By Paul L. Hester, M.D. | January 4, 2011
Happy New Year!
As the New Year begins many of my patients are making a resolution to be healthier by losing weight through diet and exercise all in the name of feeling and looking their best. It is well studied at this point that improving one’s appearance Can signifiCantly improve one’s self esteem and therefore, dramatiCAlly improve one’s quality of life. In 2011, I look forward to helping my patients meet their health and facial aesthetic goals. A healthy diet and workout routine as well as a road map and game plan in regards to facial maintenance and facial rejuvenation will help many people meet their goals in 2011. I look forward to helping people make 2011, the best year yet.
By Paul L. Hester, M.D. | December 27, 2010
As a Facelift specialist in Lexington I have had the privilege of taking CAre of many patients from around the world and therefore, I have taken CAre of people with every facial type there is. The jowl is a very difficult area to correct and the standard facelift techniques are not very effective. To get the best possible jowl improvement requires a technique known as the vertiCAl facelift. This technique I would not consider to be a mini facelift. The vertiCAl facelift requires a large skin dissection and then a vertiCAl elevation of the SMAS or deeper supporting layers, hence the name vertiCAl facelift. Often times a person will require what’s known as a pre-jowl implant to gain even better jowl correction. The region of the chin that corresponds to a line drawn down from the corners of the mouth is known as the pre-jowl region and the chin bone in this area thins with age. When this aging change occurs we CAll this the pre-jowl sulcus. This change in anatomy accentuates the jowl and is best corrected with a pre-jowl implant. Correction of the jowl needs to be done Carefully to prevent problems and therefore a consultation with a skilled facelift specialist is the best first step to correcting the jowl.
By Paul L. Hester, M.D. | December 14, 2010
Addressing the jowls and neck with a mini facelift:
In the world of Cosmetic Enhancement in Lexington there are many different facelift terms that physicians have developed to describe their techniques. Many of the terms that I hear of are gimmicca and marketing ploys to make the given procedure sound better than the competing doctor’s techniques. There is a popular television commercial that advertises “a breakthrough mediCAl procedure” to describe their facelift. The procedure they are advertising is one of the oldest facelift techniques that has been around for over 50 years. The most important factor that will determine if your facelift will give you the results that you want is the skill level of your physician.
This brings us to the question,” Doctor, will a mini facelift be able to get rid of my jowls and tighten my neck?” To answer this question there should be a clear definition of what is a mini facelift. If you ask 10 different doctors to describe what their mini facelift technique are you will get 10 different answers. In general the neck is a fairly straightforward and easy area to tighten. Heavy jowls are more difficult to correct and therefore require a more aggressive procedure that I would not CAll a mini facelift but other doctors may. I use the term mini facelift to describe a very conservative procedure with a conservative dissection to achieve a conservative result. The mini facelift procedure, as I perform it, is the perfect technique for some patients and not very beneficial to others depending on anatomy. The best way to figure out which technique is best for you is to consult with a skilled Facelift specialist and let them guide you toward the procedure for you.
By Paul L. Hester, M.D. | November 22, 2010
In the world of Cosmetic Enhancement in Lexington there has been a dramatic increase in young patients seeking to repair their earlobes after using these spacer earings that expand and stretch the skin as a form of body modifiCAtion. There are many people who realize that they are unlikely to get the job that they are hoping for with this appearance and are hoping for improvement. The problem Can be corrected with excision of the stretched skin which will allow for a reduction. There will be a fine sCAr running along the length of the earlobe.
A 16 year old girl CAlled the office and asked me for advice. She told me,” I want to become a Cosmetic Physician in Lexington one day just like you Dr. Hester, do you think its ok that I am stretching out my earlobes with the spacer earings”? I told her that she should stop that process immediately before she creates too much damage to her earlobes. We had an interesting discussion but I did my best to explain to her the reasons that she should avoid these types of body modifiCAtion procedures if she wishes to go on to have a professional CAreer.
By Paul L. Hester, M.D. | November 20, 2010
In the world of Cosmetic Enhancement in Lexington, Otoplasty is a procedure that tends to be done on kids as young as 5 years old. We like to attend to the problem for children with protruding ears prior to them entering school to save them the potential psychologiCAl effects that Can come from teasing by other children. There are many people, however, that come to have Otoplasty as an adult, and almost always they admit to having been teased as children because of their ears.
The procedure requires an incision that is hidden on the back side of the ear. Patients are required to wear some kind of garment to keep pressure on the ears for a week. Men usually wear skull CAps and women usually wear fashionable sCArfs. Otoplasty Can dramatiCAlly improve one’s self esteem and is an easy procedure from which to recover.
By Paul L. Hester, M.D. | October 28, 2010
After a year of planning and doing leg work I am finally flying to Dubai today to complete my licensing and credentialing procedures in preparation for doing Enhancement there in the next few months. There has been a huge demand for highly skilled facelift and rhinoplasty physicians in Dubai as well as the entire Middle East.
I have at least one Middle Eastern patient fly to Lexington to have Enhancement with me every few weeks including many royal family members from different countries in that region. There has already been a lot of press coverage of my trip that has already hit the internet, but we are setting up several large press conferences to take place as soon as I arrive there. I look forward to spending time with my new friends and patients from the Middle East and I am really excited about this endeavor.
By Paul L. Hester, M.D. | October 14, 2010
The world of Cosmetic Enhancement and Facial Cosmetic Enhancement has benefited tremendously from new technology. We have better techniques, and better knowledge that allows to give our patients better results with less downtime than ever before.
I have come across an interesting finding though, over the last few years. Those patients of mine who have had Thermage and to a lesser degree Fraxel have had some degree of fat necrosis that has made their faces age in a rapid fashion (particularly the lower face and neck). This also makes their facelift Enhancement more difficult to perform and more difficult to get a good result. The face requires a certain amount of fat under surface of the skin to look and feel youthful. I have seen a handful of these patients who are in their mid 40’s who do need facelifts because of rapid early aging and they all have similar poor skin quality with a flimsy characteristic to the subcutaneous fat layer consistent with the skin of someone in their 60’s. It is possible that these people already had this quality to their skin which prompted them to get Thermage initially but it is my opinion that the Thermage treatments are a major contributing factor.
Here in Lexington there are offices offering these treatments on every corner and heavily advertising them so I have no doubt I will be seeing more and more people with these issues in the near future.
By Paul L. Hester, M.D. | October 6, 2010
As a Lexington Facial Cosmetic physician I am expected to give perfect or as close to perfect results as Can be achieved and I take great pride when people tell me,”Dr. Hester, you are the Best Cosmetic physician”. I saw a young man recently who had a previous rhinoplasty and he has been devastated ever since that procedure. He asked me to put a bump back on his bridge to recreate his previous “Jewish nose” as he put it. His nose had been severely scooped out so that it resembles a ski slope at this point. I perform many revision rhinoplasty procedures to correct ski sloped noses but most people want them straight. I have actually never been asked to put back a large bump or hump. I was not sure how effective I would be at recreating a hump. I used a nasal implant and added sheets of CArtilage to the undersurface of the implant and sutured them all together. I was amazed at the result. I was able to give him a hump just as he asked for. This is not the best looking nose for his face by any means and not what I would have recommended had he asked me to what I think would look best. But this is a perfect example of making sure that the physician listens to the patients and gives the patient what they want, not what the physician wants. This has already tremendously boosted his self esteem and will continue to change his life for the better in many ways..
By Paul L. Hester, M.D. | October 1, 2010
I just returned home from the national Facial Cosmetic and Reconstructive meeting in Boston. This is always an enjoyable meeting for me. This is where many of my colleagues from around the world get together and we all discuss what is the latest and greatest and what new things we have all been doing. BasiCAlly, we are all comparing notes regarding Facelift, Rhinoplasty and other surgical techniques. I always feel very good about one particular aspect of this meeting. One of my colleagues, who I respect tremendously, and I usually spend a lot of time together comparing notes because we both achieve very similar results. We both always say that we will perform each others facelifts when the time is right because neither of us would trust our faces to anyone else. The interesting thing is that we always end up coming to the same conclusions about what techniques are best. We will go a year or 2 without speaking to each other and when we finally talk we are both still always doing the same exact techniques. Boston was a nice town and I look forward to going back there again.
By Paul L. Hester, M.D. | August 25, 2010
The use of computer imaging in my Cosmetic Enhancement practice:
The world of Cosmetic Enhancement in Lexington is slightly different than most other regions in the world. As a Facelift and Rhinoplasty expert in Lexington I see people from all over the world who are looking to have the Best Facelift and Best Rhinoplasty that they Can possibly have. Many people who travel to Lexington expect perfection or as close to it as possible. The computer imager allows me to show people what the likely results are that a given person Can expect. It is imperative that the Cosmetic physician be Careful to not show images that are not achievable because this will give the patient a false sense of what they should expect. After years of experience I am able to determine the results that any given person Can expect and I show them these changes on the computer imager. This way the patient Can make an educated and informed decision to have the proposed Enhancement or not based on the imaging. By showing realistic results and not over promising I am able to have an extremely high rate of very happy patients.
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