Dr. Larry Nichter featured in Time Magazine’s Article “Nip. Tuck. Or Else.”

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Hitting newsstands today and Monday is an interesting article featuring Dr. Nichter and his patient, written by Joel Stein for Time Magazine, discussing the evolution of cosmetic surgery and it’s undeniable relevance in today’s world. The article titled “Nip. Tuck. Or Else” points out how thanks in part to social media we are now on the red carpet 24/7 posting pictures of ourselves on Facebook, Instagram, SnapChat, Vine, and more, so it’s imperative to look our best at all times. The social media frenzy is one reason why there has been a spike in the number of non-invasive procedures performed on the younger demographic.  It can certainly be said that no longer are cosmetic procedures just for the aging population.

Here is the full article – Nip. Tuck. Or Else.”

by Joel Stein 

Time Magazine Plastic Surgery Shoot You’re going to have to do it. And not all that long from now. Probably not a full-on, general-anesthesia bone shaving or muscle slicing.

But almost definitely some injections into your face. Very likely a session of fat melting in some areas and then possibly moving it to some other parts that could use plumping. Not because you hate yourself, fear aging or are vain. You’re going to get a cosmetic procedure for the same reason you wear makeup: because every other woman is.

No, it’s not fair that–in 2015, with a woman leading the race for the Democratic nomination for President–in addition to dieting, coloring your hair, applying makeup and working out, you now have to let some doctor push syringes in your cheeks just to look presentable. It’s not fair that you have to put your surgery on your credit card just so the other moms on the playground don’t overestimate your age. It’s not fair that you may risk your life going under general anesthesia just to keep up.

Then again, maybe it’s not fair that some women are born straight-nosed and full-breasted. That some people don’t have trouble staying thin. That workers with above-average looks will make $230,000 more over their lifetime than people who are in the aesthetic bottom seventh, as a study by University of Texas economics professor Daniel Hamermesh found. Maybe it doesn’t feel fair that a man is writing about this, even if more and more males are starting to feel the same kind of pressure that women have dealt with for decades.

“It’s becoming harder and harder to say no without being read as irrational or crazy,” says Abigail Brooks, the director of women’s studies at Providence College, who recently completed research comparing women who undergo antiaging interventions and those whom she calls “natural agers.” The former group described the latter using phrases like “let herself go” and “not taking good care of herself.” Brooks worries that that pressure is not only exhausting but also keeps women forever 21 emotionally. Continue reading “Dr. Larry Nichter featured in Time Magazine’s Article “Nip. Tuck. Or Else.””

Restore Volume to the Face with Fillers or Fat

Volume loss to the face is a natural part of the aging process or can happen when an individual experiences significant weight loss. The two options for treating volume loss are injectable fillers and fat transfer. Filler can be done in the office as a “walk-in, walk-out” treatment with no downtime and immediate results. Fat transfer is a surgical procedure that involves removing fat from one are of the body, usually the abdomen, hips or thighs, and placing it in the face where volume is needed. There is a recovery period of a few days to one week. Fat transfer is a permanent long term solution, where fillers are temporary.

Top Three Characteristics of Facial Aging

Three Ways the Face Ages –

Loss of elasticity and gravity over time

Volume redistribution – loss of volume in some areas, fat pockets in other areas

Surface characteristics – sun exposure, acne, etc.

All three of these issues are evaluated by Dr. Nichter during the consultation and recommendations are made as to which procedure or combination of procedures will provide the best outcome. Treatment may include any one or more of the following: facelift, neck lift, fat transfer or fillers, liposuction, laser resurfacing, laser tightening, chemical peel, skin care regimen.

Look More Youthful with Fat Transfer or Fillers

As the characteristics of the face and skin change throughout the aging process,  there becomes the desire to restore ones appearance to a more youthful look.  In areas of the face such as the temples, eyes, and cheeks there can be noticeable volume loss resulting in a hollow skeletal appearance. Using fat from your own body or injectable fillers is the optimal solution for addressing this issue.

Top 5 Characteristics of a Neck Lift

 

Dr. Nichter discusses the Top 5 characteristics of the neck that he evaluates for potential improvement.

  1. Amount of fat beneath your chin – younger patients may just need liposuction.
  2. Platysma bands – Located in the front of the neck. Muscles that separate and present themselves as 2 bands (a.k.a Number 11 bands).
  3. Amount of redundant skin – The amount of loose skin will determine if a surgical or non-surgical procedure is needed.
  4. Skin quality –  Skin texture, acne, age spots or sun spots, broken capillaries, volume or lack of volume, fine lines and wrinkles are all taken into consideration when assessing what treatment or procedure is necessary.
  5. Misc. features – A prominent mandibular gland or recessed chin

Who is a Candidate for a Neck Lift Procedure?

Dr. Nichter talks about the people who may be a candidate for a neck lift in the video above. He states that candidates can range in age from their 20’s or 30’s up to their 80’s. Younger patients seeking neck improvement often times complain of fullness beneath their chin, which is an excess of fat, which can be removed with liposuction. If the skin doesn’t tighten from the liposuction procedure, Dr. Nichter may recommend using the Sciton® SkinTyte laser for additional neck contouring improvement.  Patients who are older who are seeing the effects of aging in their neck, will often times require a combination of procedures to achieve optimal results. The procedures could be any one or more of the following: liposuction, platysmaplasty, neck lift,facelift, or laser tightening.

Who is a Candidate for Injectable Fillers?

Patients experiencing volume loss in their face are typically good candidates for injectable fillers.  In some cases, a patient may have such significant hollowing that fat transfer may be a better option due to the amount of volume needed. Voluma® by Allergan is the first FDA-approved filler for volume replacement, while other fillers such as Radiesse, Restylane, etc. are used to minimize fine lines and wrinkles. Injectable fillers are not permanent, so an ongoing commitment is needed to maintain optimal results.

Fat Transfer Compared to Fillers?

Injectable fillers will typically only last 6 months to 2 years depending on the type used, however fat harvested from the body and transplanted into the face is essentially permanent. Not all of the fat cells will survive the procedure, however the ones that do survive are programmed to think they are still located in their previous location. When fat is taken from the abdomen or flanks, these cells are prone to resisting shrinkage, which means that will remain the case when transferred to the face. Unlike facial fat, which is susceptible  to depletion.