Beautiful Upper Lip Lifts without scars?

When we choose to undergo a plastic surgical procedure, we do so to get a beautiful result which is balanced for the face and one that is as permanent as possible and one which doesn’t interfere with function. I don’t think anyone would argue with the above. Lips are a unique anatomical future. They connote youth, beauty and sexuality. However, their job is not only to look beautiful, they have to also function. This is contrast to a nose or an ear which have no moving parts. And as a plastic surgeon helping to advance the field of lip reshaping surgery (LRS), this is where the challenge lays. When a patient asks me to make them a beautiful set of lips, I have to ensure:
  • a. A beautiful upper lip
  • b. A beautiful lower lip
  • c. Both upper and lower lips harmonize with each other
  • d. The harmonizing upper and lower lips harmonize with the surrounding face in terms of shape and scale (volume)
  • e. The upper and lower lips continue to harmonize well into the future (akin to a long-lasting result)
  • f. Scars are as imperceptible as they can be
  • g. The chance of nasal distortion and other complications are kept to a bare minimum
  • h. Lip function is retained (perhaps even improved with the new found confidence!)
  • i. Recovery is minimized whenever possible
  • j. A patient’s expectations are aligned with reality.
(Of course, “j.” should be at the top of the list. If a patient has unrealistic expectations, then no matter how successful a surgery is, if a patient in the end is dissatisfied, the surgery is a failure to them). One of the cornerstones of lip reshaping surgery is the upper lip lift. Most of us appreciate that beauty is mostly conferred through shape and less so by colour and volume. The lips are no exception. An upper lip that is considered beautiful on a primal, instinctual level is one comprised of a short nose-to-lip distance, a beautiful “O” arch, a visible vermilion balanced with the size of the lower and, of course, an appropriate upper tooth exposure. Sexy After performing thousands of upper, corner and lower lip lifts, the secret to unparalleled longevity and a naturally beautiful lip shape is stability. One must understand that, like the hands, the lips move hundreds of thousands of times a day- eating, talking, expressing and other things that shall go unmentioned in this post. Therefore, for an upper lip lift to be successful in terms of beauty and longevity, it should not only resist the downward pull of gravity but also be stabilized against everyday movement (which contributes to re-stretching of the lip, obvious wide scarring and downward pull on the nose). The OOS (Orbicularis Oris Suspension) superficial muscle technique provides this very stabilization by anchoring the superficial layer of Orbicularis Oris just below the dermis to the periosteum (or lining of the bone) below the nose. (The Orbicularis Oris is the circumferential, sphincter muscle that surrounds the oral aperture). By stabilizing the lip in two directions bilaterally I am able to customize the curl and expression of the upper lip to make it not only youthful but sensual as well. The two direction approach is analogous to the way a marionette can come to life by the hands and strings which control it. The skin-only lip lift is a far simpler operation to perform and solely involves removing skin and sewing the skin edge of the lip to that of the bottom of the nose. The only thing holding the skin-only lip lift in position are the dissolvable stitches in the dermis which are no match against constant daily mouth movement and gravity’s pull. As a result, there is a far greater likelihood of the nostrils being pulled downwards, obvious scarring, significantly decreased longevity and suboptimal aesthetics.
After a "modified "upper lip lift
After a “modified “upper lip lift by another Beverly Hills Plastic surgeon, which is basically a skin-only lip lift marketed as something other than it really is. Note severe right nostril pulldown with bizarre pleat along with an “A frame” deformity and an exacerbation of her downward slanting can’t of her upper lips.
I can personally attest to the dramatically decreased longevity, unremarkable results, worse scarring and nasal distortion from the thousand or so skin-only lip lifts I performed in the 90s. Though the skin-only  recovery is easier, the current version of the OOS upper lip lift may allow the patient to appreciate results as early as 10 days. Not only does the OOS technique shorten the distance between the nose and lip but it also allows upper tooth show( that goes without saying really), subtle added rollout of the upper lip’s pink vermilion, welcomed narrowing of the aperture of the mouth (that gets wider with age) and even noticeable reduction in the nasolabial folds. Contrary to some misperceptions, no muscle is removed and no cases of permanent numbness or any paralysis ever encountered.
After an OOS upper lip lift by Dr Haworth. Note minimal scar and no nostril descent
Upper lip lift enhancement
After an OOS upper lip lift by Dr Haworth. Note minimal scar and no nostril descent
                    More and more people are realizing that the upper lip lift( and other LRS techniques) may play as important a role as a facelift and eyelid surgery in facial rejuvenation. Choosing proper techniques, performing them well and understanding how all elements of the lip work together can be the ultimate magic trick to transform a face from “Meh to Mwah”!   Dr Haworth July 2018

Has Married At First Sight Star Ashley Irvin Gone Under the Knife?

In an interview with Daily Mail Australia, Dr. Haworth has offered his expert opinion on whether the Married At First Sight star has gone under the knife.

Beverly Hills Plastic Surgeon Dr. Haworth believes Ashley Irvin has had some subtle work done on her face and chest. She sparked rumors about a possible breast enlargement after putting on a busty display at the Logie Awards on Sunday.

Ashley Irvin ‘The faint circular ridge bordering the upper portion of her breast strongly suggests the presence of a breast implant’ he said.

Dr. Haworth also believes that Ashley may have made changes to her face in recent years. Observing the ‘visual harmony’ between her lips and teeth, he suggested that Ashley may have invested in lip fillers or veneers.

Dr. Haworth concluded by saying the aforementioned procedures may not be Ashley’s ‘only foray into the world of plastic surgery’.

Original Article

Has Iggy Azalea Transformed Her Face?

Dr. Randal Haworth, told Daily Mail Australia on Tuesday that he believes the rapper, could have made additional changes to her facial shape. Haworth, who has not treated Iggy himself, stated that the Australian musician appears to have invested in some ‘subtle‘ and ‘beautiful’ refinements. ‘Iggy is what I would describe as an excellent “canvas” on which a plastic surgeon can reveal his work,’ he says. Iggy Azalea’s striking appearance may be the result of further cosmetic procedures, according to Dr. Haworth.

Iggy Azalea ‘When done right, results can be sublime and indiscernible to a layman’s eye. In the absence of rare complications, less surgical work is needed to create the beautiful, yet subtle, results as exemplified by Ms Azalea – while a less-than-average surgeon could draw unwanted attention to an anatomical “flaw” which only makes things worse.’

In addition to Iggy’s rhinoplasty, which ‘straightened and narrowed her nose’, Dr. Haworth believes she may have undergone ‘a chin augmentation as well as mandibular angle enhancement to give her a more refined, “modelesque” jawline’.

Original Article

Schapelle Corby’s Post-Prison Makeover? Dr. Haworth Believes It’s Possible With Fillers

Schapelle Corby spent nearly a decade behind bars in Bali’s most notorious jail after being convicted of trafficking marijuana in 2005. But she has transformed her appearance since being released on parole four years ago, sparking rumors of cosmetic enhancements. Beverly Hills plastic surgeon Dr. Randal Haworth told Daily Mail Australia on Tuesday that he believes Schapelle Corby may have invested in some ‘non-invasive work’ to achieve her youthful looks.

‘The most obvious changes are to her lips and cheeks,’ Dr. Haworth observed, he believes ‘her lips and cheeks have been well augmented, most likely with injectable fillers such as Juvéderm or equivalent.’ Dr. Randal Haworth claimed he had a ‘sneaking suspicion’ that she may have had ‘injections such as Botox to smooth out the lines and wrinkles around her eyes’ after studying before-and-after photos of Corby Schapelle.

Schapelle Corby Before and After ‘A stint in an Indonesian prison would be a less than welcome holiday, so it’s understandable that anyone would want a fresh start after that,’ he said. ‘It seems as if Ms Corby is no exception to that rule.’

Earlier this year, Schapelle denied having Botox injections or fillers. She told Woman’s Day in March: ‘No fillers, no Botox. I just use Snapchat and Instagram filters! I look at a photo of me and think, “Gee, that’s ugly,” and then I put a filter on it and think, “Actually, it’s pretty good!” ‘With the additional aid of Snapchat filters, her appearance is certainly one for the better,’ Dr. Haworth concluded.

Original Article

NightLift Bra by Dr. Randal Haworth, The Only Bra To Sleep In

NightLift BRA DESIGNED to PROTECT your BREASTS while you SLEEP.

Here I will be talking about breasts, so before I even get in to this post, I want to remind you of the importance of doing regular breast self-exams, mammography’s and regular visits with your ob/gyn. Read about breast health at the Mayo Clinic HERE.

It's a Glam ThingNow, let’s talk about sleeping in a bra. Is sleeping in a bra bad for your boobs? There are lots of yes and no answers on this. The internet is chock-full of them. I will tell you from my experience, sleeping in a bra has kept my boobs “looking” great! For this article I am going to stick with aesthetics and not get into the medical aspect of this. Let’s save that for another time.

I was as flat as a board when I reached breast maturity age. My breast buds never bloomed. I was body shamed in both elementary and high school. One of the most memorable comments I recall is “You would fit under a door but your nose would get stuck”. “Flat as a pancake” was a common phrase I would hear.

In my late twenties I got a boob job, not because of anyone else or because of lack of confidence but just because, I wanted boobs. I was not going for a stealth boob job but just an average look for my body type. I got my boobs. I love my boobs. I still have them, many, many years later. It sometimes amazes me to think about the age of my implants and how great they still look. My surgeon was Dr. Brent Mollekon in Beverly Hills.

A soon as I finished up with the Dr. Instructions, and my breasts settled, I began the practice of sleeping in sports bras, well fitting comfortable ones. After time, I added a second sports bra, yes I sometimes slept in two sports bras. I have no personal medical evidence or documentation on this but I truly feel this has helped my breasts stay “up” and perky and look great after all these years.

Not too long ago I heard about The NightLift Bra by Dr. Randal Haworth , expert surgeon in the field of plastic surgery. This bra is amazing! It’s a sleeping bra that has replaced my “sleeping” in sports bras.

It is important to say, this is not only for women with breast implants but for women with natural breasts too. It’s sleep support lingerie to help keep your cleavage area smooth, your breasts from sagging and drooping (gravity especially pulls on the breast tissues) and keep you comfortable while sleeping. It keeps the breasts perfectly immobile but in the most comfortable way.

These is much you will want to know about The NightLift Bra and how Dr. Haworth designed it. You have got to take some time to check out the website HERE. You can find out about the long term affects of gravity on the breasts, B.U.S.T.® patented Bilateral Uplift Support Technology, learn more about Dr. Haworth, get caught up on the NIGHTLIFT blog, learn about your bra size and size conversions and SHOP!

I have the NightLift BoudNoir Bra, $98.00 but I must get another or a few more. Dr. Haworth explains that like all bras, the same NightLift bra shouldn’t be worn night after night because the fabric needs to rest and breathe. He recommends alternating at least 3 different NightLift Bras. According to my knowledge of bras in general, this is the best rule of thumb.

It’s certainly an investment but I do plan to add the Lace Lift and the Nudatitude Bras to my lingerie drawers soon. The Nightie NightLift Baby Doll & The Camisole (both $128) are on my wish list.

Thank you Dr. Randal Haworth. I have been waiting for NightLift and I am so happy these designs are available!

Original Article

Celebrity Buttocks Augmentation Rumors Confirmed

Beverly Hills Plastic Surgeon, Dr Randal Haworth weighs in on these celebrity lifts in this article featured on Zwivel.

In terms of Hollywood beauty standards, the butt holds a hallowed place. Look no further than the pages of your favorite gossip mags to find butt augmentation examples.

Big-bootied ladies who are pioneers in the posterior procedure include Kim K. and Heidi Montag. While some of these augmentations are impressive feats of cosmetic surgery, others have fallen flat. In this piece, we weigh in on different celebrity cases and tell you if they got it right.

The Rise of the Butt Augmentation

According to the American Society of Plastic Surgeons (ASPS), buttock augmentations are on the rise. In 2016, buttock fat grafting rose in popularity by 26% from the year before while the number of butt implants grew by some 18% in the same time span.

Whether it’s the Brazilian butt lift, implants, or illegal filler injections, celebrity cases can teach us a valuable lesson on the importance of choosing a good plastic surgeon.

“Whereas years ago buttock augmentation was uncommonly performed, it has become a popular, ‘mainstream’ cosmetic surgery procedure in the past half-decade,” notes Layton, UT plastic surgeon Dr. York Yates. “Although a good result in plastic surgery always starts with the achievement of the patient’s goals, there are some concerns with the long-term effects of extreme volume enhancement on the stability of the skin and soft tissue,” he warns.

In addition, fads change and in this plastic surgeon’s opinion it is only a matter of time before the extremely large buttock is again viewed as ‘overweight’ rather than curvy.

The Pull to Plump the Derriere

Novel procedures often translate into hot trends and butt augmentations are no exception. Surgeons are honing their skills to create plumper backsides that are more natural-looking every day.

Fat grafting procedures are probably the reason why Kim Kardashian’s behind appeared natural when visualized using an X-ray. With results like that, it’s no wonder this procedure is on the rise. To sweeten the deal with grafting, the fat inserted into the butt is usually taken from the tummy. Data shows that these procedures are gaining popularity with patients who want a two-for-one lipo and augmentation procedure.

Recipe for Success

According to the plastic surgeons we talked to, there’s no one-size-fits-all answer to the perfect butt lift — it’s all about meeting patients’ expectations.

“A good butt lift or augmentation can mean different things to different people,” explains Murrieta, CA plastic surgeon Dr. Brian Eichenberg. “There are some common themes. Big, round, full and healthy looking are almost always good, but too big can draw too much attention because at some point it will not look natural. Of course, for some women, looking augmented or extra-large is the idea.”

Massachusetts-based plastic surgeon Dr. Joseph A. Russo agrees. “I think celebrities with the most well-done augmentations are the ones that are not blatantly obvious or oversized,” he said. “Celebs with great shape and proportions… Basically, the ones you may not realize have had it done but simply look great.”

Kailyn Lowry

“Teen Mom 2” reality star and mother of three Kailyn Lowry went under the knife in 2016 at the hands of the famed Dr. Miami (Dr. Michael Salzhauer of Bal Harbour Plastic Surgery in Miami). Lowry documented her Brazilian butt lift on social media, noting that she has long struggled with body image issues and that the procedure helped her be at peace with her body.

Dr. Randal Haworth cites Lowry’s case as a good example of a lift gone right. “A Brazilian butt lift or butt augmentation with good results will make the waist and thighs look smaller, which in turn also brings the torso into more harmonious proportions. It also can make the buttocks appear rounder and more toned or reduce any drooping or sagging,” he says.

Jenna Jameson

The world’s best-known adult entertainer does not shy away from discussing taboo plastic surgery procedures. The Queen of Porn has had plenty of surgical hiccups that include implant removals and a botched vaginoplasty. She admitted to her castmates on “Celebrity Big Brother” that she had “a little somethin’-somethin’” done to her butt, but we don’t have details on the procedure. Dr. Haworth points to Jameson’s case as an example of not-so-great surgical handiwork, along with Blac Chyna and former Playboy Playmates Kristina and Karissa Shannon.

“When the results of a buttock augmentation, whether via fat or implants, are so exaggerated as to result in disharmony with the surrounding torso, the net visual effect can be downright bizarre,” Haworth cautions. “For example, if your bottom is overly round and big, you can actually look shorter than you really are. Additionally, we as plastic surgeons do not have long-term data as to how these comically large buttocks may age and sag over time.”

Business Interview in USA Weekly with Dr. Haworth

Starting a business is a big achievement for many entrepreneurs, but maintaining one is the larger challenge. There are many standard challenges that face every business whether they are large or small. It is not easy running a company, especially in a fast-paced, ever-changing business world. Technology advances, new hiring strategies, and now, political changes coming with the new administration, all add to the existing business challenges that entrepreneurs, business owners, and executives have to deal with.

Maximizing profits, minimizing expenses and finding talented staff to keep things moving seem to be top challenges for both SMBs and large corporations. We have been interviewing companies from around the world to discover what challenges they are facing in their businesses. We also asked each company to share business advice they would give to a younger version of themselves.

Below is our interview with Randal Haworth M.D., CEO at The Haworth Instiute:

What does your company do?

Though technically a company, I don’t consider us a company in the traditional sense. This is simply because I consider our clients not as consumers but as patients first and foremost. We do not sell them goods per se, our patients buy a specific medical service which I consider to be among the best aesthetic plastic surgery available. The Haworth Institute provides both surgical and nonsurgical aesthetic procedures employing the latest RF and laser technology for removal of both hair as well as wrinkles, skin tightening and appearance.

What is your role? What do you enjoy most about your role?

I am the surgical director of the Haworth Institute which is comprised of both my clinical practice in Beverly Hills as well as a surgical center and Self-Centered Aesthetics, my nonsurgical medi-spa, helmed by the very talented Katherine Braun RN. The most gratifying part of my work is what I call the circle of change. This circle starts when our team greets our patients from all walks of life around the globe and make them feel right at home. Needless to say, the technical aspects of plastic surgery are immensely satisfying. When I am able to meet their original aesthetic goals, the circle of change is complete and that is the best part of all.

What are the biggest challenges in your business right now?

Running a busy plastic surgical practice is very demanding to say the least. What is particularly challenging is to remain on point at all times. This involves not only creating beautiful results in the very competitive environment of Beverly Hills but also to screen out a sizable number of people seeking unrealistic results and those with problematic personality disorders. Believe me, in this day and age driven by media and litigation, hiring the wrong employee or operating on a patient wanting surgery for all the wrong reasons can be disastrous.

If you could go back in time, what business advice would you give to a younger version of yourself?

The number one thing with business is to have trusted my gut, especially before hiring employees. Obviously plastic surgery involves a lot more than that but running the business side of things is a different matter. Some people are better than that others and it does require discipline in order to bypass your cerebral side. As with any business, having a passion for your work is a must for success but it is not the only thing. It is akin to just looking at your feet when you walk. Having a clearly defined long-term goal is akin to also seeing the horizon-this requires disciplined work habits and structure which I wish I learned earlier on in my career.

Read The Original Article

Self-Centered Aesthetics™

Embracing Artistry By Inga Hansen Photography by Cory Sorensen Plastic surgeon Randal Haworth, MD, is taking the next step in his career with the launch of a stylish, comprehensive aesthetic care facility. Randal Haworth, MD, made a name for himself in aesthetics in the early 2000s when he joined Fox television’s reality show, “The Swan.” On the program, he was part of a team of plastic surgeons, stylists and makeup artists who dramatically transformed participants’ appearances, Earlier this year, he transformed his own Beverly Hills, California-based practice when he moved to a new, custom-designed facility that incorporates a full range of aesthetic services—from facials and nutritional services to fillers, lasers and surgical procedures. Dr. Haworth’s design philosophy for the new Haworth Institute was nature meets high-tech. “It’s a beautiful place, and all our services are under one roof—the surgical center, my clinic and our new noninvasive center, Self Centered Aesthetics,” says Dr. Haworth. “Patients always asked us, ‘What else can you do?’ ‘How do I maintain this?’ It just doesn’t make sense nowadays not to offer the full-range of aesthetic treatments.” In addition to laser treatments and injectables performed by Dr. Haworth and his R.N., celebrity esthetician John Tew performs signature facials and naturopathic doctor Matea Polisoto, who goes by “Dr. Matea,” offers IV therapy and nutrition counseling. “Like John, she has a very big following in Beverly Hills and beyond,” says Dr. Haworth. “She is involved with IV therapy, which helps augment the pre- and postoperative surgical experience, and optimizes healing. “The people working with me are just as important as the surgeon—it’s all about having a team,” he says. The Frustrated Artist Born in Los Angeles and educated in England, Dr. Haworth has a somewhat unusual background for a Beverly Hills plastic surgeon. “My dad was English and spent World War Il in London selling bootleg whiskey during the Blitzkrieg. My mother and her family lived in Holland during the German occupation,” he says. Following the war, both of his parents immigrated to the United States seeking opportunities, of which there were few in post-war Europe. “They met, and I was born in Los Angeles. But my dad always wanted me to be in England eventually,” says Dr. Haworth. When he was 9 years old, he and his parents drove to Central America and boarded a cargo ship to England. During his school years in London, Dr. Haworth became enamored with the arts. “l always drew—and I was very good at a young age. In University I joined band. I was really into the arts, and that’s what I wanted to pursue,” he says. “But my parents, being war babies, wanted a doctor in the family and I was their only child.” During a road trip prior to his final year at the university, he shared his goals with his parents. “We were in a VW bus and they said, ‘We’ll disown you if you become an artist. Make your decision’—it was really bizarre,” he says. His mind flashed back to a BBC interview of Kurt Wagner, MD, he had seen when he was 13. “l said, ‘Then I’ll be a plastic surgeon,’ having no idea what was involved in that.” He came back to the U.S. and enrolled in medical school at the University of Southern California. Following graduation, he completed a five-year general surgery residency at Cornell Medical Center in New York. Dr. Haworth made his way back to the West coast for his plastic surgery residency at the University of California, Los Angeles. “After my residency, I had no money so I was anxious to go into practice. I thought, well then I have to goto Beverly Hills because that’s where successful plastic surgeons go,” he says. Another surgeon offered to rent him a space in his clinic’s kitchen, which was housed in one of the most desirable medical buildings in Beverly Hills. “He had a little pocket door in front of the kitchen so I stayed in there,” says Dr. Haworth. “During my clinic days, I would take his diplomas off the walls in the two little exam rooms and put mine up, and that’s how it started. “l look back fondly on those days now, but it was horrible at the time. If I had two surgeries in a month, it was a great month,” he says. Finding His Niche During his UCLA residency, Dr. Haworth won a plastic surgery research prize for his lip surgeries, which provided a unique niche with which to build his practice, More than 20 years later, he has patients from all over the world who travel to the Haworth Institute for their lip surgeries. “You can be the best doctor in the world, but if you don’t have marketing, no one will know about you,” he says. “So I leveraged that award and started getting known for lips, even though my favorite surgeries are noses, mid- facelifts and what I call hyperaesthetic surgeries where we change everything. The lips are what I was known for, and now I get jazzed by that because there’s really no competi- tion in the world for these surgeries.” He offers upper, lower and corner lip lifting procedures as well fat transfer and F.A.T.M.A. (fat transfer & mucosal advancement). “l do many types of lip lifts because it is shape before volume; there are many things that fillers alone cannot do,” he says. Embracing and Investigating New Technologies Despite the limitations of traditional filling techniques, Dr. Haworth has embraced dermal fillers as effective tools to perfect his patients’ lips. In some cases the new, less invasive procedures are even surpassing what he can achieve in the O.R. “Our mouths get wider as we age and our lower teeth become visible,” he says. “People will often just fill the lower lip horizontally, which won’t help with these concerns.” In his surgical center, he performs lower lip V-Y plasty procedures to narrow the mouth, lift the bottom lip and pout out the middle third of the lower lip. But, due to the minimal improvement, he recently became interested in the idea of using vertical filler injections to lift and shape the lower lip. “About three months ago, I started injecting vertically into the lower lip. I place my long cannula or a long needle vertically from the bottom of the prejowl sulcus all the way to where I see the needle blanching on the vermillion on the back of the lower lip on the sides. Then I inject vertically as I pull the needle out,” he says. “l am seeing such dramatic elevation of not just the lower lip but the whole corner of the mouth—the marionette folds are dramatically reduced and the labiomental sulcus opens up.” He is calling this the Caisson technique after Caisson beams in construction. “The patients are three months out now, and the results are far better than what we see with the lower V-Y plasty in hiding the lower teeth,” he says. Dr. Haworth is investigating new ways to augment and lift lips using dermal fillers. “l love doing surgery, but plastic surgery is in some ways a dying field,” he continues. “The future of plastic surgery lies in the lab, not the operating room. Eventually they are going to know how to stop senescence. In the meantime, the future of aesthetics is laying more and more in lasers and newer, better fillers, and I want to stay on the forefront of that.” His biggest challenge is determining which new technologies and procedures live up to the hype—and resisting the urge to bring in every new device about which patients inquire. “Sixty to seventy percent of all new medical cosmetic technologies overpromise and under deliver,” he says. “First it’s a big ‘Wow!’ Then results are ‘operator-dependent,’ then it’s gathering dust, so I vet all these technologies and only offer the ones I believe are proven to work. “What I want to offer my patients with the Haworth Institute and Self Centered Aesthetics is more than one-stop aesthetics, It’s the tools and knowledge to deliver the absolute best treatments for their individual concerns and lifestyles,” continues Dr. Haworth. “We have a turbocharged armamentarium of proven noninvasive treatments to carry on the philosophy that I espouse in my surgeries, which is really detailed aesthetic work.”

Self-Centered Aesthetics

Recently, I was honored to be featured on the cover of the highly popular regarded trade magazine of the noninvasive aesthetic industry, MedEsthetics. Here is the article. We at Self-Centered Aesthetics ™are super excited to be off to such a great, auspicious start. We are aiming to deliver the best, state of the art noninvasive treatment to all patients, under one roof with my philosophy of beauty. Embracing Artistry By Inga Hansen Photography by Cory Sorensen Plastic surgeon Randal Haworth, MD, is taking the next step in his career with the launch of a stylish, comprehensive aesthetic care facility. Randal Haworth, MD, made a name for himself in aesthetics in the early 2000s when he joined Fox television’s reality show, “The Swan.” On the program, he was part of a team of plastic surgeons, stylists and makeup artists who dramatically transformed participants’ appearances, Earlier this year, he transformed his own Beverly Hills, California-based practice when he moved to a new, custom-designed facility that incorporates a full range of aesthetic services—from facials and nutritional services to fillers, lasers and surgical procedures. Dr. Haworth’s design philosophy for the new Haworth Institute was nature meets high-tech. “It’s a beautiful place, and all our services are under one roof—the surgical center, my clinic and our new noninvasive center, Self Centered Aesthetics,” says Dr. Haworth. “Patients always asked us, ‘What else can you do?’ ‘How do I maintain this?’ It just doesn’t make sense nowadays not to offer the full-range of aesthetic treatments.” In addition to laser treatments and injectables performed by Dr. Haworth and his R.N., celebrity esthetician John Tew performs signature facials and naturopathic doctor Matea Polisoto, who goes by “Dr. Matea,” offers IV therapy and nutrition counseling. “Like John, she has a very big following in Beverly Hills and beyond,” says Dr. Haworth. “She is involved with IV therapy, which helps augment the pre- and postoperative surgical experience, and optimizes healing. “The people working with me are just as important as the surgeon—it’s all about having a team,” he says. The Frustrated Artist Born in Los Angeles and educated in England, Dr. Haworth has a somewhat unusual background for a Beverly Hills plastic surgeon. “My dad was English and spent World War Il in London selling bootleg whiskey during the Blitzkrieg. My mother and her family lived in Holland during the German occupation,” he says. Following the war, both of his parents immigrated to the United States seeking opportunities, of which there were few in post-war Europe. “They met, and I was born in Los Angeles. But my dad always wanted me to be in England eventually,” says Dr. Haworth. When he was 9 years old, he and his parents drove to Central America and boarded a cargo ship to England. During his school years in London, Dr. Haworth became enamored with the arts. “l always drew—and I was very good at a young age. In University I joined band. I was really into the arts, and that’s what I wanted to pursue,” he says. “But my parents, being war babies, wanted a doctor in the family and I was their only child.” During a road trip prior to his final year at the university, he shared his goals with his parents. “We were in a VW bus and they said, ‘We’ll disown you if you become an artist. Make your decision’—it was really bizarre,” he says. His mind flashed back to a BBC interview of Kurt Wagner, MD, he had seen when he was 13. “l said, ‘Then I’ll be a plastic surgeon,’ having no idea what was involved in that.” He came back to the U.S. and enrolled in medical school at the University of Southern California. Following graduation, he completed a five-year general surgery residency at Cornell Medical Center in New York. Dr. Haworth made his way back to the West coast for his plastic surgery residency at the University of California, Los Angeles. “After my residency, I had no money so I was anxious to go into practice. I thought, well then I have to goto Beverly Hills because that’s where successful plastic surgeons go,” he says. Another surgeon offered to rent him a space in his clinic’s kitchen, which was housed in one of the most desirable medical buildings in Beverly Hills. “He had a little pocket door in front of the kitchen so I stayed in there,” says Dr. Haworth. “During my clinic days, I would take his diplomas off the walls in the two little exam rooms and put mine up, and that’s how it started. “l look back fondly on those days now, but it was horrible at the time. If I had two surgeries in a month, it was a great month,” he says. Finding His Niche During his UCLA residency, Dr. Haworth won a plastic surgery research prize for his lip surgeries, which provided a unique niche with which to build his practice, More than 20 years later, he has patients from all over the world who travel to the Haworth Institute for their lip surgeries. “You can be the best doctor in the world, but if you don’t have marketing, no one will know about you,” he says. “So I leveraged that award and started getting known for lips, even though my favorite surgeries are noses, mid- facelifts and what I call hyperaesthetic surgeries where we change everything. The lips are what I was known for, and now I get jazzed by that because there’s really no competi- tion in the world for these surgeries.” He offers upper, lower and corner lip lifting procedures as well fat transfer and F.A.T.M.A. (fat transfer & mucosal advancement). “l do many types of lip lifts because it is shape before volume; there are many things that fillers alone cannot do,” he says. Embracing and Investigating New TechnologiesDespite the limitations of traditional filling techniques, Dr. Haworth has embraced dermal fillers as effective tools to perfect his patients’ lips. In some cases the new, less invasive procedures are even surpassing what he can achieve in the O.R.”Our mouths get wider as we age and our lower teeth become visible,” he says. “People will often just fill the lower lip horizontally, which won’t help with these concerns.”In his surgical center, he performs lower lip V-Y plasty procedures to narrow the mouth, lift the bottom lip and pout out the middle third of the lower lip. But, due to the minimal improvement, he recently became interested in the idea of using vertical filler injections to lift and shape the lower lip.”About three months ago, I started injecting vertically into the lower lip. I place my long cannula or a long needle vertically from the bottom of the prejowl sulcus all the way to where I see the needle blanching on the vermillion on the back of the lower lip on the sides. Then I inject vertically as I pull the needle out,” he says. “l am seeing such dramatic elevation of not just the lower lip but the whole corner of the mouth—the marionette folds are dramatically reduced and the labiomental sulcus opens up.”He is calling this the Caisson technique after Caisson beams in construction. “The patients are three months out now, and the results are far better than what we see with the lower V-Y plasty in hiding the lower teeth,” he says.Dr. Haworth is investigating new ways to augment and lift lips using dermal fillers.”l love doing surgery, but plastic surgery is in some ways a dying field,” he continues. “The future of plastic surgery lies in the lab, not the operating room. Eventually they are going to know how to stop senescence. In the meantime, the future of aesthetics is laying more and more in lasers and newer, better fillers, and I want to stay on the forefront of that.”His biggest challenge is determining which new technologies and procedures live up to the hype—and resisting the urge to bring in every new device about which patients inquire. “Sixty to seventy percent of all new medical cosmetic technologies overpromise and under deliver,” he says. “First, it’s a big ‘Wow!’ Then results are ‘operator-dependent,’ then it’s gathering dust, so I vet all these technologies and only offer the ones I believe are proven to work.”What I want to offer my patients with the Haworth Institute and Self Centered Aesthetics is more than one-stop aesthetics, It’s the tools and knowledge to deliver the absolute best treatments for their individual concerns and lifestyles,” continues Dr. Haworth. “We have a turbocharged armamentarium of proven noninvasive treatments to carry on the philosophy that I espouse in my surgeries, which is really detailed aesthetic work.”

Gloria (Croatia) 2017

Dr. HAWORTH is interviewed by Gloria magazine about his life in being a top Beverly Hills plastic surgeon and catering to the aesthetic whims and desires of the rich and famous as well as his charity work. He has heard about Gloria magazine from his ex wife who was Serbian Actress Ana Alexander (Stojanovic).
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