Neck Lift Surgery: When to Get it and What It Involves

Unfortunately, aging gets to us all, with signs of our passing years cropping up in different places for all of us. Stubborn fat, wrinkly skin, and sagging in all the wrong places may have you longing for the days of your once-youthful appearance. Fortunately, the current state of medicine allows for some truly magical solutions to just such problems. If you are interested in removing fat, there are several body procedures tailored for all shapes and sizes, if you wish to alter your facial appearance there are a multitude of unique surgeries to fit every individual’s needs. More specifically, within facial cosmetic surgery, there are multiple levels of aesthetic and functional procedures to help restore and rejuvenate your features and skin.

What is Cosmetic Neck Surgery?

The goal of a neck lift procedure (lower rhytidectomy) is to revitalize aging skin around the neck and jawline. Though the term “neck lift” implies strictly a tightening process, the surgery has the ability to shape and sculpt different areas of the neck, even with the potential to be combined with other facial cosmetic procedures.

The skin around our face and neck can be affected by several circumstances, including:

• Heredity factors
• Stress
• Rapid weight loss
• Sun Exposure
• Smoking
• Alcohol consumption
• Gravity
• Other environmental contaminants

These contributors along with just our body’s natural aging process, causes less than desirable changes to occur to our face and neck. Excess neck skin, fat deposits under or around the neck, and irregular contours beneath the jawline can all make us a little less confident than we should be and a little more self-conscious than we have to be. There are a variety of neck lift surgery options available.

Submental

As we age, the muscles in our neck begin to fall and drag the skin down with it. Over time, this is what causes bands to appear around the anterior of the neck. Because these muscles are so important to the structure and smoothness of our neck, they are re-purposed rather than removed. A supportive sling is created by isolating and relocating the platysmal muscles to help reinforce the neck.

Bidirectional Lift

This procedure targets the center and lower potions of the neck. Muscle underneath the chin is isolated and turned upward to reinforce and suspend drooping areas of muscle and fat. The result is a more well-defined jawline and better-contoured neck. The bidirectional lift is known as one of the longer lasting neck lift surgeries available.

Submental Liposuction

Liposuction is a great way to reduce fat around the neck for a smoother and tighter contour. Keep in mind, this is best suited for younger patients with enough skin elasticity around excess fat. Without this flexibility, a submental liposuction can have negative effects on the appearance of the shape of the neck.

Candidacy

If you are in good general health and are free of any existing conditions that could impair the healing process, you are most likely a good candidate for a neck lift surgery. As with any cosmetic procedure, it is always helpful to consult with a qualified cosmetic surgeon to get a clear idea of what you want done and to maintain healthy and realistic expectations for your results.

Dr. Binder’s cosmetic surgery in Beverly Hills is often considered the best option for solutions regarding facial cosmetic surgery. Our office is dedicated to establishing proper communication with prospective patients. Contact us today to schedule a consultation for your neck lift surgery in our Beverly Hills office.

The Ultimate Facelift FAQ

There’s a popular saying that “age is just a number”. Although that would be ideal, the reality is, age is also a shape, texture, and sometimes painful reminder of that number is. While we cannot do anything to reverse the aging process, advancements in medicine have allowed us to cosmetically enhance our physical features to help restore some of that youthful glow that becomes sorely missing as we grow older. A facelift surgery combines sculpting and lifting to different parts of the face and neck depending on the aging signs in a particular patient. Like any cosmetic surgery, a facelift can sound intimidating to those unfamiliar with facial cosmetic procedures. As with any medical procedure it is smart to first ask yourself a few questions before embarking on your journey.

         Q. How is a facelift performed?

The procedure involves the lifting of deeper tissues within the skin to achieve a healthier and more youthful face. Many patients are apprehensive about this surgery, because they are afraid of artificially tight, “mask”-looking results. With the right surgeon, a successful facelift should be able to anatomically relocate midfacial soft tissue rather than just pull it back. The fat and jowls that have begun to droop with age now rest higher up, back where they were when you were younger. Results are natural looking and do not inhibit any facial expressiveness.

         Q. How long will a facelift last?

The lifespan of a facelift surgery will depend mostly on the individual’s aging process. Everyone ages differently and factors like general health, sun exposure, smoking, diet, exercise, and heredity all play important roles in how long your results will last. Typically, aesthetic signs of aging can be treated with a successful facelift for five to ten years. Remember, a facelift procedure is meant to correct signs of aging not stop the process all together.

         Q. When is a facelift appropriate?

This kind of cosmetic procedure is appropriate for individuals who wish to add volumetric filling and augmentation of deeper soft facial tissue. Patients who wish to alleviate wrinkles and sagging tissue will benefit from this. A facelift provides support and structure to the face for a rejuvenated appearance.

         Q. What are common signs of aging?

  • Decreased skin elasticity
  • Depressions and facial wrinkles
  • Thinning lips
  • Sagging, dry skin

        Q. Can a facelift surgery treat more than one area at a time?

Patients undergoing cosmetic surgery all need different procedures unique to them and only them. Facelifts can be performed in tandem with neck lifts, along with brow lifts, or in conjunction with eyelid fat removal. This multi-level approach ensures each patient gets individualized treatment for their needs.

         Q.What can be expected with recovery?

Following surgery, you will most likely be required to wear a pressured healing wrap to help reduce swelling and inflammation. After one week, most of the swelling and residual soreness should subside and after several weeks bruising and tightness should alleviate.

         Q.Who are good candidates for a facelift?

The best candidates for this procedure are those in good general health, who have realistic expectations, and who can clearly communicate with their doctor. Do not be afraid to ask as many questions as necessary so you have the fullest understanding of your surgery.

Dr. Binder’s surgery center in Beverly Hills is often considered the best option for solutions regarding facial cosmetic surgery. Our office is dedicated to establishing proper communication with prospective patients. Contact us today to  schedule a consultation for your neck lift surgery in our Beverly Hills office.

How to Fix a Crooked Nose: Rhinoplasty

Woman-Holds-Her-NoseA crooked nose can cause considerable insecurity. Fortunately, rhinoplasty can renew confidence in your facial appearance. If a crooked nose is something you desire to correct, here are a few things to consider before making your final decision on rhinoplasty surgery:

Potential Difficulties

A rhinoplasty procedure designed to correct a crooked nose is actually very complex for a number of reasons. First, the deviated cartilage and bone which cause the appearance of crookedness tend to drift back to their undesired positions, even after surgery. Second, plastic surgeons often struggle when operating on patients with asymmetrical faces, which make it difficult to locate the midline plane where the nose should be repositioned.

The Procedure

In short, the goal of this procedure is to straighten the nasal structure through repositioning the septum and nasal bones. Septal deviation must be addressed, or else the nose will be continually pushed out of position. If the caudal septum is off center, it will have to be rebuilt it in the midline; then, the surgeon will address deviations in the nasal bones.

Deviated Nasal Bones

If trauma has forced the nasal bones out of position, the bones must be treated immediately. Otherwise, the bones will heal in their crooked position. Resetting the bones will take about six weeks. After this, the bone fractures can be addressed. By making osteotomies—or bone cuts— with a chisel, the crooked bones may be reset to their proper positions.

Other Causes of a Crooked Nose

Internal and external valve collapse are other common causes of a crooked nose. Patients who have noticed a pinch in their nose that creates asymmetric shadowing likely have this condition. These conditions will create the appearance of a crooked nose, even if the rest of the nose is properly aligned. This is treated with a spreader graft, which will expand the internal nasal valves that have collapsed.

For more information about crooked nose rhinoplasty and other cosmetic procedures, schedule a consultation with Dr. Binder today.

Broad Nasal Tip Rhinoplasty: What You Need to Know

Portrait-Of-A-Beautiful-Young-61158956-727x409A larger nose—a broad nasal tip, specifically—is a common source of insecurity. With your surgeon’s approval, nasal tip rhinoplasty would be an excellent step towards achieving a more refined facial structure. This procedure focuses specifically on the nasal tip, which is the most protrusive part of the face. While it may sound like a minor adjustment, a more refined nasal tip works wonders for transforming your facial appearance.

The Results

A tip refinement procedure will be catered to the needs of the patient and the recommendations of the surgeon. The procedure can either make the nasal tip appear more pronounced, or reduce the tip considerably. It all depends on your facial structure. Consult a trusted plastic surgeon to discuss your personal options.

The Procedure

The procedure typically lasts from one to two hours, or longer if extensive alterations are required. After sedation, the plastic surgeon will examine the internal nasal structure using a 3D, high definition camera. Cartilage under the nose is then exposed so that structural alterations can be made.

The remaining steps are then determined by your personal preferences. Fat tissue may be removed or repositioned, creating more definition. Implants may be placed to fortify cartilage and reorient the nasal tip. Grafts may also be used to improve tip projection. When the surgeon has finished, the incisions will sealed with dissolvable sutures.

Recovery

Fortunately, the mucus lining heals quickly, reducing the risk of scarring. Moreover, since every incision is made internally, any scarring that does occur will not be visible.

Following the postoperative regimen prescribed by your surgeon is crucial to achieving the results you desire. Avoid contact sports or other forms of strenuous exercise, which may stress the nose and cause inflammation. Nasal canals should be kept clean to prevent infection. Purchase a nasal kit that will irrigate your nose and sinuses. If you experience pain or discomfort, your doctor can recommend pain-relievers that are safe to use. Contact your doctor immediately if you experience symptoms such as excessive bleeding or intense pain.

Risks

Rhinoplasties carry the same risks as any surgical procedure. Infection may occur, but antibiotics and regular cleansing of the nasal passages reduce the risk dramatically. In rare cases, patients have experienced adverse reactions to anesthesia. Make certain that you are medically cleared for the procedure before deciding on surgery.

If a broad tip rhinoplasty sounds right for you, schedule a consultation with Dr. Binder today to discuss your personal desires and options.

The Steps You Need To Take Before Your Neck Lift Surgery

Beauty-closeup-profile-portraiA neck lift is a major operation that will require extensive cooperation from you, the patient. This might mean making certain lifestyle changes that will help ensure a smooth operation and optimal recovery. Make sure to listen to your surgeon’s instructions carefully, and follow these steps for additional guidance:

Medication

During your consultation, your surgeon will tell you which medications to avoid before your surgery. Certain medications, and even vitamins, will thin your blood and increase the risk of bleeding. Be sure to ask your surgeon about any concerns you might have about the medications or supplements you are taking.

Smoking

Smokers must be prepared to cease smoking for two weeks before the surgery and two weeks after. This means a complete break from cigarettes. Smoking even once during this period can complicate recovery.

Diet

Patients must monitor their diet as well. Make an honest and thorough assessment of your diet, as proper nutrition is necessary for the healing process. Patients accustomed to a low-calorie diet will need to be especially aware about eating properly.

Clothing

Loose, comfortable clothing which can be removed without overhead pulling should be worn on the day of the surgery. For most women, a button-down blouse will likely be the best option. Proper clothing is for your own comfort following the surgery.

Recovery

Most patients can expect at least a week-long recovery period. Plan your time-off in advance with this in mind. Recovery periods vary from person to person, so make sure that you are clear on how long your doctor expects your recovery to take.

Home Recovery Area

Patients undergoing a platysmaplasty, cervicoplasty, or certain other procedures will need to have a home recovery area prepared prior to surgery.

For your personal home recovery area, have the following readily available:

-Ice packs
-Gauze and towels
-A thermometer
-A supply of comfortable, loose clothing (preferably button-down shirts or blouses that do not require overhead pulling)
-Petroleum jelly and antibacterial ointment for incision sites
-A phone always within arm’s reach
-A supply of pillows, which can be used to keep your head in a comfortable position
Someone who can attend to you for at least 24 hours following the surgery

If you envision a neck lift in your near future, schedule a consultation with Dr. Binder today to review your personal needs and detailed instructions to follow before and after your surgery.

Classic vs. Endoscopic Brow Lift: Which is Right For You?

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Classic vs. Endoscopic Brow Lifts: Which One Is Right For You?

If you have sagging or heavy brows, a brow lift would work wonders for you. A brow lift procedure comes in two types: the endoscopic lift, and the classic (coronal) lift. Although the endoscopic lift is a favorite for a number of reasons, the coronal lift has its unique advantages as well.

The Endoscopic Lift

The endoscopic lift is named after the procedure’s essential tool: the endoscope. This minimally invasive technique holds a number of advantages over the coronal lift, which was once the industry standard.

In any brow lift, the objective is to lift the skin surrounding the brow after it has begun to sag from muscle constriction around the eyes. With the endoscopic brow lift, small incisions about an inch-long are made in the scalp above the hairline. Then an endoscope (with a camera and light) is used to assist the surgeon in making the incisions, which will separate the skin from the muscles and adjust it to create the appearance of a lift. The forehead is then secured with metal posts, which are removed ten days later.

The procedure is quick, lasting about an hour and a half. Patients can expect to resume normal activities in ten days, and to recover completely in about three weeks. Overall, the procedure produces similar results to the classic lift, with less scarring.

The Classic Lift

The classic lift earned its title from its history of being the industry standard of brow lift surgeries. It involves a much longer incision, extending from ear to ear. This incision may also be made mid-scalp, following the skull to appear less conspicuous. This procedure removes a strip of skin, allowing the surgeon to lift and smooth the remaining skin.

A minority of coronal lift patients may experience alopecia: circular bald patches which usually resolve after a few months. There is also the small chance of swelling, which has been nearly eliminated.

There is also substantial postoperative pain, and even numbness around the incision. This soon leads to itchiness, which may last for six months.

How They Compare

Some surgeons doubt that the endoscopic method will produce long-lasting results. This is due to the fact that the skin is merely shifted upwards and not removed, leaving a chance that the skin may resettle over time. The endoscopic lift also shifts the hairline upwards, thus making the classic lift a better option for people with thin tissue or a receding hairline.

When deciding which brow lift procedure is right for you, schedule a consultation with Dr. Binder today with any surgical questions or concerns.

Nose Reconstruction: Traditional Versus Non-Surgical Rhinoplasty

Eyes-Woman-Closed-Eyebrow-EyesWhen you are not happy with how your nose looks, it can greatly affect your self-esteem and the way you look at your life. Even your best features can sometimes be clouded by an unsightly nose. Fortunately, there are options for those who are looking to make a change and who might want to consider rhinoplasty. There is also the option for those who would like to try a rhinoplasty without surgery, if the thought of a procedure sounds unappealing.

Traditional Surgery

Surgery has been an option for many years, and patients tend to choose it when they want intense alterations made to their noses. Most plastic surgeons recommend that you take the time to consider the repercussions of surgery and whether or not they will be changes you want for the long term. While surgery can tend to yield great results and many often tend to be happy with how they look after the procedures, the effects can be difficult to fix if it is not what the patient is thinking.

Surgery can also end up costing the patient more in the long run. You will want to discuss how much the procedure will cost with your plastic surgeon before you decided to agree to it. Sometimes, insurance will also cover the cost if the plastic surgery is needed because of an accident or injury. Recovery time is also much longer when surgery is performed.

Non-Surgical Rhinoplasty

Non-surgical rhinoplasty is often the insertion of dermal fillers. It often takes as little as fifteen minutes and only a little bit of anesthesia in order to make changes. However, any major alterations can be difficult to fix only be doing non-surgical rhinoplasty. It also cannot diminish the size of a large nose, a common operation that has to be fixed with surgery—but it can add to the contouring, making it appear smaller overall.

Results tend to vary and often last only a total of a few months. Most report that their new look usually remains for 6-18 months, so if you are thinking about a more permanent solution, surgery might be a better option. Most patients can go back to work the same day of the operation, and it is often much less expensive than investing in a surgical procedure.

Verdict?

When deciding between the traditional method of plastic surgery or non-surgical rhinoplasty, you should think about what are the exact results you want and to make sure to talk to a professional who can decide which option is right for you.

Preventative Botox: Benefits of Botox in Your Mid-Twenties

Beautiful-Woman-Part-Of-The-FaMost people think that the time to consider Botox is at least after middle age. But recently, patients have started using Botox at a much younger age. While this may seem strange, Botox is a lot more beneficial when used as a preventative measure. Just as we should all exercise and eat healthy in order to prevent weight gain and disease, Botox can be used in a similar way to effectively slow the aging process. If you are close to the age of twenty-five, consider the following benefits if wrinkles are becoming a concern.

Using Botox Early Saves Money

From a purely practical perspective, using Botox in your mid-twenties saves thousands of dollars in the long-run. If wrinkles develop all over your face, the cost of counteracting the aging effect using thermage treatments could cost up to $3,500 for an entire face. Botox, meanwhile, can fix and prevent wrinkles from ever developing at prices starting at $280. If you plan to spend money on cosmetic treatments later on, consider changing your plans so you can save a lot of money.

If you were to use Botox three times yearly for three years at $280, you will have spent about $2,520, still $1,000 less than a thermage treatment.

The Process Is Quick and Painless

Expect a typical Botox administration to take up to fifteen minutes at the most. It involves wiping the area with alcohol, making a few facial expressions, and (if need be) marking your face with a pen (which is quickly wiped off afterward).

If you are afraid of injections, there isn’t much to fear. Every injection feels like a sharp pinch, but it only lasts for a second. Think of the process as getting your face pinched a few times, and the process is a lot easier to handle.

No Downtime

Botox does not take long to take effect: 2-4 days at most. In most cases, there are very few side effects following a Botox treatment. While some may experience swelling or redness, they typically disappear after only one to three hours. If bruising occurs, it is typically light and unnoticeable. Most of these areas may be covered by headwear, sunglasses, or even makeup.

Botox lasts a Long Time

Expect the Botox to last three months, or sometimes longer. This leaves you with plenty of time to earn a little more money and budget your finances in preparation for the next Botox treatment.

Botox Can Help Form Good Habits, Even After Wearing Off

Botox benefits you even after it wears off. For example, many people are used to scrunching their forehead, for various reasons. If Botox is injected into the forehead, it becomes impossible to do this. This allows you to break the habit, even after the Botox wears off.

Botox is Effective, Without Looking Unnatural

Many people worry that Botox will leave them looking dramatically different, so much so that they will have to warn their friends to avoid shocking them. Unless you go add a little too much Botox, this should not be a concern. A moderate amount of Botox will make you look slightly better, but not dramatically different.

If you think you will want cosmetic treatments in the future, why not start now? Contact Dr. Binder for a consultation on Botox treatment.

Open vs Closed Rhinoplasty: How They Compare

-young-woman-eyes-and-nose-portRhinoplasty has opened new avenues in the sphere of plastic surgery: improved nasal contours, enhanced facial harmony, and better breathing are just a few of the benefits made possible by this popular procedure. Regarding procedure options, rhinoplasty utilizes either the open or closed technique. When discussing rhinoplasty procedures, consider the comparisons differentiating the open and closed techniques to determine which approach is right for you:

Open Rhinoplasty

With open rhinoplasty, a small incision is made in the columella: the section of skin between the two nostrils. The skin is then lifted, allowing the surgeon better view of the nasal cartilage as he performs the desired adjustments to the nasal structure. This is the main advantage of the open technique. Generally speaking, open rhinoplasty is the preferred method when the details of the surgical procedure are complex.

Despite the benefits of increased visibility during surgery, the open technique has the unfortunate potential to leave a scar. The scar may fade if healed properly, but this is not guaranteed. Moreover, the open technique usually results in increased postoperative swelling and recovery time.

Closed Rhinoplasty

In closed rhinoplasty, all of the incisions are made internally within the nostrils. The downside to this technique is less visibility for the surgeon. However, due to the lack of an external incision, it reduces the potential for noticeable scarring. Closed rhinoplasty also produces less bruising, swelling, and decreases postoperative healing time.

Scheduling Your Rhinoplasty Consultation

Dr. William Binder has decades of experience reflecting his talent in the art of plastic and reconstructive surgery. Through these impressive rhinoplasty results, his patients have gained new inner confidence, self-esteem, and glowing radiance.

Dr. Binder will carefully review your needs and desires, and determine which technique is best suited for you. Call us at (310) 858-6749 today to schedule your appointment.

Why Custom Implants Are Right For You

beauty-people-and-health-concCosmetic surgery is a momentous personal decision affecting your image of yourself and to the outside world. When choosing implants, many patients simply settle for the standard, off-the-shelf models. However, given that this is a permanent decision, it’s important to consider how you truly want the procedure to make you feel and look, as well as how much you are willing to spend to achieve it.

Shape

While standard implants do come cheaper at around half the price, both the shapes and sizes of standard facial implants may not align with your personal aesthetic desires. It is also unlikely that a standard implant is going to match the unique curves and contours of your individual face. A custom implant, on the other hand, can be designed to fit your specific desires with the discretion of your medical professional.

Size

Despite the array of implant materials—such as saline and silicone—standard implants are not one-size-fits-all. While implants can be adjusted and carved to some extent, many facial asymmetries, imperfections, and injuries cannot be sufficiently addressed with standard implants. This is especially true for patients who have had previous implants that they are unhappy with due to sizing or asymmetry problems.

Reconstruction

If you are seeking reconstructive surgery, it may be more difficult to determine how to fit a standard implant over your injury, necessitating a custom implant. Fortunately, many insurance companies are willing to cover some of the cost of surgery, as well as the cost of follow- up visits and consultations, especially if the custom implant is essential to your health. Custom implants are also considered more natural-looking, with many people struggling to discern between a custom implant and an untouched face.

If you feel that custom facial implants are right for you, schedule a consultation today with the esteemed Dr. Binder for a personalized path to a happier, more radiant you.

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