Do Non-surgical Treatments Help Maintain Megan Gale’s Youthful Complexion?

Megan GaleMegan Gale, has long been an advocate for aging gracefully, speaking openly about her views on plastic surgery and why she has chosen not to go under the knife. Beverly Hills plastic surgeon Dr. Randal Haworth has weighed in on Megan’s age-defying appearance. ‘I understand Megan has denied “going under the knife” and, based solely on her photographs, I tend to believe her,’ Dr. Haworth told Daily Mail Australia this week.

Dr. Haworth, who has not treated Megan himself, described several small, non-surgical procedures she may have undergone to maintain her supermodel look. Haworth also believes that Megan may have had some Botox ‘here and there’ to subtly smooth out her crow’s feet. Megan has spoken candidly about her attitudes toward cosmetic work in the past. In 2016 she told New Idea in 2016 that she would never consider surgery as her former AFL star partner Shaun Hampson, 30, would ‘kill her’.

Megan, who previously dated radio personality Andy Lee, is one of Australia’s most successful fashion exports. Throughout her career, she has graced the covers of countless magazines, including Marie Claire, InStyle, and GQ Australia.

Original Article

Alex Perry’s ‘excessive’ use of Botox and fillers

Alex Perry, whose celebrity fans include Rihanna and Kim Kardashian, told Yahoo in 2013 that he is not ashamed of using fillers and Botox. In 2016, the Australia’s Next Top Model judge was criticized for his appearance by one of the show’s contestants, 21-year-old Kassidy Ure. After Alex criticized her photos, she sniped back: ‘At least my lips are real!’

Alex PerryBeverly Hills plastic surgeon Dr. Randal Haworth accused the Australian fashion designer of ‘excessive’ use of anti-wrinkle injections. Haworth observed how Alex, 55, looks remarkably different in before and after photos and may have taken things too far. The Beverly Hills surgeon-to-the-stars claimed Alex’s face now looks ‘crowded’ as a result of ‘too much’ filler.

Dr. Haworth stated that ‘Compared to his younger self, his face is now “crowded”, making his eyes appear smaller and closer set. Most likely, a generous recipe of injected filler and more than a drizzle of Botox in and around his forehead, brows and temples contributed to this look.’

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

This New Blunt-Tip Needle Screws the Bruise! Dermasculpt

What is Beverly Hills Plastic Surgeon, Dr Randal Haworth’s, latest tool to minimize bruising with injections?

Injection techniques to place filler into the face to correct lines, folds and wrinkles have became even more advanced with the use of blunt tip cannulae, such as Dermasculpt. These are similar to needles except that they are not sharp and therefore are less prone to cut the tiny diameter blood vessels in and below the skin.

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What does this mean for the patient?

-Markedly less bruising

-Generally significant less discomfort

-Greater safety profile

I don’t employ them to treat all areas of the face, since certain anatomical facial features require extremely precise placement of filler not afforded by blunt tip cannulae. They are ideal to inject larger areas which require generalized plumping or filling such as the temples, cheek hollows, brows and jawline.

I have injected most types of filler through them including Juvederm, Restylane, Belotero, Artefill, Aquamid and Radiesse.

Be prepared to hear some minor crackling noise, however, for the first minute or so similar to lettuce being cut!

Botox® for Depression?

Botox may soon be used to treat psychological depression. We know that it can help alleviate the symptoms of migraines in many.

Dr. Randal Haworth Beverly Hills is an expert specialist in facial plastic surgery including maintenance therapy through fillers and paralytic agents such as Botox®, Dysport® and Xeomen®.

Botulinum toxin A seems to do far more than just block the transmission of acetylcholine (the neurotransmitter chemical released from nerve endings to affect change in muscle, glands etc.).

There is new evidence to suggest that Botulinum toxin type A can be used to treat depression which was first reported in 2006 by two American doctors (Finzi E, Wasserman E “treatment of depression with botulinum toxin A: a case series, Dermatol Surg 2006; 32 (five): 645-649). Based on this small study, a much larger study with careful patient assessment has shown that a single treatment of the glabellar lines (the dreaded “11” frown lines) with botulinum toxin resulted in a significant and sustained benefit for depressed patients (Wollmer MA, de Boer C, Kalak N, et al. “facing depression with botulinum toxin: a randomized controlled trial,” Journal of psychiatric research May 2012; 46 (five): 574-581).

Therefore, one can conclude that Botox®, through control of facial expression, seems to have the ability to control patient mood. However, is this an effect of increased self-confidence on the patient’s part or is this a result of hormone or regulatory peptide secretion as well?

Who knows at this time, but this is intriguing nonetheless. Dr. Haworth of Beverly Hills, however, is still not offering this treatment for depression even though many do say that aesthetic plastic surgery can be surgical psychiatry when performed in properly selected patients! Is this why there are so many ostensibly happy people in Beverly Hills and and its environs? 😉

For further information click on this link to body language.net

Rhinoplasty – The rib graft mafia

Over the last 3 to 4 years I, as a primary and revision rhinoplasty specialist, have noticed an increasing and disturbing trend being practiced amongst those facial and classic plastic surgeons in my immediate community of Beverly Hills and other cities. This trend revolves around the use of rib grafts for not only revision but also primary rhinoplasty (!) (or in common parlance, nose job).

A good number of rhinoplasties require cartilage in order to achieve exemplary results. Cartilage is used to either build a bridge, fill depressions, augment or support the nasal tip. It is mainly harvested from the septum (that partition that exists in the midline of the nose which separates the left and right nostril) or the ear. Though I am fully trained general surgeon and am comfortable operating in and around the lungs and heart, I rarely employ rid graft as a source of cartilage. For most, it is generally a last resort when absolutely no other cartilage source is available. Admittedly, rib provides a strong support and is generally in plentiful supply. However, a number of downsides arise when rib is harvested: a permanent visible scar is created below the breast. Additionally, significant pain can arise from the harvesting as well as a small chance of creating a pneumothorax (or a collapsed lung) . Finally, rib can be notorious for warping thereby creating a nose that is crooked. Despite these drawbacks, I will use rib when there is a collapsed nasal septum (or dorsum creating a saddle nose deformity) or when plentiful cartilage is needed while other sources are exhausted.

See the accompanying photos.
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A Collapsed Nasal Bridge or Saddle-Nose Deformity After a Revision Rhinoplasty Utilizing Rib Graft
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A Severe Saddle-nose Deformity after Infection After Rib Graft Reconstruction
I always use cartilage to highlight and augment the nasal tip, however, when there is not enough cartilage present and I only need to build the bridge by a small amount, I do not hesitate to employ some artificial material such as Goretex®. I utilize this only when the chance of infection is remote. When patients are properly selected for utilizing Goretex®, the chance of infection extremely minimal in my experience. Unfortunately, the surgeons who habitually use rib grafts will scare the bejesus out of their patients into choosing the rib graft method by overstating the chance of infection and poor outcome if Goretex® is used.

So if I am writing that rib grafts are over utilized, then why do the rib graft cartel tell their patients otherwise?

I feel it is simply a matter of finance. When a rib graft is harvested, the surgeon can charge a lot more for both his services and the operating room, especially if insurance is billed. Most patients will not question their surgeon’s motivated choices and indeed, feel that they have no choice at all, believing that the rib-graft-mafia method is their only solution.

What is especially unsettling is that these doctors who are members of the rib graft cartel are now utilizing rib grafts for primary rhinoplasties (first time nose jobs). This is very puzzling because there is plenty of prime cartilage graft material available from the septum and ear and there is little to no reason to subject the patient to a rib surgery.

All I can say is that this is a dangerous trend which introduces unnecessary risk and morbidity to the operation.

A good patient is an educated patient and the purpose of my blog is to merely propagate information in the most objective way possible so that patients can make their own decisions as sentient adults. To learn more about primary and revision rhinoplasty , you can click here.

Dr Randal Haworth

Beverly Hills, California

The Radix Graft in Rhinoplasty

This lesser known anatomic point of the nose is often purposely overlooked by rhinoplasty specialist surgeons because of the challenges it poses to those attempting to alter it. It is represented by the angle formed by the uppermost portion of the nose as it blends into the forehead proper. Yes, altering this area does have a subtle, yet profound influence upon the final appearance of a nose job- it can differentiate an excellent result from a “so-so” one. The surgeon can raise the radix so that the nose blends into the forehead at a higher latitude as well as softly elevate the natural valley that can exist at this are if it is too deep. Furthermore, one can deepen the radix if too much bone is present between the eyeball and the bridge on profile view.

The ideal position of the radix lies approximately at the latitude of the upper eyelash/upper eyelid crease. Beverly Hills plastic surgeon, Dr Randal Haworth can raise it by placing a precisely shaped softened cartilage graft (usually harvested from the nasal septum or ear) with beveled edges onto the bone of the radix area. Alternatively the radix or nasion can be rasped or chiseled with specialized delicate instruments to a lower, deeper position.

Why does raising a radix from a low position improve the final appearance of a nose? Well, imagine two noses which are identical in shape and forward projection except that one has a low radix while the other has a high one. The one with the low radix is shorter compared to the one with the high. Now imagine two men, both with the same 34 inch waist, but one is short while the other tall. Who appears fatter? The short person does, of course. This same optical illusion applies to the nose with a low radix-it appears as it projects further out from the face as compared with the one with the higher radix and not necessarily in an attractive way.

The following photos represent a beautiful result of a corner lip lift and concomitant rhinoplasty in which the radix was raised.
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Note where her radix point lies. It is lower than the level of her eyelash, making the nose look more projecting than it really is. The result after a corner lip lift and a rhinoplasty with Radix enhancement.
Work here results in some extra swelling localized to the space between the eyebrows in the sense that it lasts a few days longer. Dr Haworth at the Haworth Institute has a few tricks up his sleeve to accelerate the resolution of the nasal swelling by injecting a dilute mix of Kenalog under the skin (and it is relatively painless) two weeks out. This “turbocharges” the swelling to go away! Of course, the radix can also be augmented with a filler of some sort, such as fat, Radiesse, Juvederm, Aquamid and Artefill.