Nip This Tuck That

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

There has been a huge number of patients from all over the world contacting us in Beverly Hills about Chin Augmentation. I have performed Chin Augmentation using Chin Implants for over 20 years both here in Beverly Hills and in London. I prefer using the soft, silastic Chin Implants that are anatomical in their shape and design using The Palmer Code as a guide to the aesthetic balancing of the chin with the other features of the lower face.

I prefer using an incision hidden under the chin versus one on the inside of the mouth. The surgery typically takes about 20 minutes and I have not found it necessary to use sutures or screws to hold the chin implant in place. Patients are allowed to fly back home to Europe, Asia or the Middle East 1 week after the procedure.

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

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

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.”

Whether you are here in Beverly Hills, across the US or around the world, you should take a look at our “Palmer Celebrity Facelift” which just may be the World’s Best Face Lift.

I designed The Palmer Celebrity Facelift is to have the following features, that in my humble opinion, make it highly effective at making the face look more naturally youthful and beautiful.

1. Small incisions that are about 20% the size of those used in traditional Face Lifts.

2. No incisions inside the hairline, as found in traditional Face Lifts, which eliminates the risk of loosing hair from the incision.

3. Limited tissue dissection that decreases potential swelling, bruising and recovery time.

4. SMAS muscle layer tightening by elevation, trim and re-suturing. (I believe that this is more effective than merely folding or suspending the SMAS which could come undone allowing the SMAS to re-sag.)

5. Ability to tighten and remove excess skin.

6. Contouring the Cheeks with Cheek Implants or filler (Radiesse or Perlane).

7. Shaping the face by decreasing excess fat in the NLF or lower face.

8. Removal of excess fat and skin from the neck using a small incision under the chin.
9. Takes 1 1/2 hours not 5, 6, 7 or more hours that’s required for traditional Facelifts.

10. Far less surgery time means way less anesthesia.

11. Because the surgery time is only 1 1/2 hours, other procedures like Breast Implants, Rhinoplasty, Eyelid Surgery, Cheek Implants, Chin Implant, Abdominoplasty, Arm Lifts, Thigh Lifts or Buttock Lifts can be performed at the same time.

11. Can be performed under a local anesthetic.

The combination of all of these factors allows the Palmer Celebrity Facelift to give you a natural, youthful and attractive face. The Palmer Celebrity Facelift creates a look that is aesthetically pleasing….not the wind-swept, overly-pulled, Joker look that we’ve all seen on celebrity faces in magazines and in the news.

Patients travel from all over the US, London, Paris, Singapore, Hong Kong, Dubai, Kuwait, Mexico, Sweden, Switzerland, Hungary, Russia and all around the world for this facelift not only because of the aesthetic benefits of how their faces will look but for the 3-day recovery. Most patients fly back home 3 days after their Palmer Celebrity Facelift….there’s no need to avoid air travel for 10-14 days as is required for traditional Facelifts. If you don’t need all that surgery, dissection, larger incisions that can take months for you to heal, then why have it? You may want to check out what the media says about “The Palmer Celebrity Face Lift” and it’s creator Dr Francis R Palmer. Watch Dr Francis Palmer present his groundbreaking Palmer Celebrity Lift on ABC’s “The View”.

In the last several weeks, I have have had numerous patients that presented with quite a bit of excess fatty tissue in their face. The excess fat was all over the face including the neck such that there was very little shape in the face. The premise of The Palmer Celebrity Facelift is to create a natural, youthful and attractively contoured face. In order to accomplish that goal, the fat must be removed and re-shaped. Something that may not be done in traditional Facelifts.

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

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.”

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

Think looks don’t matter…they do, of course. This is why I wrote the book on the subject: What’s Your Number..the palmer code available here

Latest article, on the subject, in Forbes Magazine

Plastic and cosmetic surgery treatments and procedures like Facelifts, Rhinoplasty, Eyelid Surgery, Browlifts,
Breast Implants, Cheek Implants, Chin Implants, Lip fillers, Botox, Tummy Tucks, Liposuction, Hair Transplants, Restylane, Juvederm, Radiesse, Sculptra and IPL…all improve your Number and your appearance.

We all, deep down inside know that our appearance does matter even though it’s not fair…but who ever said life was fair? That’s why you need to learn how to best improve Your Number.
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What’s Your Number…the palmer code TV Appearances
Dr Francis Palmer
Media Accolaides
Voted “one of the world’s best” plastic and cosmetic surgeons

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