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Monthly Archives: December 2008

Lip Augmentation

The topic of lip enhancement is very popular these days, especially in Beverly Hills and Hollywood. As a quick review of the various options available, I would like to separate them into surgical and non-surgical. In the non-surgical category, we have Juvederm, Restylane and Perlane which are naturally occurring substances (hyaluronic acid) that exist between the cells of your body. Also, there is fat, which requires minor liposuction surgery to obtain but no surgery to place. All of these fillers are placed via a syringe and needle and eventually disappear over several months. However, there may be some percentage of persistence with fat transfer. I do not use permanent fillers like Artefil or liquid silicone in the lips (or elsewhere) because I think they produce an unsusal “foamy” appearance in the lips, especially on animation. Also, because they depend on the formation of tissue reaction to produce the volume, there may be some asymmetries. Regarding surgical alternatives, the primary method that I use is mucosal advancement flaps from inside the mouth (V to Y advancements). This usually also requires fat as a spacer    after the flaps are advanced. I also perform liplifts which shorten an elongated “white” lip and can pull up the “red” lip, if it is so desired. The final technique which I use in rare instances is direct excision of tissue around the red lip with mucosal advancement. This procedure is great for designing a new shape for the lips. However, it does leave a fine scar around the lips which, if obvious, can be easily covered with lipstick. The use of Verafil lip implants is another technique which I used more frquently in the past but less so recently because of the occasional problem with symmetry, palpation and volume maintenance.

What is Beauty in Beverly Hills?

What is that quality that makes heads turn and hearts quicken when a beautiful person comes into the room? We all know it when we see it. But explanations vary from one person to the next. We see examples of beauty in all its variety when we go to the movies or peruse many of the popular magazines. Much has been written about what constitutes beauty from Aristotle’s concept that it exists when all parts work together to Leonardo Da Vinci’s geometrical analysis. Though no one definition may totally pin down this elusive quality, it has been said, quite simply, that beauty is a reflection of proportion and symmetry. The argment for this definition is that proportion and symmetry suggest a healthier human being which is best for propagation of the species. Therefore, we are attracted to these qualities for a future mate. Though most of us have some degree of disproportion and asymmetry, features which go beyond subtle deviation can be detracting from our overall appearance. Luckily, through advances in cosmetic surgical techniques, as well as new implant and filler products, our facial features can be brought more in line with accepted Western aesthetics. Rhinoplasty or nasal restructuring, cheek or chin implantation, eyelid and brow lifts, fillers to the lips and cheeks are just some of the modern day methods of accomplishing these goals.