Has Former Miss Universe Jennifer Hawkins Gone Under The Knife?

Beverly Hills plastic surgeon Dr. Randal Haworth offers his expert opinion on whether Jennifer Hawkins has gone under the knife. She has been the subject of ongoing surgery speculation due to her changing appearance over the years. Dr. Haworth told Daily Mail Australia on Tuesday: ‘I often see pretty girls like Jennifer wanting to fine-tune their features to enter “supermodel” territory.’

Jennifer Hawkins Despite being a household name for 15 years, Jennifer does not appear to have aged a day and is arguably more beautiful now than she was in her early twenties. Dr. Haworth, who has not treated Jennifer himself, stated that the Australian model appears to have invested in some minor improvements to ‘improve facial balance as a whole’. In 2010, Jennifer attributed her drastic change in appearance to healthy eating, exercise and makeup during an interview with 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. Jennifer once told The Australian Women’s Weekly that it’s the nature of the fashion industry to be accused of undergoing cosmetic surgery. ‘When someone says “under the knife” I don’t have a reaction,’ she told the magazine.

Original Article

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

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

Building the optimal in-office OR

Beverly Hills Surgical Center

Building the optimal in-office OR

By Lisette Hilton

1. Flow and Freedom of Movement

Beverly Hills-based plastic surgeon, Randal Haworth, M.D., says he needs to be comfortable and free to move in order to perform facial and body plastic surgery.

But space can be somewhat limited in an OR inside a boutique plastic surgery practice, he says.

“… so careful planning of the envisioned flow between patient, surgeon, scrub tech, circulating nurse and anesthesia provider must be done,” Dr. Haworth says. “In my case, I had to work with a rectangular operating room, in which case I first had to decide where the anesthesia machine would be situated, since its range of movement would be limited by the oxygen and vacuum hoses tethering it to the ceiling. Consequently, it was important for me to have a 180-degree turning radius for the operating table, so I could position it according to whether I am performing facial or body surgery. Of course, OR lights have to follow suit and must be very mobile and bright. My Trumpf LED [Trumpf Medical] system fits the bill nicely.”

2. A Quality Monitor and Sound System

Having a big monitor with a good sound system for music is not only a luxury but a necessity for the modern plastic surgeon. Having the monitor in constant view is a must, according to Dr. Haworth.

3. Intelligently Designed Cabinetry

Proper cabinetry, design to maximize space and efficiency, is essential, according to Dr. Haworth.

“You can never have too many cabinets from the get-go, since these promote organization and obviate the need for vulgar retrofits in the future,” he says. “When it comes to designing my clinic or the operating room, I think that creating and maximizing the feeling of unrestricted space is important for both the patient’s sense of security and the staffs’ sense of clarity.”

4. Don’t Cut Corners

Don’t cut expenses, when it comes to safety, according to Dr. Cohen.

5. Seek Expertise

Dr. Cohen says cosmetic surgeons should tap experts in designing operating rooms.

“Reach out to architects with experience in both the design and credentialing processes,” Dr. Cohen says. “Ultimately, certain third-party inspections may be required, and you don’t want to be caught off guard.”

Dos and Don’ts for the In-office OR

Erin Metelka, an interior designer with Studio Four Design, offers these design dos and don’ts.

OR Dos:

  • Use a sheet flooring, with heat welded seams and sanitary cove base.
  • Use bleach cleanable/non-porous products.
  • Use clean/calming colors.
  • Provide a variety of adjustable ambient lighting options.
  • Utilize floor patterns to designate the extents of the sterile zone and care-provider zones.
  • With the wide variety of procedures that occur in an operating room, often times, the table is moved in order to accommodate the most efficient workflow with the other equipment in the suite. The floor patterns can also be used to dimension the proper location of the table for these various scenarios.
  • When creating several operating rooms, utilize an identical layout (not mirrored). Often, physicians are moving into adjacent operating rooms for a procedure, while a room is being turned over and sterilized. Having identical layouts increases efficiency and reduces error.

OR Don’ts:

  • Do not have extraneous items of décor within the suite, such as artwork.
  • Do not utilize fabric of any kind such as curtains/draperies. If there are windows, create privacy with natural light by using integrated frosted glass. If an upholstery is required for a physician stool or other items, a bleach cleanable vinyl is a suitable alternative, ideally with a Crypton or nano-technology finish applied (these finishes work to prevent moisture penetration to the cushion and function as an antimicrobial).
  • Do not place any direct down-lighting, with the exception of the surgical boom, directly over the table.
Read the original article here!

Healing after Plastic Surgery; State-of-the-Art for 2017.

“Time is a cruel thief to rob us of our former selves. We lose as much to life as we do to death.” Elizabeth Forsythe Hailey

Living in the modern world becomes more complex and harder as life in the 21st-century becomes faster and faster. We are burdened with responsibilities and distracted by an interminable onslaught of media in all forms including the capricious internet. It seems as if everything is competing for our attention in one way, shape or form while stealing precious time we could otherwise devote to family, friends and simply to our  own selves. Therefore, when it comes to saving time, the need to heal quickly after any cosmetic procedure is almost rapacious.

Unfortunately, there is no magic pill or formula to bypass the post operative inflammation of  bruising, swelling and discomfort at this current time. As one of the top plastic surgeons in Beverly Hills, Dr. HAWORTH has seen a thing or two about how patients heal after the thousands of surgeries he has performed over two decades. As a facial plastic surgery expert, he has performed thousands of primary and revision rhinoplasties, brow lift, facelifts and blepharoplasties not to mention the breast implant operations throughout his career and has realized there are things you can do both at home and in the clinical setting to accelerate your healing.

First of all, it is a good idea to focus on whole foods as much as possible while avoiding processed ones as the former will contain the highest levels of vitamins and amino acids your body will need for a speedy recovery.  Amino acids help wounds heal faster and obviously, these are found in  chicken, meats, egg whites, fish, brown rice, healthy nuts like walnuts and almonds or sunflower seeds. Taking supplemental vitamin C in your diet while increasing zinc in your diet can be helpful. Instead of taking vitamin C for a bottle, you can eat strawberries, papayas and citrus fruits which are great sources of vitamin C.  500-1000mg  is the usual amount that is taken. Zinc is found in oysters which have one of the highest levels of zinc found in any food. If you are going to take a supplement, 15 mg of zinc daily is the recommended amount but you can increase your zinc intake to 30–50 mg for 2 weeks before and 2 weeks after surgery, using zinc picolinate.

Beverly Hills plastic surgeon Dr. Haworth also recommends these useful supplements to take in preparation for your surgery include:

B12 and Iron – Iron and B12 both aid bone marrow in forming new blood cells, so incorporate foods like fish and eggs.

Vitamin B6  250mg, twice a day for a week, starting 3 days after surgery. This helps reduce post-surgical fluid retention, such as swelling of the face, hands, feet or legs. With B6, you can experience substantial reduction within 24 to 48 hours.

CoQ10- Surgical trauma (particularly from cardiac surgery) causes an increase in free radicals, which  damage cellular function. For this reason alone, you should take at least 50 mg of CoQ10 as part of your daily routine before your cosmetic surgery and 100–200 mg/day for at least 4 weeks after.

Fiber and probiotics – This combination helps boost the immune system and also keeps your digestive tract moving along. Eating yogurt with granola is just one easy way to get a serving of both fiber and probiotics! When choosing a probiotic, consider one that contains acidophilus and bifida bacteria (follow label instructions for dosage). Surgical patients often receive oral or intravenous antibiotics in the hospital, which creates the potential for  yeast infections, digestive disturbances and diarrhea. A probiotic may help counteract these problems.

One amino acid that has been shown to speed with healing is glutamine and a study from Harvard and Dave showed that it shortened healing by about four days. Apart from supplements, glutamine can be found in beef, chicken and all types of fish. Dairy products such as cheese, milk, yogurt and eggs contain glutamine with ricotta and cottage cheese being the two richest sources. Vegetarians can find glutamine in beans and lentils. For most of his patients, facial plastic surgery specialist Haworth recommends supplemental Arnica Montana, Bromelain/ Bromezyme (this pineapple enzyme helps prevent blood clots, aids digestion while decreasing inflammation and pain after surgery) and Pycnogenol/Pine bark. This triumvirate is aimed at reducing bruising, soreness and inflammatory edema. Apart from the above, many patients inquire about any other additional medications, exercises or procedures that can be done to maximally reduce their healing times after surgery. Of course, all patients should ask their individual physicians or surgeons about their own personalized recommendations to speed up recovery which is beyond the scope of this post.  
Bioptron® Light employs a combination of polarized infrared and visible light (480nm-3400nm) considered beneficial in the treatment of wound problems and injuries by exerting its effect at the cellular level. Bioptron® therapy has a low energy density (fluency) of 2.4 J/cm2 at a distance of 10 cm and can penetrate the skin up to 2.5 cm.
This patient had impending skin necrosis around her here after a facelift. Only 7 days of Bioptron ® light therapy were administered and notice the rapid improvement in reversing the damage.
After 5 days of Bioptron® therapy to resolve bruising resulting from lower eyelid procedure to treat her dark circles/tear troughs.
After 3 days of Bioptron® light therapy to accelerate the resolution of bruising and skin injury after a breast reduction by Dr. HAWORTH.

It has been used effectively in the treatment of burns, pressure sores, leg ulcers, wounds, pain and recently, postoperative healing. Dr Haworth have found it very useful in his clinic to reduce both swelling and bruising. Supporting his experience, other plastic surgeons here and abroad have noted decreased resolution times of eccymosis and edema following surgery by over 33% with Bioptron®. Indeed, it has been used to also reverse the course of cutaneous necrosis as well as accelerate granulation of open wounds, either alone or in conjunction with hyperbaric oxygen therapy (HBOT).

Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room or tube. It is a well-established treatment for decompression sickness, a hazard of scuba diving. Other conditions treated with HBOT include serious infections, bubbles of air in blood vessels and non-healing wounds as a result of diabetes or radiation injury.

In a HBOT chamber, the air pressure is increased to 3 times higher than normal air pressure and under these conditions, your lungs can gather more oxygen than would be possible breathing pure oxygen at normal air pressure. However, there is some confusion about what actually is “true” HBOT. Those employing “soft” tent like enclosures are essentially useless since they are unable to obtain a true hyperbaric environment of 2 to 4 atmospheres absolute (ATA). In fact, these personal or home-use “hyperbaric”  tent enclosures can usually only attain a pressure of 1.3 ATA. There is a debate as to how much and how many treatments are necessary to speed up recovery after plastic surgery. While most plastic surgeons perhaps recommend one preoperatively and at least 3 to 5 postoperatively, experts in the field say one needs at least 15 to 20 treatments in order to see significant results. In my experience, 3 to 5 treatments are all that is necessary to achieve the more modest goals of reducing edema, bruising and discomfort resulting from elective  plastic surgery.

After certain surgeries, body contouring plastic surgery expert Dr Randal Haworth may also recommend selective lymphatic massage/drainage to resolve edema (swelling)  of the extremities, particularly after liposuction or liposculpture.

The above aforementioned vitamins, nutritional supplements and clinical interventions may not be the panacea to surgical healing which comes in a pill form, but they certainly are a step in the right direction in making recovery from any procedure as smooth as possible in 2017.

Dr Randal Haworth

2017 Beverly Hills

       

ANGELINO (2015)

Anti-aging treatments
The latest in treatments, fillers and procedures help keep you beautifully radiant-at any age. Here’s the inside track on what to do, and who to go to, to put your best self forward. Among those esteem practitioners interviewed by Angelina, Dr. Randal Haworth MD was honored to be included among them. Anti-aging treatments
scan-9“Botox plays in important role in keeping fine lines at bay”, says plastic surgeon Dr. Randal Haworth MD renowned for achieving naturally beautiful results. Haworth suggests conservative use of Botox (from $500, the Haworth Institute) in the 30s to diminish fine lines and crows feet. Beverly Hills plastic surgeon Dr. Randal Haworth MD Bellafill ($1200, The Haworth Institute) to permanently diminish deep folds and fill out eyelid hollows.

The most obvious tell-tale sign of a facelift

Good plastic surgery is invisible but many people insist that they can always spot anyone who has had plastic surgery. For example, they claim they can always spot a celebrity with a facelift and list those with obviously sad results that garner all the press. You can refer to the three attached photographs as examples of such. (They go on to name others who have not had any plastic surgery and when I in turn correct them, they express bewildered disbelief.)
Joan Rivers with obvious plastic surgery and pixie-ear deformity
Joan Rivers with look-at-me pixie-ear deformity
 
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Bruce Jenner with a plain-as-day pixie-ear deformity after a facelift
Mickey Rourke sporting his obvious Pixie-ear and man-bun on the red carpet
Mickey Rourke sporting his obvious Pixie-ear and man-bun on the red carpet
However, this blog post is not about good plastic surgery, it is about the bad and the ugly. There are many signs that scream “facelift”:

1. Overly pulled face skin with diagonal grooves

2. Altered hairlines such as pulled-back sideburns

3. Widened, non-hair-bearing scars with step-offs in the natural hairline behind the ear

4. Distorted anatomy in front of the ear canal due to effacement of the delicate tragus cartilage and finally…

5.”Pixie ear”.

Most of these aforementioned problems stem from misplaced anchoring of the newly redraped skin flaps resulting in needlessly excessive tension across potentially visible scars. One immutable rule in plastic surgery dictates that such increased tension can create widened scars, hair loss and distorted anatomy. Yet, despite these well-documented problems, I unfortunately still see many patients who seek correction of these stigmata of ill-conceived facelifts.

Correcting these problems is not an easy task. Generally, a secondary facelift needs to be performed to release enough skin so that both scars can be removed and closure achieved in a tension-free matter. If it happens to be a lucky day, scars that were placed in front of the ear can even be moved more posteriorly to within the ear canal as in this example of a facelift I performed in order to not only make her look younger but also remove her telltale signs of past substandard surgery.

Pixie earlobe after a facelift. Note scar in front of the ear
After correction with revision facelift and tension realignment


Pixie ear deformity and tired appearance after previous facelift
Pixie ear deformity and tired appearance after previous facelift
Note correction of pixie-ear deformity after revision facelift. An endoscopic brow lift, fat transfer and upper lip lift along with a lower blepharoplasty were also performed
Note correction of pixie-ear deformity after revision facelift. An endoscopic brow lift, fat transfer, upper lip lift and a lower blepharoplasty were also performed
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