Despite weight loss or ideal body weight, some patient's faces will appear fuller than ideal. There are several components of the face which can cause the face to appear overly "full" or wide. First, masseter hypertrophy is the enlargement of the muscles which surround the mandible or jaw. When these muscles are overly large, the face will appear wider, especially along the lower portion of the face. Reducing the masseter muscle often involves the use of botulinum toxin to help thin the muscle. Long-term use of botulinum toxin can actually shrink the parotid gland and bone of the jaw to create longer-lasting changes to the facial appearance.
A fuller face often involves buccal fat as well. Buccal fat is a discrete fat pocket located in the cheek area. Genetically, some patients’ faces here are fuller than ideal. Removal of fat here is based on the patient's familial history of facial shape to help predict their pattern of fat loss over time. Removal of buccal fat can help subtly contour the patient's face by accentuating cheek bones and a more sculpted appearance to the face.
Removal of fat along the jawline and neck can also help contour a face. Creating a better shadow along the jawline will enhance the neck and face by creating a transition between the two elements. When the neck and face appear to be one structure, the overall look of the face is fuller. Often times, conservative jowl reduction can help contour facial appearance as well.
Finally, the addition of volume to the upper third of the face can help create a more contoured look. The use of cheek implants has fallen out of favor, with some exception, and has been replaced with the use of facial fillers. Facial fillers, such as Voluma and Radiesse, can help create enhanced cheekbones and facial contouring and paradoxically can help create a thinner looking face. The illusion of a thinner face is created in part because now the cheekbone will represent the leading edge of the face rather than the cheek itself.
Did you know that the peak time for online dating is from January to Valentine's Day?
The reasons for this are varied and include New Year's resolutions to find a special someone, familial pressure to meet someone, or just the "coziness" factor of the holidays. The other factors comprise resolutions of self-improvement including losing weight and improving healthy habits.
In our office, we notice many of these patients look to this time for renewal and restoration as well. The winter weather provides a nice time to offer recovery from procedures. Even the many "no downtime" procedures such as fillers or Botox are helpful for patients seeking confidence in the arena of online dating. Patients are especially motivated during this time to kick off the new year with a better version of themselves.
Whatever your motivation, here is to a great 2015 and the best version of you possible!
An earring trend for the last five years has been towards larger earrings with more substantial weight. One effect from earringweight is that the ears can be overly stretched. The issue is that when earrings are placed here, they may not sit well in the ear, often times turning outward.
The overly stretched ear piercing also often involves removal of the surrounding skin to the piercing site. The piercing site must be closed in multiple layers so that the ear lobe can be properly reinforced. Once the layers of the ear have been repaired, 6-8 weeks later, ear piercings can be placed. It is important for patients to limit the size of their earrings, especially the weight to avoid the need for future procedures.
The trend towards minimally invasive procedures has grown rapidly over the past 10 years. Many patients are seeking procedures with little to no downtime and avoidance of anesthesia. In Dr. Anil Shah's aesthetic surgery practice, a frequent procedure performed in the office is upper lid blepharoplasty. This procedure requires minimal oral sedation to relax the patient in a comfortable environment. During this procedure, the patient is awake while excess skin and sometimes fat are removed from the upper eyelid. Patients enjoy the procedure in this setting as there are no IVs. When the procedure is over, patients are able to leave with minimal recovery. Sutures are placed externally and are removed in about one week. The recovery is often quite comfortable and many patients are able to be seen in public soon after the procedure.