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How Custom Chin Implants Are Transforming Facial Harmony — Here’s What Top Surgeons Won’t Tell You

Posted on by Randal Haworth


The Art and Science of Chin Enhancement: Balancing Beauty, Restoring Proportion

As a plastic surgeon with a global clientele, I often say: chin enhancement may not be necessary—but in facial aesthetics, necessity and desire can merge beautifully. Let’s explore why.

Why the Chin Matters

From the front, the chin defines the proportions of the upper, middle, and lower facial thirds. A recessed chin can make the face appear wider, disrupt harmony, and cast vertical shadows from the mouth corners toward the jawline—subtle signs of “pseudo‑jowls” long before they appear.

Before-and-after comparison of an anatomic extended chin implant showing reduced vertical shadow wings between the lower lip and chin, improving lower face harmony.
Anatomic Extended Chin Implant — Before & After:
The “shadow wings” that extended from the corners of the lower lip toward the chin have been significantly reduced, restoring smoother, more harmonious lower facial contours.The patient also underwent an upper lip lift.

From the profile, a properly aligned chin should fall along a vertical plumb line with the nose. A weak chin can contribute to submental skin laxity and even a flaccid lower lip that exposes the lower teeth.

Before-and-after images of chin implant surgery correcting a recessed chin, lifting a forward-hanging lower lip, and tightening loose submental skin.
Recessed Chin Correction with Chin Implant — Before & After:
Marked improvement in chin projection, resolution of flaccid forward-hanging lower lip, and tightening of loose submental skin after chin augmentation.  

Enhanced Insights from Recent Trends

  • Rising demand for chin implants in 2025: Surgeons are seeing increasing popularity for chin implants due to their ability to refine face shape and define the jawline with minimal downtime .
  • Custom implants using CAD/3D‑printing: Personalized implants designed via CAD and 3D modeling offer unmatched precision and harmonious results  .
  • Preference for natural aesthetics: Patients increasingly favor subtle, authentic enhancements over overly dramatic looks—often referred to as the shift from Kardashian‑style to more natural facial harmony  .
  • Advantages of implants vs. fillers: Implants offer more dramatic and permanent results, especially for those ready for lasting change. Fillers remain a great trial option or for those seeking modest, temporary enhancement .

Refined Surgical Options

  1. Dermal and Fat Fillers
    • Temporary fillers (like hyaluronic acid or calcium hydroxyapatite) or permanent options (such as Bellafill or autologous fat) offer non‑surgical chin enhancement, ideal for previewing outcomes  or as a relatively simple, non-invasive methods for mild to moderate issues Jaw fillers .
  2. Sliding Genioplasty (Advancement Osteotomy)

    A versatile technique moving the chin bone itself for structural change. Though powerful, it carries risks like step‑offs, lower lip laxity, and disruption of the mentalis muscle—hence my caution toward this approach. Sliding genioplasty
  3. Chin Implants (My Preferred Method)
    • I favor solid silicone implants that I sculpt for personalized fit—whether a button style or an extended “boomerang” design to restore jawline flow. Their placement can even lengthen the lower face and improve posture of submental tissue. I personally customize the implant to both size and shape to not only account for underlying asymmetry of the bony mandible (on which it will sit) but also the asymmetrical overlying soft tissue (which will form the roof of the pocket). Pre-fabricated Chin implants only taken into account asymmetry of the bone and not of the soft tissue. Chin augmentation
    • Modern implants offer long-lasting, customizable results, minimal visible scarring, and enhanced facial proportions  
    • With proper case selection and surgical technique, complications are rare, and implants remain a go-to for enduring aesthetic refinement.
Custom chin implants in three styles—Button, Anatomic, and Extended Anatomic (Boomerang)—displayed side by side on a white background, used for tailored jawline contouring and improved facial proportions.
Comparison of three custom chin implant designs—Button, Anatomic, and Extended Anatomic (Boomerang)—crafted for personalized jawline contouring and enhanced facial harmony.

Beyond Aesthetics: Function and Form

A well-executed chin augmentation doesn’t just create a stronger jawline—it can smooth shadowing, lift a flaccid lower lip, and tighten loose submental skin. Done thoughtfully, it transforms the lower face into a more confident, balanced, and aesthetically cohesive whole. In the end, a well-proportioned chin plays an integral role geometry, balance, and how you carry yourself in the world. Whether you’re chasing a sharper jawline, banishing those telltale shadows, or simply giving your lower lip the nudge it’s been begging for, chin enhancement can be the quiet hero of facial aesthetics. 

Dr Haworth 2025

Beverly Hills

 

The “Neonatal Deformity” is the Upper Lip Lift’s Unwanted Offspring

Posted on by Randal Haworth

To think that when Dr. Randal Haworth started his practice over 30 years ago, he was one of only a handful of leading plastic surgeons who specialized in lip reshaping surgery. Now, as one of the world’s most renowned lip lift experts, he has witnessed how upper lip lifts have exploded in popularity thanks to the influence of social media on the young and old alike. However, as with any trend, unintended consequences may arise such as the “neonatal deformity,” which originates from the congenital Apostrophe Lip. I first described this latter labial morphology in a chapter I authored for “Aesthetic Surgery of the Facial Skeleton”, a textbook edited by Dr. Steven Baker in 2019.

What Is an Apostrophe Lip?

You might not recognize the name, but you’ve likely seen the effect: the pink vermilion (the visible part of the lip) is full and prominent only in the center, while the outer thirds taper off or even disappear. This narrowing gives the mouth a stylized, doll-like appearance reminiscent of Kabuki makeup, where the lips are intentionally painted small and central.

While deliberate in performance art, this effect is aesthetically unflattering when unintentional—and unfortunately, upper lip lifts performed without addressing corner anatomy often exaggerate this deformity.

Kabuki performance artist's lips
Kabuki-style makeup mimicking an Apostrophe lip — note the abrupt loss of vermilion toward the corners, creating a slit-like mouth.

Kabuki lips
Another example of a stylized Kabuki “rosebud” mouth, often unintentionally replicated by improper upper lip lifts.

Overfilled lips due to both patient and practitioner perception drift
Before and after correction of an apostrophe lip using a medialized corner lip lift. This patient had chronic filler injections that exacerbated the deformity, narrowing the vermilion into a slit-like central zone.

How an Upper Lip Lift Can Create A Neonatal Lip

Lips of a Neonate
The neonatal deformity gets its name from the naturally recessed corners and centralized vermilion seen in newborns—charming in infants, but unflattering in adults.

Regardless of type, if an upper lip lift is performed without taking into account the oral commissures and lateral upper vermilion, a preexisting apostrophe lip can be exacerbated. The slope from the Cupid’s bow to the oral commissure (mouth corners) becomes unnaturally steep. The outer pink vermilion rolls inward or disappears entirely, leading to a pinched, slit-like appearance akin to that of a newborn. In essence, a neonatal deformity. Patients from around the world have come to me distressed by this outcome, often feeling disfigured and despondent.

Classic Neonatal deformity
Classic Neonatal lip deformity after an upper lip lift without regards to the oral commissures
A moderate neonatal lip deformity
A moderate neonatal lip deformity after an upper lip lift and an inadequate traditional corner lip lift

The Medialized Corner Lip Lift: A Powerful Solution

Enter the medialized corner lip lift—a precise, elegant surgical solution I’ve refined over the years to correct these issues. It not only repositions the corners of the mouth upward but also:

  • Restores lost vermilion by rolling it outward, eliminating that paradoxically tightlipped “rosebud” look.
  • Corrects asymmetry, which is present in the majority of mouths.
  • Improves the marionette folds (those stubborn lines running from the corners of the mouth downward) that facelifts often miss.
  • Softens the harsh slope from Cupid’s bow to oral commissure, restoring a balanced, natural curvature.

This is a high-precision procedure involving design and execution tolerances as fine as a quarter millimeter. But when done correctly, the results are not only restorative—they are transformative.

Neonatal lip deformity stemming from past upper lip lift.
This patient required a direct revision of her previous upper lip lift to correct pleating at the nasal base and a medialized corner lip lift to correct the neonatal deformity. A lower V–Y plasty was also performed.
Asymmetrical, neonatal, deformity after upper lip lift and simultaneous rhinoplasty
Another case of asymmetrical neonatal lip deformity after having undergone a previous upper lip lift simultaneous with a rhinoplasty. Dr. Randal Haworth corrected this with a medialized corner lip lift along with medical dermabrasion of her upper lip lift and nasal base/past rhinoplasty scars.. The vermilion was central and collapsed at the corners.

Final Thoughts

If you’ve undergone an upper lip lift and are unhappy with the corner distortion or feel like your lip looks smaller or more “pursed” than before—know that you’re not alone. These issues are more common than many realize, but they are entirely correctable.

Performed under local anesthesia, the medialized corner lip lift offers a sophisticated solution to restore harmony and confidence to your face.

Dr Randal Haworth

Beverly Hills 2025

Iggy Azalea Before And After Plastic Surgery Transformation & What Kind Of Surgery She Got?

Posted on by Randal Haworth

In a recent interview, Iggy Azalea said that the rumors that she had plastic surgery to get back in shape after giving birth were untrue.

The 30-year-old Australian rapper credited a balanced diet and the fact that she was in terrific shape before becoming pregnant for her toned body, which she revealed to a fan on Twitter.

While that may be true, it doesn’t rule out the possibility that the Fancy hitmaker had had surgery in the past.
From a rumored chin implant to a nose operation and breast augmentation, Iggy’s look has undergone a dramatic transformation over the years.

Recent photographs of the celebrity reveal a very different person from the young blonde who burst into the scene in 2012.

Iggy looks very different in photos from when she was 23 years old. She has smaller lips, a bigger nose, and a flatter breast.

She has been quite forthright about her plastic surgery history, which includes a rhinoplasty and breast implants.

Iggy Azalea Before And After

But she insists her naturally large buttocks aren’t anything to be ashamed of.

Dr. Randal Haworth of Beverly Hills, who examined the singer last year, speculated to Daily Mail Australia that she may have had more cosmetic surgery to alter the structure of her face.

Although Dr. Haworth has not personally seen or treated Iggy, he notes that she has made some “subtle” and “wonderful” improvements.

Read More:

Iggy, in his opinion, is a great “canvas” for a plastic surgeon to show off his or her skills.

Results can be magnificent and undetectable to the untrained eye if done correctly.

Dr. Haworth speculates that Iggy may have had “a chin augmentation as well as mandibular angle enhancement to give her a more refined, “modelesque” jawline” in addition to her rhinoplasty, which he says “straightened and narrowed her nose.”
She could have had this done with solid silicone implants or with commercially available injectable fillers, but in either case the results would be “spectacularly non-obvious,” as he put it.

Iggy, who was born in Mullumbimby, NSW, and who came to the United States when she was 16 years old, has always been open about the fact that she had breast implants implanted.

“I acquired larger boobs four months ago!” She revealed her lifelong preoccupation with the idea to the fashion bible Vogue in 2015.

She addressed her decision to go public with her new appearance in an interview with E! afterward.

‘I love them so much I had to talk about them,’ she said. ‘ Everyone agreed that “I don’t believe you need to say anything since no one would ever know because they’re so little”. Rather than keeping my thoughts to myself, I blurted out, “I know but I’m just going to say it [because] I’m a blabber mouth!”

I think it would be better if I didn’t have a secret. It’s easier to say it out loud, she said, since you don’t have to fear that someone would go looking for it.

Read More:

The rumors that bootylicious Iggy has had “butt implants” persist, despite her openness about her willingness to undergo surgical procedures.

She denied having bum implants in an interview with Australian radio hosts Stav, Abby & Matt in 2017. Although they aren’t my natural breasts, this is my actual butt.
Iggy’s incredible post-baby physique is the result of strict dieting and intense exercise, she said earlier this week, ruling out plastic surgery as a possible explanation.

On Monday, a Twitter user commented on her looks by writing, “I’m not having a baby till I can afford what these celebs are doing to look like weeks after giving birth.”

In response, Iggy tweeted, “All you have to do is monitor what you eat when you’re pregnant and already have a six pack previously. It’s risk-free; all you need is the willpower to see it through for nine months.

Inside Jennifer Hawkins and Jake Wall’s incredible ‘glow up’: How the genetically-blessed pair transformed from young lovebirds to a glamorous power couple

Posted on by Randal Haworth

They are one of Australia’s most glamorous power couples, presiding over a business empire that includes property, a tequila brand and a tanning range.

And it seems that Jennifer Hawkins and Jake Wall, who married in Bali in 2013 after dating for almost a decade, have had quite the transformation over the years.

These days, the pair look remarkably different compared to when they burst onto the celebrity scene as fresh-faced lovebirds in the mid-2000s.

Jen Hawkins and Jake Wall’s incredible ‘glow up’: How they transformed from young lovebirds to a glamorous power couple. Pictured left: in June 2005, and right: in October 2016

The entrepreneurs have certainly refined their fashion sense in the 16 years since Jennifer, a former Newcastle Knights cheerleader, won Miss Universe in 2004.

In red carpet photos from Jennifer’s modelling heyday, the now-36-year-old sports pencil-thin eyebrows – which were fashionable at the time – and even dark hair. 

Property developer Jake, 37, has changed a lot too, having embraced a more rugged look while also bulking up significantly.

My, how you’ve changed! These days, Jennifer and Jake look remarkably different compared to when they burst onto the celebrity scene in the mid-2000s. Pictured in June 2005
Throwback! They have certainly refined their fashion sense in the 16 years since Jennifer, a former Newcastle Knights cheerleader, won Miss Universe in 2004. Pictured in August 2006

In 2018, Beverly Hills plastic surgeon Dr. Randal Haworth offered his expert opinion on whether Jennifer had gone under the knife.

He told Daily Mail Australia at the time: ‘I often see pretty girls like Jennifer wanting to fine-tune their features to enter “supermodel” territory.’

According to Dr. Haworth, who has not treated Jennifer himself, she has invested in some minor improvements to ‘improve facial balance as a whole’.

‘Most people would scratch their heads as to how a former Miss Universe could possibly improve upon her already-idolised face,’ he said.

‘Her new and more glamorous appearance has been helped by a rhinoplasty to refine and elevate her nasal tip while narrowing her asymmetrical nasal bones.’ 

‘She has a new and more glamorous appearance’: In 2018, Beverly Hills plastic surgeon Dr. Randal Haworth offered his expert opinion on whether Jennifer had gone under the knife. Pictured left: Jennifer as a teenager, and right: in May 2018

Despite being a household name for more than 15 years, Jennifer has hardly aged a day and is arguably more beautiful now than she was in her early twenties.

Dr. Haworth believes that the former Myer ambassador has indulged in ‘fillers to her cheeks and other areas of her face’, as well as Botox.

‘I strongly suspect she also underwent lip augmentation for added sensuality and improved facial balance as a whole,’ he added. 

Claims: Dr. Haworth believes that the former Myer ambassador has indulged in ‘fillers to her cheeks and other areas of her face’, as well as Botox

In 2010, Jennifer attributed her drastic change in appearance to healthy eating, exercise and makeup.

‘Women get better with age, because they are more confident with themselves. It’s all about makeup and health,’ she said on The Kyle and Jackie O Show.

While old photos of Jennifer reveal a noticeably thinner pout and fuller face, she has previously brushed off surgery speculation. 

‘Women get better with age’: In 2010, Jennifer attributed her drastic change in appearance to healthy eating, exercise and makeup

Jennifer once told The Australian Women’s Weekly that it’s the nature of the fashion industry to be accused of having cosmetic surgery.

‘When someone says “under the knife” I don’t have a reaction,’ she said.

‘Everyone in the industry gets that. That’s fine. I’m cool with that. I’m cool with people having an opinion, but as I said, I am happy with who I am as a person and really just want to live my life.’

In 2016, the former Australia’s Next Top Model judge claimed it was a personal choice if people wanted to invest in plastic surgery.

She told The Daily Telegraph: ‘Each to their own!’

Fair point! In 2016, the former Australia’s Next Top Model judge said it was a personal choice if people wanted to invest in plastic surgery, telling The Daily Telegraph: ‘Each to their own’

Meanwhile, Jennifer and Jake have reached a number of relationship milestones in recent years.

They welcomed their first child together, daughter Frankie Violet, in October.

And in June, the pair found a buyer for their spectacular home in Newport, Sydney, which they sold for more than $20million. 

Starting a family! Jennifer and Jake have reached a number of relationship milestones in recent years. They welcomed their first child together, daughter Frankie Violet, in October

The couple, who met at a nightclub in Newcastle when Jennifer was just 20, first entered the property market in 2006, two years after she was crowned Miss Universe. 

They spent $469,000 on a double-storey house in Merewether, a suburb located 3km from Newcastle’s central business district.

Jennifer and Jake are also entrepreneurs: they own Sesión Tequila and building company J Group Projects, as well as the tanning range JBronze.

Couple goals! In June, the pair found a buyer for their spectacular home in Newport, Sydney, which they sold for more than $20million
Success story! Jennifer and Jake are also entrepreneurs: they own Sesión Tequila and building company J Group Projects, as well as the tanning range JBronze

Iggy Azalea shows off her plastic surgery transformation in the artwork for her new single Lola… and she looks like a completely different person compared to throwback photos

Posted on by Randal Haworth

Iggy Azalea has released the artwork for her new single, Lola. 

The cover art shows a sleek-looking Iggy pouting in a plunging green dress with pop star Alice Chater resting in her lap.

With her plump lips and slender nose, the 29-year-old rapper is almost unrecognisable compared to when she first arrived on the celebrity scene in 2012.

She’s back! Iggy Azalea looks like a perfect mannequin on the cover of her new single, Lola. Pictured with pop star Alice Chatter

In photos taken when the Australian-born star was just 23, she sports noticeably thinner lips, a larger nose and a flatter chest.

Iggy has admitted to undergoing some procedures, including rhinoplasty and a breast augmentation. 

However, she has always maintained that her famous derrière is all natural.

Remember me? In photos taken when the Australian-born star was just 23, she sports noticeably thinner lips, a larger nose and a flatter chest. Pictured on September 6, 2012 in LA

What a transformation! The 29-year-old rapper has completely changed her appearance between 2012 (left) and 2019 (right)

Last year, Beverly Hills plastic surgeon Dr. Randal Haworth told Daily Mail Australia that he believes the rapper may have made additional changes to her facial shape.

According to Dr. Haworth, who has not treated Iggy himself, she 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 observed.

‘When done right, results can be sublime and indiscernible to a layman’s eye.’

Stunning: Iggy has admitted to a nose job and breast augmentation, but has always maintained that her famous derrière is natural. Pictured on July 26, 2019 in Las Vegas

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.’

‘This can be done either with solid silicone implants or off-the-shelf injectable fillers, but either way, her results are spectacularly non-obvious,’ he said.

Iggy, who hails from Mullumbimby, NSW and moved to the U.S. aged 16, has never concealed the fact she has undergone a breast enlargement.

Before and after: Iggy’s face has completely transformed over the years. Pictured left: in September 2012, and right: in September 2019

‘Four months ago, I got bigger boobs! I’d thought about it my entire life,’ she told fashion bible Vogue in 2015.

She later spoke about her new look with E! and explained why she decided to go public with the news.

‘I love them so much I had to talk about them,’ she revealed. ‘Everybody did say, “I don’t think you need to say it because no one will ever know because they’re so small”. I said, “I know but I’m just going to say it [because] I’m a blabber mouth!”

Quite the difference! Iggy’s face looked remarkably different in this photo taken in late 2014

‘I’d feel better not to have some secret. It’s much freer to say it and then you don’t have to worry someone will dig it up,’ she added. 

However, despite her candid attitude to surgery, bootylicious Iggy steadfastly denies rumours she has undergone ‘butt implants’.

She told Australian radio program Stav, Abby & Matt in 2017: ‘No, I don’t have bum implants! They’re not my real boobs, but it is my real butt.’

Barbie girl! The blonde beauty often shows off her flawless features on social media

Michelle Bridges creates a stir with ‘no filter’ photo of her face

Posted on by Randal Haworth

The ex Biggest Loser icon reveals her secrets Fitness guru and former Biggest Loser star Michelle Bridges has posted a photo with her mum, proudly labelled ‘no filter’ – eliciting a strong reaction from her legion of followers.
The star took to Instagram to share an outing with her mother Maureen, captioning it, ‘Out with my mum! No filter but plenty of Love ❤️❤️❤️❤️ #gratitude.’

Michelle’s fans took to the comment section to rave about the photo, with one gushing, ‘I hope you know how beautiful you are without any photoshopping etc.

‘So many people look up to you – you’re naturally beautiful and we love the real you!’

Another raved, ‘You look so pretty 😊’, while yet another wrote, ‘I have unfollowed many with filters. Fake. Thanks for keeping it real.’

A fourth added, ‘Your skin looks incredible.’

VIEW PROFILE

4,275 likes – View Post on Instagram
Out with my mum! No filter but plenty of Love ❤️❤️❤️❤️ #gratitude

Indeed, the star’s seemingly completely line-free visage was a sight to behold. .

Last year, Hollywood cosmetic surgeon Dr Randal Haworth claimed that Michelle could be an ‘enthusiastic user’ of both ‘fillers and Botox’, Daily Mail Australia reported.

Dr Haworth speculated the Aussie fitness star has plumped her lips and filled her under-eye area with Juvéderm.

‘A tell-tale sign that filler was used to treat under-eye hollows is bulging below her lower eyes next to the nose. I can see Michelle has those when she is smiling in recent photographs,’ the surgeon told the publication.

VIEW PROFILE
1,898 likes – View Post on Instagram
These photos were taken by my gorgeous, talented friend @nica.photography for @escapesouthernhighlands magazine Spring 2019 edition 📸🙏🏻 Would you just LOOK at me and my little man (with his long hair out of the bun too 😉) In the article I talk all about my home in the Highlands away from the rat-race city, a few of my favourite things (no spoilers 😘) and why my @12wbt is still going strong after 10 whole years 🎉🙌🏻 Nica, this photoshoot has to be one of my faves EVER! And to the Escape team, thank you for the feature 💛escapesouthernhighlands.com.au/category/in-the-current-issue/ #escapesouthernhighlands #nicaphotography

On the subject of Botox, Michelle has said: ‘I am a fan of anything that makes a person feel good about themselves and more confident’.

Michelle is mum to three-year-old son Axel, who she welcomed in December 2015 with former partner and Biggest Loser co-star Steve ‘Commando’ Willis.

‘We’re just like any other family who have full-time jobs and children; we’re not special!’ she says.

‘We didn’t plan to be so busy but that’s often the way it is – you have to figure it out as you go!’

But in June, Michelle admitted during WHO’s Raw Talks podcast that she struggles with the constant rumours about her and Steve’s relationship.

‘Sometimes I don’t deal with it well. Sometimes it really, really hurts me,’ she explained.

Michelle and Steve first got together in 2013 after meeting while working together on The Biggest Loser.

Plastic Surgery-The Male Factor

Posted on by Randal Haworth
Man running
Exercise is hard work

For the last eight years or so, I, as one of the foremost cosmetic injection experts in Beverly Hills, have noticed an increasing number of men seeking aesthetic improvement outside of diet and exercise. However, I see this growth as less a trend and more of a real shift in the industry.

This growth is spurred on by society’s reliance on visual rather than written communication and its unabashed obsession with youth and beauty over old-fashioned wisdom and experience. The eruption of social media, including Instagram and the like, has only heightened the problem. It has awakened our once dormant  narcissism into the self-perpetuating collective contagion that it is today. 

Consequently, there is less social stigma for men to seek out ways to better their appearance in this highly competitive world. In 2018, more aesthetic technologies are finally delivering on their promises to reduce wrinkles, firm faces, reverse atrophy and sculpt bodies without hair. The armamentarium used includes Botox, Jeuveau( or #Newtox), Juvederm, Vollure, Restylane, Radiesse,Voluma, Bellafill, IP, laser hair removal and other lasers to treat brown discoloration, and red patches. Men are not only seeking out ways to keep themselves looking young and competitive but also non-surgical ways to actually enhance their features; these include filler/liquid nosejobs (rhinoplasties), cheek and chin augmentations and jawline defining and even laser induced fat burning with SculpSure..

All done with the expert hands of a board certified plastic surgeon or his personally trained expert nurse injectors (such as Katherine Braun, R.N. helming The Haworth Institute’s own medispa, Self-Centered Aesthetics™), results which are both significant and, most importantly, natural.  This is ideal for men wanting their appearance to be on point in order to compliment their skill set at work.

No cutting, no stitches, less recovery, less expense- what’s there not to like for those men who simply want to look good with minimal expense and time? 

Get the London Goheen look! American model, 21, reveals how she keeps her derrière toned

Posted on by Randal Haworth

American model London Goheen, 21, didn’t achieve her pert derrière and perfectly toned legs overnight. 

And on Saturday, the brunette beauty went extra hard at the gym after eating an epic cheat meal the night before.

Taking to Instagram, London shared an intense workout video of herself in a barely-there gym outfit that revealed her exercise secrets.

Get the London Goheen look! American model (pictured), 21, reveals how she keeps her derrière and glutes toned in barely-there workout outfit

The model wore skin-tight pink exercise shorts and a skimpy bralette that could barely hold her assets. 

Lunge enthusiast: London performed two lunge exercises, curtsy lunges (left) and normal lunges (right), saying she always uses a 10-pound weight, which is roughly 4.5 kilograms

For the third exercise, London did weighted curtsy lunges with a 10-pound weight, which is roughly 4.5 kilograms. 

The 21-year-old then finishes of the workout with normal weighted lunges and leg extensions on a workout machine. 

With a focused look on her face, London appeared to get extra hard at the gym on Saturday morning after a huge cheat meal on Friday night. 

Taking to Instagram, the model revealed she ate a pepperoni pizza, chicken wings and three ice-cream sandwiches with the caption: ‘Yes, this is all for me and me only.’

Hard work pays off! London shows off the fruits of her labour in the gym with sizzling Instagram posts in barely-there bikinis  

Treat yourself! The night before her morning workout, London ate a pepperoni pizza, chicken wings and three ice-cream sandwiches with the caption: ‘Yes, this is all for me and me only.’

Last year, photos emerged of the stunner showing the extent of the extraordinary transformation she’s managed to achieve since her days as an ordinary high school student in the US. 

‘Specifically, her slightly bulbous tip has been narrowed to form a perfect streamline with her thin nasal bridge. All in all, it’s good work,’ he added.

Dr. Haworth further speculated that London has augmented her lips with filler to create a more ‘sensual’ look.

‘Her lips have been obviously augmented, most likely with a hyaluronic acid filler such as Juvéderm, Volbella or Restylane,’ he said.

Refinements: Dr Randal Haworth told Daily Mail Australia in December that he believes the Texan has undergone rhinoplasty in addition to having non-surgical lip fillers. Pictured left: In her teenage years, and right: in 2018

In January, an eagle-eyed fan noticed London had previously admitted to breast implants on her Instagram account.

‘Where did you get your breast augmentation you look amazing,’ one fan asked, to which London replied, ‘Houston’.

London first made headlines in September when Reece Hawkins, 24, publicly confirmed they were dating.

Are they engaged? In June, London sent fans into a frenzy with a not-so-subtle set of emojis on a loved-up Instagram post with her beau. It was captioned with a ring, love-heart and baby icon

The new relationship, which began just a few months after Reece ended his engagement to fitness model Tammy Hembrow, left millions of fans devastated.  

In June, London sent fans into a frenzy with a not-so-subtle set of emojis on a loved-up Instagram post with her beau.

Captioning a photo with a ring, love-heart and baby icon, the 21-year-old’s social media upload was flooded with comments congratulating the couple.

End of an era: It’s been over a year since Tammy announced her split from her ex-fiancé and the father of her two children, Reece Hawkins (left)

BY DAILY MAIL

Plastic Surgeon and the Anesthetist

Posted on by Randal Haworth

How do I chose local, regional, sedation or general?

General generally means endotracheal tubes

Essentially there are three types of anesthesia:

1. Local anesthesia-the type a dentist gives you while you’re totally awake

2. IV sedation or “twilight sleep“. A sedative is administered intravenously to induce a deep state of sedation. 

3. General anesthesia-Sedative agents are administered both intravenously as well as through endotracheal breathing tube into the lungs.

Though the most consider IV anesthesia as being safer, ironically it can be more dangerous. Unlike general anesthesia, IV sedation does not use a breathing tube to prevent a patient’s airway from closing if sedation gets too deep. Actually, this can happen many times during an operation and that is why the anesthesia provider must stay hypervigilant to deliver enough sedation to maintain a patient’s unconscious state but not enough to stop them breathing on their own.

There are two types of patients when it comes to anesthesia-those who are very wary of any anesthesia, let alone general and those who want full general anesthesia without hesitation. Obviously, the choice as to what type of anesthesia is used during plastic surgery is a collaboration between the patient and the surgeon. 

As a Beverly Hills plastic surgeon, creating human artwork involves deep concentration, precise technique, a painstaking attention to detail and unlimited patience. Therefore I want my patient to be perfectly still, comfortable and safe so I can do my very best without being distracted,  even if the surgery is only “skin deep”. This is why I, as a facelift expert in Beverly Hills, perform my facelifts and detailed hyperaesthetic facial surgery under general anesthesia. I feel I can deliver the best results I can while the patient is comfortable and safe.

I utilize general anesthesia for most of my high-definition body-sculpting, abdominoplasties and breast enhancements to enable me to go that “extra mile”. It’s all too often I hear patients complain about their underwhelming results from surgery performed under IV twilight sleep. This is because surgeons are constrained in what they can fully achieve by a moving, uncomfortable patient. In Beverly Hills, standards are high and patients expect the best and this is why they come to my clinic from across the world for their results and not for the type of anesthesia they receive.

However, there are many situations in which I feel IV sedation is better for the patient. Those requiring modest amounts of work where pain control can be easily supplemented by injected local anesthesia are best served with twilight sleep. Generally, shorter surgeries of the skin and subcutaneous tissue but above muscle fall into this category.

endotracheal tube passing through the vocal cords
An image of the endotracheal tube passing through a patient’s vocal cords

In the end, it all boils down to the concerns and expectations of the patient and how best the surgeon is able to fulfill them. However, most honest surgeons, whether in Beverly Hills or anywhere else for that matter, would agree that their most detailed and precise work was performed under general anesthesia

Lip Dysmorphia-It’s a Thing

Posted on by Randal Haworth

Who’s Running the Asylum ?

The participants of “Married at First Sight Australia” all have one thing in common-lips preposterously out of proportion with their face. Like a loud out-of-tune instrument in an otherwise beautiful orchestra, these overinflated lips resemble baboon bottoms in heat and do no one any favours.

"Married at first sight Australia" overinflated lips so commonly seen
The characteristic overinflated lips so commonly seen nowadays in the social media age

The mistake made by the many so-called practitioners of aesthetic medicine, is to allow their own aesthetic judgment to be hijacked by the social media influencers. This encourages tunnel vision in doctors and nurse injectors alike, focusing only on  lip volume and not on shape. Instead of enhancing facial sensuality,  overly plumped lips tend to do the opposite and even age the face in a strange way. For example,  the exaggerated lips of Jessika Power only serve to distract from her natural beauty while the lips of Martha Kalfatidis just draw attention to her other churlish facial plastic surgery including her rhinoplasty.

THIS IS A CLASSIC CASE WHERE THE INMATES RUN THE ASYLUM

As a renowned lip reshaping expert, I can say it is not just the  lips but also the surgically and “filter enhanced” faces and bodies that send a bad message to young people. It breeds insecurity, narcissism, depression and bland conformity whereby everyone starts to look the same.

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