Cohasset Doctors

What Type of Doctor Can I Go to for Ear Revision of a Lifestyle Lift?

hi i would like information on where and to whom i can go to for repair of a lifestyle lift that left me with pixie ears. i just want my earlobes back

A Board Certified Plastic Surgeon is the best person to provide Plastic Surgery!  Not all providers at Life Style Lifts are Board Certified Plastic Surgeons.  Then when you go, take a look at their photos to see if you like their work.  Plastic Surgery is an art and every individual has a different approach and level of aesthetics.  Therefore by looking at photos of before and after, you have the ability to see if your aesthetics matches theirs.

Best & Good luck!

Kimberley O'Sullivan, MD

Boston Plastic Surgeon

Filler or Lower Blepharoplasty for Lower Lids? (photo)

I am 40 and have genetic under-eye hollowness. It has become markedly worse over the past few years. I really want to do something more on the permanent side, but am now thoroughly confused: An oculoplastic doctor has said that I am not a candidate for a lower bleph/that it wouldn't make me look good. I have, however, seen that it gives amazing results on plenty of people with similar appearances. So - do I add or remove? Advice welcome! Thank you.

Hi,

Although I am a huge advocate of the use of Radiesse to reestablish the roundness of the cheeks and the fullness between the upper cheek and the lower eyelid which will have the wonderful benefit of blunting the fat hernia, I believe your best choice would be a blepharoplasty.  I do both procedures in all aged individuals.  In your case, I would recommend a lower eyelid blepharoplasty.  Your skin tone is excellent and your face appears very young. The Radiesse is great, especially as the face deflates and sags but your primary problem is the visibility of the fat hernia.  The lower eyelid blepharoplasty is a terrific and effective procedure with great longevity.  This will address the issue rather than mask it. The cost of the Radiesse over a short period of time will be greater than the blepharoplasty.  The healing from the blepharoplasty will be quick- sutures are out in 3-4 days and echymossis resolves within 2 weeks ( considering you have no complications!).  Good luck!

Kimberley O'Sullivan, MD

Boston Plastic Surgeon

Breast Augmentation with or Without Mastopexy? (photo)

I've had consultations with 2 surgeons so far. One said I'd achieve a good result w/ just implants. The 2nd one measured me & said that to achieve my desired result, I need a circum-areolar lift w/ implants to fix my nipple position & reduce the size of my areola. I'm looking to restore upper pole fullness & desire the round, perky look. I want the best result possible, but I also wasn't anticipating the extra scars. Could this be achieved with implants alone or is a lift really necessary?

Hi,

Looking at your photos, you are really on the borderline of whether a lift would be better or not. I have a patient posted on my web with the same level of ptosis (sag & nipple position) so you can see what it will look like with just an implant.  In general, to get an aesthetic result, the nipple areolar complex should be between 18-22cm from the notch in the chest bone; there should be normal skin visible below the areola; and the size of the areola should match your desired size, (the ideal size is 3.8-4.2 cm).  You have show of skin below the areola, but a little less than ideal.  You can not count on the implant to lift the areola, with time the pocket will fill and the implant will settle and the areola will be minimally elevated.  Your areola are not too large, but if you would like a smaller areola, then you could consider having them reduced.  I am not a fan of the periareolar lift in general because the eye follows the circle around the areola and becomes the focus of the onlooking eye, so if you like the size of the areola, I would prefer a crescent above the areola to be removed that does not go all the way around. The crescent excision can also be positioned obliquely to center the position of the areola on the breast if necessary, (your right areola is slightly more medial than the left) . If you do not mind the size of the areola and are happy with the position of the nipple areola on the breast then I do a transareolar incision which is the most hidden scar of all and becomes barely visible with time.  My recommendation is to look at MANY photos of before and after with breast like yours and decide what look you like best.  I do not believe a lift is necessary in your case, but a slight elevation of the areola will likely give a slightly more aesthetic result. Check you before and after photos. Good luck!

Kimberley O'Sullivan, MD

Boston Plastic Surgeon