Cloud Med Spa - Beverly Hills

A: An excellent question for a very confusing area of the body! There are two primary areas of the mid face to rejuvenate: the area below the eyes and the area to the side of the eyes. In my practice, we rejuvenate the lateral mid face with a high-SMAS facelift, and the area below the eyes with a superficial checklist, about which I have written several papers (drbrent.com). Volume replacement is accomplished with autologous fat fascial grafts, which are alive and do not require injection, centrifugation etc. Brent Moelleken MD FACS Associate Clinical Professor, UCLA Private Practice, Beverly Hills The subperiosteal space is unforgiving with respect to healing times, and does not directly accomplish elevation of the soft tissues, since the periosteum is unyielding.

A: I would definitely see a board certified plastic surgeon to assess your mole, especially if it is a large one. Larger pigmented moles, even those present at birth, do have a potential for degeneration to cancerous moles. It is not appropriate in such a case to laser or treat the mole for its appearance alone. Imagine missing a melanoma on a young patient! In the case of very large moles, there are various options to remove all of the mole, or part of it in combination with a biopsy.

A: You have pretty eyes and there are normal asymmetries between the two eyes, a very mild version of orbital dystopia. Be careful of having surgery for things that aren't necessary. Either the results will be so subtle that you'll be unhappy, or perhaps a real problem will ensue after the surgery. This is especially likely if your perception of the problem is greater than the problem actually is. I hope you won't join the ranks of patients who are unhappy with their barely necessary surgery!