February 19th, 2010 admin
Hi, I’m a 25-year-old female who wants to get upper eyelid surgery because I have excess skin. I’ve read on some sites that I am too young so I want to know, based on my pictures, if I would be a good candidate.
I have wanted this surgery since I was 19! All my life my eyes have looked “puffy”. However, I have naturally small, almond-shaped eyes, and low brows so I thought maybe a larger upper eyelid would look strange on my face. Any tips/help will be appreciated. (also forgive my unwaxed eyebrows in the photos!)
My Response:
There are two indications for performing upper eyelid cosmetic surgery. One is to reverse the signs of aging (excess skin, fat bulging) and one is to change the ethnic appearance of the asian eye. What you are proposing will change your asian appearance and “westernize” your eyes or make them more caucasion looking. If this is your goal, then you are not too young and you may seek consultation with a board certified plastic surgeon who is familiar with the “westernization” of an asian eyelid or the so called “double eyelid surgery”. Alternatively, if your goal is to have an eyelid that looks like the third picture, with your eyebrows raised, then you may be a candidate for a brow lift procedure. Good luck!
Kenneth R. Francis, MD, FACS
Board Certified New York City Plastic Surgeon
www.francisnyplasticsurgery.com
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February 19th, 2010 admin
Evan Lysacek has added to the US olympic gold total with a flawless performance in men’s figure skating. Stomp the ice dude!
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February 18th, 2010 admin
After a brief stint in second place in the overall medal count behind Germany the US Olympic team has come storming back with a six medal day performance, a record in Olympic history. They received 3 golds including Lindsey Vonn, Shani Davis and Shaun White tying the record for number of team golds in a day. Rock On USA!!!
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February 5th, 2010 admin
A RealSelf.com reader asks:
I am 16 and I have loose skin all over my stomach and love handles. How can I get rid of it? I’ve tried for 2 years and no luck. I don’t what to do anymore and I don’t want any surgery.
I do sit ups and crunches and still no results. I don’t know what to do anymore. Please help, anyone?
Answer:
Bruce,
Did you have a massive weight loss? If so, the “loose skin” complaint might be a valid one. If not, there may be other components to your perceived “loose skin”, such as excess fat. The only way that you would even be considered for surgery is if you had a massive weight loss and now were left with skin that was stretched beyond its elasticity and you are finished with your growth phase. I suggest a visit to your pediatrician for a discussion as to whether your appearance is normal for a teenager your age or for a referral to someone that can address whatever your needs are, e.g. nutritionist, plastic surgeon, dietician. Good luck!
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January 3rd, 2010 admin
Brazilian butt lift financing available?
I am interested in having the procedure done but i wont be able to pay for it all up front. is there any financing options available for a regular working citizen?
Reader,
There are a number of credit companies that finance
cosmetic surgery. However, unless you live under a rock, you know about the downturn in the global economy that is a direct result of banks too freely giving out loans to people that couldn’t afford to pay them back. Now, after creating the economic mess that is vexing us ALL, the financial institutions and banks have withdrawn into their shells, much like the “piss clams” that we used to catch as kids. The result… credit loans are hard to come by unless your credit score is over 700. Good luck!
Banks SUCK!!! Citibank suspended my Home Equity Line of Credit because the home values in my area dropped over the last year. No appraisal on my home was done and no dispensation was given for the renovations that were done on the home with the Line of Credit money. Of course, I had the option of having a new appraisal done by the bank’s appraiser at MY expense (about $400 usually). So, the banks whose sphincters were so loose that they shit all over us and the world, now have such tight sphincters that they are backing up with their own bullshit and none of us can get a loan to do anything. And all this after WE, the taxpayer, John Q. Public, lent them money (see
TARP) to bail their greedy asses out.
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December 20th, 2009 admin
Chipmunk asks:
Hi Doctors,
As I grew older and put on some weight, I noticed that my cheeks began to get bigger. I am considering some surgery but not sure if it buccal fat removal or jowl lipo.
I want a more tapered look and avoid looking like I have cotton in my mouth. Thanks.
Chipmunk,
“Cotton in my mouth” is the most common complaint of patients that would benefit from a buccal fat pad reduction in my practice. And the procedure is just that, a reduction, NOT a complete removal. Through experience and time, we in the plastic surgery community have learned that buccal fat pad removal leads to a prematurely aged facial appearance. With that knowledge the fat pad was studied more intensely and found to consist of a few different segments. The surgery today consists of removal of one segment or a reduction in the size of one or more segments. This results in enough fat being retained to avoid the prematurely aged look and enough being removed to improve the “chipmunk cheek” appearance. Good luck!
Dr. Francis
NYC Plastic Surgeon
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December 20th, 2009 admin
When should cast be removed after rhinoplasty?
Also my cast would be removed 5 days after rhinoplasty surgery. I thought it was a minimum of 7 days after. Was also told I can fly 5-6 days after my surgery. Am I getting positive information?
H
H.
Five days for nasal splinting is the norm. The splint is used primarily to decrease swelling, which is most severe in the first few days following surgery. After that time it doesn’t serve much purpose. Flying is most frequently delayed for one week following surgery. When you do fly, if it is longer than a two hour flight make sure you get up and walk several times and exercise your calf muscles to prevent blood clots from forming in your legs. Good luck!
Dr. Francis
NYC Plastic Surgeon
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December 20th, 2009 admin
Slim + edema + Alpha thalassemia, that’s me. Would I be a good candidate or can I opt for the brazillian butt lift? Please advise.
20 hours ago
Dear Chercher,
As you probably know, there is a spectrum of disease with the thalassemias, from asymptomatic carriers to those that do not survive past birth. If you are on the carrier side of the spectrum, then your thalassemia per se would not be an absolute contraindication to Brazilian Butt lift. However, your “slim” body habitus poses a problem. The Brazilian butt lift requires enough fat to be removed to place back into the buttocks. If you don’t have the fat, you can’t do the procedure. That would leave you with the option of putting in buttock implants. Consultation with a board certified plastic surgeon and your hematologist will determine if you are a candidate and what your risks would be. Good luck!
Dr. Kenneth R. Francis
NYC Plastic Surgeon
This doctor is a board certified surgeon who is an active member of the American Society for Aesthetic Plastic Surgery (ASAPS).
ASAPS is a leading association for aesthetic plastic surgeons.
Learn more
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December 11th, 2009 admin
A reader on realself.com writes:
I have breast lumps for about 3 years now, several doctors advised me to get surgery and have them removed. However I did not listen to them and over time my breast lumps got smaller. I am considering breast augmentation and I’m wondering if having breast lumps prior to surgery may have health risks or complications?
New York City, New York
Dear NYC,
Many women have successful, safe breast augmentation surgery in the face of cystic breasts. Other important concerns include your age, and whether you have a family history of breast cancer. Most plastic surgeons obtain a baseline mammogram for augmentation patients over 30 years of age. Placement of implants under the breast tissue does cause some compression of the tissue and may make imaging with mammography slightly less effective. However, most mammographers today are well familiar with how to obtain good studies in the patient with breast implants. In light of the recent recommendation to delay screening mammography until age 50 except in high risk patients, it is difficult to say what the benefit of mammography is in young breast augmentation patients. Past studies have shown that breast cancer is less common in breast augmentation patients than in the general population. This is a somewhat biased finding however, because we generally screen out patients that are at higher risk for breast cancer when we do our breast augmentation consultations. In answer to your question, the presence of breast lumps, as long as they are benign does not increase the health risks or complications associated with breast augmentation. Consultation with your gynecologist can set you along the right path. Good luck!
Dr. Kenneth R. Francis
Board Certified NYC Plastic Surgeon
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December 6th, 2009 admin
Business Groups Call for “Meaningful” Tort Reform??.
A report commissioned by a coalition of New York-based business groups concluded yesterday that “meaningful” tort reform by the state would save billions of dollars and generate billions more through increased economic output and lower health care costs. Kenneth Adams, president of the state Business Council, said the report details costs being borne by New York business and citizens because the state’s legal system is “so weighted in favor of the trial attorneys.” ??Other groups in the coalition called New Yorkers for Lawsuit Reform are the National Federation of Independent Business-New York, the Partnership for New York City and the New York State Builders Association.??Among tort changes advocated by the groups is a $250,000 cap on non-economic damages in all suits, including medical malpractice cases; ending absolute liability on contractors and property owners under the Scaffold Law; and making changes in class-action suit procedures to, among other things, require approval by all members of the class of attorney representation and contingency-fee percentages before trial.??The report was prepared by the Pacific Research Institute, a San Francisco-based group.
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