How to Bring Facial Features into Better Balance

Chin Implant
This case shows how Dr. Savalia used a chin implant to balance the patient’s facial features rather than rhinoplasty.

When you see your own face every single day, it’s easy to fixate on one particular feature that you don’t like. In reality, though, facial harmony is about ensuring that all the features of your face are proportionate to—and in balance with—each other. For this reason, I focus on a comprehensive approach to facial rejuvenation that may include more than one procedure for the best results.

An Example: The Nose vs. the Chin

As the most central focal point of the face, a prominent nose is often blamed when my patients feel that their facial features aren’t quite working well together. While it’s true that a large or unusually shaped nose can feel overwhelming, the nose doesn’t exist in a vacuum. By this, I mean that the nose itself may be fairly proportionate, yet only seems large in comparison to a chin that’s not as strong as it could be, or cheekbones that aren’t as well-defined.

In these cases, rhinoplasty may not be the answer—or, alternatively, a very conservative rhinoplasty may be combined with chin implants or facial fillers through the cheekbones so that the nose, cheek and chin come into better balance with each other.

An Individualized Approach

I often tell my patients that there’s no “one size fits all” when it comes to facial rejuvenation, whether that means rhinoplasty, a facelift or even minimally invasive treatments such as BOTOX® Cosmetic. The key is to find an excellent board certified plastic surgeon who specializes in facial procedures and will work closely with you to bring out the best in your unique features.

3 Treatments to Try Before a Facelift

Eyelid Surgery
This patient photo shows the youthful look that’s possible through eyelid surgery.

Noticing that your reflection in the mirror is starting to look older than you feel can definitely be unsettling. For my patients who are concerned about early signs of aging but are not ready to commit to a facelift, I recommend a few alternatives they can try for great results.

1. BOTOX® and Injectable Fillers

BOTOX® was the most popular nonsurgical cosmetic procedure performed in the United States last year, according to the 2013 plastic surgery statistics from the American Society of Plastic Surgeons. BOTOX® can smooth away dynamic wrinkles and work preventatively to keep skin looking younger, while dermal fillers like JUVÉDERM® can restore lost volume to minimize deeper lines like the nasolabial folds.

2. Fat Transfer

As a natural alternative to synthetic fillers, I can add volume to the midface for a more youthful look or diminish wrinkles using fat cells taken from your own body. This microfat grafting offers organic, lasting results for facial rejuvenation.

3. Eyelid Surgery

Eyelid surgery is a wonderful solution for helping men and women look younger without a facelift. The delicate skin around the eyes makes this area particularly susceptible to showing signs of premature aging. With eyelid surgery, I can lift droopy lids and remove bags below the eyes for a well-rested, more alert appearance.

4 Secrets for Beautiful Breast Augmentation Results in Your 40’s

Woman sitting on grass.Most people think of breast implants as something that only younger women want, but the truth is that women over 40 can be excellent candidates for breast augmentation as well. By 40, many women have had children and are in a settled place in their career and home life, and it’s an age when you might finally have some time to do something special for yourself. Here are four secrets for ensuring beautiful results for breast augmentation in your 40s.

1. Carefully Consider Implant Options

While choosing the right implant is always important, accurately gauging the optimum breast implant shape and profile in women over 40 becomes even more critical to ensuring flattering results. A skilled surgeon will talk with you about the implant type that best fits with how you want to look after surgery.

2. Include a Lift

Around age 40, women may notice signs of aging in their breasts such as droopiness and a softer texture. By including a breast lift along with implants, I can help restore a perkier profile and firmer feel for a silhouette that adds volume as well as improving shape and placement.

3. Find the Right Surgeon

A board certified plastic surgeon who specializes in natural-looking breast augmentation has the right combination of skills and experience to craft results that work with your body, your goals and your age.

4. There’s No Age Limit on Self-Confidence

Finally, it’s important to realize that there’s no right or wrong age for breast implants. Self-confidence is the most attractive feature a woman can have, and breast augmentation can help boost your self-image at any age.

What to Look for in a Liposuction Surgeon

photoLiposuction is so common these days that many patients don’t think about the impact a surgeon’s level of experience could have on their outcome. Yet, technical expertise absolutely contributes directly to the quality of your lipo results. Here are four things to consider when choosing your liposuction surgeon.

1. Honesty
Realistic expectations are a key component of ensuring patient satisfaction after body contouring. Many patients mistakenly believe that lipo is an alternative to weight loss, or have other misconceptions about the procedure. As a plastic surgeon, it’s my job to be honest about what lipo can and cannot do, and what kind of results you can most likely expect.

2. Judgment
Not everyone is a candidate for liposuction, and there may be medical reasons lipo isn’t a recommended option for some patients. It’s very important that your surgeon carefully evaluate each and every patient for liposuction candidacy in order to ensure the best outcome.

3. Technique
There are several different types of liposuction available today, some of which use newer technology and may be perceived as “better” by prospective patients. An experienced body contouring surgeon knows that it’s the hand holding the tool rather than the tool itself that’s responsible for how your new lines will look.

4. Results
Who would you expect to be more skilled: a surgeon who performs lipo a few times per year, or one who has performed hundreds of liposuction procedures? There’s just no substitute for a lifetime of experience, and beautiful liposuction results will absolutely reflect your choice of an excellent surgeon.

How to Choose Your Perfect Implant Size

Woman laying down holding breastsRegret over implant size, whether too large or too small, is the number one reason why women pursue breast implant revision surgery later on. Although breast augmentation revision can typically resolve these concerns, the ideal solution is to meet your goals the first time around. Here are a few tips I use to help my patients choose the implant size that’s perfect for them.

Pick an Experienced Surgeon

There’s no substitute for a career’s worth of experience when it comes to cosmetic surgery, particularly with regards to breast enhancement. For this reason, it’s important for women to find a board-certified plastic surgeon who is a breast augmentation specialist, and whose personal expertise will go a long way toward ensuring a look you’ll love.

Opt for 3D Imaging

While women have used sizers, padded bras and all kinds of other methods to guess what their new profile might look like after getting implants, Vectra 3D imaging is in my experience the most reliable tool to approximate post-surgical results. I can work together with my patients to see not only how different implant sizes will look on their frame, but also compare placement (submuscular vs. subglandular), implant shape and profile.

Maintain Realistic Expectations

Finally, it’s important to maintain realistic expectations, and realize that the outcome of your augmentation is at least somewhat dependent on your existing physical anatomy. For example, women with very small breasts may be limited as to the implant size that their skin and tissue can accommodate. This is one reason that beautiful, natural results are often a better goal than “bigger is better.”