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In American English, we have so many expressions that use the human nose as their object. Follow your nose. That girl is nothing but a nosy gossip queen. He cut off his nose to spite his face. I nosed my car out into the intersection. She won the race by a nose. Can’t see past the end of your nose. It’s no wonder that so many people look in the mirror with concern for the appearance of their noses. Dr. Ryan Mitchell at Contours and Curves can help.
Rhinoplasty is typically a simple 1-2 hour outpatient procedure performed under general anesthesia. It can be performed to make alterations to the size and shape of one’s note, smooth out bumps in the bone and cartilage that form the bridge of the nose and septum. It can also correct cosmetic and structural defects from birth, injury and age.
Depending on the type of cosmetic defect a patient wishes to address, the surgery may be an open or closed surgical technique. Both techniques have been practiced and evolving since as early as 500 B.C. in both Western and Asian Medicine, and thus, are well studied and considered safe.
In addition to the cosmetic benefits, some patients experience improved nasal breathing, correction of a deviated septum or blocked airway. Correction of a deviated septum could alleviate problems with sleep apnea. On occasion, Dr. Mitchell may partner with a patient’s ENT surgeon to ensure cosmetic appearances are preserved while tackling more extensive functional problems involving the nose and sinuses.
Many men and women reach a certain age or come up on certain life events that make them want to have the rejuvenating appearance of a face or neck lift but find the time and expense related to procedure and recovery is a bigger commitment than they want to make. At Contours and Curves, we offer a mini facelift procedure that can firm and tighten loose skin below the ear along the jawline and neck.
We make a small incision strategically either in front of or behind the ear and tighten and reposition the muscles and then close with sutures. Because the procedure is simple and noninvasive, it can be performed as an outpatient procedure in our office with only a local anesthetic. It is recommended that patients pre-arrange a ride home on the day of the procedure because it is common to feel drowsy or fall asleep during the placement of sutures.
The procedure requires less downtime for recovery and is less costly.
The important factor in having a positive cosmetic surgery procedure is having a thorough conversation with your doctor to make sure that both doctor and patient have accurate and realistic expectations. A mini facelift is an affordable and efficient procedure, but it is common for the initial results to fade and require additional work over the course of 2-3 years.
To discuss if a regular or mini facelift is right for you, please contact our office at (702) 430-1198.
Eyelid surgery is among the hallmarks of my practice. My patients can rest assured that they are in experienced hands and that their results will reflect that benefit. Since an eyelid lift usually is one of the first cosmetic surgery procedures a person will choose, I think it’s important for the patient to know their surgeon is very experienced in doing the procedure.
The eyes are one of the first places that signs of aging can crop up. The skin in thin in that area and is prone to losing elasticity or collagen. This brings out lines as the skin folds. Since the eyes are such a prominent feature, any signs of aging there are noticeable. That youthful person in the mirror you have seen all your life begins to look slightly older. Many people, particularly women, want to act when they see those visible signs of aging.
This is why Botox™ Cosmetic is such a common first foray into the world of cosmetic enhancement. That injectable eliminates smile lines around the eyes. An eyelid lift takes away the puffy tissue, sagging skin and bags or circles around the eye. On a much more effective scale, an eyelid lift restores a youthful look to the upper face and eyes.
In an upper eyelid lift procedure, the proper amounts of skin, muscle and fat are removed to display a firm, more youthful appearance. In a lower eyelid lift, lower eyelid bad and puffiness are reduced and some skin is removed to create the desired effect. These procedures are surgery so there are scars. But those scars are hidden in the naturally occurring creases of the eyelid, so they are virtually invisible.
Do you look in the mirror and see a slightly aged version of yourself? Do you see it in your eyes? If you do, I am here to help you understand your options for eyelid surgery.
Fat transfer is growing in popularity as a way of adding youthful volume to the face. Typically performed on the mid-face, cheeks or around the nose and mouth where lines commonly occur, fat transfers can now be included as an added feature that lengthens the results. Autologous fat stem cell transfer is the answer to longer lasting results for fat transfer patients.
Typically in a fat transfer procedure, as much as 40% of the fat cells transferred do not survive. The transferred cells die and are reabsorbed safely by the body. Adult stem cells added to the fat transfer drastically improve the survival rate of transferred fat cells. The stem cells build new pathways for blood to reach the transferred fat, increasing its chance of survival. In addition, the adult stem cells turn into fat cells further adding to the volumizing effect of the transfer.
Adult stem cells are found in high concentration in fat, particularly abdominal fat. In a fat transfer procedure, adding adult stem cells to the transferred fat can mean receiving the desired result after only one treatment. As we have seen better results from autologous fat transfer, processes have improved to maximize the addition of adult stem cells. In a leading edge procedure, fat is removed from the patient and sent to an outside processing facility. Once there, a process to isolate and remove the maximum amount of adult stem cells is performed. Those adult stem cells then are added back to the patient’s fat to enrich the transfer. This more viable fat transfer is more effective in becoming a permanent result.
If you have questions about reducing wrinkles with fat transfer or about how autologous fat transfer works, please contact us today at 702-430-1198.
Many women who are considering breast augmentation surgery do a great deal of research online regarding the types of implants. All FDA-approved breast implants have pros and cons and each has specific benefits that might appeal to a patient with certain needs or anatomy. In a consultation, Dr. Mitchell talks through the best options for each patient based on their individual desires.
Common types of breast implants include Saline, Silicone and Form-Stable implants. Saline implants are FDA-approved for women aged 18 or older. These implants are filled with salt water. The water is sterile, as is the implant when it is placed. A benefit of a saline implant is that, should the implant leak or break, the woman’s body safely absorbs the saline used in the implant.
Silicone implants feel more natural, like a woman’s breast tissue. These implants are filled with a silicone gel. Silicone breast implants are approved by the FDA for use in breast augmentation surgery for woman aged 22 and older. If a silicone breast implant leaks, the implant will not collapse. Women who choose silicone breast implants may need to visit their surgeon on a scheduled basis to assure the implants are performing properly.
A Form-Stable implant is popularly referred to as a Gummy Bear implant. These are silicone implants but the silicone used is of a thicker consistency than standard silicone implants. A form-stable implant also maintains its shape even if the outer implant shell is broken. In order to place the form-stable implant, a longer incision is required due to its shape.
While every type of breast implant has its own benefits, the best way to determine what is best for you is in a consult with Dr. Mitchell. In this consult, you can touch and feel the different options for implants. You will also be able to wear a sizing bra that allows you to place the implant to see what the results can be like. This is the best environment to make the decision on which breast implant is right for you.
Do you have more questions about breast augmentation? Please don't hesitate to reach out at 702-430-1198.
You can get a lot of advice out there about breast augmentation. Whether it comes from the Internet or from a friend, there are lots of sources of information but only one kind of information is really useful: the specific information about YOU and your case that comes from your doctor.
Dr. Mitchell is a trained cosmetic surgeon, having performed hundreds of breast augmentations over many years. In a consultation, he listens to your desires, needs and opinions. You may have gathered all kinds of information, both realistic and unrealistic, both facts and anecdotal data. But in your consult, the conversation is entirely about what is possible for you.
Common areas women research include cup size, implant type and incision. However, once in the consult room, it is best to listen when the doctor tells you what will work best for your overall condition and needs. A qualified doctor will inform you of the options available according to your anatomy, medical history and desired result. It’s a unique experience for every woman. Not only does this assure the safest, best results, but it is a great reminder that breast augmentation, while often an entirely cosmetic procedure, is a medical procedure and that you should be considering the standard of care you receive from the doctor and his staff.
You will receive excellent care in all the stages of your breast augmentation procedure when you choose Dr. Mitchell for cosmetic surgery. Why not schedule an appointment for a consultation today to see for yourself? You can reach by calling 702-430-1198.
Proper diet and exercise are usually an effective way to lose extra body weight. However, many people have tough areas of fat that that are difficult to shed despite their efforts. They often end up being hard on themselves and working out to the point of exhaustion. What they don’t always realize is that genetics may be more responsible for these pockets than their daily habits.
Some people's body shapes and physiology make it impossible or nearly impossible to lose fat in certain parts of their bodies. Common places for excess fat to occur in women are stomachs and thighs. A request I often get from moms is that they want their tummy fixed. In fact, men most commonly struggle with fat in the stomachs and sides as well. These are the "problem areas" of many men and women.
With body contouring procedures we can smooth out the shape of your figure. Liposuction is designed to remove fat from designated areas of the body, which ultimately enhances your self-confidence. The surgery slims and reshapes specific areas of the body improving your figure and proportion.
Do you have questions about whether or not liposuction is right for you? Give us a call today for more information: 702-430-1198
Has anyone ever told you that you look tired when you feel full of energy? Many of my patients are frustrated that the outside of their face does not match the way they feel on the inside. As we age, our eyes can develop dark, puffy bags and sagging skin above the brow. For some patients, dropping skin can even cause visual impairment.
Because our eyes are the focal point of the face, many people choose a blepharoplasty for their first cosmetic procedure. A blepharoplasty can be performed on both the upper and lower eyelids with various modifications depending on individual needs.
Many patients are surprised to learn that upper eyelid procedures are routinely performed in my office using local anesthesia. For patients with mild or moderate wrinkling of the lower eyelid skin, the option of chemical or laser skin resurfacing is available as opposed to the surgical removal of skin. If surgery is the recommend course of action, we always take care to ensure our patients are comfortable and set up for a smooth recovery.
I also consult my blepharoplasty patients about proper skincare and other non-invasive treatments. Extra attention in your daily routine can go a long way to help your skin appear as vibrant as your personality.
If you have questions about eyelid procedures or skincare, please contact me here.
Understanding the details of upper facial cosmetic procedures is the key to getting the look you want. To reverse the signs of aging, a first cosmetic procedure is likely to be around the eyes. The eyes are often the first thing people see about your face and they are a big part of your appearance. So, when signs of aging show up around the eyes, people tend to act more readily.
An eyelid lift removes, redistributes and tightens the muscles around the eye restoring a youthful look. However, if you are seeking to remove crow’s feet around the eyes on a lasting basis, it’s important to know how to do that. An educated patient will know that crow’s feet or wrinkles on the outside of the eyes appear due to the repeated use of the eyelid muscles. Even with an eyelid lift, you will still be using those muscles, so eventually, some lines will reappear if nothing is done.
This is one reason why an eyelid lift is frequently combined with the ongoing use of injectables like Botox Cosmetic™, which smooths out facial lines in the upper face. Knowing the right procedure or combination of procedures to attain the look you want is important to ensure you have a great experience with cosmetic surgery. Start by asking questions. I’m happy to help. Please contact me with your cosmetic surgery, eyelid surgery and injectables questions.
Facial lines have a substantial impact on your expressions. A few facial lines give you animation and character. But, when some people see facial lines too prominently, they feel as if they are looking old. And, then of course, there is the look of having too much work done where a person has no perceptible facial lines. For my patients, I try to focus them on what would be their best possible result for a natural look.
Facial lines in the upper face can become more pronounced over time and with age. The result can be deeper folds and wrinkles, drooping brows and sagging eyebrows. Because this part of the face is so visible, with the eyes as a focus, brow and forehead lifts are common procedures. Most patients for brow and facelift procedures are between 40-60 years of age.
A brow and forehead lift can be accomplished in an open procedure or with a less invasive endoscopy. In the brow and forehead lift surgery, I remove or move skin, muscle or both appropriately smoothing the forehead. As part of the procedure, the eyebrows are lifted and positioned for a more youthful appearance. If it helps the patient’s overall aesthetics, the hairline can be repositioned as well.
Both men and women have brow and forehead lifts so it’s important for a surgeon to help the patient realize a completely customized outcome for the surgery. Brow and forehead lifts are not one-size-fits all and it’s important to find an experienced cosmetic surgeon. Do you have questions about how you might benefit from a brow and forehead lift? Contact me today for a consultation and we can talk about it.
The earliest signs of aging often occur around the eyes in both men and women. Treating crows feet with Botox Cosmetic® often is one of the first cosmetic procedures a person will try. Erasing some of the small lines around the eyes can make you look five or more years younger. But, what about when skin around the eyes loses its elasticity and injectable treatments can no longer correct the signs of aging?
Blepharoplasty, or eyelid lift, is a very common first cosmetic surgery because it specifically addresses the first substantial signs of aging after wrinkles. Skin can appear to sag around the eyes due as skin loses elasticity or as small pouches of fat appear around the eye over time. These effects combine to give the eyes an aged and tired appearance that then translates to a person‘s entire expression. And, nobody wants to look tired!
An upper eyelid lift is a surgical procedure that can restore a refreshed, youthful look. The surgery removes sagging tissue to restore a smoother appearance to skin around the eyes. Depending on the patients’ needs, small deposits of fat may be moved slightly or repositioned in this surgery.
Please call if you are ready to explore the possibilities of a Blepharoplasty.
Hydrafirm by Dr Zein Obagi is a fabulous and efficacious product. This is one product from his new skin care line that offers real results. Hydrafirm is for use around the eyes. I have been personally using Hydrafirm for the past 2 months and I really like the results. It does exactly what it says. It hydrates and firms the skin around the eyes. I have been a user of Botox for my "crow's feet" area for at least 8 years. The Hydrafirm further improves upon the Botox result. While Botox will improve much of the lines around the eyes, Hydrafirm will improve the smaller fine lines and in addition make the periorbital (around the eye) skin more firm. It works quickly as well. Hydrafirm is a break through multi-function formula that quickly smooths the skin's appearance of puffiness while optical diffusers soften the appearance of dark circles. Use Hydrafirm morning and night. One tube will last 3-4 months. The cost is $140. "Like" Contours and Curves/ Mitchell Plastic Surgery for a 10% discount. ZO Skin Health is only available through Physicians offices. The whole line of ZO Skin Health is excellent! Call or schedule an appointment for additional information.
ZO Medical Therapeutic Solutions
ZO Medical therapeutic treatments, effectual products and protocols have been optimized to treat a wide range of skin disorders and chronic conditions. One product to highlight is the RETAMAX high potency retinol lotion. Retamax is a lightweight high potency retinol lotion that helps to reverse the signs of aging and aids in the prevention of future damage. Retamax is not like over the counter retinol creams. The concentration of retinol in Retamax is much higher. The Retamax can cause an aggressive reaction, if desired, depending on its use. The benefits of using Retamax include the stimulation of firmer skin, fewer lines and wrinkles, and more even complexion. It helps to activate the skin to restore moisture and enhances the skin’s natural barrier function. In addition, Retamax provides antioxidant protection and anti-irritant properties.
- High Potency Vitamin A: Helps epidermal and dermal stimulation and renewal
- Buddleja Stem Cell: Potent antioxidant with anti-irritant benefits
- Hydrolyzed Sericin: Up regulates hyaluronic acid and collagen production
- Brassica Oleracea Italica (Broccli) Extract and Helianthus Annuus (Sunflower) Seed Oil: Provide anti-irritant properties
- Beta Glucan: DNA protection
- Vitamins C and E: Antioxidants
Directions for use:
Apply 1-2 pumps to face and other areas to be treated. Apply 2 times weekly and increase as tolerated. Skip days between applications. Initial dryness, irritation and peeling are normal, which typically develops 2-3 days following the first application. Can mix equal parts with Ommerse Renewal Crème or Restoracalm and apply once weekly if a less aggressive approach is desired.
Directions forApply 1-2 pumps to face and other areas to be treated. Apply 2 times weekly and increase as tolerated. Skip days between applications. Initial dryness, irritation and peeling are normal, which typically develops 2-3 days following the first application. Can mix equal parts with Ommerse Renewal Crème or Restoracalm and apply once weekly if a less aggressive approach is desired.
This product is designed to be used long term, if desired, for the continued renewal of healthy skin cells.
Active Vitamin A Micro Emulsion
Retail Size: 75ml/2.5 Fl. OZ.
For those familar with Obagi skin care products you are well aware of the quality of the original but now outdated skin care line. Due to Dr. Obagi's tremendous success with the original Obagi Nu-derm products, he sold his skin care line in 1997 to a group of investors. His role in the company from there forward began to diminish. Mega-corporation Valeant recently bought Obagi Medical Products for some $344 MILLION dollars. Unfortuanately along with these sales came a stagnation in new product development. The products that were newly developed during that time had the Obagi name but werent developed by Dr. Obagi himself. They bought Dr. Obagi's products, but they couldn't buy his brillant mind. As Dr. Obagi says himself, "Skin health science, like any other science, is not static". Dr. Obagi states that the need for improvement, expansion, and continuous adjustment is not only essential, but also necessary in obtaining optimal treatment results. What makes ZO skin health, Inc. different is their Universal Approach to Skin Health. Using the original principles Dr. Obagi identified 25 years ago when he started, and the newly found principles of today, such as anti-inflammatory agents, DNA repair, barrier function enhancement, and non-hydroquinone pigment control, he has developed a state-of-the art skin care line. Today, Dr. Obagi has no relationship with Obagi Medical Products. Instead what we have upon us is a new, exciting, efficacious line of skin health care products created to treat various skin related conditons and products designed for continued daily skin care health.
Dermal Fillers are very popular means to rejuvenate a volume-depleted face or to enhance certain facial features such as the lips or cheekbones. In the last 10-15 years, the number of minimally invasive cosmetic procedures performed in the US has grown exponentially. Millions of dermal filler injections are performed each year in the US alone. Today there are many excellent dermal fillers on the market, each with unique characteristics. As the popularity of minimally invasive procedures continues to grow, new dermal fillers are being developed and approved by the FDA relatively regularly. While there are many factors to consider in order to determine which filler may be best for an individuals needs, most patients want to know how long a filler is going to last in their face once injected. Fillers are commonly classified as either being temporary, semi-permanent or permanent. The hyaluronic acid fillers such as Restylane or Juvederm are considered temporary. Hyaluronic acid fillers are most commonly used; work beautifully for their intended purposes but last from 6 months to 2 years depending on the filler used and the location of injection. Temporary fillers require repeated injections in order to maintain the desired result. Radiesse (calcium hydroxylapatite) and Sculptra (Poly-L-lactic acid) are commonly considered semi permanent fillers but typically last 18-24 months and they do reabsorb with time.
Artefill (Polymethacrylate) is the only FDA approved permanent (Non-absorbable) filler on the US market today. This gives Artefill a dramatic benefit over other fillers in that it never reabsorbs. Artefill is unique because it contains microspheres that are not absorbed by the body and create a support matrix for enduring wrinkle correction by working together with your body’s own collagen. The microspheres are made of polymethacrylate (PMMA), which is one of the most widely used biocompatible synthetic materials. PMMA has a proven safety record in over 60 years of clinical use. The safety profile for Artefill is similar to temporary fillers. Artefill is FDA approved for use in the nasolabial folds (smile lines). It is used successfully in other areas of the face (such as the cheeks) but is considered off label if not injected into the nasolabial folds. Using Artefill allows for progressive facial enhancement. In other words, because the initially injected Artefill will not dissipate, you can have additional Artefill injected at a later time if desired for additional correction. With Artefill you will experience: Immediate, visible wrinkle correction; volume restoration in deflated facial regions; a natural feel; fewer injections; filler that is simple, safe and effective.
I have been injecting Artefill regularly for three years. In my hands and with my experience, I find Artefill to be an excellent dermal filler in appropriately selected patients. Surprisingly there are few physicians injecting Artefill in the Las Vegas area. There are two reasons for this lack of use. First, I believe that many injectors feel they will lose business by injecting permanent filler into their regular patients when they would rather repeat temporary injections every 6-12 months. Second, because Artefill is permanent, if the Artefill is not injected correctly or if it somehow becomes malpositioned, or the patient is not satisfied with the filler, it could and likely will be difficult to remove.
To date, I have not had a single case of poorly positioned product. I have not been asked to remove it from any of my patients (greater than 100 injections) nor have I seen any granuloma formations. My patients and I have been quite satisfied with the results. I had one unsatisfied patient but it was not from poorly placed Artefill but instead, she required more product. I may have not counseled her well enough on the possibility of needing more product than we injected in order to satisfy her expectations.
In conclusion, I find Artefill to be an excellent dermal filler in appropriately selected patients. The cosmetic outcome from my use of this product has been satisfactory. Although the initial cost for Artefill is more than the majority of temporary fillers, ultimately patients will save time and money as repeated injections of temporary fillers over time would not be necessary. If you have been using temporary fillers in the past and you are happy with the results or if you have considered facial volume rejuvenation, Artefill may be right for you.
In my writings, I will commonly refer to the 3 D’s of facial aging. When considering the aging process, it helps to understand that facial aging involves three components: Deterioration of skin, Deflation of facial volume, and Descending facial tissues. In the course of restorative facial rejuvenation, each chosen treatment will target one of the 3 D’s for repair.
This blog will focus on the treatment of Deterioration of the facial skin by utilizing an innovative, efficacious and cost-effective device called Dermapen. The cumulative effects of sun exposure, genetics and lifestyle factors cause the deterioration of skin. Deteriorating skin manifests in fine lines, wrinkles, mottled pigmentation, large pores and dullness.
Dermapen is a device and treatment that helps to restore the skin to a healthier appearance. Dermapen is a vertically automated, fractionated, micro-needling device that treats fine lines, wrinkles, stretch marks and scars by delivery of 11 closely grouped micro-needles, causing micro-injuries into the epidermis and dermis. These micro-injuries to the skin encourage and harness the power of the body’s innate ability to regrow and repair the skin through normal physiological mechanisms. Deposition of new collagen and elastin occurs through a cascade of events involving the release of growth factors. Tissue remodeling occurs where the skins vascular matrix matures and skin tightening as well as new collagen can be seen. The body’s ability to remodel and heal itself is at the heart of this amazing process. The process is similar to treatments using ablative lasers where the laser beam penetrates the skin causing a “wound” and then allowing the body’s same healing process to remodel the skin with new collagen and elastin remodeling.
With proper use, Dermapen can be as effective as chemical peels or fractionated ablative lasers at treating the deterioration of facial skin. In addition, unlike ablative lasers, Dermapen can be used on all skin types including black skin. The treatment is performed in an office-based setting. The treatment for an entire face takes approximately 60 minutes. On clean skin we apply an effective topical anesthetic cream. We begin the treatment with a biohydra infused serum that helps hydrate the skin as the Dermapen gently glides over your skin. Following the Dermapen portion of the treatment, a case specific serum is used to address individual skin maladies. The Entire process well tolerated and it is not painful. There is a one-day down time. You can expect your skin to be pink for about 24 hours. During that time we ask that no make-up be worn.
Typically, 4-6 treatments spaced 4 weeks apart are necessary for optimal results.
For more information call our office to schedule an appointment or visit Dermapen.com.
Dr. Mitchell of Contours and Curves, Mitchell Plastic Surgery, provides a wide range of cosmetic treatments for patients in his practice. Patients who are ready to tackle the signs of aging may speak with him about treatments such as dermal fillers and neurotoxins. Las Vegas area patients must understand that both of these work differently, though they are commonly used together for amazing results.
Neurotoxins such as Botox, Xeomin, and Dysport are made of botulinum toxin type A. This medication is known to relax muscles and block the nerve connections that cause muscles to tense. By injecting this medication into specific muscles of the upper portion of the face, patients can reduce muscle contractions and thus smooth the skin. This releases the appearance of fine lines, wrinkles, and folds in the area. Neurotoxins are typically used on areas around the upper portion of the face, including between the eyebrows (glabellar lines), around the eyes (for crow's feet), and along the forehead. These neurotoxins are FDA approved for safety and effectiveness for cosmetic improvement.
Dermal fillers, on the other hand, are used in a different manner. These fillers are designed to "fill" the lines and wrinkles on the face and add volume to areas of fat loss. They are injected directly into the area of concern to plump the skin and reduce the appearance of the signs of aging. These are used on different areas of the face, including around the mouth, the nose, and can even be used to augment the lips. Popular dermal filler brands used in our practice include Juvéderm, Voluma, Artefill, Perlane, and Belotero.
Patients who want facial rejuvenation without undergoing plastic cosmetic surgery may benefit from a combination of neurotoxins and dermal fillers. Patients can take years off their appearance by combining these cosmetic treatments for optimum results.
Contact Contours and Curves today to learn more about dermal fillers, neurotoxins, and other treatments available through our practice including Dermapen, eyelid rejuvenation, face lifting, skin resurfacing, and chemical peels.