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Recovery and Cost of Fillers vs. Fat Grafting

Recovery and Cost of Fillers vs. Fat Grafting I would like to focus on two specific pros and cons with fillers and fat transfer:  cost and recovery.  In the younger patient (under 35 years of age),...

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Correcting Fat Loss in IPL Damage: My Thoughts

Correcting Fat Loss in IPL Damage: My Thoughts Unfortunately, I have heard a lot on the Internet about facial fat loss following a laser treatment like intense pulsed light therapy, or IPL....

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Why 3 Syringes of Fillers Can Look Overfilled and Why 30 May Not

Recently, I had a lady who at the age of 57 started modeling for the first time in her life thanks in large part to the syringes I have put into her face to make her look better.  Her new boyfriend...

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Managing the Aging Asian Eyelid

One of the most confusing things that I have encountered is how to manage the aging Asian eyelid.  The reason for this is twofold.  First, if an Asian is born without an upper-eyelid crease where do...

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When Do I Do a Lower-Eyelid Blepharoplasty and How?

When Do I Do a Lower-Eyelid Blepharoplasty and How? Like the upper eyelid, I find myself performing many more fat transfers to correct the aging process than traditional eyelid surgery.  Further, if I...

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When Do I Do an Upper-Eyelid Blepharoplasty and How?

When Do I Do an Upper-Eyelid Blepharoplasty and How? But should we always just add fillers or fat to the upper frame of the eyelid and never remove any tissues?  The answer is no.  If the eyelid skin...

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Breaking the Brow into Subunits: Designing a Brow for Cosmetic Improvement

Breaking the Brow into Subunits: Designing a Brow for Cosmetic Improvement In a previous blog we discussed why low, full brows are sexy, youthful and attractive. In this blog, we will delve into the...

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Type 1 and Type 2 Eyelids

Type 1 and Type 2 Eyelids One of my colleagues came up with the distinction between two types of youthful eyelids.  Type 1 is a very full upper eyelid that hangs almost over the eyeball itself (not...

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Breaking down the Cheek into Aesthetic Subunits: Avoiding Chipmunk Cheeks

Breaking down the Cheek into Aesthetic Subunits: Avoiding Chipmunk Cheeks There is nothing uglier than big, chipmunk cheeks other than perhaps a devil looking arched brow or a duck-like lip.  How do...

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Glass of Water Emptying: The Way I Explain the Aging of the Face

Glass of Water Emptying:  The Way I Explain the Aging of the Face When people ask me whether fat grafting is permanent, I say yes and no.  Yes, it is permanent because if done well by an expert...

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