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Posted by on in Upper Face

b2ap3_thumbnail_yogachick.jpgThe tummy tuck is one of the most popular cosmetic procedures performed in the United States each year. For most tummy tuck patients, the decision to go under the knife is usually motivated by the desire to improve their appearance. While the aesthetic benefits of the procedure, like improved appearance and reduction in the waistline, are already pretty well known, having a tummy tuck can also provide significant medical benefits, too. These medical benefits often aren't mentioned, but there’s no reason why you can’t kill two birds with one stone, right? Tummy tucks are a very popular procedure performed by Dr. Mitchell each year.

b2ap3_thumbnail_Millennials.jpgWith the rise of social media networks like Instagram and Snapchat, more and more millennials are sharing intimate details of their lives through photography on social media. Surprisingly, some of those details include their plastic surgery. We spoke to Dr. Ryan Mitchell a plastic surgeon from Henderson, NV about this rising trend- and what it might mean for plastic surgery’s image.

With popular plastic surgery themed TV shows like "Botched" and popular celebrities posting photos of their enhanced faces and bodies to millions of followers, it was only a matter of time before non-celebrities started following suit. Posting before and after shots of themselves, sharing waiting or exam room ‘selfies,' and even ‘during’ shots for some minimally invasive procedures. Plastic surgeons like Mitchell believe that these social media posts are actually helping to normalize plastic surgery- a topic that used to be taboo in years past.

Posted by on in Upper Face

b2ap3_thumbnail_3dprinter.jpgOne of the things patients considering plastic surgery are most nervous about besides the surgery itself is the results they’ll achieve from their surgery. If you’re used to looking in the mirror and seeing the same person every day, it’s difficult to envision yourself looking different than what you’ve seen your entire life. But while computer programs have been designed to give patients a preview of what they can expect from their surgery, wouldn’t it be nice to not just see the results, but touch them and look at them in three-dimensional form? While in the past it would have been bothtime and cost prohibitive for surgeons to hand create 3D models of each patient’s anticipated results, a new technology called 3D printing is changing that. We spoke to Dr. Ryan Mitchell of Henderson, NV about what the future of plastic surgery will look like.

Posted by on in Upper Face

b2ap3_thumbnail_open-eyes-girl-green.jpgIt is a story we hear over and over again among friends. That feature-packed new phone with the improved HD camera sounded great – until you used it to take a "selfie" and realized just how heavy your eyelids have become, or how deep the "crow’s feet" around your eyes have gotten. Just like the HD video camera created a world of new insecurities for TV personalities everywhere, so too will the HD smartphone camera on your new phone.

But don’t fret- it causes wrinkles! Besides, there are some quick, temporary fixes to these insecurities- as well as some not as quick but permanent fixes, too. We spoke to plastic surgeon Dr. Ryan Mitchell of Contours & Curves in Henderson, NV about some options.

Posted by on in Upper Face

b2ap3_thumbnail_weightscalejpg.jpgLosing weight is supposed to be a time of celebration and relief. The hours you've spent exercising, taking the stairs instead of the elevator, the donuts you avoided in the breakroom, and cutting down those glasses of wine in the evening, it's all hard work! What should be a time to be proud of your hard work can often become filled with frustration and insecurity. Gaining and losing weight are both emotional journeys. Motivation to lose weight may stem from the desire to live a longer and healthier life. But let's face it, we want to look good too! We spoke to Dr. Ryan Mitchell of Henderson, NV about the best ways to embrace your post-weight loss body.

Posted by on in Upper Face

b2ap3_thumbnail_middle-age-man-iphone.jpgPlastic surgery has long been thought to be ‘a woman thing,’ with most procedures marketed to and geared towards women. Men, on the other hand, have always been encouraged to ‘grow old gracefully’ and accept the way they look. Adjectives like ‘ruggedly handsome’ and ‘weathered’ are meant as compliments- but more men than ever before aren’t feeling so flattered, and are kicking those dated ideals to the curb.

Posted by on in Upper Face

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This fall, when an estimated 2 million new freshman enters college for the first time, they are creating a new wave of ‘empty nesters,’ aka, parents whose children have finally moved out of the home. Many of these empty nesters have dedicated much of the past 18 years to taking care of their children- very often at the expense of taking care of themselves. It is common knowledge in the parenting communities that self-neglect is a widespread issue. Between their careers, shuffling children to extracurricular activities, helping with homework, and keeping together a home, most parents only want to sleep in their "free" time. It's no surprise that self-care and pampering fall to the bottom of the priority list. While some of these newly child-free parents have embraced this newfound freedom by picking up hobbies or remodeling their child’s vacant bedroom, more and more parents are taking on a different kind of remodeling project- themselves.

Posted by on in Upper Face

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.

Posted by on in Upper Face

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. 

Posted by on in Mid Face

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. 

Posted by on in Breast Augmentation

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. 

Posted by on in Breast Augmentation

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. 

Posted by on in Liposuction

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 

Posted by on in Upper Face

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.


Posted by on in Skin Care

Although the sun is a great source of vitamin D, our facial skin is sensitive to repeated bare exposure.   Most people are aware that sun damage can cause facial lines.   Such facial lines around the eyes might lead you to consider an eyelid lift or skin treatments to restore a youthful and healthy look.


For non-invasive procedures that treat conditions caused or made worse by sun damage, we offer a variety of chemical peels and laser skin resurfacing procedures restore skin to a more vibrant appearance.  The goal of both chemical peels and CO2 laser resurfacing is to have the skin regenerate with an even surface and pigmentation that can be caused by sun damage. These treatments target dyschromia (skin color variations), lines, wrinkles, scars, dermal lesions (deeper skin abnormalities) and stimulate long-term collagen remodeling.


Sun exposure can also make crow’s feet more noticeable.  Crows feet, or lines around the eyes often lead to conversations about eyelid lifts.   For an eyelid lift, I rejuvenate puffy, sagging or tired-looking eyes by removing excess skin, muscle and fat. This can be performed on both the upper and lower eyelids. My results are typically so natural that your friends and family don’t notice that you have had surgery. Instead, it’s common for my patients to be told how rested they look. Many patients choose to combine eyelid lifts with chemical peels and laser treatments to achieve an all around refreshed look. 


An eyelid lift is a popular Contours and Curves procedure because it can easily take years off of your facial appearance. To schedule a facial rejuvenation consultation or learn more, please contact Dr. Ryan Mitchell today. 

Posted by on in Upper Face



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.


Posted by on in Upper Face

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.


Posted by on in Upper Face

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.

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Henderson NV. 89074

Phone: (702) 430-1198

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