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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U.S. Plastic Surgery Statistics – 2014

Posted March 14, 2015 in Botulinum Toxin (Botox Dysport Xeomin), Brazilian Butt Lift, Breast Augmentation, Breast Implant Revision Surgery, Breast Lift (Mastopexy), Breast Reduction, Breast Reduction (Men), Breast Reduction (Women), Butt Lifts, Chemical Peels, Eyelid Lift (Blepharoplasty), Fillers (Restylane Juvederm Perlane Radiesse), Home, Liposuction, Rhinoplasty (Nasal Surgery), Tummy Tuck (Abdominoplasty), Wrinkle Reduction (Non-surgical)

The American Society for Aesthetic Plastic Surgery (ASAPS) has released its 2014 Cosmetic Plastic Surgery statistics. The United State’s premier professional society dedicated to the advancement of Aesthetic (Cosmetic) Plastic Surgery has compiled the procedures performed by its members and others last year, and here are the results:

The ASAPS has released last year's plastic surgery statistics.

The ASAPS has released last year’s plastic surgery statistics.

Plastic Surgery Procedures- Who had What?

More than ten million surgical and nonsurgical cosmetic procedures were performed in the United States last year.

Nonsurgical cosmetic procedures are easier, simpler and more frequently performed than surgical procedures.

Nonsurgical cosmetic procedures are easier, simpler and more frequently performed than surgical procedures.

As expected, nonsurgical procedures accounted for the majority of the total with 8.8 million procedures:

  • Botox – 3.6 million
  • Fillers (Restylane, Juvederm, Perlane, Radiesse – 1.9 million
  • Hair Removal – 0.8 million
  • Chemical Peels – 0.5 million
  • Microdermabrasion – 0.4 million

The top five cosmetic plastic surgery procedures are Liposuction, Breast Augmentation, Eyelid Surgery, Tummy Tuck and Nose Surgery.

The top five cosmetic plastic surgery procedures are Liposuction, Breast Augmentation, Eyelid Surgery, Tummy Tuck and Nose Surgery.

Surgical procedures accounted for 17% of all procedures with 1.8 million cosmetic surgeries:

Plastic Surgery Procedures – What’s the Cost?

Americans have spent more than 12 billion dollars during each of the last two calendar years on surgical and nonsurgical cosmetic plastic surgery procedures. While nonsurgical procedures outnumbered surgical procedures in frequency, surgical procedures accounted for 60% of the total expenditures.

The Fastest Growing Procedure in 2014

Liposuction, Breast Augmentation and Tummy Tucks have increased dramatically since I started my Walnut Creek Plastic Surgery practice in 1997, while Cosmetic Eyelid and Nasal Surgery have remained steady.

Liposuction, Breast Augmentation and Tummy Tucks have increased dramatically since I started my Walnut Creek Plastic Surgery practice in 1997, while Cosmetic Eyelid and Nasal Surgery have remained steady.

Since starting my San Francisco Bay Area Plastic Surgery practice in 1997, there has been a 274% increase in the total number of cosmetic procedures. Surgical procedures have increased by 82% and nonsurgical procedures increased by 508%. The fastest growing procedure in 2014 was Buttock Augmentation, aka the Brazilian Butt Lift (BBL). While the totals are still less than 10% of the number of breast augmentations, the growth was an impressive 86% last year. The BBL, with over 21,000 procedure performed in 2014, moved up steadily from 20th in 2004, and 18th in 2009 to 15th in 2014.

Breast Augmentation Trends

Breast Augmentation was passed by Liposuction again this year for the most popular procedure. The two are usually neck-and-neck for the top spot each year. With the introduction of breast implants 5.0, form-stable, high-strength, cohesive silicone gel, gummy bear or whatever the latest catch phrase is, 80% of breast implants used in 2014 were silicone and 20% were saline. Breast Implant Revision Surgery increased 30% last year, and may be the result of both the improved alternatives in breast implants currently available and the recognition that breast implants are not life-time devices.

The Ladies Have It

Since 1997, the number of cosmetic procedures for women increased over 429%. Women account for 90% of all cosmetic plastic surgery patients. With breast procedures, excluding breast reconstruction, accounting for over one-third of all cosmetic surgery, this is no surprise. 605,987 female breast procedures (breast augmentation, breast lift, breast reduction, breast revision) were performed in 2014. Comparing this with 24,234 male breast procedures (gynecomastia reduction), women account for over 96% of all cosmetic breast surgery.

Cosmetic Plastic Surgery Consultations

If you are considering Cosmetic Plastic Surgery, be certain to find a Board Certified Plastic Surgeon with experience in the procedure you are considering. If you are in the San Francisco Bay Area, give my office a call at (925) 943-6353. My friendly Plastic Surgery staff in Walnut Creek, CA, is available to take your call, and arrange your private consultation.

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Body and Facial Plastic Surgery on KRON 4’s Body Beautiful

Posted March 08, 2015 in Breast Augmentation, Breast Implant Revision Surgery, Breast Reduction, Breast Reduction (Men), Ear Shaping (Otoplasty), Facial Augmentation, Fillers (Restylane Juvederm Perlane Radiesse), Home, Lip Enhancement/Augmentation, Wrinkle Reduction (Non-surgical)

This Wednesday’s Body Beautiful on the San Francisco Bay Area’s News Station, KRON 4, will cover both Facial Plastic Surgery procedures and Body Sculpting.

Facial Plastic Surgery

One of the most frequently augmented parts of the body are the lips. Lip Augmentation with dermal fillers like Restylane, Juvederm and Perlane, offer instant gratification, minimal recovery and virtually no down-time. There is a day or two of swelling, and the volume needs to be maintained periodically, but these hyaluronic acid based fillers are softer, and last longer than the previous lip plumper: Collagen.

Surgical Lip Enhancement Before and After Pictures

Vermilion Advancement  is a Surgical Lip Enhancement that permanently advances the red vermilion of the lip out of the mouth and onto the lips.

Vermilion Advancement is a Surgical Lip Enhancement that permanently advances the red vermilion of the lip out of the mouth and onto the lips.

Surgical Lip Enhancement

Surgical Lip Enhancement is also an option. Dermal grafts and local tissue rearrangement can add volume and change the lip shape with longer lasting results. Unlike fillers, these procedures do require some down-time for recovery. The surgical options for Lip Enlargement with be discussed on KRON 4’s Body Beautiful this week.

Otoplasty (Ear Pinning) Before and After Pictures

Otoplasty, sometimes called Ear Pinning, is a facial plastic surgery procedure that corrects prominent ears.

Otoplasty, sometimes called Ear Pinning, is a facial plastic surgery procedure that corrects prominent ears.

Prominent Ear Correction (Otoplasty)

Otoplasty is the cure for prominent ears. It is one of the few Cosmetic Plastic Surgery procedures which is performed on both children and adults. Ears are usually prominent at birth. There is evidence that immediate molding, within a few days of birth, can bring the ears in closer to the head, but after a few weeks, the ear cartilage is unbending in its prominence.

The ear reaches 85% of its adult size by age five, making this is a common time for Otoplasty. It is important that both the parents and the child feel the ears are too prominent. A second peak in the age of correction is in young adults. Usually, their prominent ears have been bothering them for quite some time, and as young adults, they now have the means to fix it.

Breast Implant Revision Surgery Before and After Pictures

A common reason for Breast Implant Revision is to correct  Capsular Contracture. Before, the  breast implant is firm, squeezed and pushed up out of the breast by a tight capsule, leaving the breast tissue hanging. The after picture shows the improved breast shape and support.

A common reason for Breast Implant Revision is to correct Capsular Contracture. Before, the breast implant is firm, squeezed and pushed up out of the breast by a tight capsule, leaving the breast tissue hanging. The after picture shows the improved breast shape and support.

Breast Augmentation Revision Surgery

Breast Augmentation remains the most popular of all the cosmetic plastic surgery procedures. While Breast Implants can add volume to small or deflated breasts, the results can change with age.

Breast Implant Revision has almost become a specialty unto itself. The reasons for revision and the methods are reviewed on my SanFranciscoBreast.com web site. Some of the most common breast revision surgeries, and the results, will be discussed this week on Body Beautiful.

Gynecomastia (Male Breast Reduction) Before and After Pictures

<strong>Gynecomastia</strong> is Male Breast Enlargement, and not in a good way. The problem can occur at any age, but is most common during puberty, and in one-third of cases, lasts a lifetime. Gynecomastia Reduction can help masculinize the chest again.

Gynecomastia is Male Breast Enlargement, and not in a good way. The problem can occur at any age, but is most common during puberty, and in one-third of cases, lasts a lifetime. Gynecomastia Reduction can help masculinize the chest again.

Male Breast Reduction (Gynecomastia Reduction Surgery)

Gynecomastia Reduction Surgery is one of the most common male cosmetic plastic surgery procedures. Removing disproportionate breast tissue can help smooth out the chest both in and out of clothing. I practice Plastic Surgery in the San Francisco East Bay Area city of Walnut Creek. It’s been warm here all winter, and gets hot in the summer. I know I have done a good job when my patients ditch the bulky hot sweatshirts they wear during their initial consultation, for a t-shirt after their Gynecomastia Reduction. Wearing a sweatshirt in Walnut Creek during the summer is no fun.

Body Beautiful Wednesday at 11 AM

This Wednesday, March 11, at 11 AM, host Janelle Marie and I will be discussing Lip Augmentation, Otoplasty, Breast Implant Revision Surgery and Male Breast (Gynecomastia) Reduction in the new KRON 4 studios. If you have questions about these, or any plastic surgery procedures, that you would like answered on the air, use the contact form in the margin to drop me a note.

If you would like to schedule a consultation, call (925) 943-6353 to arrange a personal, in-person review of your options.

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Face Lifts & Neck Lifts on SF Bay Area’s KRON 4 Body Beautiful

Posted January 31, 2015 in Chemical Peels, Facelift (Rhytidectomy), Facial Augmentation, Fat Grafting, Fillers (Restylane Juvederm Perlane Radiesse), Home, Mini Facelift (Mini Rhytidectomy), Videos, Wrinkle Reduction (Non-surgical)

The Face Lift is the apex of Facial Plastic Surgery. Like many Plastic Surgery procedures, the more it does and the less it’s noticed, the better we like the results.

Face Lifts Neck Lifts and More on Body Beautiful

I had the opportunity to talk about Facial Rejuvenation on The San Francisco Bay Area’s News Station KRON 4’s Body Beautiful, host Janelle Marie and I discussed:

  • Face Lifts
  • Neck Lifts
  • Dermal Grafts
  • Facial Fillers
  • Chemical Peels
  • Laser Resurfacing

Unfortunately, we had technical issues with the Face Lift Before and After Pictures. You can see some of my work by clicking the link above, or visiting the Cosmetic Plastic Surgery Before and After Gallery on DrMele.com.

Face and Neck Lift Video Presentation

What Can A Face Lift / Neck Lift Do?

It’s easy to see what a facelift can do, try a “six finger face lift”. You can do it right now. All you need is a mirror and two hands. Place the tip of your index finger on the angle of your jaw, the tip of the thumb under the the jaw and the middle finger on the cheek. Gently, push your facial skin up and back to tighten the neck, smooth out the jowls and lift the cheek.

How Is The Rhytidectomy (Face Lift / Neck Lift) Performed?

There are almost as many methods of Face Lifts and Neck Lifts as there are Plastic Surgeons performing them. Most of them are variations on two basic methods, lifting just the skin or incorporating the deeper layers. There are pluses and minuses to each method, which need to be discussed in detail tailored specifically to your face. However, no matter which technique is selected, even the Mini Face Lift takes longer then the “six finger face lift” described above.

Rhytidectomy (Facelift and Necklift) Consultations

There are many methods of lifting the face. My goal is to provide the best results in the safest and most predictable way possible. I prefer to use the simplest method that will work. For the best results, there needs to be the proper balance between the problem and the solution. A big lift for a small problem can lead to a tight or “over done” appearance. On the other hand, sometimes less is just too little.

Call (925) 943-6353 to schedule a private consultation at my San Francisco Bay Area Plastic Surgery office in Walnut Creek, CA. You can also send your questions via the contact form in the column.

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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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Lip Augmentation – Lisa’s Story – Lip Enhancement San Francisco Bay Area

Posted March 20, 2013 in Fillers (Restylane Juvederm Perlane Radiesse), Home, Lip Enhancement/Augmentation

Lisa Rinna has had a very successful Hollywood career which she credits, in part, to her large, Augmented Lips. When it comes to a beautiful face, the lips are second only to the eyes. Subconsciously, we associate fuller lips with youth and fertility. Larger lips are a big contributor to the “glow” of a pregnant woman’s face. As we age, so do our lips, and gradually they become thinner and thinner. Lip augmentation can be an integral part of facial rejuvenation.

Lisa Rinna

Lisa Rinna is putting her lip troubles behind her.

Lip Augmentation with Silicone Injections

Lisa Rinna had been very forthcoming with the fact that her lips were enhanced with injectable silicone. Liquid silicone injections are problematic, and her honesty has helped other young women avoid the same fate. Right after silicone injections everything looks great, but with time, the body creates scar tissue around the globs of silicone. The result is palpable, and often visual, lumps and lip distortions. Lisa does not regret her decision, but 20 years after the Silicone Injections, her lips were a lumpy mess. She underwent surgery to remove as much of the silicone and scar as possible. Here is the story in her own words:

“Here’s the story: 25 years ago, I had my lips injected with silicone. Stupid thing to do at 24. I saw ‘Beaches.’ Remember that movie ‘Beaches’? I did it with my best girlfriend, so she and I go and we get our lips done. Fine. I have it like that for my whole career, right? So then cut to a couple of years ago, I have a doctor remove as much as they possibly can because it got to the point where they were yucky. You know, they get hard. It’s gross. They are now whatever that was after they took out as much of the silicone as they could.”

Surgical Correction after Silicone Injections to the Lips

Lucky for Lisa, her lips still look fine. Twenty-five years ago, the risks of silicone injections were not as clear cut, and the only approved injectable was Collagen, which was hard and completely gone in a month or two. Today, we have much better alternatives. Lip Augmentation can be performed with injectable HA’s like Restylane and Juvederm in a few minutes in the office. The results do need to be maintained; however, the results are full and soft, something that has not been possible previously without surgery. How long the results last is variable. Average results are 4-6 months and if you decide you not longer need it, after the plateau phase, the lips gradually return to their original size.

Permanent Lip Augmentation

Since lips thin as we age, there are no Permanent Lip Fillers. Even the perfectly sized lips will need a little maintenance to counteract the normal aging process. Inserting permanent fillers, like silicone, promotes the formation of chronic scars and foreign body reactions like granulomas. HA fillers are made from Hyaluronic Acid (HA), a normal component of skin and joints. Unlike free silicone injections, our bodies recognize HA as a normal component of the skin, and we have natural hyaluronidase, an enzyme that can clean up HA.

Lip Augmentation Before and After Pictures

Lip Augmentation Before and After Photos

Lip Augmentation Before and After Photos: Lip enhancement performed with HA filler.

Lip Enhancement Consultations

If you are considering Lip Augmentation, especially if it is your first time, consider a brand name HA filler like Restylane or Juvederm. They can give a soft natural result, which is easy to maintain. Swelling is minimal, and with ice and elevation, the appearance is normal in 24-48 hours. Longer lasting alternatives are available, but they require a longer recovery, and are best when the goal size is well known.

Other Lip Enlargement Resources

Other articles on lip augmentation are available on the San Francisco Plastic Surgery Blog and my main web site. Here are the links:

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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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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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