Nip This Tuck That

Breast Augmentation in Celebrities has been in the news lately.+�-�

+�-�Did several Breast Augmentations today.+�-� It’s amazing how nice the patients look after the surgery.+�-� I prefer placing the Breast Implants below the muscle if at all possible….it looks more natural and allows for more options in+�-�the future.

+�-�Breasts are making a huge comeback…no pun intended.+�-� We see lots of women asking for larger or more shapely breasts.+�-� In my practice there are two distinct sets or groups of patients interested in Breast Augmentation.+�-� There are the younger women typically in their twenties that are looking for larger breasts.+�-� Then there is the second group of women that have had children and want to have more shapely breasts once again.+�-�

+�-�For women looking to augment or enlarge their breasts….it’s a matter of how large are they looking to go?+�-� I use a simple formula that takes into account the size of the+�-�hips.+�-� This way, the breasts always look proportioned to the body.+�-� If more cleavage is desired, Breast Implants with a higher profile (thicker implant) would be considered.+�-� So what you should be asking yourself right now is “how am I supposed to know what size I want my breasts?”+�-� Great question…..let’s see.+�-� Fist question.+�-� Are you looking for prominent cleavage or not?+�-� Next question.+�-� How far outward towards your armpit are you willing to have your breasts extend?+�-� These two decisions will help decide the size of the breasts.+�-�+�-�Cup size is determined by the diameter of the breast.+�-� By measuring the breast and/or the existing skin+�-�over the breast (if the breasts are no longer filled out as is frequently the case+�-�after having children) you can get a good idea of the maximum sized breasts that you could have.+�-� Questions is: do you want that much breast augmentation?+�-� I advice buying a bra in the desired larger size and then fill a zip lock baggie with tap water so that the bra is completely filled up.+�-� Walk around with the filled up bra and see how you like it.

Saw several consults for Rhinoplasty, Blepharoplasty, Cheek Implants, Tummy Tucks (Abdominoplasty), Chin Implant, our Celebrity Face Lift, Forehead Lifts, Lip Augmentation and Botox/Radiesse/Juvederm Injections.

Francis R Palmer, III MD

+�-�I saw a tummy tuck, for a psot-op visit and started to remove some of the stitches.+�-� The stitches around the belly button are removed about 9-10 days after the surgery.+�-� I’ve been using dissolveable stitches for everything else.+�-� She has some numbness over the entire abdomen, which+�-�becomes completely normal at about 3 months postop.+�-� The abdomen will contimue to flatten, as the swelling subsides over the next couple of months.+�-� Strenuous exercise can be resumed at 8 weeks after the surgery.+�-� I wonder how many of the celebrity transformations are really Tummy Tucks (Abdominoplasty).

+�-�I gave Ashton’s demo CD to several other sources in pursuit of feed back from another producer.+�-� We are deciding whether, or not, we want to accept an exclusive 6 month agreement from another record producer to shop Ashton to record labels.+�-�

+�-�Working on the final details of the residents rotation through our office to have me teach them Facial Plastic Surgery procedures.+�-� Worked with my publicist to get out a couple of new press release.+�-� One was about general anesthesia+�-�and how it is rapidly becoming a thing of the past with plastic and cosmetic surgery procedures.+�-�

+�-�Did several surgeries, this week, under local and have several more next week the same way.+�-� People just don’t want to feel out of it from the general anesthetic if they can avoid it.+�-� With some surgeies, I need people to be completely asleep because you can’t completely numb up the surgical area…like Breast Augmentation, Tummy Tuck, Blepharoplasty, Rhinoplasty, Face Lift, Neck Lift, Cheek/Chin Implant, Lip Augmentation+�-�and+�-�Browlift.+�-� In fact, I saw a consult today that was thrilled to hear that she could have her surgery without a general anesthetic.+�-� Glad to be of service!+�-� As always lots of Botox, Restylane, Radiesse, perlane and Juvederm+�-�Injections…and our Francis R Beverly Hills (R) skin care products are always a big seller.+�-� Read more here: http://www.frbh.com

Dr. Francis R Palmer, III

This is a further update+�-�on my post a couple of days ago regarding counterfiet Botox and other Plastic & Cosmetic Materials like Restylane.+�-� A lady in Monterey died from fake Botox that was injected by her hair stylist!+�-� I warned you that it was “Buyer Beware”+�-� out there in the beauty business, but when hair stylists start to inject things into people’s bodies….were are all in big trouble.+�-� The Botox was not…repeat not…real Botox from Botox Cosmetic and Allergan.+�-� It was from who knows where with who knows what in it that the hair stylist was able to illegally purchase.

+�-�This is disturbing to me on many levels.+�-� First, why would a hair stylist think that he/she could inject anybody with anything whatsoever.+�-� That in itself is totally outrageous.+�-� Second, what the heck was the customer thinking?+�-� Why would the woman think that her stylist was capable of injecting Botox into her face?+�-� What’s up with that?+�-� Please!+�-� Please!

DO NOT USE+�-�A CHEAP PRICE AS THE DECIDING FACTOR+�-�OF WHAT TO GET AND WHO GIVES YOU A+�-�BEAUTY/MEDICAL TREAMENT OR SURGERY…IF YOU DO,+�-�YOU ARE SETTING YOURSELF UP TO GET BURNED!+�-� This poor woman died to save a few $$.+�-� To me that’s just plain ridiculous.+�-� If you can’t afford the right thing from a competent person………..do without!

Botox, real Botox, from Allergan and Botox Cosmetic remains a very safe and effective way to decrease the unwanted lines and wrinkles of the face.+�-� But this underscores the current climate in the beauty biz, as I have said many times before.+�-� Know what you are getting, be sure you are paying the going rate and make certain that you see a skilled and experienced doctor or Plastic & Cosmetic Surgeon.+�-� Whether you’re interested in a Face Lift, Brow Lift, Breast Augmentation, Cheek Implants, Chin Implant, Rhinoplasty, Blepharoplasty (eye lift), Tummy Tuck, Lip Augmentation, Botox, Radiesse, Restylane, Juvederm, perlane or IPL (Intense Pulsed Light) skin treatments, please go to experienced, well trained plastic and cosmetic surgeons.+�-� Celebrity, or not, you deserve the best plastic and cosmetic surgeon you can find.+�-� Please people….I’d love to never read another one of these tragic stories ever again!+�-�

Dr. Francis R Palmer, III

WOW!+�-� I have to make major decisions on several key entertainment items that, I believe, will have significant impact on my career.+�-� It’s so strange that it’s not enough to be a highly trained, skilled, experienced Plastic & Cosmetic Surgeon…you have to be media savvy and camera ready as well.

I actually have taken the role as a teacher and beauty advisor to the general public.+�-� I do it for all of my patients so why not for everyone.+�-� That’s the basis for my appearances on TV, my articles in Magazines and the TV show projects that really interest me the most.+�-� I want you, to see quality…experienced…balanced images of+�-�a Plastic & Cosmetic Surgeon.+�-� I want you, as consumers to be well informed about the wonderous things that are available and have a good idea of what types of things will make you more attractive…that’s why I came up with my “Palmer Beauty Principles”.+�-� But there is so much more to my career and life.

+�-�I want you to try and imagine a typical day in my life.+�-� I have breakfast with my family, like many people do everyday and I come to the office.+�-� In consultation I see people with one thing on their mind…”how can they become more attractive.”+�-� Whether it’s their first surgery or a revision, that’s the gist of our conversation.+�-� People, as you can imagine run the entire gambit from very sweet to downright belligerent..from reasonable to completely unreasonable (in their expectations) and from easy to improve to next to impossible.+�-� I need to compassionately deal with all of them in the best way that I know how.+�-� How do I do that?+�-� Very early in my career, as I grappled with those questions, I decided that the best way for me to handle every patient was to simply “tell them the truth as if they were one of my family.”+�-� So that’s what I have always done and it has served me well over the past 16 years that I have been in practice.+�-� I further decided to teach every patient, during consultation about their own unique beauty and exactly how…and why…I would improve their appearance.+�-� What comes out of all this exchange is a customized list of possible ways to make them more attractive based on their unique situation.+�-� That’s the easy part…the psychological part and the teaching…the difficult part, as you can imagine, is doing the surgery.

+�-�When I was a resident surgeon training at LA County USC Medical Center, one of the World’s largest ( and busiest) teaching institutions I used to comment that “surgery is stressful.”+�-� I’m sure that comes as no surprise to anyone but the level of stress can’t be imagined unless you have ever done surgery.+�-� Imagine walking into a room with several other people all waiting for you to begin.+�-� The patient is asleep, draped and prepped and the Scrub Tech hands you a scalpel.+�-� You take the scalpel and cut into the skin of the face or body and it starts to bleed.+�-� In between, stopping the bleeding with an electrical cautery device, you continue to lift and separate the tissues with scissors.+�-� Most of the time, important things like nerves and large vessels are where they are supposed to be…but not always…so your concentration can’t wane…not even for a second.+�-� You’re hesitant to even blink but yet you must continue….you are the moving force of this event and without priogress, on your part, the surgery won’t get done.+�-� You press on…dealing with micro changes in the tissues at a continuous rate, adjusting what you do based on the sensory feedback received through+�-�touch, sight and sound.+�-� You try not to think about this patients’ wishes, hopes or her/his family as this takes away from the the level of concentration needed to press forward.+�-� You remain alert and incredibly focused.+�-�

+�-�This goes on for as long as it needs to continue for you to complete the surgery to your satisfaction…you then breath easilly…you are finished.+�-� It’s been said that all great surgeons perform each and every operation a minimum of 3 times.+�-� Once in their head before the surgery starts, during the actual surgery and once again after the surgery is completed in their head to see if there was anything…anything that could have been done better.+�-� I find truth to that saying, but I have always done that ..plus prayed for my patients before…during and after the surgery.+�-�

+�-�How do you deal with all this pressure…I can’t speak for all Plastic & Cosmetic Surgeons but I get strength from having a clear aesthetic plan, for each patient, before I ever pick up that scalpel, from the confidence that I know what I am doing…and what I have to do to accomplish my aesthetic goals for this patient, in the experience that I have gained from 18 years of doing similar operations on others and the strength from saying a prayer to God to guide my hands during the operation.+�-� With all of these things, I find the confidence and strength to pick up the scalpel, make that cut and move through the surgery to completion…while I chat with the OR personnel or relax listening to music making it look effortless and easy.+�-� Pressure…what Pressure?

This is what goes on behind the scenes when you have a Rhinoplasty, Face Lift, Brow Lift, Blepharoplasty, Breast Augmentation, Lip Augmentation, Cheek or Chin Implants or a Tummy Tuck.+�-� Each of these Plastic and Cosmetic Surgery Procedures has its own skill set, you have to get into the correct frame of mind whether you’re working on the average Joan, a captain of industry or a major celebrity.

Dr. Francis R Palmer, III

You can look 10 years younger with a Minilift, Radiesse Injections to sculpt the Cheeks and fill in the Nasolabial folds under local infiltration with Lidocaine in less than 90 minutes. The very next day you can put your hair down in front of your ears and go out….go back to work, really!!

I use my Palmer Beauty Principles to make the cheek area more youthful and the Minilift…a mini version of a facelift to tighten the facial muscles and trim excess skin. I combine skin excision of excess neck skin through a small incision hidden under the chin. The results are nothing short of amazing. You can augment the lips with either Restylane (lasts several months) or Alloderm (lasts about 7 years) for an even softer, more youthful appearance.+�-� When patients do all three procedures…we call it our “Beauty Trifecta.”

This is the trend right now…more frequent, smaller procedures with less anesthesia (if any), less surgery and less recovery. Why wait until the aging process has you looking tired and old when you can keep your youthful good looks with a minimally invasive local procedure? Seems that the “baby boomers” are changing the way people view plastic and cosmetic surgery procedures and when they choose to have them done.+�-� Learn what the celebrities have know for years….quick easy fixes can keep you looking young and attractive.

Francis R Palmer, III MD

+�-�Tag this one under ” Buyer Beware”…+�-� Had lunch with the Beverly Hills area Restylane sales rep at a very trendy sushi restaurant and during our conversation he mentioned that bootleg Restylane was found in the US.+�-� Now for those of you unfamiliar with Restylane, it’s a great soft tissue filler that’s injected into facial folds and wrinkles.+�-� It can also be used to plump up the lips.+�-� It’s been approved for use, here in the US, for about 1 year and we do a large volume of Restylane Injections in our office.+�-� I personally think it’s a great product.+�-�+�-�

+�-�Bootleg Restylane apparently is being sold to doctors in the US from sources other than the company that has the distribution rights.+�-� I know our office frequently receives faxes offering Restylane, Botox and other injectable products for amazingly low prices.+�-� We have never felt comfortable buying these products from any company other than the company reps.+�-�

+�-�You may recall a similar incidence with Botox in Florida where Botox was obtained from a source other than Allergan, the company that distributes Botox in the US.+�-� Several people became ill and after an investigation, the Botox used was not up to snuff.+�-� How does this happen and how can you protect yourself from it happening to you or someone you love?+�-� The best way, is never use price as a deciding factor when getting soft tissue fillers or any plastic & cosmetic procedure.+�-� By doing so, you may be falling prey to doctors that will buy these materials from other sources in order to cut costs.+�-� Remember, if it sounds too good to be true…it probably is!+�-� So what was in the bootleg Restylane that the company discovered.+�-� Well my sources tell me that it was in an identical box to the real Restylane but contained liquid silicone.+�-� Yikes!+�-� Be sure to ask+�-�your doctor where he/she obtained the Botox or Restylane and be sure to go to well kown reputable physicians for your Botox, Restylane, Radieese or Collagen injections.+�-� Pay the going rate for these services and you should be OK.+�-� It doesn’t matter if you’re interested in Botox, Breast Augmentation, Rhinoplasty, Blepharoplasty, Forehead Lift, Face Lift, Cheek Augmentation, Chin Augmentation, Lip Augmentation, Rdiesse Injections+�-�or a Tummy Tuck…do not choose your Plastic and Cosmetic Surgeon based on price.+�-� Experience, aesthetic vision and expertise are the proper means by which to judge and select your plastic and cosmetic surgeon

Dr. Francis R Palmer, III

March 7, 2006: I saw the lady that had+�-�the Tummy Tuck+�-�yesterday…see that post…for her first post-op visit.+�-� She has 2 bulb drains+�-�under the skin over the abdomen to remove any excess blood and serous fluid. These typically remain in for 3-4 days after the surgery.+�-� She’s also wearing an abdominal binder. It’s like a girdle that goes across the abdomen and gives some compression to the surgical area.+�-� She’s slightly bent over…we pulled and removed excess skin and patients usually can stand upright at about 1 week after the surgery.+�-� The muscles are a bit sore…we tighten them along the entire abdomen…that’s what gives the nice tight flat appearance to the abdomen after the surgery.+�-� But all in all she looks fantastic and she’s going to be thrilled.+�-�

+�-�Saw some consults+�-�for Tummy Tucks, Breast Augmentation, Face Lifts, Revision Rhinoplasty, Lip Augmentation, Blepharoplasty, Cheek Implants, Chin Implants, Brow Lift, Botox Restylane, Juvederm+�-�and Radiesse injections to scuplt the face without implants.+�-� They want what the celebrities get…natural beauty.+�-� You can read all about all of these procedures on my surgery website (sorry I’m still new at the HTML code for hyperlinks)

http://www.drfpalmer.com

I’ll share+�-�all of these prcedures, with you,+�-�over the coming days and weeks.+�-� But for now, feel free to read all the material that+�-�I have written on the subject and take a look at some of the before and after photos.

+�-�Celebrities are getting facelifts, Rhinoplasty and Breast Augmentation+�-�in post-production!

Now I don’t want to burst any+�-�bubbles so close to Hollywood’s big night but it seems that the celebs are getting a liitle help in the digital realm.+�-� That’s right, yours truly, the good doctor, has administered more than a little help to some celebs images using $250,000 computers at a post production visual effects house.+�-� This is a kick…I use my Palmer Beauty Principles +�-�to make the images younger and more attractive…best part is there’s no bleeding, bruising or recovery time.+�-� This will be the wave of the future in TV and Movieland and you heard it here first!

The technology allows the stars faces and bodies to show effects of Botox, Radiesse, Cheek Augmentation, Rhinoplasty, Face Lifts, neck Lifts, Blepharoplasty, Browlift, Liposuction, Breast Augmentation, Tummy Tuck, Lip Augmentation and skin Care….basically all similar results tahn if the celebrities had actually and recently undergone all of those procedures.+�-� How cool is that!

+�-�Dr. Francis R Palmer, III

Am I the only one that wonders what happened to all the plastic surgery makeover shows?+�-� They seem to have fallen off the planet despite very favorable ratings?+�-� Well it’s going around the rumor mill that lawsuits filed by, less than thrilled, makeover recipients may be the cause.+�-� I have mixed feelings about this if this turns out to be true.+�-�+�-�Plastic & Cosmetic Surgeons make no guarantees implied or otherwise (we do our+�-�best each and every time)+�-�and the people did get an awful lot of surgery for free…they did look better…so what’s their beef?+�-� Do you think this is right that they then turn around and want what?+�-� Money on top of free surgery?+�-� Seems no insiders are+�-�talking, so I guess we may never find out for sure.+�-� It’s a shame that a few people are able to completely eliminate you from seeing these types of shows.+�-�

There may be a revamped rendition of these shows in the near future using some C and D list celebrities looking to jump start their career after having Rhinoplasty, Facelift, Breast Augmentation along with some Botox, restylane, Radiesse for Cheek Augmentation and for sure some lip augmentation with Alloderm or Juvederm.+�-� Should be interesting.

I feel that the more information that you, as a consumer, can obtain…the better you are at making the correct decisions when you want to improve your appearance.+�-� It’s human nature to want to look good.+�-� I just want you to make the right choices.+�-� In my experience, the number 1 reason that people are unhappy after plastic & cosmetic surgery procedures is the fact that the wrong procedure was done aesthetically.+�-� This is a very complicated issue but read my Palmer Beauty Principles+�-� and+�-�How To Choose Your Plastic Surgeon+�-�for some really good basic information.

Dr. Francis R Palmer, III

Well the Oscars were full of glitz and glitter as the modern day royalty ( our celebrities ) strutted their stuff down the red carpet.+�-� I, for one, still noticed some beauties that seem to have missed the news that the severely skinny, “I only eat lettuce for meals” look is unattractive.+�-� I thought that movement had undergone a justly deserved timely demise.+�-� Who thinks that is a good look?+�-� Worse, what type of message is this giving our children that idolize these young actresses?+�-� Does anyone think we, as viewers are fooled?+�-� We can tell that something is wrong when their bodies are so thin that their heads appear huge.+�-� Who’s propagating this look?+�-� Are casting directors, producers, agents insisting that these poor women starve themselves to look+�-�thin and more thin?+�-� I say enough is enough.+�-� I am an expert in beauty and I am telling you that this IS NOT ATTRACTIVE!+�-� Period!+�-� Sorry, I had to get that off my chest.

OK.+�-� Now+�-�for the beauty part of+�-�Hollywood’s biggest evening.+�-� Reese Witherspoon is just plain adorable…but Charlize Theron scored a 99 out of a possible 100 points using+�-�my Palmer Beauty Principle+�-�scale.+�-�Wow, she looks amazing.+�-� She may have been the most attractive woman at the Oscars.+�-� Winner Rachel Weisz scored solidly in the 90′s and was looking especially cute.+�-� Keira Knightley also scored a 99 out of a perfect 100 and is drop dead gorgeous.+�-� Full round cheeks, beautiful eyes/eyebrows and full plump lips.+�-� The top three aesthetic beauty features of the face that will make you a knockout!+�-� Speaking of knockouts, how beautiful did Jennifer Anniston look Sunday.+�-� She truly is an American Beauty.

Just to be clear, when evaluating the faces and bodies of Celebreties, Royalty, Socialites or anyone els, it doesn’t matter whether the features are from Plastic and Cosmetic Surgery (Cheek Implants, Rhinoplasty, Breast Augmentatuion, Lip Augmentation, Chin Implant, Radiesse Injections, Botox, Restylane, FRBH skin care products+�-�or a Facelift) or that they are from God.+�-� I only care that they are there or they are not!

Dr. Francis R Palmer, III+�-�