Nip This Tuck That

 Skin Care and beauty products that really work!  Can this be possible, you ask?  Yes, my Cosmeceutical Skin Care Company Francis R Beverly Hills(R) was developed to provide you with effective skin care products.  My wife, Robyn (has a Masters in Nursing) and I developed the current line of skin care products for our Cosmeceutical Company Francis R Beverly Hills(R) after testing many…many custom formulations. 

Francis R Beverly Hills(R) Products and start your Perfect Skin System today…don’t wait another minute!

 Saw the Superior Abdominoplasty patient this morning postop.  She’s a bit sore but looks great.  I had redone her Breasts with saline Breast Implants previously and this was the final stages of her body makeover.

 Read more about Abdominoplasty (Tummy Tucks) here:

 http://www.drfpalmer.com/Abdominoplasty.html

Read more about Breast Augmentation with Breast Implants here:

http://www.drfpalmer.com/BreastAugmentation.html

 Contacted by someone wanting to speak, with me, about doing another TV show.  Man, this entertainment biz requires a ton of work.  You can’t imagine the time and effort that goes into bringing a show to your small screen.  Most of the meetings, pilots etc….never go anywhere.  We’ll see what happens.

 Went to USC open house with the fam this weekend….Ashton was thrilled.  Great tradition at that school as I’m sure there is at many other colleges.  The kids broke the bank buying up sweat shirts, bears, mugs…even a bed spread at the book store.  Great Fun!

Dr. Francis R Palmer, III

 Beverly Hills is the capitol of the beauty buisness (PLastic & Cosmetic Surgery) because of the proximity to Hollywood.  The TV and movie biz needs a steady influx of beautiful people for you to admire and we…..the Beverly Hills Plastic & Cosmetic Surgeons are ready, willing and able to do our part in providing the latest Plastic & Cosmetic Surgery Procedures.  I know…I know…it’s a tough job but someone has to do it. 

 Frankly, sometimes I am amazed that a grown man, such as myself, with some 10 years of intense medical training sits around and thinks of ways to make people more attractive?  What, you thought that there was some medical book…..some course taken in medical school called “good looking 101?”  I am sorry to burst your bubble but the training that Plastic & Cosmetic Surgeons undergo is technical in nature.  Learn the anatomy, learn the procedure and how to perform it step by step.  But what is attractive?  What is beauty?  These questions are never answered in any great detail….and even more unfortunate, potential Plastic & Cosmetic Surgeons…those guardians of your good looks…never have to proove that they recognize or understand beauty as a prerequsite to enter training or as a condition of graduation.  That’s a problem!  Want a designer who doesn’t understand the beauty of different design elements?  How about a composer that can’t appreciate the richness that certain note combinations create?  Get the picture?

Plastic & Cosmetic Surgery and Beverly Hills Plastic & Cosmetic Surgery, in my opinion, is all about human beauty…the understanding of what that beauty is and ultimately how to create it for my clients!  To me that is the essence of my job…it is what I do and what I stand for!  So, how did I resolve the conflict of not being taught the essence of my field.  I asked questions!  I asked questions of myself, my instructors, experts in the field and ultimately as a Virgo…and a Virgo Dragon…I came to a point of personal enlightenment so that I was able to do my job to my full potential. 

 I remember the conflict as if it happened yesterday.  I finished my Plastic & Cosmetic Surgery training, here in Beverly Hills, with some of the best known and respected Plastic & Cosmetic Surgeons of the time.  My first year as a Beverly Hills Plastic & Cosmetic Surgeon was one of exploration.  As I did Facelifts, Rhinoplasties, Blepharoplasties, Chemical Peels, Collagen, Liposuction and much more… I realixzed that I didn’t understand what made a woman trluly gorgeous or a man really handsome.  I found that disturbing.  My iron-clad training seemed to have some chincks in its armour.  I have trained surgeons in training since then and I realize that it’s not part of their training.

 I spent the next 2 years in a continuous quest for knowledge of what beauty was…what it meant to be attractive.  I analyzed thousands of beautiful men and women looking for some discernible pattern….anything.  When the dust settled, I had developed my “Palmer Beauty Principles” that define and quantify human beauty.  For the next decade I used these principles on countless patients to successfully improve their appearance.  Honestly, I was certain it would work but it was great to actually see it work time and time again.

 Once I was convinced that my “Palmer Beauty Principles” were the key to making people more attractive, I set out to tell the public.  I believe that everyone should understand what makes them attractive…whether, or not, you ever choose to do anything about it…you should have the right to know.  You can read about the “Palmer Beauty Principles” in my blog roll or go to my website and learn more on the subject.  I’ve done all the hard part…all you need to do is read them.  It couldn’t be any easier!  You can also read the write of my “Palmer Beauty Principles” in the 50 Most Beautiful People Edition of People Magazine.   Read article here: http://www.drfpalmer.com/media_view_17.html

Read more about the “Palmer Beauty principles” here:

http://www.drfpalmer.com/palmer-beauty-principles.html

Dr. Francis R Palmer, III

 Just finished a very interesting case.  Patient had an upper Tummy Tuck (Abdominoplasty) about 5 years ago by another Plastic Surgeon.  The Tummy Tuck is performed to remove excess skin over the abdominal area and to tighten the abdominal muscles.  She was never really happy with the amount of excess skin that remained after the procedure.  We had removed her Saline Breast Implants, that had encapsulated making the breasts hard and mis-shapen and replaced them with slightly larger ones over a year ago.  Today she was back to flaten out her abdomen with another Tummy Tuck (Abdominoplasty).

 I’m not a big fan of the upper Abdominoplasty because the scar goes across the top of the abdomen but she had already had the procedure perfomed using that incision and approach.  In simple terms, the blood supply to the skin of the abdomen comes from above, below and the sides.  Once an incision was made along the top, that blood supply wass compromised so…if I made an incision from below, as is done in a standard Tummy Tuck (Abdominoplasty), the blood supply would have ben compromised from top and below.  The result could be dead skin and a big mess.  So reluctantly, I made an upper incision for the Tummy Tuck.  This illustrates an important point in my line of work…sometimes you are forced to do things differently then you would like by the patients previous surgical history.  This was just such a case.

 The procedure went very well and she should be happy.  I tacked the upper edge of the skin incisioin to the deep tough tissues of the chest to keep the incision and gravity from pulling it downward.  I also placed multiple quilting sutures that go between the underside of the elevated skin and the underlying muscle fascia (thick tough layer over the muscle).  Placed one dain to drain blood and fluid from under the skin flap that exits on the side of the belly button where it shouldn’t leave a noticeable scar.  Abdominal binder for a couple of weeks and no strenuous activity for 6-8 weeks.  Closed the incision in multiple layers with dissovable stitches.

 The patient had a Laser Face peel elsewhere that left a line of demarcation on the neck, so I used some 30% TCA to feather that edge.  Also used the TCA to perform a lower lid chemical peel.  She’ll go to the after care facility for several days where muscle relaxants will make her comfortable.  I’ll see her postop after my surgery cases tuesday.  I will follow up with her after replacing her Breast Implants a few months back….she had them done years ago by another plastic surgeon and just wanted them slightly smaller and more shapely.

 While I was busy in the OR…Robyn, my wife and Master in Nursing, was busy doing Botox and Restylane injections one after the other.  Warm weather makes people more conscious about their skin and Botox, Restylane, Radiesse and our Francis R Beverly Hills Skin Care Products get very…very…popular!

Read more about Abdominoplasty (Tummy Tucks) here:

http://www.drfpalmer.com/Abdominoplasty.html

Read more about Breast Augmentation with Breast Implants here:

http://www.drfpalmer.com/BreastAugmentation.html

Dr. Francis R Palmer, III

Sometimes it’s just makes more sense to go with the flow.  My new local Necklift is a perfect example.  For years, I have pulled the loose tissues of the neck behind the ear during facelifts.  Gravity however continues to pull the tissues in the opposite direction…that’s why people get a “turkey neck.”  With more and more local procedures like our custom mini facelift, I started to think about a local, more direct method of getting rid of excess skin of the neck.

 I use an incision under the chin to design skin removal during my new Necklift procedure.  This can be combined with one of our Minilifts for a great overall rejuvenation….best yet the recovery is lightning fast!  Why fight gravity…when you can go with the flow?  Radiesse can be injected to fill out the Cheeks, Chin and Jawline.  Restylane or Alloderm can be used to fill out the Lips and Botox Injections acn be used to decrease unwanted lines and wrinkles.  Throw in some of our highly effective cosmeceutical skin care products are you are set.

Read more about Facelifts here: http://www.drfpalmer.com/FaceLift.html

Read more about the “Celebrity Lift” the minimal incision Face Lift and Neck Lift here: http://www.drfpalmer.com/PalmerCelebrityLift.html

Read what the media says about Dr. Palmer’s Facelifts, celebrity Lifts, Rhinoplasty and othe rplastic surgery procedures here: http://www.drfpalmer.com/media.html

Watch Dr. Palmer on ABC’s “The View” featuring his “Celebrity Lift” here: http://drfpalmer.com/movie/index.html

Read more about our Francis R Beverly Hills skin care products here: http://www.frbh.com

Dr. Francis R Palmer, III

Saw patient today that had silicone injections to the face years ago.  Silicone was great for years and then things started to go wrong.  Really wrong.  The face started to look deformed and she searched for someone to remove the silicone.  Silicone is injected in minute droplets and is permanent….the body places collagen around the silicone droplets and the two together account for the effects noted after silicone injections.  Trouble is that silicone has shown that it can migrate from the places it was injected, like in this patients case.  Silicone can also cause some benign tumors called siliconomas.  Taking all this into account what’s a body to do if they don’t want surgery but want the benefits of a soft tissue filler?

 Radiesse (calcium hydroxyapetite) is a good alternative.  Here in my Beverly Hills practice, Radiesse is the #2 most commonly injected substance after Botox Injections.  I love how Radiesse can be injected to mold and sculpt the face similar to what I do with Facial Implants (Cheek and Chin Implants).  The company says it lasts 2-5 years.  We tell patients 2 years to be on the conservative side.  After that time, the material will be slowly removed by the body and you’ll loose the effects.  OK, so you have more injected.  That’s cool.

 If you’re looking to fill in the lines around the mouth Radiesse, Restylane or Collagen are all good soft tissue fillers.  Radiesse lasts longer, needs to be injected into the deep fatty tissue while Restylane and Collagen can be placed more superficially in the skin layers.  Each has it’s pros and cons and it’s worth the time and money to pay for a consultation with a Plastic & Cosmetic Surgeon or an experienced Dermatologist to discuss your particular needs and treatment options.

 If you’re looking to plump up your lips, Restylane or Collagen can be placed along the border of the lips for a fuller look.  These are not meant to be injected into the body of the lips as this could cause a compromise in the blood supply to the lip.  If that happens, part of the lip(s) will turn black and die.  Not a good thing!  For a more permanent Lip Augmentation, think about Alloderm.  I’ve used Alloderm for Lip Augmentation for over 10 years and this is the gold standard, in my opinion, for Lip Enhancement.  It is a surgical procedure and can’t be done with injections.  A strip of Alloderm is placed under the red portion of the lip and unlike Restylane and Collagen does has the ability to increase the size of the body of the lips.  I’ve found that it lasts about 7 years.

 Finally.  Please avoid going to other countries, like Mexico, for silicone (silica) injections.  This has become popular the last several years with some treatments costing as little as $50.  You do not know what you are getting and for that reason alone, in my opinion, they are best avoided.  On a similar note….I hear stories of people (not Plastic & Cosmetic Surgeons) flying to large cities from Paris or elsewhere…renting hotel rooms where they will inject people with silicone and other exotic substances.  Once again, you don’t know what you are getting and just because your friend Suszy had it done last month and looks great is no guarantee that all heck won’t break loose on your face 10 years down the road.  It’s just not worth the risk….trust me!

Read more about Radiesse Injections here: http://www.drfpalmer.com/radiesse-injections.html

Watch Dr. Palmer on ABC’s “The View” with a Radiesse and Botox patient here: http://drfpalmer.com/movie/index.html

Read more about Restylane Injections here:  http://www.drfpalmer.com/restylane-injections.html

Read more about Botox Injections here:  http://www.drfpalmer.com/botox-injections.html

Read more about Alloderm Lip Augmentation and Enhancement here:

http://www.drfpalmer.com/LipAugmentation.html

 Dr. Francis R Palmer, III