Nip This Tuck That

If you are like most people, you want to look your very best which, in simple terms means, a naturally, beautiful face…one that appears more youthful and attractive. When Plastic and Cosmetic Surgery accomplishes this goal, the results are truly inspired. In my opinion, this should be the primary goal of all aesthetic plastic and cosmetic surgery treatments and procedures. If it doesn’t make you look better, than why do it?

Trick is to find the least invasive plastic and cosmetic surgery treatment and or procedure to accomplish this goal. For unwanted lines and wrinkles, clearly Botox and now Dysport, as well, both deliver fast and highly effective results with almost no downtime or recovery. Follow this line of reasoning, our “Palmer Celebrity Face LIft”, uses a much smaller incision, with limited tissue dissection all resulting in a naturally, youthful and beautiful face with a recovery that’s measured in hours instead of weeks and months like traditional Face Lifts.

Rhinoplasty can be modified to meet similar goals by using a retrograde tip technique that’s minimally disruptive to the tissues over the nasal tip resulting in a more rapid recovery time. Other plastic and cosmetic surgery procedures can be modified with an eye towards a quicker recovery including Eyelid Surgery, Browlift, Cheek Implants, Chin Implants, Lip Enhancement using Alloderm Implants, Breast Implants for augmentation and enhancement,Radiesse Injections, Tummy Tucks and Buttock Lifts. As you do your research on any plastic and cosmetic surgery procedure you’ll find that the very best, most talented and experienced plastic and cosmetic surgeons are always improving on how they do things…their surgical techniques evolve to accomplish the primary goal: Achieve a more youthful, naturally beautiful appearance with as little bruising, swelling and down-time as possible.

Dr Francis Palmer
Beverly Hills Plastic and Cosmetic Surgery
“What’s Your Number..the palmer code.”

A recent UK survey of 523 people in Manchester and London was recently conducted and 55 % of women want to change the size of their breasts. This comes as little surprise as society today places greater and greater emphasis on your appearance. Breast Augmentation with Breast Implants remains one of the most popular Plastic and Cosmetic Surgery procedure, especially in the 20-35 year-old group second , most likely, only to Rhinoplasty.

I believe that many women place as much emphasis, on the size and shape of their breasts, as men do with their hair. It can be very traumatic for a man to loose his hair as I believe it is for some women to have have small, deflated or sagged breasts. Plenty of celebrities have had Breast Augmentation with Breast Implants and these procedures have been the subject of numerous TV and tabloid stories.

Dr Francis Palmer
Beverly Hills Plastic and Cosmetic Surgery
“What’s Your Number..the palmer code.”

Nothing like a knock down drag out challenge that benefits consumers looking to soften those unwanted lines and wrinkles. Medicis launched Dysport, their version of a type A botulinum toxin, some months back, hoping to make a dent in Alergan’s Botox market. Not a small task since Botox has been one of the most effective aesthetic medical products, of all time in my opinion, being used for over 2 decades to soften lines and wrinkles when injected into the target muscle.

Dysport has decided to up the ante and has offered the following challenge to anyone seeking a botox-like treatment to decrease unwanted lines and wrinkles. The offer is valid through the end of April, so don’t hesitate if you want to take advantage of this limit time deal.

Here’s the deal. Dysport will give you a $75 rebate for your first Dysport treatment and then you have 14 days to decide whether you “love it” (in which case you’ll get another $75 towards your second Dysport treatment scheduled at least 3 months after your first one) or you “leave it” (in that case you’ll get a $75 rebate the next time you use Botox or another type A botulinum toxin product). Either way, you’ll save $150, which seems like a great deal. In our Beverly Hills practice an area of Botox or Dysport is $300, so the $75 rebate is effectively a 25% discount from that price in which case you’re only paying $225 per area.

I have no financial interest in Dysport or Botox and use both in my Beverly Hills office to soften lines and wrinkles. I also think you need to read the offer for yourself before having any treatments.

Dr Francis Palmer
Beverly Hills Plastic and Cosmetic Surgery
“What’s Your Number..the palmer code.”

Medicis has a type A botulinum toxin ( same type as that found in Allergan’s Botox) in a topical application. Similar results are rumored, with Revance topical application and Botox injections but I remain a skeptic. Seems to me that it’s much more difficult getting the same concentration of botulinum type A toxin to the desired area. The desired area is the muscle(s) causing unwanted lines and wrinkles.

With Botox injections, the needle penetrates the skin and tissues to the level of the muscle causing the unwanted line or wrinkle. The toxin is then administered through the needle and syringe directly to the targeted muscle. The toxin relaxes the muscle and the line and wrinkle is diminished. Simple and easy to understand.

Now, when a cream or lotion is placed on the surface of the skin things get far more complicated.

1. How much of the toxin and how rapidly is it absorbed by the skin

2. How deeply is the toxin absorbed by the tissues…remember the toxin needs to get to the muscle in order to make it and the resulting line or wrinkle relax. If the toxin is stuck in the dermis of the skin or in the deeper fatty tissue above the muscle, how can it affect and relax the muscle?

3. If the toxin does reach the fatty tissues or the muscle (getting through the tough exterior tissue of the muscle called the fascia) will it be taken away by the various blood vessels within the fat and or the muscle. For the botulinum toxin to be effective it must come into contact with the neuromuscular junctions within the muscle in some amount for some period of time.

I am unsure that all these criteria are being met but I await the opportunity to try Revance for myself as I have been using Botox injections in my Beverly Hills plastic and cosmetic surgery practice for 20 years. I love the idea of rubbing a cream and making the lines and wrinkles go away but I as of yet remain a skeptic. I will keep you informed as I learn more.

Dr Francis Palmer
Beverly Hills Plastic and Cosmetic Surgery
“What’s Your Number..the palmer code.”

Face Lifts have evolved. The Palmer Celebrity Face Lift is an evolved Face Lift with smaller incisions, less tissue dissection and disruption…which means there is less bruising and swelling. This minimum incision Face Lift allows patients to fly home in as little as 3 days after the procedure.

Below is a picture of how aging effects the face. Arrows are used to show the direction of facial tissue sag.

Aging face and Neck

The Palmer Celebrity Face Lift uses much smaller incisions, than traditional Face Lifts, that are contoured around the front and inside of the ear. Unlike traditional Face Lifts or Mid Face Lifts, no incisions are placed inside the hairline, in front or in back of the head, thereby eliminating the risk of hair loss or unsightly scars inside the hair.

The Palmer Celebrity Face Lift does elevate, trim and lift the SMAS muscle layer along with trimming excess skin which may not be done with a thread lift or suture lift procedure. The Palmer Celebrity Lift goes a step farther still by shaping the cheek area into a more naturally, youthful appearance by adjusting facial fat and using fillers like Perlane and Radiesse. Cheek Implants can also be used when a permanent augmentation is desired.

In the picture below, arrows on the face represent the direction of lift.

Arrows show direction of tightening

The result is a naturally more youthful and attractive face….the antithesis of the old “wind swept”, “over pulled” faces where the tissues are just pulled and distorted. The Palmer Celebrity Face Lift is evolved and in my opinion represents the Face Lift of the future…right now, today. I’m sure that the top Celebrities know the best plastic surgeons are the ones who’s techniques evolve and continue to provide the very best with the least amount of scarring, swelling, bruising and recovery time. Watch Dr Francis Palmer present his ground breaking Palmer Celebrity Lift on ABC’s hit TV show “The View”.

Dr Francis Palmer
Beverly Hills Plastic and Cosmetic Surgery
“What’s Your Number..the palmer code.”

Here’s Today’s Plastic and Cosmetic Surgery Tip:

The day after the Academy Awards with all the gorgeous and handsome celebrities on the red carpet it’s natural for our thoughts to turn towards our own self improvement through plastic and cosmetic surgery treatments and surgical procedures.

If you are looking to make yourself more attractive, be sure that you understand what facial features are the most important from an aesthetic point of view. According to my new book that defines and identifies beauty, there are three top facial features in a beautiful or handsome face. The Cheeks, Eye Area and the Lips.

Of these three features, the Cheeks are the most aesthetically important and should be considered in all cases of facial rejuvenation, where the goal is to look naturally youthful, as well as younger faces where the goal is a more beautiful face. This should be the main focus of any plastic and cosmetic surgery procedures, treatments or surgery. From Botox, Restylane, Perlane, Radiesse, Cheek Implants, Face Lifts, Eyelid Surgery or Lip Enhancement/Augmentation.

Face Lift techniques that overlook shaping the cheeks to a naturally, youthful shape miss the mark, in my opinion, as they leave the face over-pulled, windswept or otherwise unnatural in appearance. I have found in over 20 years of performing Face Lifts, that tightening and removing just the right amount from the face combined with shaping of the cheeks either with fillers like Perlane and Radiesse or with Cheek Implants gives the face a youthful, natural beauty that is otherwise not achievable. This was my inspiration for creating our “Palmer Celebrity Face Lift”.

Dr Francis Palmer
Beverly Hills Plastic and Cosmetic Surgery
“What’s Your Number..the palmer code.”

Yoanna House from Next Top Model denies face plastic and cosmetic surgery but admits to Breast Augmentation with Breast Implants.

did she nip and tuck?

Photo Credits: Simmons, Countess/Getty Full article:

The photo in the black dress reportedly from 2004 compared to the one where she’s in the red dress shows an increased bust from the admitted Breast Augmentation and Breast Implants. Her face looks about the same but seems aged a bit, which of course is normal after children and 6 years time. The only question I have is the right side of her face appears to have less jowling (seen in 2004) than 6 years later…hmmm. This may indicate some type of facelift procedure, but only she knows for certain.

What’s her “Face Number”? In 2004 photo, her Palmer Code Face Number is 97 and in the 2010 photo it’s a 90 out of 100 possible points…her “Number” went down 7 points since 2004 no matter what she’s done.
Dr Francis Palmer
Beverly Hills Plastic and Cosmetic Surgery
“What’s Your Number..the palmer code.”

Copycat Plastic Surgery

photo credit: Pizzello/AP, ITN News via YouTube
There’s an article about a lady in China that broke up with her boyfriend…ok, so far that’s a sad story.

But now this lady has decided that she’ll have plastic surgery to look like Jessica Alba in order to win him back…now, that’s a bit odd and in fact against all advice by experienced plastic and cosmetic surgeons, myself included, that tell such prospective patients this may be the wrong reason to change your appearance with plastic surgery. While plastic and cosmetic surgery can make you more attractive which often comes with an increased self confidence, it’s unlikely to keep your love, your spouse or drastically alter your life.

Turns out there’s a plastic surgery clinic, in China, that’s offering to do the surgery for free so the surgeon(s) can show off their skills…now that’s just plain crazy in my opinion. Encouraging someone to have elective plastic surgery in an attempt to look like someone else…so they can win back the love of a lost boyfriend is, in my opinion, wrong ethically, morally and professionally. I say shame on them and I’d encourage the lady to seek emotional counseling and not the scalpel. Either way, her boyfriend is most likely not coming back.

Dr Francis Palmer
Beverly Hills Plastic and Cosmetic Surgery
“What’s Your Number..the palmer code.”

Daily News Article questioning whether, or not Lindsay Lohan had Plastic and Cosmetic Surgery, more specifically Breast Implants for Breast Augmentation. Progressing from the top photos to the lower set, especially the one where Lindsay’s wearing the black tee, it appears that she may have had not only Breast Enhancement ( the breasts appear much more full) but also a Rhinoplasty to narrow and refine her nose…but only she knows for sure.

What we can say for sure, is that her “Number” went up from an 82 in the first set of pictures to a 91 (picture in black tee), out of a perfect 100, using The Palmer Code.

Credits: Allegri/Getty; Prouser/Reuters
before Breast Augmentation?

Credits: Getty/Miller, Walker
In the black tee after Breast Augmentation?

Dr Francis Palmer
Beverly Hills Plastic and Cosmetic Surgery
“What’s Your Number..the palmer code.”

Fantasy Makeover of Hollywood’s Biggest Stars.

Vanity Fair’s New Cover “New Hollywood” has ruffled some feathers for the lack of ethnic diversity. There are plenty of beautiful young starlets of hispanic, african american, asian and other ethnic backgrounds that could be included. But, in our fantasy world what would we do to make these starlets perfect?

New Hollywood

Photo Credit: Vanity Fair

Abbie Cornish:

1. Eyebrows are a bit low…perhaps a little Botox to raise them.
2. The nasal bridge is a bit wide and could be softened with a Rhinoplasty
3. The upper lip is a bit thin and could be filled out with Restylane or Juvederm.
“Face Number” now: 96 After Fantasy Makeover: a perfect 100

Kristen Stewart:

1. The cheeks are flat and could be filled out using Cheek Implants or fillers like Radiesse or Perlane.
2. Eyebrows are low and could be raised with Botox Injections or a Browlift.
3. The lips are a bit thin and could be plumped up using fillers like Restylane and Juvederm or a lip implant of Alloderm.
“Face Number” now: 83 After Fantasy Makeover: 95

Carey Mulligan:

1. The cheeks are flat with nasolabial folds and could be filled out using Cheek Implants or fillers like Radiesse or Perlane.
2. The nose is a bit wide and flat and could be refined with a Rhinoplasty.
3. The lips are a bit thin and could be plumped up using fillers like Restylane and Juvederm or a lip implant of Alloderm.
“Face Number” now: 80 After Fantasy Makeover: 94

Amanda Seyfried:

1. The eyebrows are low and could be raised using Botox Injections.
2. The cheeks are flat with nasolabial folds and could be filled out using Cheek Implants or fillers like Radiesse or Perlane.
“Face Number” now: 86 After Fantasy Makeover: 98.

Rebecca Hall:

1. The eyebrows are low and could be raised using Botox Injections.
2. The cheeks are flat with nasolabial folds and could be filled out using Cheek Implants or fillers like Radiesse or Perlane.
“Face Number” now: 89 After Fantasy Makeover: 97.

Mia Wasikowska:

1. The cheeks are flat and could be filled out using Cheek Implants or fillers like Radiesse or Perlane.
2. Eyebrows are low and could be raised with Botox Injections or a Browlift.
3. The lips are a bit thin and could be plumped up using fillers like Restylane and Juvederm or a lip implant of Alloderm.
4. The nasal tip is wide and could be softened and refined with a Rhinoplasty.
“Face Number” now: 83 After Fantasy Makeover: 98.

Anna Kendrick:

1. The left cheeks is flat with nasolabial fold and could be filled out using Cheek Implants or fillers like Radiesse or Perlane.
2. Eyebrows are low and could be raised with Botox Injections or a Browlift.
3. The lips are thin and could be plumped up using fillers like Restylane and Juvederm or a lip implant of Alloderm.
4. The nose is long and wide with a wide tip and could be softened and refined with a Rhinoplasty.
“Face Number” now: 80 After Fantasy Makeover: 96.

Emma Stone:

1. The left cheek is flat with nasolabial fold and could be filled out using Cheek Implants or fillers like Radiesse or Perlane.
2. Eyebrows are low and could be raised with Botox Injections or a Browlift.
3. The lips are a bit thin and could be plumped up using fillers like Restylane and Juvederm or a lip implant of Alloderm.
4. The nasal tip is wide and could be softened and refined with a Rhinoplasty.
“Face Number” now: 85 After Fantasy Makeover: 98.

Evan Rachel Wood

1. The cheeks are flat and could be filled out using Cheek Implants or fillers like Radiesse or Perlane.
2. Eyebrows are low and could be raised with Botox Injections or a Browlift.
3. The lips are a bit thin and could be plumped up using fillers like Restylane and Juvederm or a lip implant of Alloderm.
4. The nasal tip is wide and could be softened and refined with a Rhinoplasty.

“Face Number” now: 91 After Fantasy Makeover: a perfect 100.

Dr Francis Palmer
Beverly Hills Plastic and Cosmetic Surgery
What’s Your Number…the palmer code

***Disclaimer: This information is provided for entertainment and educational purposes only and is not intended to imply the above mentioned person(s) has, had, or will ever have any type of plastic surgery treatment or procedure or any affiliation with Dr Francis Palmer.