Nip This Tuck That

Radiesse, Perlane and Juvederm are just a few of the fillers that can be injected to shape the face and lips but what makes the outcome, of these fillers, the “best” or “top”?

I think everyone would answer “the results” obtained by using the fillers. More specifically, this means, the ultimate shape of the face and lips after the Radiesse, Perlane or Juvederm was injected.

In order to obtain the desired, aesthetic shape the plastic and cosmetic surgeon has to know what aesthetic shape is ideally attractive in a nam or a woman. Yes, they are different and no, we as plastic and cosmetic surgeons are not taught, during training, what is or is not a beautiful face because no-one until now has even defined what makes a face beautiful. Silly as it may seem, millions of people all over the world are undergoing plastic and cosmetic surgery procedures and treatments, including fillers to shape the face and lips without the understanding of what they are trying to accomplish…which is a more attractive face! Worse yet, the plastic and cosmetic surgeon may not have understanding of the same issue.

Fillers like Radiesse, Perlane and Juvederm Ultra XC are fantastic at augmenting and shaping the cheeks, chin, jawline and even the nose but if placed in the wrong place or in the wrong amount can create a mis-shapen face. Juvederm in the lips can give a beautiful, soft pouty look to the lips if done correctly but when it’s not…the result can be “fish-mouth” which is hardly attractive. So, the question remains: “how do you get the best, top results from your fillers?” Simple, choose a plastic and cosmetic surgeon that can show you he/she understands the aesthetics of facial beauty as outined in my new book which defines the subject “What’s Your Number….the palmer code”

If you want the “Best”, “Top” results, don’t have Rhinoplasty, Face Lift, Eyelid surgery, Rhinoplasty, Cheek Implants, Chin Implant, Breast Augmentation with Implants, Botox, Radiesse, Perlane, Juvederm or any other plastic and cosmetic surgery or procedure until you know what does and does not make your face more attractive.

Trust me, buying this book is the best money you’ll ever spend on yourself. The only way to get the “best”, “top” results is to follow the principles, of “What’s Your Number” and “The Palmer Code” describing beauty and its component parts. That’s what we have done in Beverly Hills (Los Angeles) and in London over and over for more than 2 decades. If a celebrity looks good after plastic and cosmetic surgery, these principles were follwed. When celebrity plastic surgery looks hideous, these principles were ignored.

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

Dr Francis Palmer a Beverly Hills Plastic and Cosmetic Surgeon, voted “one of the world’s best” plastic and copsmetic surgeons offers lip augmentation and enhancement for fuller, plumper lips.

In our Beverly Hills office, we offer Restylane, Juvederm, Alloderm and Lip Implants for fuller, plumper Lips. Your Lips contribute to how beautiful your face is perceived, by others, giving the face a soft, pleasant appearance when the lips are plump, full and aesthetically balanced (more on that in a moment).

Conversely, when the lips are thin, asymmetric, mis-shapen or out of aesthetic balance…the face can appear stern, angry or “caricature-like”.

Dr Francis Palmer has determined that the proper lip “aesthetics” dictate that the size of the upper lip should be no more than 75% of the lower lip’s volume thereby allowing the lips to have a relative “pout”. In sharp contrast, the “duck lip” occurs when the upper lip sticks out or has more volume than the lower lip. When seeking fuller, plump lips it’s best to have a plastic and cosmetic surgeon who understands the aesthetics of what “beautiful lips” look like….this increases the odds of you getting those beautiful, pouty, full lips.

No matter what method is used to fill and plump the lips, this basic aesthetic can’t be ignored but unfortuneately these “beauty aesthetics” are not common knowledge and is the topic of my new book “What’s Your Number…the plamer code” that outlines the aesthetics of human beauty of the face and body.

You can also combine lip fillers with Botox or Dysport injections around the mouth to decrease the lip lines and creases.

We offer the full range of lip injections to fill and plump the lips as well as Alloderm and silastic lip Implants for semi-permanent and permanent lip enhancement and augmentation. The Hollywood celebrities have beautiful, plump lips and so can you.

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

When you’re traveling to the United States, why not have a quick, easy and highly effective office treatment so you can “look your very best”, as you travel on vacation….

Have ‘World Class” fillers like Botox, Dysport, Radiesse, Perlane, Restylane and Juvederm to fill out those nasolabial lines, plump the lips, or add a youthful contour to your Cheeks and Jawline all with a quick and easy set of injections that can be performed as an office visit. There’s very little downtime and you’ll be able to continue on your vacation without restrictions. Why not have “one of the World’s Best” plastic and cosmetic surgeons help you travel in beauty and style? When you’re in Hollywood, why not look as great as the Hollywood celebrities/ Now you can.

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

Augmenting, or improvong the size and shape of the chin with a Chin Implant.

Just stepped out of the OR where I removed a small, button-style chin implant from a tall rugged-looking man. He came to me seeking a more augmented and defined chin then what he had obtained from the button chin implant that had been placed by another surgeon elsewhere.

This story illustrates my two basic principles of aesthetic plastic and cosmetic surgery, including Chin Implants.

Rule # 1: The Aesthetics of Beauty must be followed. In this case, the small button-style chin implant was not consistent with the aesthetics of beauty and was incapable of making his chin more rugged and masculine. In a word, the procedure, in my opinion, was doomed to failure, from a purely aesthetical sense, once that size and shape of chin implant was selected. At that point it didn’t matter how technically gifted the surgeon was or how much experience the sugeon had with chin implants….the patient’s appearance was not going to be improved, nor was this chin implant capable of increasing his “Number”.

Rule # 2: You, as the consumer have the responsibility of selecting the best, even the World’s best plastic and cosmetic surgeon that you can find…making certain that the surgeon follows the aesthetics of beauty in a way that will improve “Your Number”. Here are four simple steps. on how to choose your plastic and cosmetic surgeon, that will help you in your search.

Never, never and oh, did I mention never use price as your determining factor for sekecting a plastic and cosmetic surgeon to perform your plastic and cosmetic surgery procedure whether it’s a Chin Implant, Rhinoplasty, Face Lift, Breast Augmentation with Breast Implants, Lip Enhancement, Eyelid Surgery, Browlift, Cheek Implants, Tummy Tuck, Botox, Dysport, Radiesse, Restylane, Juvederm or Sculptra. Select your plastic and cosmetic surgeon as if you were a celebrity and you had to have the world’s very best.

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

Patient Testimonials

The “Palmer Celebrity Face Lift” on The View

More Media on Dr Francis Palmer

If I had to define the world’s best Cheek Augmentation Surgery using Cheek Implants, I could do so with a single phrase “naturally beautiful”. I have been using Cheek Implants, for over 20 years, to shape and contour the face in a subtle, natural yet highly effective manner to create soft beautiful faces in women and rugged, angular faces in men. Yes, quite a few men have Cheek Implants top create a ruggedly handsome face.

I believe, that more than any other plastic and cosmetic surgery procedure…Cheek Implants must be just the right size and shape to create the proper aesthetic contour. If the Implants are to small, large, wide, thick or the wrong shape….the facial aesthetics will be off and the face looks odd and sometimes downright deformed. Hardly the naturally beautiful or handsome look you wanted to achieve.

When I see patients who have had, what I believe are, an incorrect size and or shape) Cheek Implants there always seems to be a lack of aesthetic understanding on the part of the plastic surgeon and the patient. In many cases, the Cheek Implants were placed in an ill-advised attempt to plump up and fill sagging facial tissues resulting in massively over-sized implants and a deformed face.

Here are my important take away points for anyone seeking Cheek Implants as a way to shape and improve facial appearance.

1. Cheek Implants must be subtle in shape and size….they should enhance not overwhelm the face.

2. Not everyone is a good candidate for Cheek Implants and this is based on the actual shape of your existing cheek bones.
The entire cheek bone should have an ideal aesthetic shape, as outlined in my new book “What’s Your Number…the palmer code. However, it’s quite common for one or both cheek bones to have sections that are ideally shaped and parts that are not. When the majority of the cheek bone is properly shaped, adding a Cheek Implant is likely to make the cheeks and face appear to broad or large and this is something that obviously should be avoided. In that case, fillers like Perlane, Radieese or Juvederm Ultra Plus can be injected to fill and enhance just the deficient segment of the cheek. This is a temporary solution but one that is highly effective and avoids disfiguring the face.

3. When using Cheek Implants, a little augmentation goes a long way.

When augmenting the cheeks with Cheek Implants, using a subtle implant makes the cheek and the entire face attractive…but once the implant is even slightly to large, small or thick…the cheek and the face appear deformed. “A little is good, more is terrible.”

4. Not every Plastic and Cosmetic Surgeon is comfortable using Cheek Implants.

Just this week we had a person contact us via e-mail to say she visited a well known plastic and cosmetic surgeon about possible cheek implants to which the surgeon gave a less than supportive opinion about the merits and benefits of using Cheek Implants to improve the facial appearance. This position, with which I completely disagree should make that patient realize she must seek another plastic and cosmetic surgeon who believes in Cheek Augmentation with Cheek Implants.

Cheek Implants can, will and do alter the facial skeletal shape and as such may be daunting to some plastic and cosmetic surgeons…it’s OK, not everyone has to perform every type of plastic and cosmetic surgery procedure. You do need to find a plastic and cosmetic surgeon that does many Cheek Augmentations with Cheek Implants and who gets a consistently great aesthetic result with Cheek Implants. Why would you go anywhere else?

5. You always, always, get what you pay for.

The best, the top Cheek Implant surgeons will charge accordingly. Beware of discount prices as these may indicate a surgeon with little or no experience.

6. Do be open to adjunct procedures along with your Cheek Implants.

If the tissues of the face and or neck are loose and have sagged, Cheek Implants should never (in my opinion) be used to lift these tissues as this requires an implant that is very large, thick and aesthetically incorrect. When used in this scenario, the Cheek Implant is inconsistent with a naturally youthful and beautiful face. Instead you may wish to tighten, lift and remove excess fat and skin for a face that is shapely and more attractive using our “Palmer Celebrity Facelift.” Think of this as re-draping the tissues over the improved cheek structure once the Cheek Implants have been placed.

Of course Rhinoplasty, Eyelid Surgery, Breast Augmentation with Breast Implants, Botox, Browlifts, Tummy Tucks, Chin Implants and Lip Enhancements can also be done at the same time as Cheek Augmentation.

7. Celebrities are no stranger to Cheek Implants.

I’ve seen numerous pictures of celebrities before and after their alleged plastic and cosmetic surgery and they may have had Cheek Implants to fill and shape their cheeks.

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

Media Comments on Dr Francis Palmer

Patient Testimonials

Dr Francis Palmer on TV

Dr Palmer in Print Media

Latest OK magazine has what they say are before and after Plastic and Cosmetic Surgery photos of some of the biggest stars in Hollywood.

Megan Fox and Ashlee Simpson look like they may have done Rhinoplasty to thin the nose and refine the tip. Rhinoplasty remains one of the most common plastic and cosmetic surgery procedures, so it’s no wonder that Celebrities have Rhinoplasty as well.

Tori Spelling is reported to have undergone revision Breast Augmentation with Implants.

Then there’s photos of Demi Moore and Madonna wondering what plastic and cosmetic surgery procedures that they may have done. Looking at these photos it appears that they may have had Cheek Augmentation with Cheek Implants or fillers like Radiesse, Perlane or Juvederm Ultra Plus and their faces show no signs of aging or jowling (over a 11 and 14 year time span) that may indicate that they may have had some type of Face Lift procedure.

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 prove that any of 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.

Botox has been the major player in softening unwanted lines and wrinkles but Dysport is trying to carve out a niche in the market and is throwing down the gauntlet. The latest OK magazine edition has a multi-page ad where Dysport will pay you for trying their product where you would typically have Botox injected. If you prefer Botox over Dysport, they’ll give you some money towards your next Botox treatment. Sounds like a no brainer to me.

I have used Botox for almost 20 years as a way to soften unwanted lines and wrinkles here in Beverly Hills and in London. I have and do now also offer Dysport and the new campaign Dysport is running has made more people call and request Dysport. I believe both Botox and Dysport perform similarly in reducing lines and wrinkles. Hollywood is filled with Celebrities that have used Botox on a regular basis….will they adopt Dysport use? Only time will tell.

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

The best Face Lift in the US and the World must, in my opinion, not only lift and tighten tissues while removing excess fat and skin but must also shape the cheeks in order to achieve a more aesthetically, attractive face. Our Palmer Celebrity Facelift is designed to all of the above. Shaping the Cheeks can be done in minutes using either Radiesse, Perlane or Juvederm Ultra Plus.

Before the Palmer Celebrity Face Lift begins, the cheek area is marked outlining where the filler will be injected. Once the patient is asleep and the Palmer Celebrity Lift has removed the excess fatty tissue, trimmed the SMAS muscle layer, lifted and trimmed the excess skin…the fillers are injected and massaged into the proper shape.

Based on the filler that’s used, the results last between 8 and 12 months at which time the filler can be repeated as an office visit. You can think of this as a yearly maintenance in order for you to maintain a soft, natural and attractive look. Men, the filler can be used in the Cheeks, Chin and Jawline to create angularity and a more ruggedly handsome look.
Of course, Cheek Implants can be used as a permanent method of enhancing the shape of the cheeks.

Botox to decrease unwanted wrinkles, Restylane or Juvederm to enhance the lips or additional plastic and cosmetic surgery procedures like Breast Augmentation with Implants, Eyelid Surgery, Rhinoplasty, Chin Implants, Lip Implants, Tummy Tucks, Thigh Lifts and Buttock Lifts can be performed at the same time.

The take home message when it comes to Face Lifts is to be sure that the Facelift addresses the SMAS layer through elevation, trimming and suturing and not merely folding upon itself or suspension with sutures as these may come apart. The Face Lift should also have the ability to create a soft and naturally feminine face for a woman or a ruggedly handsome face in a man. The Face Lift should NOT create an overly pulled, distorted, stretched mouth or eyebrow distortion as these are not aesthetically pleasing facial characteristics. The best Facelift surgeons may not be in your area and you may need to travel to reach the top Facelift surgeons but the trip will be less expensive than the cost of a revision Face Lift. Read what the print media what the media says about Dr Francis Palmer and his face Lifts. Watch Dr Palmer on TV presenting his face Lift procedures.

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

An american doctor who had his license revoked in 2003 was posing as a top American Plastic Surgeon in Dubai. This bogus physician was operating on people on his kitchen table.

What was the lure for these innocent victims to have a completely inexperienced person cut them open? The oldest one around…A CHEAP PRICE. This is a tragedy as these people will no doubt spend countless thousands of dollars to correct the damage that was done and in some cases it may never be fixed or look right.

How many times must this type of disaster occur before the public wakes up and realizes that price has no business as the driving factor in who performs your plastic and cosmetic surgery procedure: whether it be a Face Lift, Rhinoplasty, Eyelid Surgery, Cheek Implants, Chin Implant, Breast Augmentation, Tummy Tuck, Arm Lift, Buttock Lift, Botox, Radiesse or Perlane. There is no substitute for experience and talent in a plastic and cosmetic surgeon and you will pay top dollar for the best US plastic and Cosmetic Surgeon…however, “you get what you pay for”..as this article sadly illustrates.

About once a year I am contacted by a Hospital, Plastic and Cosmetic Surgery Clinic or businessman wishing to have me consult and perform plastic and cosmetic surgeries in Saudi Arabia, Oman, Kuwait and the UAE including Dubai. In fact coincidentally, I received just such a communication by e-mail yesterday. For almost a decade, I traveled to London and performed consultations and plastic and cosmetic surgery procedures as an overseas consultant, so I am well versed with the theory of importing the top, the best US (American) plastic and cosmetic surgeons to go to the middle east. The trouble is, the time required to go such distances and the time it takes away from my practice here in the US (Beverly Hills).

Instead, I believe that the patient is much better off making the journey to the top, the best US plastic and cosmetic surgeons. I remember telling quite a few international patients that if given the choice of one of us being tired after the journey, “who do you think it should be, the patient or the plastic and cosmetic surgeon.” Everyone of these patients said ” The patient because I want my plastic surgeon fresh and alert.” Right answer!

We have patients that travel from all over the world to have plastic and cosmetic surgery here with us in Beverly Hills. If you want the top, the very best that the US (America) has to offer, you will have to travel. Whatever the cost, it will surely be less than what these poor people will spend for corrective surgery after trying to save money with this bogus physician and there’s no way to place a price tag on their pain and suffering.

Having said all that, I’m not saying that when I am sent a private 747 by a super wealthy patient who’s flying me to their location with adequate compensation and a fully staffed and equipped hospital or clinic that I would decline to go. I have made many such special arrangements for royalty, business tycoons, socialites and celebrities and will continue to do so. We frequently have 3-5 international patients at our Beverly Hills clinic at any given week and we are used to making their journey here easy and as effortless as possible and have for many years.

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

I have been performing Face Lifts for almost 25 years and I have seen the evolution from the Face Lifts in the mid 80′s that just pulled the face back until it looked like an alien creature more than a youthful version of a human being. Then came the 90′s with the more is better mentality in life and plastic surgery…so, the faces were pulled even tighter at ever increasingly deeper tissue levels causing many months of swelling and healing, yet something very basic was still missing…in my opinion.

Having trained with some of the world’s best plastic and cosmetic surgeons, here in Beverly Hills, I finished in 1990 and eagerly began practicing what I had been taught in the preceding 10 rigorous years. After just a few short months, it was obvious to me that the Face Lift techniques were aesthetically inadequate. In other words, these Face Lifts pulled the face and neck, tightened tissues and removed excess skin but the faces didn’t appear soft, natural and more attractive in many cases. To say the least, I was greatly disappointed and wondered what on earth I was going to do now.

Being a true Virgo, in nature, I made up my mind to learn what I needed to do what it was I wanted to do…make people more attractive in a highly consistent and reliable manner. I studied beautiful female and male faces until I identified a pattern. Inconspicuous at first, I adopted these patterns to my face Lifts and got astonishing results. Encouraged, I repeated this over and over again until they became part of my thinking, patient evaluation and surgical techniques.

And that’s the take home message here. The best, the very top plastic and cosmetic surgeons are just like the best in any field. They are the innovators, the ones that ask “why” or “why not” when confronted with perplexing and complicated issues. I don’t perform any one surgical technique accepting the aesthetic limitations it provides…instead, I modify the available surgical procedures to accomplish the desired aesthetic effect for each and every patient I touch. It’s my responsibility. It’s my calling. It’s what I do for a living. I make people more attractive in a highly predictable manner whether it’s Breast Augmentation, Rhinoplasty, Eyelid Surgery, Cheek Implants, Botox, Radiesse, Perlane or our “Palmer Celebrity Face Lift.” If Celebrities can look amazing…so can you.

Francis R Palmer III MD
Creator & Author: “What’s Your Number…the palmer code”
TV Appearances
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