Beverly Hills Plastic Surgery Group

A Facelift should not be planned by asking how much skin can be tightened.

Facial aging also involves changes in the deeper tissues that support the cheeks, jawline, and lower face. As these structures descend, simply creating more tension on the skin does not necessarily address the reason the face has changed.

For example, two patients may both be concerned about jowls. One may have significant skin laxity, while the other may have more pronounced descent of deeper facial tissues. The visible concern can look similar even though the anatomy behind it is different.

With a Deep Plane Facelift, we are able to evaluate and reposition deeper structures rather than relying primarily on skin tension to create the result.

Our goal is not to make the face look tighter. It is to understand where the aging changes are occurring and create a rejuvenation plan that respects the patient’s natural facial character.

If you are noticing changes through the cheeks, jawline, or lower face, a consultation can help determine what is actually contributing to them.

Breast shape cannot be understood through cup size or volume alone.

We also evaluate the patient's existing breast tissue, breast width, breast position, and the amount of upper pole fullness she currently has.

When Breast Augmentation is being considered, implant width and projection become additional parts of the planning process.

Body proportions also matter when we determine how much fullness and projection may be appropriate for the patient's goals.

This is why two women seeking a similar increase in breast volume may still require different implant choices and different surgical plans.

We think the term “Mommy Makeover” is most useful when it describes a planning concept rather than a fixed combination of procedures.

Pregnancy can affect abdominal skin, abdominal muscles, breast volume, breast position, and overall body contour in different ways.

Before discussing surgery, we want to identify which of those changes are actually present and which concerns matter most to the patient.

Someone whose main concern is excess abdominal skin may require a very different plan from someone primarily concerned with breast volume loss or sagging.

Only after defining those concerns does it make sense to discuss procedures such as Tummy Tuck, Breast Lift, or Breast Augmentation. We want the procedures to follow the anatomy rather than starting with a predetermined package.

Primary Rhinoplasty and Revision Rhinoplasty do not begin from the same starting point.

With Revision Rhinoplasty, we are evaluating a nose that has already been surgically changed.

Before determining what should be corrected, we need to understand the existing nasal shape, current structural support, breathing concerns, and what was accomplished during the previous procedure.

We also consider which characteristics should remain unchanged rather than approaching the entire nose as a new design.

For us, Revision Rhinoplasty requires careful assessment of both the current anatomy and the patient's surgical history before deciding what may realistically be improved.

An implant can make the breast fuller, but fullness and breast position are two different considerations.

When breast tissue has descended, adding volume does not necessarily correct where that tissue sits.

This is why we evaluate volume and position separately during a breast consultation.

We look at the patient's existing breast tissue, current breast position, and whether additional fullness is actually one of her goals.

For some patients, Breast Augmentation alone may address the main concern. For others, a Breast Lift or Breast Lift with Implants may be considered because position also needs to be addressed.