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When we take a look back throughout history, it’s clear to see that efforts to revitalize the skin and fight the signs of age are nothing new. Over the centuries, different methods and techniques have be used with this very goal in mind. More recently, Botox Cosmetic has stepped into the spotlight as an immensely popular and innovative wrinkle-fighting treatment. Ever since it got the go-ahead by the FDA in 2002, it has become all the rage, being used by celebrities, superstars, and men and women alike. Splashed over the media are a few “frozen face” cases that have given Botox a bit of a bum rap. However, it continues to squash the stereotype through its ability to safely and effectively produce great results. If Botox treatments have been on your mind lately, here’s some important info that you should know:

What is Botox & What Can it be Used For?

Botox (Botulinum Toxin A) is a purified protein that can be used to reduce the appearance of pesky frown lines, crow’s feet, forehead lines, and more. How does it do this? Well, unlike injectable fillers that fill in unwanted lines and creases, Botox works to temporarily block nerve signals and muscle activity that brings about dynamic wrinkles (wrinkles caused by facial expressions). When these wrinkles relax, this produces a smoothening and softening effect and results in more youthful looking skin. But even beyond such aesthetic applications, Botox is used in the medical world for various purposes such as treating migraine headaches, incontinence, and excessive sweating.

Who Makes a Good Candidate?

Ultimately, your doctor will help determine if it’s right for you, but if you are in good health and have moderate to severe facial lines, your candidacy for Botox is off to a great start. On the other hand, these factors do not characterize an ideal candidate:

• If you are currently pregnant or breastfeeding
• If you have a nerve or muscle disorder
• If you are allergic to the ingredients in Botox

Do the Injections Hurt? Generally speaking, most patients experience minimal discomfort or pain during the injections, as very small needles are used during treatment. It’s common for a momentary light pinching sensation to be felt, and if you are concerned about this part of the process, your administrator may apply a topical anesthesia or ice to numb the area.

How Long Does Botox Last?

After approximately 3 to 6 months, the facial muscle activity will resume and additional treatments will be necessary in order to maintain optimal the appearance of reduced wrinkles. On the same note, repeated treatments have been known to extend how long the results last.

Where to Go For Treatments

Being so popular, Botox can be found in all sorts of places. From salons, to parties, to even the dentist’s office, it seems like Botox is everywhere and ripe and ready for the administering. While that may sound fun and convenient, it’s important to go to a board-certified plastic surgeon or a qualified physician to ensure that the treatment is safely and appropriately performed.

How to Schedule an Appointment

Rest assured that aiming to keep wrinkles at bay with Botox, really should involve the help of a skilled professional. Dr. William Binder has extensively worked with Botox, including groundbreaking work with its use for migraines. Throughout his research and experience, he has developed a refined technique that has allowed patients to achieve excellent results. To schedule your appointment, contact our Beverly Hills office or call us at (310) 858-6749 today.

A 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.

A 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.

A 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.

Glowing cheeks are among the essential indicators of youth, vitality, and facial radiance. The unfortunate truth is that cheeks lose their luster over time, becoming flat, saggy, and hollow. While some are gifted with naturally high cheekbones, others turn to a variety of cheek augmentation procedures to mitigate the effects of aging. Of these options, cheek implants are perhaps the most well-known. However, there are other options available to you as well. Here is a look at the variety of cheek augmentation procedures available, as well as the factors to consider before undergoing surgery.

Methods of Cheek Augmentation

There are three different methods of cheek augmentation, each with their own unique benefits: fat grafting, cheek implants, and fillers.

Fat Grafting

The most popular option for cheek augmentation, fat grafting involves removing fat from the hips and transferring it to the cheeks. This procedure is a long-term solution for full, plump cheeks. The only downside is that fat grafting requires an additional procedure, similar to liposuction, in order to transfer the fat. Since the fat comes from your own body, the fat is guaranteed to be accepted by your body without any complications. Most of the fat will be retained by your body permanently, rejuvenating the skin and producing a natural, youthful look.

Cheek Implants

Cheek implants are another solution for long-lasting full cheeks. This procedure is best suited for people who desire more volume, as opposed to the subtle boost that fat grafting provides. Implants add definition to areas where the bone structure has become less prominent, while slowing the apparent effects of bone aging. However, keep in mind that cheek implants tend to look less natural than the effects of fat grafting.

Fillers and Injectables

There is a wide variety of fillers and injectables available, with each producing their own unique effects. However, these fillers do not always last a long time, making them a great solution for people who only desire temporary results. Educate yourself thoroughly on the specific details of the filler you select.

Am I a Good Candidate?

Cheek augmentation will be most effective for people with the following conditions: -Flat, deflated-looking cheeks -Cheeks lacking definition -Hollow cheeks or temples -Under-eye bags, lines, or wrinkles on the cheeks

Additional Factors to Consider

Patients undergoing fat grafting will be sedated as the fat is transferred directly to the cheeks. There will be swelling for 10 days following the operation. Implants can make a striking difference as early 20 to 30 years of age. Fillers may cause bruising or swelling, and require up to 10 days of recovery time. Most fillers will last from six months to a year. If fuller, radiant cheeks are something you desire, schedule a consultation with Dr. Binder today to determine which procedure is best suited to your personal beauty goals.

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.

When 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.

Most 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.

Rhinoplasty 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.