Lash-tastic! – more about Latisse

  Latisse is still the only prescription medication for eyelash growth – and it’s been around for 10 years.  Happy anniversary! FAQ:   What’s the growth cycle of an eyelash?  “Typically one to two months. The lash then transitions to a resting phase before eventually falling out.” We know that lashes can fall out from routine wear and tear. But what are the medical causes of thin lashes?  “It can signify underlying medical issues. The most common are thyroid conditions, but believe it or not, if lashes are missing from one particular part of an eyelid, it can indicate skin cancer. One of the ways we can tell if a growth is cancerous is that it makes lashes fall out.” How does Latisse work?  “We don’t exactly know. Latisse keeps the lashes in the growth stage for a longer period of time and stimulates the transition from an inactive growth phase to an active growth phase. But why? Nobody knows.” Does Latisse grow new eyelashes?  “Probably not, but some patients who have lost their lashes in chemotherapy respond to Latisse. Can I say with certainty their lashes wouldn’t have regrown without it? No. But their lashes didn’t grow back until […]

What to know about lip injections

Our friends at Byrdie nicely summarized the important things about lip injections – what to know before you try. “we all want to say that we #wokeuplikethis, even if our dirty little secret is that we got a little outside help. Ideally, you wouldn’t be able to tell the difference.”  So true!  Natural is what we like – “my lips but better.”

Less common cosmetic surgeries

Our friends at Byrdie nicely reviewed some rarer plastic surgery procedures that are becoming more popular: non-surgical rhinoplasty: Liquid rhinoplasty simply involves injecting fillers into the bridge of the nose. It’s a great option for camouflaging a small bump, building up a flat bridge, or for fixing small imperfections after a normal rhinoplasty. This is gaining popularity as it leads to a quick fix with no downtime. hand fillers: So many people concentrate on their face and then their hands give their age away. There is a new focus on the aging hand.  These increasingly popular injections plump up the hands, minimizing the appearance of bones and tendons to create a smoother, more youthful look. neck liposuction (for just under the chin!): Many patients have a little extra fat under their chin, which can easily be removed. eyelid procedures: As we get older, the skin on our upper eyelids droops, and the fat on our lower eyelids becomes displaced, creating a puffy appearance. Plastic surgeons are often able to remove excess skin from the upper lids without general anesthesia.  Patients leave with a freshened, more awake appearance. Dr. Yee enjoys using refined techniques for these procedures, as they can lead to subtle improvements.

Breast augmentation – what to consider

Over at Refinery29, they collected great advice about how to plan for a breast augmentation.  See the best (which we agree with!) below: First things first: Do a little homework. While an indiscriminate Google search on boob jobs, lifts, or reductions will probably take you down a rabbit hole of overwhelming (and sometimes dubious) information, focused initial research is crucial. The two most comprehensive and, more importantly, plastic-surgeon vetted and recommended sites are the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery. Both these resources break down the different types of breast surgeries available and procedure details, provide info on FDA-approved implants, explain the costs, and give crucial updates on the latest related news and technologies. Shop around: Find the right doctor. Selecting the right surgeon is the most important part of this process. First, you need to make sure your doctor is legit, i.e. certified by the American Board of Plastic Surgery, as Dr. Yee is. Don’t be confused by a certification from the American Board of Cosmetic Surgery, which, is not plastic surgery.  Plastic surgeons are specifically educated, trained, and certified to perform both cosmetic and reconstructive surgeries of the entire face and body. […]

Changing faces – Asian plastic surgery

  Korean and Japanese cosmetics are becoming more widespread (just check out Sephora!) and especially in California we have a significant Asian, and Asian-American population.  Beauty trends are becoming global, and that includes plastic surgery and the ideals patients seek.  Here is a great interview with the current president of the American Society of Plastic Surgeons (the official group of plastic surgeons trained in cosmetic and reconstructive procedures all over the body) about plastic surgery prevalence and trends in Asia. Changing faces – Dr. David Song I agree with him especially on these points: So many are looking to create a crease in the upper eyelid, creating a crease in the upper eyelid to give the appearance of a softer look. In the past it’s been confused with Asians trying to look Occidental or Caucasian and, quite frankly, is not that at all. Many Asians do not want to look Caucasian; they want to look more like their Asian counterparts. The standard of beauty has become softer features with a crease in the upper eyelid. I think that has been the biggest misconception and I hope you can emphasize that. It’s not Asians trying to look Caucasian; it’s Asians trying […]

Beauty wash

It’s mid-summer and the signs of drought are all around us . . . and there seems to be no more critical time to want to shower and wash more frequently! Consider taking a tip from the French perspective – dermatologists and facialists advise keeping tap water off your face.  (This means using mists and micellar waters for cleansing and hydrating!) You can also learn to take shorter showers – here’s one girl’s way of doing it – without skimping on the cleansing and luxuriating…. Here’s to a well-moisturized and fragrant summer!  

Beware butt injections

Kim Kardashian and Jennifer Lopez have made fuller derrieres more popular and mainstream – Beware injections offered with silicone, rather than your own fat harvested and injected in an operating room. This CNN story describes the death and injuries of several women who received buttocks injections with silicone.  Silicone is safe in an implant, but is not meant to be injected directly into tissues, where it can become infected, migrate, cause hard scarring, or block blood vessels.  It’s not always worthwhile to save money; please see a trained plastic surgeon!

A “cosmetic surgeon” and board certification

Recently a friend of mine sent another physician my way, who was looking for a plastic surgeon to help with a skin cancer on her face.  A dermatologist who had diagnosed the cancer offered to remove it and repair the defect, but as a physician, the patient wanted a surgeon. My dermatology colleagues who are trained in Mohs procedures (serial excisions of skin cancers with careful pathologic analysis to assure ALL the cancer is removed) generally have experience with closing small wounds, and do just fine.  I appreciate, however, that this physician-patient wanted a surgeon. A general surgeon has at least 5 years of hands-on training (aka residency) after medical school.  Becoming board-certified in general surgery requires taking a written and oral exam that is focused on medical problems treated with surgery and surgical technique.  The Board certifying general surgeons is the American Board of Surgery. A plastic surgeon has at least 6 years of specialized training (in residency and fellowship) after medical school, and goes through a similar board certification process; the oral exam is actually even more specific, as it requires the examinees to have a variety of cases (as plastic surgery is such a diverse discipline) and […]

Summer SPF

The most important thing you can do to reduce the signs of aging, is protect your skin from the sun.  I’m sure your dermatologist says the same – Ideally an SPF of at least 30 is the best, but even daily use of a SPF 15 product will help.  You can use something straightforward from the drugstore, like Oil of Olay or Neutrogena. I personally like LaRoche Posay, as my skin is a little oilier and some other products leave my face too shiny – then makeup melts off! Here is a great local list of sunscreen picks. Enjoy the sun!  

Kylie Jenner admits to lip injections

“Having lip injections is the new Botox” – or so they say. Kylie Jenner has said for months that her full lips are natural, and girls have been using suction cups, spicy food (?!) and other tricks to try to replicate her very plush lips.   In this week’s episode of the Kardashian reality show, expect to see her come clean. Kylie Jenner confesses I’m glad she can be honest about this, as so many young girls want to be like her (as I discussed here) and it’s not fair for them to try to achieve something that’s not possible without a filler.  Also, I think it’s better to wait until all growth is done to use fillers! It’s tough if you see images in magazines as an goal to achieve, rather than inspiration.  As you can see in these great videos, even professional models go through hours of retouching before that final image is published.  So not even they live up to that magazine standard. For an in-depth look at the process, check out this fascinating profile of one of the busiest retouchers in the business.