Oakland Plastic Surgeons

Is Chin Liposuction the Solution for Me? (photo)

I am a 24 year old male. 5'9" and 138 pounds. I'm really skinny, but my jawline is not defined at all and I have a small double chin as well. It's really bothering me. I'd like to have a defined and chiseled jawline I usually hold my head a little pushed forward to hide it but I'm assuming that's not so good for my neck either. I tried doing different kinds of neck- and jaw exercises but they didn't work. Can a chin liposuction be the solution?

Hi Aaron.  Thanks for sharing your photos with us.  It is unlikely that you have enough fat in your neck to warrant a liposuction.  Your profile view reveals a small chin.  An appropriate chin implant will give you more projection of the region with the added benefit of reducing the sagging skin causing the appearance of a double chin.  Good luck.

Joseph N. Togba, MD

Oakland Plastic Surgeon

Does miraDry Hurt?

I read an article where the guy who had Miradry done said it was quite uncomfortable. Is this normal?

MiraDry is a noninvasive electromagnetic treatment for treating excessive underarm sweating (axillary hyperhidrosis).

Most patients experience little pain during the procedure because it is performed under local anesthesia, which numbs the underarms. The numbing shots themselves cause small bee stings, which last only for a short period of time. Afterwards the local anesthesia has been given, the underarms will be numb. During the actual treatment, most patients experience some pressure and light pulling on the skin, with some sensations of warmth. There may be an occasional "hot spot" that lasts briefly but is usually well tolerated. After the treatment, there is some swelling and sensitivity of the underarms that may last several days.

Having said this, pain is a very subjective experience and varies from person to person.

I have personally treated almost 50 patients to date using the MiraDry system. Most patients have described the discomfort during the procedure as a score of 1, 2 or 3 (ie. mild discomfort) on a pain scale of 1-10 (with 10 being highest). A very small fraction of patients (<10%) called the procedure very uncomfortable. Although the treatment is very new, most patients have been very satisfied with the results of their treatments so far.

Hope this helps.

Warmest wishes,

Larry Fan, MD

Larry Fan, MD

San Francisco Plastic Surgeon

How Does MiraDry Compare to Botox Cost Wise?

I understand that MiraDry is suppose to last longer than Botox injections for sweating, but I'm wondering how much it should cost, roughly, for the two necessary treatments?

For hyperhidrosis (excessive underarm sweating), Botox costs about $1,000-$1,500 and typically lasts about six months.

MiraDry is a newer treatment for hyperhidrosis. MiraDry costs about $3,000 and typically lasts one to two years, possibly longer.

It is important to note that the costs of treatment may vary from geographic region to geographic region, and that treatment results may vary from person to person.

Warmest wishes,

Larry Fan, MD
 

Larry Fan, MD

San Francisco Plastic Surgeon