Filler

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Vaibhav Shah

DERMAL FILLER

New Injectable Fillers

A virtual revolution is going on with the development of fillers. Many different products have been used safely and effectively for many years in Europe, Canada, and Australia. These fillers have been passing FDA scrutiny and many have been cleared for use in the India. Each coming year will bring the introduction of new fillers.

What Filler is the Best?

There is no easy answer for this question as each filler has different advantages and disadvantages. Contemporary cosmetic surgeons use multiple fillers to assist the various problems associated with facial aging. It is rare that any contemporary surgeon uses only a single filler. In reality it is important to separate the marketing and media hype from the true clinical science of injectable facial fillers. It seems that each time a new filler is FDA approved, it is hyped as “the best and longest lasting filler in history”, that is until the next month when the next filler comes out. In reality, they are all good for specific indications. Sometimes they are like “Coke” and Pepsi” in that they are made of the same ingredients and do the same thing. Some patients or doctors simply like one better than the other.

All doctors and patients want fillers to last long. As filler science progresses the longevity of fillers is increasing. Although we want things to last long, sometimes it is a good thing that they go away. What looks good or is in style today may not look good or be in style in 5 years. Due to this, fillers that will eventually be absorbed by the body may be preferable.

The contemporary cosmetic surgeon is somewhat of a “filler bartender” and has multiple filler choices specially tailored for specific applications.

Facelift

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Vaibhav Shah

                     FACE-LIFT

                        Facelift surgery is probably the best-known cosmetic facial procedure and is the absolute gold standard for lower face and neck rejuvenation. Although there are many new technologies that supposedly address skin and neck tightening, none of these can come close to the improvement and longevity of traditional facelift surgery.

                      Facelift surgery was developed and refined over a century ago and has undergone many changes. The facelift that your parents may have had is not the same as today’s contemporary techniques. A generation ago, a facelift had an average hospital stay of 3-4 days. With the recent advances in instruments, technology and anesthesia, facelift surgery has never been easier or more affordable.

                   

                         Another difference in today’s facelift patient is the age. Today’s patients do not want to wait until they look old to have cosmetic surgery. They want to stay younger looking all their life. In the past, most patients waited until their sixth decade and underwent a big operation with an extended recovery. Today’s patients opt to have smaller procedures along the way and avoid the overhaul their parents had. Performing smaller cosmetic procedures along the way may require the patient to have them again later in life, but again, they will avoid looking aged.

                            If it sounds too good it probably is! Don’t be fooled by any technology that reports facelift type results without surgery. This includes Thermage, Fraxel. Ulthera and Thread Lifts. This is not to say that these therapies do not do anything, but they cannot hold a candle to the improvement and longevity of contemporary facelift surgery. We routinely see patients in our office that were treated somewhere else with a “new miracle technology” to tighten their face and neck and are embarrassed and frustrated that they wasted enough money to have paid for a real facelift. If any doctor reports significant results from a non-surgical procedure, demand to see 20 STANDARDIZED before and after pictures at least 1 year after the procedure. Also make sure they are pictures of actual patients taken by this doctor and not company pictures. If someone can show you results like this, then the procedure may be worth consideration. So far we have never seen any technology meet this challenge. We see many disgruntled patients every month who wasted their hard earned money on a promise that sounded too good to be true.

www.drvaibhavshah.netGreetings on Cheti Chand, Gudi Padwa, Chaitra Navratri, Ugadi, Navreh, Sajibu Nongmapanba and Navroz 😄

Choose Doctor

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Vaibhav Shah

How to Choose a Cosmetic Facial Surgeon

Facial surgery has traditionally been performed by three main specialties. ENT, Oral & Maxillofacial Surgery and Plastic Surgery. It is these specialties that rotate trauma call for facial injuries at most teaching hospitals and large medical centers. These three specialties also perform reconstructive facial surgery for birth and developmental defects and cancer reconstruction. All three of these specialties have invented or developed procedures, techniques and instrumentation for facial surgery. Cosmetic facial surgery is merely an elective extension of facial surgery procedures. Although these three surgical specialties lead the field in cosmetic facial surgery, there are also other specialties that perform cosmetic facial procedures. Ophthalmologists, oculoplastic surgeons, dermatologists , and other medical practitioners may also perform cosmetic facial surgery.

Competition is abundant among the surgical specialties and each of the above specialties has reasons that they believe qualifies them to perform cosmetic facial surgery. In some cases, this competition becomes an outright turf battle. Some of these specialties (most frequently plastic surgery) advertise that only their specialty is qualified to perform cosmetic facial surgery. This is an unfortunate attempt to obtain patients by misleading the public. In reality, there are many types of doctors qualified to perform cosmetic facial surgery. What is most important is not the specialty of your surgeon, not the degree of your surgeon, but outcomes of your surgeon. To say that only a single specialty is qualified is like saying that a Ford is the only good car!

Fact: 80% of cosmetic surgery is performed by non plastic surgeons*

*Source: Sacramento Bee from USA Today, January 18, 2000

Chin Surgery

Vaibhav Shah

Chin Surgery (Genioplasty)

What is Chin Surgery (Genioplasty)?

Chin surgery or genioplasty is more commonly known as chin repositioning. This surgical procedure is done to correct receding chins, chin misalignment or chin excess.

How is the Procedure Performed?

Reshaping the chin can be accomplished either by using chin implants cost in India https://www.drvaibhavshahclinic.com/cost-of-chin-implant-in-india/or by repositioning the bone supporting the chin. There are many types of implants available, manufactured from a variety of materials, including silicone or other substances. There is no available evidence to suspect that silicone implants cause any disease. Your surgeon will consult with you, and discuss recommendations for the type of implant to use.

During the procedure, an incision inside the lower lip or under the chin. The chin bone is repositioned or an implant is placed through this incision

Cheek Implant

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Vaibhav Shah

Cheek Implant

                             In the past, cosmetic surgeons concentrated on making patients look tighter, not necessarily younger. Contemporary cosmetic surgeons appreciate the importance of volume in facial aging and rejuvenation. Today’s surgeons utilize many options including injectable fillers, fat transfer, lifting procedures and midface (cheek) implants to restore volume. Cheek implants have numerous advantages over other methods of restoring midface volume.  Fillers and fat will dissolve over time.  Fat and permanent fillers will droop over time, worsening the problem and cheek or midface lifting procedures will sag over time.  Cheek implants are fixed to the cheek bones with tiny micro screws, so they will always remain in place and not droop.  This makes them the only three dimensional method of cheek rejuvenation that is permanent and won’t move.  Perhaps the biggest advantage is that if the patient does not like them, they can be removed in 5 minutes! There are not many options that are both permanent and reversible.  When considering the available options for midface rejuvenation (fillers, fat, lifting procedures and implants) nothing rivals the versatility of silicone cheek implants. One thing that has never ceased to amaze me is how many surgeons will perform cosmetic facial rejuvenation on the upper face and lower face and completely ignore the midface.  A volumized midface is the hallmark of youthfulness and contemporary cosmetic facial surgeons realize this fact and address this important area.

BOTOX

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Vaibhav Shah

BOTOX

What is Botox?

Botox is a weakened form of Botulinum toxin. It works by weakening the muscles that control facial expressions. Botox can be an extremely effective treatment for wrinkles in the upper third of the face, including the forehead, between the eyes, and around the eyes in the "crows feet" areas. Botox is the only form of botulinum toxin currently approved by the FDA for cosmetic purposes.

Who is a Good Candidate for Botox?

Candidates must be in good health, have no active diseases or serious, pre-existing medical conditions, and must have realistic expectations of the outcome of the surgery. In general, the best candidates for Botox are individuals with mild wrinkling of the face. During the initial consultation, your physician will determine if you are a good candidate for Botox or if an alternative cosmetic technique will yield better results.

How are the Botox Injections Performed?

Using a very tiny needle, small amounts of Botox are injected into the muscles to be paralyzed. Depending on the areas being treated, 5 to 15 needle pricks (or more) may be required. Discomfort is minimal and lasts only a few seconds. This paralysis is temporary, and re-injection is necessary within three to ten months.

Attractive Face

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Vaibhav Shah

ATTRACTIVE FACE

                           Every day we meet and speak to new people. What determines our perception, whether the face of a new man or a woman you have just come across is attractive or not? Probably it would be difficult to find two non-relative persons with exact faces on earth, but it is considerably easier to find people, who have similar eyes, cheeks, nose, lips, or chin. Why does one face created from the same “details” look more attractive than the other? Is facial attractiveness determined by the beauty of several separate facial parts? Or probably we can say that it is determined by the harmony rather than beauty of individual facial parts?

                             Scientists have been on the way in seeking an answer to this question for years trying to find which part of the face is playing the greatest role in the attractiveness of the face, and surgeons – trying to “attack” those parts, thus hoping to make the face more attractive by changing particular features. Do we look at the eyes, at the smile, the symmetry of the face or at the combination of several features like nose, cheeks, eyebrows or eyes when assessing facial attractiveness?

                              It is stated that the distance between eyes, facial width and height, mouth size, cheek position, eye colour and shape, make a fair influence for the attractiveness of the face. Features of mature face, such as protruding cheeks, rectangular jaw and large chin are associated with the attractiveness of the masculine face. In contrary, feminine face is considered to be more attractive if it is enriched with infantile features: long distance between eyes, small chin, and wide smile. Furthermore, a face is considered even more attractive if all parts are symmetric and all regions are of average size. For the face of an ideal shape, hairstyle has no great influence, but once well fitted it can make a non-ideal face look more attractive.

                             A great influence on the attractiveness of the face is exerted by the crowding of teeth or spaces between them. Anterior teeth, once correctly aligned, may influence facial attractiveness more than interrelation between jaws. However, lip projection, which largely depends on the relationship of jaws, makes the greatest influence on the attractiveness of the face.

Aging

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Vaibhav Shah

What is Aging (old looks)

                                 There are few certain things in life, and aging is one of them.  All things age and although some say that “age is only important in wine and cheese”, we know better.  Humans have been searching for the fountain of youth since recorded history and mankind has gone through some pretty crazy phases in the name of trying to stay young. There is no doubt that your average man or woman wants to look as young as they can for their age.

                             

                             Of all areas, the midface is one of the largest contributors to facial aging.  The youthful midface is all about volume and plumpness.  Young people have full and volumized midfaces and this is one reason they look young.  In youth, we have the proper amount of fat in the correct places.  As we age, we lose fat in the cheeks and gain it in the jowls.  This loss of midfacial volume produces an aged, gaunt and hollow midface because the cheeks become the jowls!  So as we age, you can say we go from a grape to a raisin.

                           When we are young, our midface is naturally volumized and our lower face and neck are tight.  A youthful facial outline looks like an upside down egg.  With natural aging changes, we lose the midface volume and our lower face and neck becomes full.  This produces a facial outline that resembles a right side up egg. Some may say egg foo  young and egg foo old! Midfacial aging and volume loss is treated with cheek implants , injectable fillers , fat transfer and lifting procedures.