Blog

Upper Eyelid Reduction-"Take a Pair of Sparkling Eyes….".

I see many cases of post upper eyelid reduction during my clinical week and find myself analysing post surgical outcomes. Some cases have merit with sparking natural results. Other cases demonstrate overly operated-on features such as hollowed out orbits and ridiculously manufactured and unnaturally high positioned lid creases. There is very little chance that these…

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Multiple 9 Yearly Facelifts-?Acceptable Contemporary ProceduralAesthetics??

I was surprised today to read about a study extolling the virtues of 2nd & even 3rd facelifts after the first lift being performed in the patients’ early 50s. Each facelift lasted some 9 years. In the era of minimally invasive cosmetic procedures it is extraordinary that some plastic surgeons should view this as an…

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A Smile Is The Shortest Distance Between Two People

A charming observation attributed to the wonderfully talented Danish/American pianist- comedian, the late Victor Borge http://www.youtube.com/watch?v=E3QejAk4exw  “A smile is the shortest distance between two people”. This epitomises what we strive to achieve with non or minimally invasive cosmetic procedures. In females a smiling face is more than the warm fulsome lips that we recreate with injectable…

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V>W=F (Volume creation more than wrinkle treatment =Femininity)

Attended 2 presentations in Sydney in the last week on injectables Excellent presenters Dr. Danny Vleggar (Switzerland) http://www.youtube.com/watch?v=ldezLZKQlaM & Dr Glenn Murray (Perth) http://www.youtube.com/watch?v=0z6xA1GCM0A while demonstrating different injectable products both focused on Volumisation in preference to Wrinkle treatments in modern aesthetic facial rejuvenation. This trend to volumise rather than to “chase” wrinkles is completely correct in my opinion and is certainly …

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Tweaking Facial Rejuvenation with Muscle Relaxant Injections

Traditionally teaching encouraged cosmetic injectors to over-treat faces with muscle relaxants,  often resulting in cases of stunned and rather expressionless features. Add to that droopy brows, droopy cheeks, asymmetrical smiles diminishing character. Generally the effects are to be endured for some 3-4 months. The following celebrity examples attest to this unfortunate trend.http://pinterest.com/barbiegurl29/botox-gone-bad-celebs-with-out-make-up/ For some years now many Australian injectors have appreciated that less…

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Weird Therapies and Procedures

Fringe if not bizarre cosmetic procedures abound, with questionable professional ethics only matched by gullibility of some patients. Women considering genital enhancement surgery should first consult the following paper just published online: http://whv.org.au/static/files/assets/ca7e9b2f/Women-and-genital-cosmetic-surgery-issues-paper.pdf A short excerpt from this article follows:   Women and Genital Cosmetic Surgery. Women’s Health Issues Paper No. 9, February 2013 Page 1 © Women’s Health Victoria 9.1 Reduced sensationIt…

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Non-invasive Body Contouring alternatives to Liposculpture

  While patients and cosmetic doctors enthusiastically embrace non-invasive technologies as alternatives to liposculpture, a recent review article seems to suggest that, to date, outcomes from these technologies are either only fair to modest or simply disappointing. Focused ultrasound and cryolysis seem to hold the most promise thus far but patient expectations should be realistic before committing to rather expensive treatments that may…

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Tear Trough Filler Trend Continues

As 2012 draws to a close we continue to observe that “Tear Trough” filler injection continues to emerge as the new go to procedure for facial enhancement: http://www.nytimes.com/2012/12/13/fashion/tear-trough-fillers-may-help-under-eye-shadows.html?_r=0 These procedures remain complication prone and require an advanced appreciation of the underlying anatomy and technique if unhappy results are to be avoided. My wonderfully talented colleague Dr Naomi…

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The Anatomy of The Tear Trough-Why This is a Difficult Treatment Challenge

There are numerous instances of unhappy patients after tear trough filler injections. There seems to be a sound anatomical explanation for this. Injection of a filler deep to the muscle (as is the popular recommendation) is veritably impossible as the “overlying” muscle is firmly attached to the underlying bone in this target area (see below). In other…

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Another Study Supports Liposuction Safety Under Local Anaesthesia Compared To General Anaesthesia

Combination Cosmetic Surgeries, General Anesthesia Drive AEsLaura Newman, MAFebruary 9, 2012 — The use of general anesthesia, the performance of liposuction under general anesthesia, and a combination of surgical procedures significantly increase the risk for adverse events (AEs) in office-based surgery, according to reviews of statewide mandatory AE reporting in Florida and Alabama. More than…

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