Nip This Tuck That

One of the reasons that the Palmer Celebrity Facelift may be one of the “World’s Best” Facelifts is it’s ability to deal with not only sagging muscle and skin, of the face, but the excess fatty tissue that often accumulates as the face and neck ages. Excess fat can make it difficult to rejuvenate and shape the face using traditional facelifts. The Palmer Celebrity Face Lift uses micro-liposuction techniques to decrease the excess fat throughout the face and neck resulting in a more youthful, aesthetically shaped face once the underlying SMAS muscle layer is tightened and the excess skin is removed. The face can be further rejuvenated by creating a more attractive cheek shape by using fillers like Perlane, Radisse or Juvederm Ultra or by using Cheek Implants. This mult-stage approach provided by the Palmer Celebrity Face Lift can create a more youthful, naturally attractive face using much smaller incisions, with less tissue dissection which results in less healing time….all in about 90 minutes of surgery time.

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

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.”

After performing Facial Contour(R) Facelifts for 15 years here in Los Angeles/Beverly Hills and in London, I envisioned a less invasive, smaller incision Face Lift that could be performed with or without anesthesia in about 90 minutes with a recovery time that’s literally measured in days (not weeks or months like traditional facelifts or necklifts) and the best news is that the “Palmer Celebrity Lift” can make you look 10 years younger!

This minially invasive Face Lift is highly effective for the following reasons:

1. It follows the proper aesthetics of beauty as outlined in my new book: “What’s Your Number…the palmer code.

2. It has all the best parts of the much more invasive traditional Face Lift and Neck Lifts but with much smaller incisions, healing times, bruising and swelling.

3. The end point is a face that’s soft, youthful and more naturally beautiful or handsome because the proper facial features are created or accentuated.

Do not settle for hours of surgery only to look, “pulled”, “wind-swept” or “joker-esque”.….you can be naturally beautifuul or handsome…see if The Palmer Celebrity Lift is right for you. Why not look as good as the top celebrities after their plastic and cosmetic surgery?

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.”

Rhinoplasty and Revision Rhinoplasty advice from Beverly Hills Plastic and Cosmetic Surgeon, Dr Francis Palmer, voted “One of the World’s Best” Plastic and Cosmetic Surgeons.

I’ve been receiving more and more e-mails and photos of potential fisrt-time Rhinoplasty as well as Revision Rhinoplasty patients from all over the world. The latest several were from Taiwan, Singapore, Shanghai, London, India, London and Brazil. When explaining the aspects of their noses that can and should be considered for improvement during a Rhinoplasty, I have always found it useful, to the patient, to teach them a little bit about the nasal anatomy. It’s also helpful to let Rhinoplasty patients understand the post op healing so they understand what is and isn’t typical.

For example, one patient e-mailed my office photos for me to review for a possible Revision Rhinoplasty that was performed in Europe by another plastic and cosmetic surgeon. The patient had some questions about what was causing the irregularities, of her nose, at the 10 month post-op Rhinoplasty stage. From the photos, of her nose, it seemed very likely that she had what is called an “open roof” deformity with an incomplete fracture of one side of her nasal bone. The remedy, in that particular case, is repeat fracture of that nasal bone during a Revision Rhinoplasty. This information, whether acted upon by the patient or not, put an end to uncertainty and confusion about why her nose looked the way that it did.

I have mentioned this many times on this blog…Rhinoplasty is the most technically difficult plastic and cosmetic surgery procedure performed and Revision Rhinoplasty is even a quantum level more difficult than that. Training, experience and aesthetic judgement are the three essential keys for your Rhinoplasty Plastic and Cosmetic Surgeon to possess…do not settle for anything less. Get the very best, top plastic and cosmetic surgeon, even the world’s best. Here’s a simple 4-step guide on “How to Choose Your Plastic and Cosmetic Surgeon.”

Dr Francis Palmer
Beverly Hills Plastic and Cosmetic Surgery
“What’s Your Number..the palmer code.”
Patient Testimonials
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If you are like millions of people worldwide that are thinking about having a Rhinoplasty or you one of the hundreds of thousands of Rhinoplasty patients, only one thing really matters to you. Where can you get the World’s Best Rhinoplasty.

I have been performing Rhinoplasty here in Beverly Hillsfor over 20 years and for about 7 years traveled to London to perform plastic and cosmetic surgery including Rhinoplasty. All in all, I’ve performed many Rhinoplasties for over 20 years and I can tell you that Rhinoplasty is the most technically difficult plastic and cosmetic surgery procedure that is performed and Revision Rhinoplasty is many times more difficult.

The unique aesthetics of the nose combined with the ability to change many features and aspects of the nose make this a challenging plastic and cosmetic surgery that takes years and thousands of surgeries to master. Unlike many other plastic and cosmetic surgery procedures, Rhinoplasty is tough to master and in my humble opinion can’t be done at a top level (the world’s best) unless all the following things are met:

1. The plastic and cosmetic surgeon must have rigorous training in how to perform
Rhinoplasty Surgery. Not all surgeons have the same training and this training differs
even more from country to country. In my opinion, the US and Beverly Hills has some of
the World’s Best plastic and cosmetic surgeons.
2. The plastic and cosmetic surgeon after adequate training must perform many, many
Rhinoplasty surgeries in order to have the type of experience you want in a world class
Rhinoplasty Surgeon. If you are seeking Revision Rhinoplasty, then your Rhinoplasty
Surgeon needs even more experience as the nasal tissue, structures and skin all become
increasingly more difficult to manipulate with each subsequent Rhinoplasty.
3. The plastic and cosmetic surgeon and the patient must have a thorough understanding
of the aesthetics of beauty as outlined in my new book, on the subject, “What’s Your
Number…the palmer code.” This allows you to get the desired improvement and helps
you avoid a pinched, scooped, short or distorted nose after your Rhinoplasty.

Differences in cartilage thickness, nasal bone size and thickness, skin thickness and amount of oils, shae and size of the nostrils, size and shape of tip cartilages, rotation angle of the tip, amount of columellar show, width of nasal bones and the forhead/nasal angle are just a few of the many variables that must be taken into consideration by an experienced, world-class Rhinoplasty Surgeon…all before the proper surgical plan can be mapped out for your Rhinoplasty. This does not even consider the scenario where onlay grafts may be required to build up the nasal bridge or define the nasal tip. Certain materials work best on the nasal bridge while other do best in the nasal tip. When placed elsewhere, the same material may dissolve unevenly after a few years or worse…erode through the nasal skin creating a deformed appearance to the nose.

So when seeking Rhinoplasty….get the World’s Best….do your homework and get the training, experience and sound aesthetic judgment that you need.

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

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So, you’ve been looking in the mirror and you have decided that perhaps a Face Lift is right for you. Now, you must decide where and with whom to have your Facelift. Here are a few things for you to consider in your quest for the World’s Best Face Lift:

1. The most important thing your plastic and cosmetic surgeon must have is the proper
aesthetic judgement. This dictates how the plastic and cosmetic surgeon plans on
making you more attractive as well as youthful in a natural and appealling manner.
Without a solid grasp of the aesthetics of beauty, your face could look pulled, or
otherwise un-natural, which is NOT more attractive…..no matter how experienced
or skilled the surgeon. Trouble is these all-important beauty aesthetics are not part
of the surgical training or education. The proper aesthetics of beauty are spelled
out in my new book “What’s Your Number…the palmer code” which is a must-read
for all who are interested in plastic surgery as a means to improve themselves
although my book also includes many non-surgical methods of self-improvement.

2. Once you understand the aesthetics of beauty and have identified
“Your Number”, you are ready to explore options on how best to improve and
increase “Your Number”.

3. Now, if you decide a Face Lift will increase “Your Number”, then it’s time to find the
world’s best plastic and cosmetic surgeon. Here is a four-step guide for you to follow on
“How to Choose Your Plastic and Cosmetic Surgeon”.

4. Your Plastic and Cosmetic Surgeon must be an expert in the aesthetics of beauty, be well trained in plastic and cosmetic surgery and experienced in performing Face Lifts. I have been performing Face Lifts for over 20 years and have seen Face Lifts change and evolve over that time into the 21st century, minimally invasive version that I created 5 years ago “The Palmer Celebrity Face Lift”.

Just remember that the most technically talented surgeon who doesn’t understand the aesthetics of beauty will be uncapable of making you look more attractive in a consistent manner, in my opinion. Conversely, there’s simply no substitute for experience and you should and must find the best plastic and cosmetic surgeon that’s proficient in the aesthetics of beauty and highly experienced in performing Face Lifts or whatever plastic and cosmetic surgery procedure you are seeking. This seems the smart thing to do whether you a celebrity seeking plastic surgery or just want to improve “Your Number”.

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

Patient Testimonials

Dr Palmer Featured on TV

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Chin Augmentation using Chin Implants for an Ideal outcome.

Let’s talk a little bit more about Chin Augmentation using a Chin Implant and what would make this an ideal situation, maybe even the World’s Best.

First and foremost is the proper aesthetic evaluation of the face and chin that allows the plastic and cosmetic surgeon to correctly identify the chin as being weak. According to my new book “What’s Your Number…the Palmer code”, a man’s chin should meet an imaginary vertical line drawn down from the lower lip when looking at the face in profile. If the chin falls behind this aesthetic line, the chin appears weak and the face may look out of balance…even making the nose falsely appear to large for the face. In women, the chin should reach just about 5mm’s behind that imaginary line for the profile to appear balanced.

If after using the Palmer Code method, your chin is indeed found to be weak, then a Chin Implant may be the answer. The next aesthetic judgment would be what size, shape and implant material is best suited for the chin augmentation.

There are various types of Chin Implant materials but I exclusively use and have used silastic Chin Implants for over 20 years and believe these to be the gold standard. I do not like to use Chin Implants that become incorporated into the bone or that integrate into the superficial tissues as I feel both situations can become problematic for patients in the long run.

If your Chin Implant becomes integrated into your bone after a month or so, you’ll never…..never….ever be able to have that Chin Implant removed no matter what. I believe this is a mistake and takes away a useful option for you in the future.

Silastic implants can always be removed even decades after they are placed and I think you should always have that option. Similarly, Chin Implants that become integrated with tissue may be difficult to remove and might result in some tissue loss creating a contour irregularity….once again, not your best option.

I have used Chin Implants for over 20 years and do not have to use sutures or screws to secure the implants…..and I do not believe that either becoming integrated into the bone or tissues is necessary to keep the implants from moving. I feel that performing the Chin Augmentation with Chin Implant properly, creating the appropriate sized pocket during surgery and following some simple and logical post-operative instructions will ensure that the Chin Implant does not significantly move.

Parting note: In the last month, we have been contacted and or have performed numerous Chin Implant removals and exchanges for patients, from all over the world, that had their Chin Implants placed elsewhere. In my humble opinion, these patients found themselves in this situation because the size and/or shape of the Chin Implant used was aesthetically incorrect and therefore incapable of improving their appearance. After all, isn’t that the point of plastic and cosmetic surgery?

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

Patient Testimonials

Dr Francis Palmer TV Appearances

Dr Francis Palmer in Magazines/Newspapers

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.”