Nip This Tuck That

Hollywood Stars Beauty Fantasy by Dr Francis Palmer

Photo Credit: Steve Granitz Wireimage

Grammy’s 2010 Taylor Swift: Taylor looks beautiful in this blue dress but what if we had a magic wand and could change her appearance to make it a perfect face, what would we consider doing?
1. The eyebrows are low, so perhaps some Botox to the eyebrows or a Brow Lift.

2. The left cheek is a bit more flat than the right so a little soft tissue filler to shape and contour the cheek using either Radiesse

3. The upper lip is thin compared to the lower lip, so perhaps either a soft tissue filler to the lip borders using Restylane or Juvederm or a semi-permanent lip implant like Alloderm that seems to last about 7 years.

4. The nose is a little thick and a Rhinoplasty (nose job) could thin and refine both the nasal bridge and tip.

This is, of course fantasy, and a make believe exercise but still fun and exciting to imagine. So what’s her “Face Number” now: 86 Fantasy Makeover Face Number: 99 with 100 being perfect.

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

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

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

If you’re looking to make yourself more attractive in a natural and predictable manner, these plastic and cosmetic surgery procedures should be high on your list of things to seek out to accomplish your goal. Face Lifts, Eyelid Surgery, Brow Lifts, surgeries and injections for fuller lips and Rhinoplasty are the main areas that you should concentrate on improving.

Face Lifts: Remove excess skin & fat while tightening the underlying muscle layer (SMAS)…our “Celebrity Lift” is a minimum incision yet highly effective Face Lift Procedure with a rapid recovery that can be performed in about 90 minutes with or without anesthesia.

Eyelid Surgery: Removes excess skin and fat from the upper and or lower eyelids making the eyes appear less tired. Sometimes called Blepharoplasty.

Brow Lifts: Mainly for women, where eyebrows should be elevated, arched and specifically shaped causing the eyes to appear more almond in shape.

Cheek Augmentation: The tissues, of the face, hang from the cheek bones and if your cheeks are not ideally shaped (full and round for women versus narrow and angular for men) Cheek Implants or soft tissue fillers like Radiesse and Perlane can be used to create the desired, more attractive and youthful shape.

Fuller Lips: the lips have the ability to soften the entire lower face but the lips must maintain the proper aesthetic proportion where the upper lip is no more than 75% the size of the lower lip thus creating the soft and pleasing lower lip pout. Lip implants like Alloderm as well as soft tissue fillers like Restylane and Juvederm can be used to create fuller more attractive lips.

Finally, we come to the nose which is the most misunderstood aesthetic facial feature…in my humble opinion. The purpose of the nose is to appear sleek and refined without any major flaws that would otherwise draw attention to it and away from the cheeks, eyes and lips which according to my new book “What’s Your Number…the palmer code”, dictate how attractive your face is perceived by those around you. So, a Rhinoplasty should be performed to make the nose look sleek, refined and natural.

So the next time you think about looking star quality fabulous like your favorite celebrity, follow this simple guide to make yourself more attractive and remember everything has an explanation, even beauty…you just need to know the secrets.
Dr Francis Palmer
Beverly Hills Plastic and Cosmetic Surgery
What’s Your Number…the palmer code book

Face Lift facts from Los Angeles and Beverly Hills

In 2010 and the next decade, I believe people will come to grips with the full and complete idea of personal beauty aesthetics. This will and should create a quiet transformation in the way that individuals elect to improve their appearance through plastic and cosmetic surgery. The top, the very best plastic and cosmetic surgeons in the world already know what everyone else must now embrace. There are a set of ideal shapes, angles and proportions to the face and body that dictate whether you will be perceived as young, old, male, female, attractive or less so. This includes using the appropriate type of Face Lift procedure and ancillary procedures like Cheek Implants, Chin Implant, Rhinoplasty, Brow Lift, Botox, Radiesse, Perlane or Juvederm to create the most naturally attractive face for you.

We receive many e-mails each day from people who have had plastic surgery procedures elsewhere and are not happy with the aesthetic results. They come to us here in Beverly Hills so we can create the proper aesthetic shape for their face and or body. Our Celebrity Lift with creation of the most aesthetic Cheeks using Radiesse, Perlane or Cheek Implants along with the creation of fuller lips that are proportionally balanced using either Alloderm implants or Juvederm/Restylane will definitely do the trick. To look your very best, follow “What’s Your Number… The Palmer Code principles which will guide you in the proper aesthetic direction. Remember that “it’s not what you do but how effectively it works at making you more attractive that really matter…very often, less is better.”

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

There was a large article in todays’ Wall Street Journal about the dangers of having Plastic and Cosmetic Surgery and other elective surgical procedures in non-accredited office/surgery centers. It’s true that you should be aware of the environment in which your plastic and cosmetic procedure will take place.

California, New York, Texas and I believe Florida have existing regulations that all out patient surgical facilities must be accredited. Our Beverly Hills surgery center has such an accreditation and has for many years…but in other states this is voluntary and certainly in other countries the rules may be quite different. So, what’s the big deal you ask. Here are some of the most important points regarding the subject:

1. There are certain anesthesia criteria that require a well-trained anesthesiologist or nurse anesthetist administer your anesthesia. Without this rule, your anesthesia maybe administered by an office nurse or the surgeon himself….
2. The proper resusitation equipment is required with accreditation that otherwise may or may not be available.
3. Accreditation is another way to make sute that the doctor is trained and experienced in the procedure that you are going to have. With economic pressures today, there are dentists, oral surgeons, gynecologists and all forms of doctors performing plastic and cosmetic surgery…so you may want an outside agency deciding who is and who isn’t tained to do your procedure.

So the next time you’re considering a plastic and cosmetic surgery procedure and you don’t live in a state with mandatory accreditation of outpatient surgery centers, come to Beverly Hills where you can be confident and secure that your surgery will be performed in an accredited facility.

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

At the end of the day why do people have Plastic and Cosmetic Surgery? To improve their appearance and in a fair number of those cases…this means to look more youthful as well as attractive. There are several things to consider and several steps, that you can take, to ensure this is the result that you get from your Rhinoplasty, Face Lift, Eyelid Surgery, Browlift, Breast Implants, Fuller Lips, Cheek Implants, Chin Implant, Tummy Tuck or Liposuction. Celebrities that look more attractive and radiant understand these important points

First things to consider:
1. Avoid generic type procedures sold by corporations and businessmen to any doctor and surgeon willing to pay the fee in order to use the procedure name. We’ve all seen the ads on TV and magazine for these types of procedures…be aware that they will be performed by a whole host of different doctors and surgeons with varying degrees of training, experience and ability.

2. Avoid technological advances that are devoid of real science behind the claims. Remember it’s easy to make promises…quite another to deliver real results. That’s why experience and training are key.

3. You get what you pay for. Spend some time reading the posts on this blog to see people who could have made better choices by not placing costs ahead of results, experience and training of their surgeon. You will not get the best quality plastic and cosmetic surgeons to do your plastic surgery at bargain basement prices.

Steps to take for a more attractive you:

1. At any age consider improving the shape of your face. Cheeks, chin and jawline (primarily in men) can be augmented and accentuated to make female faces more fiminine and male faces more ruggedly handsome. This should be the primary focus of your efforts as it yields the most rewards.

2. Rhinoplasty can shape the nose to make it more sleek and unaware. Just be careful not to assign more aesthetic importance to your nose than it really has… Learn more by reading my new book on the subject “What’s Your Number”…the palmer code.

3. Face Lifts are to remove excess skin and tighten the underlying muscles…they can’t create or place shape into the face….this requires experience using step 1 above. Having said that, look for sophisticated versions (like our Celebrity Lift that has much smaller incisions, limited dissection and rapid recovery), not like older traditional versions that take hours to perform and weeks, or months to heal.

4. Breast Implants remain popular with women looking to improve the size and or shape of the breasts….Saline or Silicone implants.

5. Eyelid surgery can remove the tired look from your eyes…in less than 1 hour.

6. Tummy Tuck and Liposuction can be used to flaten the stomach area and re-shape the body by removing excess body fat.

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

This Summer here in our Beverly Hills office, Rhinoplasty, Face Lifts (our Celebrity Lift which is a quicker, less invasive Face Lift), Breast Implants and of course facial implants (Cheeks and Chin).

Rhinoplasty , especially out of stae and country clients from Europe, Asia and the Middle East continue to seek both primary and Revision Rhinoplasty as well as Face Lift procedures. Our Celebrity Lift continues to amaze as people want a quick, easy recovery which this minimal incision Face and Neck Lift offers. Most patients fly home days after the procedure…instead of the weeks they had to wait after a traditional Face Lift.

As the weather warms up, women’s thoughts go to the size and shape of their breasts and Breast Augmentation and Enhancement with Implants gains popularity. When combined with crescent lifts, the breasts can be lifted as well as more shapely.

Radiesse, Perlane or Cheek and Chin Implants can all be used to augment the Cheeks, Chin and Jawline for an improved facial shape…which as you know is the most important aspect of facial improvement…as outlined in my new book “What’s Your Number….the palmer code”.

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

Much has and continues to be written about Aesthetic Medicine which I call the Business of making people more attractive. This includes Plastic and Cosmetic Surgery treatments and procedures: Rhinoplasty, Face Lifts, Neck Lifts, Brow Lifts, Eyelid Surgery (Blepharoplasty), Cheek Implants, Chin Implant, Lip Augmentation, Hair Transplants, Breast Implants for Augmentation/Enhancement, Tummy Tucks, Liposuction, Buttock/Arm/Back/Thigh Lifts, Botox, Dysport, Restylane, Juvederm, Perlane, Radiesse and IPL treatments. All are designed to do specific things to create aesthetic improvements and within each treatment or procedure is an endless variation of how it is performed.

You, as an informed consumer must determine what it is that you’d like to improve. What would you like to look better? Your eyes, face, neck, lips, nose, breasts? After that is decided, what would you like that area to look like? Your lips more full, your nose thinner with a more shapely tip, your face with less jowls while appearring more naturally youthful, your breast fuller and more shapely?

There are many decisions to be made before you have an aesthetic treatment or surgery and I encourage you to become as much of an aesthetic expert as possible so that you can recognize sound aesthetic advice from that which is flawed. Why? Because, in my opinion, after performing Plastic and Cosmetic Surgery for 20 years, the number one complication is the lack of aesthethic judgement of the patient and the surgeon. This is the main reason that people are unhappy after their treatments or procedures….in many cases what was chosen as the way to make that person more attrcative, was doomed to fail from the outset because the treatment or procedure was incapable of creating the proper aesthetic change to make that person more attractive.

How can that happen? Very easilly I’m afraid….we as plastic and cosmetic surgeons are not taught the aesthetics of beauty. We are taught procdures and surgeries that do things but we all do them slightly differently and in different situations, so there’s a great deal of variability despite what anyone else tells you. For example, a patient 25 years old wants cheek implants to make her more feminine. Some surgeons would suggest fillers and place the filler in different areas to shape the face differently. Some would look good, some ok and some would make the face appear odd and mis-shapen. I have seen this when patients have a second consult with me after having fillers elsewhere. Other surgeons may use any one of hundreds of sizes and shapes of cheek implants that will have similar effects. I use and have used 2-3 sizes of 2 thicknesses and have for over 15 years. Why? Because I don’t believe the other many sizes and shapes make the face more attractive…which at the end of the day is the goal!

For each treatment and surgery this can and does occur. You must understnad what does and does not make your face and body more attractive…which is why I’ve written a book on the subject. The culmination of 20 years work, over 4 years in the writing. What’s Your Number…the palmer code shows you, the consumer what you need to know about the beauty aesthetics of your face and body. You can use this book as your beauty source and guide as you make decisions about when and if your ready for plastic and cosmetic surgery. The celebrities that look their best understand these principles and seek the very best plastic and cosmetic surgeons who embrace and understand these concepts…

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