Tag: fat transfer
Tamara Jaber has transformed her look
Tamara Jaber, the ex-wife of Kyle Sandilands debuted a dramatic new look during an appearance on The Morning Show last week. She has stayed quiet on the subject of cosmetic procedures. Dr. Haworth, a Beverly Hills plastic surgeon believes her changing look may be the result of a little nip and tuck. Haworth told The Daily Mail ‘I believe Miss Jaber has followed what many do when coming to Hollywood in search of change, whether in their personal or professional lives. And that is to seek out the services of a plastic surgeon’
Dr Haworth claimed that Tamara may have had surgery to refine the shape of her nose. ‘It does not take a a hyperaesthetic specialist such as myself to ascertain she has undergone a rhinoplasty,’ Haworth said. Haworth also claimed that her elevated and refined cheeks, fuller lips and noticeably defined jawline have contributed to her overall facial transformation.
The cosmetic procedures behind Tammy Hembrow’s Instagram-perfect look
Many social media influencers enlist the help of photo editing apps to sharpen up their picture-perfect public image. Beverly Hills plastic surgeon Dr. Randal Haworth believes that Tammy Hembrow may also rely on cosmetic procedures. According to Dr. Haworth, she may have undergone a nose job, liposuction and dermal fillers to achieve her bombshell look. ‘Miss Hembrow is the quintessential Instagram model for our social media world where fake is the new real,’ Dr. Haworth said.
The celebrity plastic surgeon went on to claim that she strikingly different in recent photos compared to images of her taken several years ago. ‘Based on what I presume to be filtered photos, she has undergone a striking transformation of not only her facial features but also of her facial shape,’ Dr. Haworth claimed. ‘Her jawline is more defined into a “V-line”. I would even venture to say her chin has been shortened and narrowed compared to her teenage years.’ says Dr. Haworth.
According to Dr. Haworth, Tammy Hembrow’s lips have also almost certainly been enhanced due to their ‘overly plumped’ appearance. He claimed: ‘Like Kylie Jenner, Tammy has been originally inspired by the Angelina Jolie lip variety. Paradoxically, lips oversized for a face can mature the visage beyond its years.’ His claims come after Tammy was stretchered out of Kylie Jenner’s 21st birthday party at celebrity hotspot Delilah in West Hollywood last Thursday night.
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.
‘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’.
Kybella ® vs. liposuction for a double chin
While we in the cosmetic industry are getting better and better at delivering the results that patients expect, I still hold fast that 60 to 70% of modern high-tech materials and devices in plastic surgery over promise and under deliver ! Considering that the future of plastic surgery will be less about actual surgery as more more and more technological advances are made in the lab (think genetic engineering, better fillers, better lasers, etc.), this 60-70% statistic is rather disappointing. What makes this all the more egregious is the fact that doctors are forced to pay an arm and a leg for such underperforming technologies (Ulthera ® Thermage®, etc.). In light of the fact you can get a state-of-the-art Tesla with all the bells and whistles for around $100,000, paying $150,000 or more for a machine that just delivers fuddy-duddy ultrasound technology through a wand to aid in liposuction is frankly outrageous. However, the medical tech companies can’t be solely blamed for this-they are basically governed by the FDA’s policies which, in turn, are a response to precedents extrapolated to an absurd degree by lawyers. Unfortunately, I have seen it all too many times – a new plastic surgery technology coming out amidst a flurry of media only to fade into relatively rapid obscurity. This is similar to a Billboard chart topper only to turn out to be a one-hit wonder! In my opinion the latest overhyped snakeoil is Kybella® from the big pharma conglomerate Allergan®, proud makers of Latisse®, Botox®, Voluma®, Juvéderm®, etc. I was glad to hear from some of my esteemed colleagues at the recent American Society of Plastic Surgery meeting in Los Angeles that their thoughts on Kybella ® echoed mine. Taking into account Kybella’s negative points, which include: 1. relative risk of damaging important facial nerves, 2. cost (though one treatment is less expensive than liposuction, more often than not multiple treatments are necessary and these, of course, add up), 3. associated pain, 4. longer recovery (which, ironically, is worse than surgical liposuction since remarkable swelling can occur after every injection session) and 5. inferior results to those obtained with aesthetically and skillfully performed liposuction …there is little to no advantage in utilizing Kybella® for my patients except perhaps for its superior multi-million dollar marketing campaign! Indeed, micro liposuction can provide unprecedented control in removing fat to treat a double chin while refining the jawline and addressing the jowls as well-all with less downtime and more economically so in the end. Case in point:
Know your nose job options:
Know your nose job options: knife or needle?
…and it doesn’t involve surgery.Your new plastic surgeon offered to inject filler into your nose to camouflage the irregularities, smooth and even out your bridge and even give you more of a chic tip. From the front view, by strategically injecting the filler to alter the light reflex and control shadows your deviated nose can even be made to appear straight. He/she offers you a temporary or permanent filler. The temporary ones can serve as a dress rehearsal, so to speak, if you are unsure as to whether this is a good idea or not. Temporary ones such as hyaluronic acid (e.g., Juvederm ®, Restylane ®, Voluma ®) or calcium hydroxyapatite (Radiesse ®)are good choices. Permanent ones such as Bellafill ®, Aquamid ® (not FDA approved) or fat transfer (a living transplant from your own body) are all excellent fillers in my opinion. You decide to go for it but you must be counseled to have realistic expectations. Fillers definitely cost less and involve less recovery (a few days of swelling and perhaps minor bruising at worst). However, the filler solution will: 1. Neither help breathing problems 2. Nor will they treat all forms of aesthetic deformities such as this: So the next time you’re considering altering the shape of your nose with a rhinoplasty of some sort, you may ask your plastic surgeon (hopefully, board certified by the American Board of Plastic Surgery) about the filler option. Albeit, it cannot match the power of an actual surgical rhinoplasty, the non-surgical, filler rhinoplasty can be an excellent alternative to actual scalpel- based surgery in many select circumstances. In these cases, the needle can be more powerful than the knife as one can see below:
The Fallacy of “Stem Cell Facelifts”-the Verdict
A recent study came out in our esteemed, peer-reviewed journal Plastic and Reconstructive Surgery addressing stem cell enriched fat transfer versus “regular” fat transfer (PRS Journal: stem cell rich fat transfer). In essence, this study showed there was no difference in the effects of a fat transfer whether it was enriched with stem cells or not. This was essentially the same conclusion of a blog post I wrote a few years back. However, what makes this news different is that it comes from a well-designed, randomized prospective study.
You may then ask yourself why are there so many doctors promoting stem cell facelifts and fat transfers as being the chalice of youth or life’s elixir to immortality and aging. The simple answer is finance and marketing. By promoting your fat transfer as being different, labeling it with the trendy buzz prefix of “stem cell”, prospective patients will naturally think they are getting something better, longer-lasting and more natural.
You may then ask yourself why their before-and-after photos are impressive. The simple answer is that for every before-and-after photo of a stem cell-enriched fat transfer there are 10 equally-as-impressive before-and-after results from regular fat transfers. The bottom line is that one can achieve equivalent results from a regular, well-performed fat transfer-specifically, one in which the fat is appropriately harvested, cleaned and transferred by the physician with precision and artistry. Fat is basically serving as a filler, but one that is extraordinary. Extraordinary because it is not only permanent but is actually living as well-consequently it can grow or shrink depending if the patient gains or loses weight, respectively.
Stem cell science is in its infancy and we have much to learn. Indeed, many stem cell scientists now believe that the byproducts of stem cells (cytokines, etc) play a far more important role in healing than the actual stem cells themselves.Fat is a rich source of stem cells but to assume that the stem cells, when transplanted into the face, can miraculously know how to uniquely reverse aging is pipe-dreaming at best.
Randal Haworth M.D., F.A.C.S.
I don’t like comic-book butts and I cannot lie
Fat transfer to the lower eyelid hollows/dark circles
Here is a classic example of a strategic fat transfer to the lower lid. The results are permanent and natural appearing.
Obviously, as we continue to age, the cheeks descends further thereby widening the “tear trough” or lower eyelid Hollow/dark circle. The fat that worked perfectly to bridge the gap is now inadequate since the gap has widened. The results of fat transfer should be permanent, however, as long as the surgeon adheres to proper fat harvest and transfer techniques.
For further information into how Dr. Randal Haworth of Beverly Hills(Certified by the American Board of Plastic Surgery), Call 310-273-3000
Botox® for Depression?
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