Category Archives: Laser Resurfacing

Juvederm To Submalar Area (Plus Botox and Restylane)

I was thrilled to get a touch up with Dr. Jonathan Hoenig in Beverly Hills today.   I am healing from my double layer 8% TCA peel so I look icky, but at least I just had my hair done yesterday, so I am hoping to look human again pretty soon.  I lost a few lb. I am so thankful to be able to pull myself out of this “rut” and get back into high gear

I wasn’t completely sure what I needed, so he advised he would examine my face and see what I had going on once I got there.  I knew I wanted lips and n/l’s for sure and Botox.  Of course I always want more cheeks, I just don’t think the Radiesse Cheek Augmentation did as much as I expected it would.  But then again, it has been over a year!  What did I expect?  And still, something needs to be done with my under eyes.  I feel old.

Read more…

http://yestheyrefake.net/journals/juvederm_submalar.htm

To Tell or Not to Tell?

Every time someone asks my opinion on if they should tell a spouse, employer, friend, or child about their decision to have plastic surgery, my answer is always the same.   This is a very personal decision that must be made on your own. For some, it is a decision made with much thought; for others it is simply a matter of when to tell.  The question you have to ask yourself is what type of person are you?

Questions You Should Ask Yourself:

  1. Are you the type of person who is easily hurt by the judgmental comments of others?
  2. Are you afraid of the ramifications of your elective surgery and how they can affect your personal life if undesirables find out?
  3. Are you afraid that the news of your surgery may affect your job?
  4. Are you concerned that your significant other may be upset with you should you decide to have a cosmetic surgery procedure?
  5. Are you “thin-skinned” and concerned what others may think of you should they find out you have had a cosmetic procedure?

If you have said yes to any of the above, careful consideration should be made in determining who you should confide in, or if you should at all.   However, I do not suggest going this alone.  I feel that one needs a support structure for optimal healing.   During the healing period, highs and lows are to be expected and without a support structure (even a solitary friend who can be there for you), the lows can dip right into the deep end. Of course depending upon what type of procedure you have can determine if you will be able to keep it a secret at all. If you have a total makeover or considerable facial plastic surgery—it may be obvious.  You are under no obligation to tell anyone about your plastic surgery procedures. 

As for keeping your surgery news from your significant other, I do not condone this, but this is also not my decision.  I feel that if you must keep major events such as these from a loved one, then you are indeed betraying their trust to a certain degree.   In the event that something should happen, your significant other will need to know where you are and what you have gone through to help you.  If they find out after the fact, they may be very upset.  I know many believe that asking forgiveness is easier than asking permission, but I assure you, it may not be that easy if it is a spouse!

Keeping the rumor mill quiet at your place of employment can be a real challenge.  Everyone knows their coworkers love good gossip, especially when it comes to cosmetic surgery.  If you can take off at least two weeks of vacation time, this can help immensely but like I said, significant changes in facial features are hard to disguise with a simple change of hair color or haircut. Be prepared to be asked questions, even inappropriate ones.  Just know that a peaceful, non-threatening and comfortable workplace is your right, as well as your right to retain personal privacy without the onslaught of harassment by anyone for any reason.  If you ever feel uncomfortable as several of our forum members have, you have every right to demand respect and privacy. Don’t let anyone bully you into talking, or harass you constantly about, “I know you’ve had [this or that] done. Admit it!”  This is your body, not someone’s gossip fodder. Take a stand.

If you choose to tell, do so without fear of judgment. Make a point to be proud and show no fear.  Those who are jealous often react and prey upon our fears, so give them a smile and keep your chin up.

Telling children can be a different matter entirely.  They are going to notice eventually, don’t ever think a child is unobservant, they notice everything eventually even if they don’t come out and say it. It is obviously your choice to tell your child, but being matter of fact can be a good way to handle the situation.  Making it a huge deal with invoke curiosity and chatter, being nonchalant about it may not trigger much interest. So the amount of interest you wish you invoke is largely dependent upon the child’s age and personality.   You know your child best, you will figure it out.  Perhaps join the ladies on the Tummy Tuck forum , as they have had a lot of experience confiding in their children about their procedure.

If you have any great stories (or not so great stories) about how you let everyone know, or not know, or if you were “outed” by a friend, please post!

Full Facelift Alternatives: Are There Any?

Interestingly, I was at the dropzone the other morning, eating my usual two eggs and ham steak breakfast and lo and behold a commercial for the Lifestyle Lift came on.  Now I am not one to fall for gimmicks and this one is no exception.  Does it work; is it just as effective as a full face lift?  Are there any other alternatives that may be worth your while? 

First, let’s understand what the aging process does to your face.  As you age, you lose fat, which increases volume loss.  On top of that your skin becomes lax because of the breakdown in your collagen structure.  Muscle and fascia also becomes lacks and begins to sag below the skin.  Now you have a triple-threat causing your whole face to sag.  To regain a youthful appearance, you need to lift the skin, excise the extra that has stretched out past its capability to bounce back and restore the volume loss.  This means surgery to nip and tuck the skin, remodel the muscle underneath and either fat grafting, or other injectable options, to fill you back up.  If you need all this, less-invasive procedures aren’t going to cut it long term.  That doesn’t mean you can’t improve your appearance without face-lifts, because you can.   Volume restoration alone can give you a youthful appearance, just don’t go overboard or you’ll look bloated.

  • LifeStyle Lifts may take only an hour to give the appearance of ten years off your face, but they aren’t going to work for everyone.  This lift still lifts the SMAS layer (Sub Muscular Aponeurotic System) and uses a smaller incision.  But I have seen doctors slap in a chin implant to boot to further the rejuvenation even if the patient doesn’t require one.  You’ll often see the best before and afters being of patients who needed chin implants.  But if you don’t need a chin implant, don’t get one! 
  • Mini-Lifts are similar and may indeed be the same.  Research what you’re getting into.   A lot of mini lifts don’t last and some may even be gimmicks (like the Laser Lifts).
  • Thread Lifts won’t full rejuvenate a very lax face.  I have actually had a thread lift so I know what it can do with even very slight laxity.  It can give you some pretty good results, especially with the newer methods and threads, but it can’t take the place of a full-face lift.
  • Laser procedures can rejuvenate the skin and making it appear tighter but it won’t reduce the slack in very lax skin. 
  • Thermage:  I have had this.  I wouldn’t risk it now.  I know quite a few people who have had fat loss, and bad too!  Now, I am told the tips have been redesigned to guard against fat loss, but regardless the lifting effect didn’t last but 7 months. Why would I do this again?  I wouldn’t.

If you need a true face-lift, go to a great plastic surgeon.  Don’t settle and don’t take the easy way out or you may wind up spending more money to go back and do it again.  Be careful!  The more scar tissue you create early on, the more difficult it may be to get a full-face lift later on.  Do your research!