Tag Archives: plastic surgery bakersfield

Plastic Surgery for Teens: On the Increase?

Although we do perform cosmetic surgery on teens here at our Bakersfield plastic surgery practice, they are done to correct a deformity, such as an otoplasty for protuberant ears (although these can be done on kids as young as 5); rhinoplasties (nose jobs) for teens with nose humps or very large noses; breast reductions for teenaged girls who have neck and shoulder pain from overly large breasts, and male breast reduction on teenaged boys whose breasts have excessive tissue. Occasionally I’ll do a breast augmentation on a teen because her breasts are terribly uneven (asymmetric) and she’s embarrassed in a swimsuit or a form-fitting t-shirt.

Many of us have the impression that teens are all over cosmetic surgery, primarily because teen stars such as Bristol Palin, for example, and others on TV and in the movies, are into plastic surgery. The truth is, however, that teen cosmetic surgeries have dropped from over 300,000 ten years ago to only 125,000 last year, according to a report by the American Academy for Aesthetic Plastic Surgery.

Here are the top procedures, according to the study:

  • Laser hair removal (51,000 procedures last year)
  • Skin treatments (including 16,200 chemical peels and 10,400 microdermabrasion treatments)
  • Ear surgery (10,700 procedures)
  • Nose jobs (9,100 procedures)

I’m interested in knowing your “take” on teen plastic surgery: Should anything go or should parents limit the cosmetic surgeries that their teens undergo? What do you think?

To your health & beauty,
Vip Dev, MD 


Drink to Great Skin!

Time and time again we have been told that the key to amazing skin is through simply drinking an excessive amount of water. To some, this may sound too good to be true. A recent study highlighted in the Daily Mail has found that certain waters may indeed reduce the appearance of wrinkles.

Water is said to moisturize the skin, reduce wrinkles, cleanse the body and banish blemishes. However, dermatologists are insisting that this may not be 100% true. They argue that the outer layer of the skin is the only thing that maintains moisture levels in the skin.

During the double blind, placebo controlled study; female participants were asked to maintain the same diet and skincare routines. A Visia skin complexion analysis was performed on each of the women to determine rates of wrinkling, sun damage and the skin’s texture.

Following the initial analysis, the women were asked to drink 1.5 liters of water a day for eight weeks straight. Some women drank tap water, while others drank mineral-rich Willow Water from the U.K.

Willow Water reportedly contains salicin, a compound that when metabolized turns into salicylic acid. Salicylic acid is known for it’s anti-inflammatory properties and is found in many skincare and acne products.

At the end of the 8 weeks, the women underwent a second in-depth Visia skin analysis. The study found that women who drank ordinary tap water saw a 19% reduction in wrinkles and that the women who drank Will Water saw an even more impressive 24% reduction.

These findings are impressive to say the least. Not only that, fighting wrinkles with water drives home a healthy habit that is recommended for everyone to practice—staying hydrated!

To Your Health & Beauty,

Vipul R. Dev, M.D.

Reasons for Revision Rhinoplasty

Rhinoplasty was the fourth most popular cosmetic procedure performed in 2009, with 138,258 operations performed according to the American Society for Aesthetic Plastic Surgery (ASAPS). NewBeauty reports that as many as 15% of those patients will seek out a revision procedure to address their dissatisfaction. While the reasons may vary from patient to patient, it is not uncommon for the person to seek out a different plastic surgeon the second time around.

The Archives of Facial Plastic Surgery recently published a study that examines the patient reasoning for revision rhinoplasty and how their perceptions may differ from that of the second surgeon to perform the surgery.

Of the 104 patients seeking revision rhinoplasty that were studied, the top aesthetic complaints were having a crooked middle third of the nose and an asymmetrical tip. The most common functional complaint was the blockage or breathing problems.

While 79% of the doctors shared the same concerns as their patients, 55% of them identified issues that did not coincide with their patients’ reasons for dissatisfaction.

The researchers concluded that this discrepancy could be attributed to the surgeon’s more systematic view of the nose as opposed to the patient’s less critical analysis of its anatomy. The researchers also suggest that surgeons may base their criticism of another doctor’s work off of a personal bias, whereas patients have a more subjective opinion.

It is important for a plastic surgeon to respect the requests and concerns of their patient, as long as it does not interfere with their health. Even if the surgeon identifies additional flaws that can be addressed with revision rhinoplasty, it is up to the patient as to whether or not to surgical address said issues.

If you are a Bakersfield resident that is considering revision rhinoplasty, I urge you to schedule a consultation at the California Institute of Cosmetic & Reconstructive Surgery.

To Your Health & Beauty,

Vipul R. Dev, M.D.

Study: Dysport More Effective Than Botox for Crow’s Feet

Since its FDA approval for cosmetic purposes in 2002, Botox has been used for the purpose of wrinkle reduction. Up until the FDA approval of Dysport in May of 2009, there was no other botulinum toxin treatment on the market other than Botox. While Dysport has had a slow introduction into the market, a new study may give it the extra boost it needs.

According to the study, which was presented at the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) 2010 Annual Fall Meeting, Dysport is significantly more effective than Botox Cosmetic for the treatment of crow’s feet.

Ninety subjects were assessed on day zero and day 30 following treatment by both Botox and Dysport. The double-blind study found that Dysport was hands-down more effective than the well-established Botox Cosmetic.

Botox has long been considered the gold standard of injectables, so this data showing Dysport’s stronger efficacy is compelling,” Corey D. Maas, MD, AAFPRS Group Vice President for Public and Regulatory Affairs, told Plastic Surgery Practice.

Based on the findings, patients who are interested in treating their crow’s feet may want to reconsider what product they ask for. The study also found that Dysport is more effective in treating hyperfunctional frown lines. For more information on Dysport in Bakersfield, please contact The California Institute of Cosmetic & Reconstructive Surgery for a consultation.

To Your Health & Beauty,

Vipul R. Dev, M.D.

The Skinny On Stem Cell Facelifts

Stem cells have been under investigation for years for their potential to treat numerous medical conditions. With the most recent findings, the use of stem cells for aesthetic purposes is gaining a lot of attention and popularity. Once specific procedure that patients are requesting is the stem cell facelift.

Although studies are still underway to prove the efficacy of stem cells for facial rejuvenation, many doctors are already offering this procedure. During the procedure, fat is removed from another part of the patient’s body and purified. After purification, the surgeon will inject the fat into different areas around the face.

The fat will plump the face in areas with skin is sagging, leaving it looking younger and refreshed. Stem cells also have the possibility to regenerate elastin and collagen, which in turn can help the skin bounce back to it’s original form. Even though this sounds promising, most anti-aging stem cell research is in its infancy.

For a long time, stem cell research was unable to be processed due to legal restrictions. Since stem cell research originally focused on embryonic cells, there was a lot of controversy surrounding how they were harvested. More recent research has found that stem cells are existent in human fat and has opened more doors for new studies.

Another benefit of stem cell facelifts is that no scalpel or incision is made in the face therefore there is no scarring and no need for general anesthesia. This results in minimal downtime for the patient. If you are a Bakersfield resident who has questions about the stem cell facelift, our knowledgeable staff at the California Institute of Cosmetic & Reconstructive Surgery is available to address your concerns.

To Your Health & Beauty,

Vipul R. Dev, M.D.

Aging Earlobes Can Be Treated, Too!

Wrinkles can be found anywhere on the body—even your ears! Never fear, though. Droopy earlobes can be treated with the help of some popular injectables.

Earlobes, just like any area covered by skin, are susceptible to aging. Your ears can droop, wrinkle or even have thinning of the skin—just as the face and neck areas do.

By not wearing heavy earrings and avoiding excessive sun exposure, you can slow the signs of aging lobes.  However, like any part of the body, ears aren’t wrinkle-proof.

Commonly used to treat facial wrinkles, dermal fillers are now being used to treat the signs of aging in earlobes. If you don’t have wrinkly ears but your lobes are drooping as a result of wearing heavy earrings, Juvederm, Restylane or Radiesse can be injected for added support. Fillers will also decrease the appearance of the earring hole.

While some patients may desire more permanent options such as otoplasty, dermal fillers in the earlobe have an immediate effect with no downtime.

At the California Institute for Cosmetic & Reconstructive Surgery, are friendly staff would be delighted to address any questions or concerns you may have about treating the signs of aging in earlobes.

To Your Health & Beauty,

Vipul R. Dev, M.D.

Juvéderm Hydrate Excels in Hydrating, Boosting Volume of Skin

Allergan has introduced a new Hyaluronic acid (HA) filler that is said to both volumize and hydrate skin. Juvéderm Hydrate works like a regular HA filler; only it surpasses the level of standard skin hydration provided by its counterparts. According to a recent study presented at the 8th Anti-Aging Medicine World Congress in Monte Carlo, Monaco, Juvederm Hydrate could potentially set a new standard for skin-rejuvenation therapy.

HA is a common compound used in dermal fillers because of its sponge-life effect and watery consistency. The loss of the naturally occurring polysaccharide AH over time causes skin to look older from fine lines, wrinkles and folds.

Hyaluronic acid is a natural polysaccharide found in skin that has the property of retaining water, and this sponge-like effect is important in keeping the skin hydrated. Over time, the loss of HA results in older-looking skin that is characterized by static fine lines, wrinkles and folds.

According to Cosmetic Surgery Times:

“All of the currently available HA-based fillers, including Juvéderm, are composed of cross-linked HA. These aesthetic gels are useful in the treatment of fine lines and wrinkles not only because of their filling effect, but also because HA attracts water to it, resulting in fuller and smoother skin where injected. Juvéderm Hydrate, on the other hand, is composed of 13.5 mg/g uncross-linked HA and 0.9 percent mannitol, a formulation that results in a reduced free-radical degradation of HA where injected. This leads to extended longevity of the HA, allowing it to attract water over a longer period of time and ultimately improve the aesthetic outcomes of the filler treatment.”

A trial was recently conducted in France on the effects of Juvéderm Hydrate on 27 different women.  The female patients, who had a mean age of 42.6 years, were injected in areas such as the eyes, cheeks, perioral and neckline. The patients’ skin was then assessed at days 15, 30 and 60. At 60 days, Juvéderm Hydrate proved to significantly hydrate the skin at the treated areas. Both doctor and patient satisfaction analysis reported that skin hydration, appearance, texture and brightness were “improved” in 90% of the patients. Furthermore, 80% of the patients treated saw “very improved” skin at day 60.

Of the patients surveyed, approximately 85 said they would recommend the treatment to their friend and undergo another treatment. Non-invasive approaches to skin rejuvenation are often preferred by patients due to cost and downtime. While Juvéderm Hydrate is currently available in England, Italy, France, Germany and Spain, there are no plans to submit it for FDA approval for the American market.

To Your Health & Beauty,

Vipul R. Dev, M.D.