When people think of surgical volume enhancement, they usually consider two types of volumizing procedures: fat grafting and facial implants. Each procedure has its own distinct advantages and disadvantages, and I use each type differently based on the benefits of...
Breaking down the Cheek into Aesthetic Subunits: Avoiding Chipmunk Cheeks There is nothing uglier than big, chipmunk cheeks other than perhaps a devil looking arched brow or a duck-like lip. How do you avoid this problem? Should one not fill the cheeks at all then? ...
Hollywood’s Pillow Face is a Problem As many of you know, I love facial volumization in which lost soft tissue of the face from aging is restored using fat grafting and/or injectable fillers. The word that has dominated the media is a “pillow face” to describe this...
Fill vs. Lift in Facial Cosmetic Enhancement This article is a corollary to my other article called the “Two-Finger Rule”. In the article on the “Two-Finger Rule”, I argued that taking two fingers and gently pulling up on the skin would not be achievable with any type...
Trusting My Expertise in Facial Plastic Surgery I was giving a lecture a few years ago in Hilton Head when the surgeon before me who is about 30 years older than I am said, “Give a patient what they want not what they need.” I went on stage right after him and said,...
Fillers Versus Fat: Shifting Sand Concept Many of my patients try to weigh the merits of fat grafting versus fillers since they both seem to be equally beneficial to fill in the hollows of an aging face. However, I would disagree. For younger faces still replete...
The Importance of the Buccal Zone: Joining the Mid to Lower Face The buccal area is defined as the part of the face where if you sucked in your cheeks they would suck inward. It is the area that in a very skinny person can make one look gaunt, and the buccal area...
Rethinking Facial Implants When considering a cheek augmentation, consider truly what would benefit you most. In many young individuals with weak bone structure, a cheek implant made of silicone or other material can be an ideal choice since it is reversible, easily...
