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Potomac Plastic Surgery® Blog

Puffy Lower Eyelids are not always from Fat

As a facial plastic surgeon, I see many men and women who complain of puffy lower eyelids and bags. These patients are coming to the cosmetic surgery office to improve the appearance of their eyes with eyelid surgery or facial fillers (ex. Restylane®). Puffy lower eyelids, however, are not always due to excess fat. As we advise all patients, the lower eyelids are very sensitive to many factors, internal and external, and react accordingly. This puffiness can be due to  edema or swelling of the eyelid tissues. Plastic surgery obviously is not the best approach for swelling. How do I know … Continue reading »

10 things to know before getting lip injections

Collagen injections used to be the only way to plump up lips (other than fat injections or lip lift surgery) until hyaluronic acid fillers came along. These “lipstick in a syringe” fillers have essentially replaced collagen as the primarily method to enhance lips, in addition being used to augmenting cheeks, reducing wrinkles, and improving dark circles. The current hyaluronic acid fillers being used for lip injections by plastic surgeons and dermatologists in the US are Restylane,® Juvederm®, and Belotero®. Before getting your first lip injection with hyaluronic acid fillers, there are a few things you should be aware of: 1. There … Continue reading »

Chin augmentation with silicone: choosing the implant size

Chin augmentation patients in Washington consider chin augmentation for many reasons. In addition to improving a weak chin, chin augmentation can improve the appearance of other areas such as the neck, cheeks, and nose. Plastic surgeons may perform chin augmentation alone or in conjunction with other facial procedures, such as a facelift or neck lift, neck liposuction, or rhinoplasty. Choosing an implant can initially be difficult from the patient’s perspective. Chin implants come in a variety of sizes (ex. small to extra-large) and shapes (ex. extended, curvilinear, square). In addition, different materials are used in chin augmentation (ex. silicone, porous polyethylene, Medpor®). Silicone implants, however, are … Continue reading »

Plastic surgery to reverse signs of facial aging

  Gravity or drooping is only one aspect of looking older. Shrinking, shriveling, thinning, frowning, and discoloring play a role too in appearing older. Each of this varying aspects of facial aging play a different role in everyone. One may look older due to droopy eyes, while another has a “tired” appearance from sunken cheeks. In addition, each area ages differently. Dark circles and lower eyelid bags tend to develop much earlier, as compared to a droopy nasal tip. The above infographic on the aging face is from the American Academy of Facial Plastic and Reconstructive Surgery, board certified surgeons who specialize in plastic … Continue reading »

Laser skin rejuvenation in cosmetic dermatology

The field of cosmetic medicine and dermatology has exploded from three main factors: wrinkle relaxers (i.e. Botox®, Dysport®, Xeomin®), facial fillers (i.e. Restylane®, Juvederm®, Belotero®), and laser rejuvenation. We’ve previously discussed how the non-surgical cosmetic treatments have grown exponentially and will likely continue to grow in the foreseeable future. Patients can be overwhelmed with variety of choices to improve their appearance. With laser rejuvenation, there is an additional layer of complex, technical information that can be hard to decipher. The traditional ablative laser surgery with a CO2 laser used to be the only option to rejuvenate the skin. The CO2 laser would remove … Continue reading »

    Houtan Chaboki, M.D.