Plastic Surgeon » Video Transcipts

Rhinoplasty Surgery Maryland Washington DC

admin — Tue, 06 Jan 2009 19:47:18 +0000

I wanted to start off by asking you Dr. Richards what Rhinoplasty is. Well Rhinoplasty is the changing of somebody’s nose. It’s as simple as that. And in what shape or form are we talking about when we say changing one’s nose? Well sometimes the nose is too small proportionally for the face, sometimes it’s too large. Sometimes there is just one area that may be aesthetically unattractive. There’s different approaches that can be used for Rhinoplasty. You can do a closed Rhinoplasty meaning all the incisions are inside the nose or you can do an open Rhinoplasty where most of the incisions are inside the nose but there’s one incision on the outside right about here, and you use that incision to lift the skin up off the nose to work on the structures directly. That’s called an open Rhinoplasty. Closed Rhinoplasty has been around for centuries. Open Rhinoplasty was really popularized perhaps about 10-15 years ago.
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Cheek Lift Surgery Maryland Washington DC

admin — Tue, 06 Jan 2009 19:47:01 +0000

Can you please begin by telling us what the cheek lift is for those of us who may not know? Well quite simply the cheek lift is the most powerful method of rejuvenating the face with the shortest recovery, the shortest amount of surgery. And what exactly does a cheek lift do to one’s face? Cheek lift concentrates on the mid face area, the lower eyelids and the cheeks. As we age, it could be in our 30s or 40s, our cheeks tend to drift downwards. They drift downwards and into the mouth. It causes down turning of the mouth, an unhappy look, and lengthening of your lower lids. They get longer and longer. And how long has this been available? Well technically cheek lifts have been available as long as we’ve had cheeks but as far as the real plastic surgery procedure I would say we started focusing on it in the late 80s, early 90s. But it wasn’t until maybe the mid or late 90s that the procedure that I currently use was described and really has become popularized.
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Cheek Lift Surgery Candidates Maryland Washington DC

admin — Tue, 06 Jan 2009 19:46:49 +0000

Who is a typical candidate for the cheek lift procedure? I’ll tell you, this is just amazing to me. The longer I do them the wider the audience I think that it’s applicable to. I’ve done people as young as in their early 30s, and I’ve applied it to people in their 70s. Ideally I like to do this procedure before the entire face needs to be rejuvenated. I certainly can do it and often do it as part of face lift and brow lift and eyelids and neck lift, etc., but it’s really a wonderful thing to do to somebody in their 30s or 40s or even early 50s before other areas of the face start to age.
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Rhinoplasty Nose Surgery Gallery Maryland

admin — Tue, 06 Jan 2009 19:46:35 +0000

The first patient that we’re looking at is a woman in her 20s who came to me and as you can see from the picture on the left she has a curvature to her nose, she has excessive width of her dorsum, the boning part of the nose, and she has some fullness of the nasal tip. On the right hand picture you can see that the nose is slightly narrowed. The nasal tip is natural but more defined. On the ¾ view you can see how before surgery the nasal tip not only didn’t have the cartilage definition but actually stuck out a bit. The top of the nose is flattened and wide. You can see the light reflections over the bones that were spread apart at the top, that’s just the way she was. And the after shot on the right, you can see the nasal dorsum is a smooth curve with an even light reflection coming right down the center of the nose where it should be. The nasal tip is slightly more rounded but more delicate at the same time. And the nasal tip is elevated ever so slightly. And finally on her side view you can see quite a change. Remember earlier I was discussing how you can have an indent up by the bridge of your nose that makes a hump look larger. I actually took down her nasal bones just a very tiny bit even though on the side view here it looks like she has a hump. What I did though is I filled in the indent with some cartilage, and you can see how it makes the nose look smaller even though I in fact added something to it.[See post to watch Flash video]

Cheek Lift Surgery Gallery Maryland Washington DC

admin — Tue, 06 Jan 2009 19:46:20 +0000

The first patient that we’re showing is a woman in her early 50s. We have a front view where you can see the length of the lower eyelids on the left and the shortening of the lower eyelids after the cheek lift on the right. On the ¾ view you can see how the cheek is flattened, the right cheek is flattened. On the right hand side you can see after the cheek lift the natural curve that’s restored there. And finally on the side view you can appreciate the flatness of the cheek on the left-hand side. When you look at the right-hand picture you can see how the cheek is swept upwards and has a light reflection on it. It’s a reflection of beauty and youth. Second patient is approximately 40. Picture on the left shows a tired, somewhat perhaps unhappy looking person even though she is not unhappy at all. On the right side she looks more like she’s in her 30s, happy, the eyelids are shortened, they’re smoother. On the ¾ view you can see on the picture on the left how the cheek is flattened and on the right how there’s some prominence and some light reflection and again the eyelids have been shortened considerably. And finally on the side view you can see that some neck work was done as well however the enhancement of the cheek exposes more of the lip and again raises the light reflection and gives her some prominence of the cheek that is symbolic of youth and happiness. The third patient is in her 40s but has tremendous issues going on with the lower eyelids and the cheek area. You can see that on front view on the left, and on the right hand picture the cheeks are up, the eyelids are much shortened, she has a happy expression, really reflecting how she feels inside. On the ¾ shot again you can see the pouching by the mouth, the downturn of the lips in the corner. On the left side and on the right side the mouth when she’s at rest is at a neutral expression, it’s not unhappy, and you can see the prominence of the cheeks. Again with her on the side view you can see the prominence of the lateral side of the cheek, the outside part of the cheek, being brought up.
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Cheek Lift Surgery Recovery Time Maryland

admin — Tue, 06 Jan 2009 19:46:03 +0000

Is there any discomfort involved with this procedure Dr. Richards? Really there’s not discomfort. There’s some changes in sensation of the lips and cheeks for up to a couple weeks afterwards because as you move the cheeks up the nerves get pulled a bit but as far as pain I don’t think I’ve had more than 1 or 2 patients in 8 years say that it was painful. So very minimal discomfort at best. Minimal discomfort. Alright.
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Short Scar Arm Lift Gallery Maryland Washington DC

admin — Tue, 06 Jan 2009 19:45:48 +0000

And I believe you have some before and after pictures that you’re gonna show us. can you please describe them? Sure. In this first set of slides you see a patient holding her right arm out. The upper slide shows a before picture, the bottom slide shows her result after a year. On the second set of slides the upper pictures shows the back of a woman’s arm, that’s her left arm, and the bottom again is a year out showing the post operative results. On these third set of slides I took a close-up picture of the scar in the armpit two years out from surgery. Now the patients that we’ve seen so far have had a mild to moderate deformity of their upper arm that they complained about. This final set of photographs shows patients that have a more severe deformity with their upper arms. And you can see on the pictures on the right the result 1-4 months after minimal incision brachioplasty.
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Linda Tripp Facelift Revision Surgery – Dr. Mark Richards

admin — Tue, 06 Jan 2009 19:45:36 +0000

Finally your treat, your pictures that haven’t been seen before, the left is a front view of Miss Tripp approximately 6 months after she had her face lift surgery done in Los Angeles. She was very unhappy with it as you heard. I think she probably had some improvement from what she originally looked like but there were things about her face that really bothered her greatly. She didn’t like the chin implant that was given to her there that made her almost look like her nemesis Jay Leno. She has an elongated face and so she needed more width applied to the cheeks. That can only really be accomplished through cheek lift or a cheek implant. The brows were still down giving her a stern expression. So she had many of these things done, too much to go into today, and you can see on the right her face is much more oval, she’s softer, she has a much prettier look. In fact she looks pretty. You can see a ¾ shot which is really the most telling shot. It’s the view that we look at people the most in conversation. We’re rarely face to face and you’re rarely talking to somebody on their side. You’re almost always talking to somebody 3/4. It’s the least threatening, it’s the most common in conversation. And here is her ¾ shot. On the left you can see the cheeks are flat, she looks tired, she looks a bit sad, the chin is pointy and long. And on the right everything is much smoother. It’s more curved, more oval. And she has an attractive appealing look to her.
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Cheek Lift Surgery Precautions Maryland Dr. Mark Richards

admin — Tue, 06 Jan 2009 19:45:20 +0000

Can you please tell us if there’s anything out there that out viewers should be cautious of when considering possibly getting a cheek lift procedure themselves? Sure I think it’s usual things you have to be aware of as a healthcare consumer. You want to make sure your doctor is board certified in plastic surgery and you would really like to make sure that your doctor has had significant experience with the cheek lift procedure. And you get a chance to look at his before and after pictures to see if he really gives the results that you’re looking for.
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Rhinoplasty Nose Surgery Recovery Time Maryland

admin — Tue, 06 Jan 2009 19:45:08 +0000

What’s the typical recovery time from Rhinoplasty? Usually Rhinoplasty patients have black eyes, particularly if you need to move the nasal bones inward which happens in most cases. So I would say you can expect some black and blue or yellowing around the eyes for a week to 10 days afterwards. The initial recovery is uncomfortable not because of pain, as I said before, but because there’s packing frequently in the nose. There’s a splint on the outside which pushes the bones and tissues in and there’s packing on the inside which pushes the bones and tissues out. And this way I can keep things immobilized, sort of like a cast. The packing comes out at 3 days, the splint on the outside usually comes off at 7-8 days. Usually by 9-10 days they are able to go out to parties and look good with a little cover up makeup on the bruised eye lids. So one really couldn’t tell a 2 weeks, 3 weeks, 4 weeks out that one maybe even had Rhinoplasty done on themselves? I can tell you that the second patient I showed you was 3 months out from surgery. The first patient I showed you is only 6 weeks after. Very impressive.
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