Hold the Muscle Relaxants!

Hold the Muscle Relaxants- (at least a little)! The gorgeously curvy, feminine and mega-talented Italian Mezzo Soprano Cecilia Bartoli could not achieve her exquisite & expressive musical heights if she was injudiciously injected with Muscle Relaxants. Natural beauty must
http://www.youtube.com/watch?v=mDeFdGzthV0
http://www.youtube.com/watch?v=VhNRWduBPmY
http://www.youtube.com/watch?v=p4EVNbHX1lI
http://www.youtube.com/watch?v=oYnZqRVmOCw
At last some degree of expression is important for communication and thankfully patient demands for rather naïve "no wrinkle" outcomes have finally plateaued over the last 2 years. This has allowed us to be creative in much more intelligent ways enhancing natural feminine curves and proportions.
 Natural beauty must shine through.

Happy Easter, Passover and peace to all.

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 silly, unaesthetic outcomes can be corrected. As a general rule the patient's naturally positioned eyelid crease should be retained and redundant tissue above resected while allowing the eyelids to close in order to maintain corneal protection. Ideal outcomes are natural sparkling eyes. The big bonus is that future botulinum toxin injections are enhanced dramatically after successful upper eyelid reduction. There is much synergy in our minimally invasive cosmetic treatments which may explain why "less is truly more"in our craft.    www.youtube.com/watch?v=rvn9lIfQRZU

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 acceptable treatment plan . The reality is that patients usually develop an "operated on" appearance even after the initial facelift. Recurrent radical procedures in this way are in my view inconsistent with modern aesthetic principles & expectations. However it should be appreciated that plastic surgeons are unlikely to surrender their scalpels while patients can be convinced that such a radical approach to facial rejuvenation is in their best interests.
In fact we have now followed up patients for up to 10 years who, despite the passage of time, appear more beautiful than they did before using only minimally invasive procedures with natural outcomes.
http://www.medicalnewstoday.com/releases/257036.php

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 fillers. Females also smile with their eyes. So ideally we enhance and beautify both the lips and eyes and connect them with curvaceous cheeks.
The outcome is the creation of an engaging femininity as exemplified in the beautiful face of young singer-songwriter Cassandra https://www.facebook.com/Cassandrasingslive
http://www.youtube.com/cassandrasingslive

I am impressed by the confidence so evident in patients returning after such treatments. All are created without scars or artificiality. Always such a pleasure for me as well to see these happy outcomes.