Nip This Tuck That

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.”

Plastic & Cosmetic Surgery “Tip of the Day” from Beverly Hills Plastic and Cosmetic Surgeon, Dr Francis Palmer.

The Wall Street Journal had a story about Plastic and Cosmetic Surgery today….Breast Augmentation with Breast Implants is now the most popular plastic surgery procedure or at least it was in 2009. This is from data collected by one of the three organizations of surgeons who perform plastic and/or cosmetic surgery procedures like Breast Enhancement/Augmentation , Face Lifts and the like.

Liposuction was dethroned as the most popular, most commonly performed, plastic surgery procedure and was actually down about 17% from the previous year. The article also noted, which we have discussed here numerous times in the past, the increasing trend towards less invasive procedures. This was my motivation behind creating our minimum incision Face Lift the “Palmer Celebrity Face Lift” which was featured on ABC’s hit TV show “The View”. Botox and fillers like Restylane, Radiesse and Perlane remained popular.

Rhinoplasty was mentioned only in passing but according to my calculations, of published data from all three surgical groups who perform plastic and cosmetic surgery, remains the top or one of the top plastic surgery procedures performed year after year.

It is true that Breast Augmentation is popular and Silicone Breast Implants have gained popularity since the FDA lifted their restrictions some time back. I have seen two sets of patients that are interested in Breast Augmentation with Breast Implants. The first group are young women who have small breasts and would like the size and or shape improved. Silicone Breast Implants are available for women 22 years of age or older. Younger women would need to use Saline Breast Implants.

The second group of women interested in Breast Augmentation are those who have had children, or are older and wish to regain a more aesthetic breast size and shape using Breast Implants. These women may also need some form of Breast Lift along with the Breast Implants. I believe that all Breast Implants should be placed below the muscle which offers an additional layer of tissue above the Breast Implant.

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.”

The Italian Government is considering placing a restriction or even a ban on Breast Implants for women under the age of 18…according to this just released article. Currently, women under 18 can have Breast Implants with parental consent. This law is being considered but has not yet passed in Italy. Although, there are in my opinion rare instances where someone under 18 should have Breast Augmentation with Implants, it’s a shame that commonsense in Plastic and Cosmetic Surgery must be legislated and not something considered by the surgeons themselves. It’s not impossible that a younger model or celebrity would have a legitimate career reason for undergoing Breast Augmentation with Implants and as such should be able to do so.

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.”

Plastic Surgery from Beverly Hills, Los Angeles and Hollywood has been in the international news lately and frankly, some have been questioning if enough is enough.
I have been writing for years that plastic and cosmetic surgery is all about the individual and can’t be clumped together in a global discussion without loosing all meaning. Take a closer look at plastic and cosmetic surgery treatments like Botox, Radiesse and Perlane or procedures like Face Lifts, Eyelid Surgery, Rhinoplasty, Cheek Implants, Chin Implants and Breast Implants just to name a few.

1. Each patient seeking any of these treatments or procedures is an individual with individual wants, needs and expectations.

2. Every patient will start from a different aesthetic point…“Number“…or you can think of it as a level of attractiveness that makes them unique.

3. Plastic and Cosmetic surgeons use different variations of treatments and surgical procedures to accomplish the desired aesthetic results and even when they would do things exactly alike (I believe this to be highly improbable if not close to impossible) their level of skill, training and experience will still vary and thus effect the ultimate outcome.

Given all these variables, I do not believe that you can look at any one celebrity or “pseudo-star” and judge plastic and cosmetic surgery as an industry or movement. Nothing more than a frank discussion of that particular patient, that particular outcome and that particular surgeon would be accurate. In my 20 years as a Beverly Hills Plastic and Cosmetic Surgeon I have seen wonderful results and I have turned many patients away for their unrealistic expectations or aesthetic requests. I feel that it is the ultimate duty of each and every patient to learn what is required for them to make an educated decision about their appearance and how to effectively improve it when and if they so desire. Do not let any plastic and cosmetic surgeon do a procedure or treatment on you that you do not understand and agree with the planned aesthetic goal. Not aesthetically astute? Learn more about “Your Number”.

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

Continuing with our theme of Beverly Hills as a destination for plastic and cosmetic surgery medical tourism, we are now proud to offer IChat, for our Mac clients, with an internet consultation. Our Beverly Hills office has offered telephone consults with e-mai (drfpalmer1@aol.com) evaluation of photos to discuss my findings and recommendations. We find this service a valuable way to communicate with our out of town, out of state and international clientele. You can have a consultation from the comfort of your home or office thus saving the time and expense for your trip to have the surgery. Now we have added IChat as a more personal way of communication during your plastic and cosmetic surgery consultation for Face Lift, Brow Lift, Eyelid Surgery, Breast/Cheek/Chin/Lip Implants, Rhinoplasty, Otoplasty, Tummy Tuck, Liposuction, Botox, Radiesse, Perlane or Juvederm.

Steps for your IChat consult with us:

1. e-mail us at drfpalmer1@aol.com that you are interested in a telephone or IChat consultation and include jpeg photos of the areas you wish to discuss. If your initial e-mail does not include photos or if we believe that other views are required, you will be informed of the type of photos that we require for your evaluation.

2. Schedule a day and time for your phone consultation or your IChat. This can be done via e-mail or by telephone 310-652-9583 (monday through friday 9-5 PST.

3. Send us your AIM account name so we can add you to our buddy list in order to initiate the IChat.

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

Traveling to Beverly Hills for your plastic and cosmetic surgery treatments and procedures is quite common. Los Angeles, of which Beverly Hills is a part, has long been a tourist destination because of the balmy weather and proximity to Hollywood’s stars and celebrities. But on any given week, you can find patients at our clinic from Hong Kong, Tokyo, Paris, London, Barcelona, Soel, Saudi Arabia, Oman, UAE, Kuwait, Bahrain, Egypt, Moscow, India or China. This week, our patients have traveled to Beverly Hills from the Middle East, Asia, Europe and from across the US for their Face Lifts (Celebrity Lifts), Rhinoplasty, Eyelid Surgery, Browlifts, Cheek Implants, Chin Implants, Breast Implants for Breast Augmentation, Lip Augmentation, Botox, Perlane and Radiesse Injections.

This is commonplace for us as we have had this type of geographical diversity to our clientele for many years…in part due to my dual practice in London from 1994 through 2000. Although I no longer travel to London for work, our practice was established, over those years, as international in nature and our office adapted to accommodate and communicate with people who were traveling over great distances. I adopted a method where our out of town and country patients could e-mail us photos (drfpalmer1@aol.com) for evaluation coupled with a scheduled telephone discussion of my review and recommendations…which is basically a telephone consult with me after I reviewed their photos. This allowed patients to speak with me without traveling here for their consultation thereby allowing them to save that travel time for their actual surgery. This has worked out very well for the past 15 years.

We realize that traveling here to Beverly Hills is less convenient than having your procedure in your own city or country but in these cases, you come here for the experience, training and level of quality that is Beverly Hills Plastic and Cosmetic Surgery. Beverly Hills has always been synonymous with the very best, the top quality plastic and cosmetic surgery procedures because that’s what our clients demand from us. This past week alone, I am revising plastic and cosmetic surgery procedures that these patients have had in their respective cities and countries because for one of numerous reasons they did not achieve the desired aesthetic results. As a result, they have come to us seeking revision and refinement surgery to become more attractive. I realized that for us it’s commonplace but for those of you contemplating the travel, it may seem somewhat daunting and so I decided to speak to those of you who may find yourself in that position.

First and foremost I think it’s important for you to remember that the only uncertainty in all of this is your travel to our office in Beverly Hills. Although plastic and cosmetic surgery is serious business, it is what we do day in and day out and have for 20 years, so once you do arrive here, for us It’s no different than if you lived right here in Los Angeles. At that point, we take over and do what we do. From our accredited operating room to the after care facility, post surgical follow up appointments, post surgical medications and instructions…everything is planned out for you so you can breathe easy. When it’s time for you to fly back home, you will be ready and happy that you made the journey.

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

Plastic and Cosmetic Surgery is starting the new year and decade up from 2009. The largest increase appears to be coming from Europe, (England, Italy, France, Switzerland, Sweden) and the Middle and far East (Japan, Korea and Singapore). Here in the US, our out of town patients are coming from New York, Miami, Chicago, Dallas, Fort Worth, Houston, San Francisco and Orange County.

The most popular plastic surgery procedures so far in 2010 are Facelifts (Celebrity Lift), Cheek Implants, Rhinoplasty, Eyelid Surgery (with or without Brow Lifts), Chin Implants, Lip Implants, Breast Implants, Botox, Radiesse, Perlane, Dysport, Juvederm and Restylane.

Francis R Palmer, III, MD

Cheek Augmentation with Cheek Implants what you should know.

Cheeks are the single most aesthetically important facial feature as outlined in my What’s Your Number the palmer code system and book. What’s Your Number..the palmer code says that your face can score a perfect 100 points, a whopping 75 of those points are possible if your cheeks are ideally shaped. This means that the cheeks alone have the power to make your face look young, old, femine, masculine attractive or less so.

The good news is that I have outlined for you what the perfect female and male cheeks look like and yes, you can have these using cheek implants…or fillers like Radiesse or Perlane but that’s a subject for another day.

The bad news is that implants or fillers that create the wrong aesthetic cheek shape can be devastating bad for your appearance. You can look like a masculine woman, a feminine man or just plain gruesome (like a puppet).

Cheek should be augmented following a set aesthetic standard that allows the female cheeks to be full, soft, round and naturally femine….while in men, the cheeks are angular and masculinely chiseled.

There are many, many variations of sizes, shapes, thickness and materials for cheek implants…the vast majority of which I feel do not create the proper aesthetic cheek shape in my over 20 years experience performing cheek augmentation with cheek implants. I do not believe it’s a good idea for the implant to become incorporated into the bone or facial tissues and have seen patients (done elsewhere) that sadly agree. Some of these patients I am unable to help because I can’t get the implants they had placed elsewhere out. Just remember, permanent means permanent, so I like silastic implants that are easilly removed if you decide to do so for any reason.

It should be stated that, in my opinion again, using facial implants like cheek or chin implants requires a quantum level of aesthetic sophistication on the part of the plastic and cosmetic surgeon who’s placing the implants. The implant size, shape, thickness, material and mode of placement (through the mouth, through the eye, under the skin in front of the ear or through an incision in the scalp all are possible but do not yield in my opinion the same results.) In fact, I’d go so far as to say that some points of insertion should not be considered which brings me to the next point.

As you search, you should consult with experienced top or the best plastic and cosmetic surgeons who perform cheek or chin augmentation with mplants frequently. This is not an easy surgery to learn or master and you do not want to look worse that you did before the surgery.

I’d like to leave with a final thought. The internet is a terrific source of great information as long as that information is genuine. Be careful to get your information on cheek implants, rhinoplasty, breast augmentation, eyelid surgery, botox, juvederm, radiesse or any plastic and cosmetic surgery treatment or procedure directly from the plastic and cosmetic surgeons who perform these procedures…not from the numerous generic directories (websites) that have material written by lay writers or people in sales as a way to get you onto their sites.

These sites charge fees to the listing doctors just so they can suggest, link or refer you to one of the thousands of doctors and surgeons for you to consult with and have these procedures. Problem is, they haven’t written the information, so how do you know the surgeon is experienced. Anyone can write about a surgical procedure but only an experienced surgeon can tell you how it’s done and what you can expect because they’ve actually done that procedure many times.

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