetic
    • Dyport
    • Xeomin
  • The best areas to treat with fillers
  • Temporary vs. “Permanent” Correction

Who Am I?

I am a Board Certified Plastic Surgeon in private practice in the San Francisco Bay Area city of Walnut Creek, California, for 15 years. The development of injectable therapies has revolutionized the way facial rejuvenation is approached. While no substitute for real plastic surgery, they do allow for real improvement in appearance of facial lines and wrinkles, in ways that were just not possible before.

More Wrinkle Correction Information

Information on facial wrinkle reduction is available in English and Español. Please follow the links below:

More Wrinkle Correction Videos

This is part 2 of 4. Below are links to the rest of the series:

Read More

Wrinkle Correction – Fillers, Botox and Plastic Surgery – Part 1 of 4

Posted January 24, 2012 in Botulinum Toxin (Botox Dysport Xeomin), Fillers (Restylane Juvederm Perlane Radiesse), Home, Videos, Wrinkle Reduction (Non-surgical)

Wrinkle correction used to mean either small improvements with creams or major improvements with surgery. The ground betwen is now covered with the introduction of wrinkle fillers, like Restylane, Juvederm, Perlane and Radiesse, and wrinkle relaxers, like Botox, Dysport and Xeomin.

San Francisco Bay Area – Leaders in Wrinkle Reduction

San Francisco Bay Area Plastic Surgery patients have always been at the forefront of facial wrinkle correction with fillers. It began in the 70’s with the local development of Collagen, and carries on today with its replacement, hyaluronic acid or HA.

Wrinkle Fillers – Restylane, Juvederm, Perlane & Radiesse

Like collagen, HA is a normal component of the skin, and is also found in our joints. HA dermal fillers are sold under many brands names, with the most popular being Restylane, Juvederm and Perlane. These clear gels allow for the correction of moderate to deep facial rhytids (lines) with minimal down time and quick improvement.

Wrinkle Relaxers – Botox, Dysport & Xeomin

Botulinum toxins have been used for years for the treatment of blepharospasm, a disabling chronic spasm of the muscles around the eyes causing functional blindness. For many years it was the plastic surgeons “secret” weapon, and used off-label, but a few years ago Allergan received approval for a new indication – the cosmetic treatment of frown lines. BOTOX Cosmetic was born. Others have followed with similar approval and results including Dysport and Xeomin.

Facial Wrinkle Correction Video

Today’s video is from a recent appearance on KRON‘s Body Beautiful during which I discuss how to use minimally invasive procedures to achieve maximum results. The discussion includes the use of fillers like Restylane, Juvederm, Perlane and Radiesse, and wrinkle relaxers, like Botox, Dysport and Xeomin. The (415) number in this video was for viewers to call during the live broadcast. If you have questions about dermal fillers or botox, give us a call at (925) 943-6353.

This Facial Wrinkle Correction Video includes:

  • Liquid Facelifts
  • Freshening up for special occasions
  • Dermal fillers
    • Restylane
    • Juvederm
    • Perlane
    • Radiesse
  • Neuromodulators
    • BOTOX Cosmetic
    • Dyport
    • Xeomin
  • The best areas to treat with fillers
  • The best areas to treat with neuromodulators
  • Who is a good candidate for wrinkle reduction treatments?

As a Board Certified Plastic Surgeon in private practice in the San Francisco Bay Area city of Walnut Creek, California, for 15 years, the development of injectable therapies has revolutionized the way facial rejuvenation is approached. While no substitute for real plastic surgery, they allow for real improvement in appearance of facial lines and wrinkles, in ways that were just not possible before.

More Wrinkle Correction Information

Information on facial wrinkle reduction is available in English and Español. Please follow the links below:

More Wrinkle Correction Videos

This is part 1 of 4. Below are links to the rest of the series:

Read More