Saggy upper eyelids and lower eyelid bags make us look tired and add years to our face. This is why the Eyelid Lift remains one of the most popular cosmetic plastic surgery procedures which I, and other Board Certified Plastic Surgeons, perform.
Eyelid lifts can literally open our eyes, making us look more awake and alert. As the upper eyelid skin becomes more redundant, it begins to rub off upper eyelid makeup and can come to rest on the eyelashes. The result is a heavy sensation and a worn down appearance, even when we are well rested.
Blepharoplasty means eyelid changing, and it can rejuvenate our appearance and recharge our persona. San Francisco Bay Are Board Certified Plastic Surgeon, Dr. Joseph A. Mele, discusses eyelid rejuvenation and narrates numerous blepharoplasty before and after pictures on this video segment taken from KRON 4’s Body Beautiful.
Blepharoplasty Video (Eyelid Lift)
The following video segment reviews Eyelid Lifts and illustrates what Blepharoplasty can do with numerous Eyelid Lift Before and After Pictures.
The preview screen on the above Blepharoplasty Video shows how excess upper eyelid skin can weigh down the upper eyelid. In the picture on the left, the upper and lateral visual fields are obstructed and the skin is resting on the eyelashes, making the normal use of eye makeup impossible. In the after picture on the right, the eye and the upper eyelid are now visible.
The Correction of Lateral Hooding
In these Blepharoplasty Before and After Pictures, the before picture on the left shows the lateral brow skin completely covering the outer eyelid. In the after picture on the right the brow skin is elevated, giving a much cleaner, refreshed and younger look.
Lateral Hooding occurs when the eyelid or brow skin descends past the outside of the eye opening also known as the lateral orbital rim. Skin in this position blocks the lateral gaze, like blinders do on a horse. It also impacts a sleepy and older look to our eyes. In the above example, simply removing the excess skin corrected the problem. When the brow itself sags, a Brow Lift may be recommended.
Correcting Upper Eyelid Hooding
The upper (before) photo shows severe hooding of the entire upper eyelid. After her blepharoplasty, her upper eyelids are now visible, and a smooth upper eyelid crease has been created.
Sometimes the upper eyelid skin is so excessive that the entire upper lid is hooded. Wearing upper eyelid makeup properly is short lived at best. By removing the excess skin, the upper eyelid and lashes are revealed, and a natural eyelid crease is created.
If you would like to schedule a personalized consultation appointment, give me a call at (925) 943-6353. There is no substitute for an in-person eyelid consultation with an experienced and qualified, Board Certified Plastic Surgeon. A brief exam and medical history are needed to be sure the procedure is right for you. Safety and predictability are the most important aspects of any surgery, but this is especially true of elective plastic surgery.
Liposuction is great for removing disproportionate, localized areas of fat accumulation. On today’s video I discuss Liposculpture and share numerous Liposuction before and after pictures from my latest segment from KRON 4’s Body Beautiful.
What Are The Best Areas For Liposuction?
Liposuction removes disproportionate fat. In the above before and after pictures, Liposculpture is used to further enhance a Tummy Tuck.
As a San Francisco Bay Area Board Certified Plastic Surgeon, I perform Liposuction on many areas of the body. The best areas are localized accumulations of fat which stick out from the surrounding areas. The convexities can be contoured with Liposculpture to bring them back into proportion and enhance your appearance. Sometimes the fat can be repurposed like with the Brazilian Buttocks Lift.
The following video segment reviews Liposuction and reveals the secrets of Liposculpture with numerous Before and After Pictures.
The video’s preview screen above shows the results of Liposuction alone. Fine Liposuction cannulas were used to contour the belly, flanks, back and thighs, and enhance this patient’s feminine curves.
Liposuction Frequently Asked Questions
Love handles handled with Liposuction. By carefully sculpting the lower back fat, Liposculpture reduces the muffin top. Unsightly bulges are transformed into more attractive curves.
Many of the frequently asked questions about Liposuction are reviewed in the Liposuction Video above. If you have more questions, be certain to select Liposuction in the sidebar under Search By Category. More information is also available on my main website’s Liposuction Page.
Personalized Answers to Your Questions
I use Liposuction almost every week to reduce gynecomastia. The combination of Liposculpture of excess chest fat and the direct excision of the firm, stubborn glandular tissue can flatten and masculinize a man’s chest.
There is a lot of Liposuction information available on the San Francisco Plastic Surgery Blog. It’s a good start; however, the only way to get specific answers to your Liposuction Questions is during an in-person consultation with an experienced qualified professional. Call (925) 943-6353 today, to schedule an appointment at our San Francisco Bay Area Plastic Surgery Clinic in Walnut Creek, CA.
The combination of Breast and Belly Enhancement has been coined the Mommy Makeover. Since the breasts and belly often change after childbirth, the combination is most often performed for mommies. Children, however, are not a prerequisite as any weight gain and loss can cause similar changes.
Mommy Makeovers After Weight Loss
Mommy Makeovers can be performed after weight loss, too.
The combination of breast and belly rejuvenation is frequently requested after bariatric surgery or larger weight loss after diet and exercise. As with pregnancy, both areas stretch with weight gain, and then deflate and often sag after the weight is lost, taking the shine off all the hard work. The Mommy Makeover procedure can enhance the breast and the belly in a single operation. The Mommy Makeover Video below shows additional examples.
Mommy Makeover Video (Breast and Belly Enhancement)
This Mommy Makeover video narrates several Mommy Makeover Before and After Pictures and provides additional information on the Mommy Makeover procedure including options and recovery.
Mommy Makeover Results Last
This mommy has been shown here before. She is maintaining her healthy lifestyle and her beautiful results.
You can expect your Mommy Makeover to last. With proper maintenance, the procedure is very effective at improving body contours long term. If you are planning to have children, it is recommended to have them before the Mommy Makeover.
Mommy Makeover With A Brazilian Butt Lift
The Mommy Makeover can also be combined with the Brazilian Buttocks Lift.
For selected patients, the Mommy Makeover can be combined with fat grafting to the buttocks, aka the Brazilian Buttocks Lift. The upside is added shape to the buttocks by grafting fat from the belly and back that would usually be discarded during the tummy tuck. The downside is trying to avoid sitting/laying on the fat grafts while recovering. Sometimes separating the procedures is recommended.
Mommy Makeover Consultations
To schedule your personal Mommy Makeover Consultation, tailored to your specific needs, call (925) 943-6353. As a Board Certified Plastic Surgeon, I offer a wide range of options for both breast enhancement and tummy tightening. Check out the San Francisco Plastic Surgery Blog and my main websites for more information. If you have a question, just ask via the contact forms available on this and all our webpages.
Prominent ears can be a source of embarrassment and teasing. Cosmetic Ear Surgery (Otoplasty) includes Ear Pinning to reduce the appearance of prominent ears. Many of my patients are adults who have thought about having the procedure for some time. One of the most common reactions I hear after surgery is, “I wish I had done this sooner.” Otoplasty is a one or two hour procedure that can be performed as an outpatient, and for the right patient, it can make a huge difference.
Otoplasty For Adults
These otoplasty before and after pictures show how prominent ears can be reduced. The entire ear is pinned back. In this case, the upper ear is brought in more than the lower aspect to balance the projection.
The gentleman above waited years before having Cosmetic Ear Surgery. He had prominent ears, which are typically more prominent at the top. He also had asymmetry of his ears with differences in shape, prominence and rotation. Each area was addresses and improved with his Otoplasty, making him one happy patient.
Ear Pinning Video
This video segment is from the San Francisco Bay Area’s News Station, KRON 4’s, Body Beautiful with Dr. Joseph Mele. The Otoplasty Video reviews the techniques, recovery and procedure of Otoplasty, and illustrates the results with Otoplasty Before and After Pictures.
Otoplasty Video (Ear Reduction)
Otoplasty For Children
There are two peaks in the age of Otoplasty patients. Young adults are the most common, but a significant number of children undergo Otoplasty also. It is one of the most common cosmetic plastic surgery procedures performed for children in my Walnut Creek Plastic Surgery Clinic, and in general. It is important to wait until at least age 5, for the ear to grow to near its adult size before proceeding.
Prominent ears are something we are born with. Ear pinning, or Otoplasty, is deferred until age 5, because at 5 -years-old, the ear is 85% of the adult size.
The patient above has the advantage of long hair to cover her ears; however, her ears gave her trouble when she wanted to wear her hair up. This is a common problem for young athletes in particular. After her ear pinning, she could return to playing sports with confidence.
Once healed, the ear does not require any special treatment, and recovery from surgery is just a few weeks. A head dressing is worn for the first week, and then a sweatband is worn at night for a few months, to keep the ears from folding forward while sleeping. Once the initial dressing is removed, no dressing is needed while awake.
Cosmetic Ear Pinning Consultations
If you are considering Otoplasty for yourself or your child, be certain to consult with a Board Certified Plastic Surgeon in your area for detailed and specific advice. In the greater San Francisco Bay Area, call (925) 943-6353 and schedule a private consultation appointment, tailored to your needs.
Disproportionate development of male breast tissue is called Gynecomastia. It’s also called man boobs, or moobs for short, and Gynecomastia Reduction is a cosmetic plastic surgery procedure which I perform every week.
Gynecomastia Reduction Surgery
The above Gynecomastia reduction surgery before and after photos show what is possible with a combination of liposuction and direct excision for a enlarged male breasts.
Asymmetry is more the rule than the exception for Gynecomastia. For the Gynecomastia Reduction patient shown above, the right breast was significantly larger than the left, both areolae where dilated and the breasts appear feminized. In fact, the feminine appearance of the breasts is what gives rise to the term Gynecomastia (feminine breasts).
Gynecomastia Correction was accomplished with a combination of liposuction to debulk the disproportionate fat and direct excision of the glandular tissue located under the nipple. The end result is a masculine chest that conforms to the pectoralis major muscles, a reduction in the size of the areolae and significant improvement in his asymmetry, all with minimal scarring. A short incision is hidden in each axilla (armpit) and around the lower border of the areolae (from 4 to 8 o’clock).
Gynecomastia Reduction Video (Male Breast Reduction)
The start screen for the above Male Breast Reduction Video shows a man with Puffy Nipples. The enlarged and protuberant areolae are due to overdevelopment of the glandular breast tissue located directly behind the nipple. A focused surgical approach was used in this cases to remove the excess tissue and allow the nipple-areolar complex (NAC) to conform with the chest and look masculine.
The above Gynecomastia Reduction Video is from the San Francisco Bay Area’s News Station, KRON 4‘s, Body Beautiful. This segment discussed Gynecomastia Treatment and shows numerous examples of Gynecomastia Before and After Pictures to illustrate what the procedure can do for the properly selected patient, in the hands of an experienced, Board Certified Plastic Surgeon.
When Gynecomastia is distributed throughout the chest, more must be done. In this case Liposuction was used to remove the bulk of the disproportionate chest tissue. When a glandular component is present beneath the nipple, it is unlikely that liposuction alone will remove it, and this tissue is removed directly.
For more globally distributed Gynecomastia, Liposuction is used. Liposuction has the advantage of a long reach through a small incision. Often the 1/4 – 3/8 inch incision is hidden up in the axilla (armpit). For Pseudogynecomastia, breast enlargement due to fat and not glandular development, Liposuction alone is often enough to contour the chest. When a glandular component is also present, direct excision is also used to avoid creating a puffy nipple.
Gynecomastia Reduction Consultations
Every Gynecomastia Reduction Surgeon should be versed in multiple techniques of Gynecomastia Reduction. Depending on your situation, liposuction, direct excision of the gland, skin reduction or a combination of these may be recommended.
To find out what your options are, call (925) 943-6353 today and schedule a private, personalized consultation in our Walnut Creek Plastic Surgery office. If Gynecomastia is bothering you, learn what treatments are available from an experienced, Board Certified Plastic Surgeon.
Breast Augmentation with Breast Implants remains the most popular cosmetic plastic surgery. Three to four-hundred-thousand women have Breast Augmentation each year in the US alone. It is the safest and most effective means of enlarging the breasts available, but even FDA approved devices, like Breast Implants, need touch-ups from time-to-time.
Do I Need Breast Implant Revision Surgery?
The following Breast Implant Revision Surgery Video originally aired on the San Francisco Bay Area‘s news Station, KRON 4. It reviews Breast Augmentation Revision Options and describes some of the most common breast augmentation revisions. Multiple before and after pictures are included as examples.
Breast Augmentation Revision Surgery Video
Breast Implant Deflation
The introductory photo for the video above shows deflation of this patient’s left breast implant. For Saline Breast Implants, loss of the breast implant’s shell integrity results in complete deflation and loss of breast augmentation. Replacement of a deflated breast implant can be done with minimal downtime. It is also a good time to consider if your breast implants are the right size, profile or style (saline vs silicone), as there is no better time to replace both implants. In situations like the above, it is extremely helpful if you know what type and size of breast implants you have.
Breast Implant Revision – Bigger
The most common reason for Breast Augmentation Revisions is to go bigger. This is especially common after pregnancy with preexisting breast implants as shown above.
The above Breast Implant Revision Before and After Pictures show two common reasons for revision. The first, and the most common, is to go larger. The second, and often seen after pregnancy with preexisting breast implants, is to correct breast tissue sagging off the breast implants.
This patient has already had a Breast Augmentation Mastopexy, also known as a breast lift, using breast implants for additional volume. The larger the preexisting breast tissue volume, the more likely the breast is to sag. This is true with or without breast implants. She desired larger breasts and a perkier appearance. A larger Breast Implant provides both additional volume and support for her breasts.
Breast Implant Revision – Smaller
The above Breast Augmentation Revision pictures demonstrate the correction of bottoming out.
Sometimes, the breast implants are too large to be supported. The before picture, in the above Breast Augmentation Revision Before and After Pictures, demonstrates what happens when breast implants are too large, even with a breast lift. Over time, the Breast Implants have over-stretched the skin of the lower breast and moved down the chest. The previous breast lift (mastopexy) scar is red and irritated, and the nipple is riding high. This patient presented with a desire for correction of the shape of her breasts, and also wanted to be smaller.
The after photo shows the results after the mastopexy was revised and the breast implants were replaced with smaller, lower profile, Breast Implants. The mastopexy scar looks less irritated. The distance between the nipples and the bottom of the breast is reduced to normal. The new breast implants are smaller, but maintain the width of the breast to preserve cleavage.
Breast Implant Revision Surgery Consultations
With the popularity of Breast Implants it is not surprising that Breast Augmentation Revision Surgery has become its own specialty. If you have breast implants which are:
too close together
too far apart
deflated or leaking
not supporting your breast tissue
then give my San Francisco Bay Area Plastic Surgery Clinic a call at (925) 943-6353. With 20 years of experience, I will give you up-to-date options that are personalized to your unique situation. Previous operative reports and your before and after pictures help, so bring them with you, too.
Breast Augmentation adds volume, while Breast Lifts reshape. What happens when you put them together? You get Cosmetic Plastic Surgery that can enhance both breast volume and shape.
Total Breast Enhancement – Breast Aug and Breast Lift
Sometimes a Breast Implant or a Breast Lift alone is not enough to get the results we want. The combination of Breast Augmentation with a Breast Lift, or Augmentation Mastopexy, is used when breast sagging is combined with a loss of breast volume. Board Certified, San Francisco Bay Area Plastic Surgeon, Dr. Joseph Mele, discusses the nuances of Breast Augmentation Combined With Breast Lift on this episode of Body Beautiful, a live television show dedicated to the latest in Cosmetic Plastic Surgery news for the greater San Francisco Bay Area.
Everyone knows that Breast Implants make breasts bigger. It’s a simple concept. Adding volume behind the breast tissue, often behind the pectoralis muscle, enlarges the breasts you have. While the size of the breast changes, the shape does not. It simply inflates the skin you have.
Breast Lifts Make Breasts Perkier
Breast Lifts (Mastopexies), on the other had, are all about breast shape. Lifts do not make breasts bigger or smaller. Breast Lifts reshape the skin envelope. Mastopexies reposition the nipples/areolae into a more attractive position and reduce the amount of breast tissue that sags below the IMF (inframammary fold).
Breast Augmentation Lift Consultations
The subtleties of the procedures, whether considered separate or together, are beyond the scope of one San Francisco Plastic Surgery Blog post, though you will find other posts on the topic here and on my other web sites. But rather than learning everything there is to know about both, why not learn about the aspects of the procedure that apply to your body?
Breast Augmentation Lift Consultations are the best way, and really the only way, to get the information specific to your needs. They focus on your breasts and your goals. You won’t waste time learning about options that won’t do what you want, and you will learn what to expect from the procedures that are most likely to help you.
If you would like to schedule a personalized and private Breast Enhancement Consultation, call my office today at (925) 943-6353. Get specific information that is tailored to address your needs, not generic information meant for the masses.
Chin Augmentation is the most popular Facial Plastic Surgery using an implant. Temporary Chin Enlargement can be performed with several fillers, such as Radiesse, Restylane Lyft (formerly Perlane) or Juvedem; however, long lasting results are only possible with Chin Implants.
Chin Implants provide projection of the chin on profile. In the above Chin Augmentation before and after pictures, the Chin Implant is located on the anterior surface of the lower jaw bone, the mandible, enhancing the chin and pushing the soft tissues under the skin forward.
Chin Augmentation Video (Chin Implants)
The Chin Augmentation Video below is a recent segment from Body Beautiful, which originally aired on the San Francisco Bay Area’s News Station, KRON 4. Host Janelle Marie and I discuss Chin Implants and other complementary procedures such as: Liposuction and Neck Lifts. Surgical options and the recovery period are also covered. Chin Augmentation Before and After Photos are used to illustrate the mechanics of the procedure and to demonstrate what the procedure can do.
Chin Implant Options
The most popular chin implants are made of silicone. Silicone Chin Implants are solid, firm, rubbery prostheses, which come in a variety of sizes. Variations in height, width, projection and style can be used to select the Chin Implant best suited for your chin and your goals. Since these implants are soft enough to fold, they can be inserted through a smaller incision. However, they are more likely to move or buckle over time.
Another type of Chin Implant is the Medpore Chin Implant. Medpore is a hard, porous substance that is more like bone than silicone. Medpore implants can provide larger and more stable augmentation. The soft tissue of the chin grows into it, securing the chin implant in place, so this implant is less likely to move or buckle. They are also much harder to remove and replace too. Since Medpore is not flexible, they require a slightly larger incision for placement. These implants also take a little longer to settle down to their final, post-operative size.
Chin Implant Proportions
There are certain proportions that we Plastic Surgeons try to obtain with the Chin Implant. Whether chin implant or breast implants, size, shape and location matter. For women, the ideal chin projection is just shy of the lower lip projection. For men, the goal is often at, or a little past, the projection of the lower lip. Of course, this can be adjusted, depending on your goals.
Comparing the Chin Augmentation before and after pictures of this man and the woman above, you can see that the ideal chin projection for men is larger with respect to the lower lip. Facial proportions do vary; however, men tend to have larger bony features than women. This is especially true of the chin and the nose.
Chin Augmentation Computer Imaging can be a useful adjunct to the discussion, and can make the abstract more concrete. While computer simulation is not a guarantee of results, it is very helpful in gauging how much Chin Enlargement is enough. A patient who has had the benefit of preoperative Chin Implant Simulation is rarely surprised by the outcome.
Chin Augmentation Consultations
As you can see from this brief overview, there are several options for Chin Enhancement. If you would like to learn more about Chin Implants, and how they can be used to enhance your face, call (925) 943-6353, today. A private consultation appointment will be scheduled, and we can go over the options that make the most sense for your chin.
About two-thirds of men develop breast buds during puberty, and for half of them, it does not go away. Gynecomastia, male breast development, causes fullness, feminization and often embarrassment. The only cure is Gynecomastia Reduction Surgery. Dr. Joseph Mele is a Board Certified Plastic Surgeon in the San Francisco Bay Area who specializes in Male Breast Reduction or Gynecomastia Reduction. This Gynecomastia Video segment aired live on the Bay Area’s News Station, KRON 4, and discusses the procedure and reviews examples of Gynecomastia before and after pictures.
Gynecomastia may involve just the area beneath the nipple and areolae or the entire chest. In the male breast reduction before and after pictures above, the fullness beneath the nipples was removed through a small incision placed along the lower margin of the areolae.
Male Breast Reduction As Seen On TV
Recently, I had the opportunity to discuss Male Breast Reduction on Body Beautiful. Body Beautiful is a live show on the San Francisco Bay Area’s News Station, KRON 4. The segment is included below, and contains multiple Gynecomastia Reduction Before and After Photos, along with narration about the procedure, alternatives and recovery.
Gynecomastia Reduction Video (Male Breast Reduction)
Gynecomastia Reduction Consultations
Gynecomastia Reduction removes excess breast tissue from the male chest. Excess tissue can be removed with Liposuction or direct excision, depending on the amount, location and nature of the breast tissue.
There are several alternative operations for Gynecomastia Reduction. Common methods include liposuction, direct excision of the gland, skin reduction or a combination of each. The best method is often determined by the size, location and nature of the breast tissue.
To find out what your options are, call (925) 943-6353 and schedule a private, personalized consultation in our Walnut Creek Plastic Surgery office. If Gynecomastia is bothering you, learn what treatments are available from an experienced, Board Certified Plastic Surgeon.
Breast Augmentation provides fullness and support. Not only can a Breast Implant enlarge a small breast, but it can restore shape and volume to a breast that has changed due to pregnancy, weight loss or aging.
Breast Augmentation on Body Beautiful
Breast Augmentation was also the first topic discussed on this week’s Body Beautiful. Body Beautiful is a live show, dedicated to the latest in Cosmetic and Plastic Surgery procedures, that airs on the San Francisco Bay Area’s News Station, KRON 4.
Breast implants come in a large variety of sizes and shapes. The best size for you is subjective; however, a Board Certified Plastic Surgeon can supply you with professional guidance in selecting the Breast Implant that will best provide the result you are looking for.
If you are considering Breast Augmentation or have Breast Implants and are looking for Breast Augmentation Revision, give me a call at (925) 943-6353 for a personalized consultation and specific recommendations tailored to your needs.