Rhino + Upper Blepharoplasty + Juvederm = My Refreshed Face! - Los Angeles, CA

Dr. Ken Hughes is the best, period. I could not be happier with my results and experience with Dr. Hughes. I just feel like a better version of myself! People have told me how refreshed I look lately not knowing I even had anything done. I found Dr. Hughes thanks to other reviewers on RealSelf and felt I should also leave a review in hopes of informing others about my wonderful experience with Dr. Hughes.

The results are all flawless. My eyes look refreshed and the shape has not changed. My nose has not changed drastically but looks more refined and perky. And lastly, the subtle change from the juvederm was exactly what I needed for a little youthfulness in my face.

Please read my full review for details!

I'm updating the review because I put my original comments in the wrong section. I meant for my long review to go here:

After having done research for a while and having read reviews on realself.com about Dr. Ken Hughes, I decided to go see him for a consultation. I had previously gone to see a popular surgeon in Marina del Rey, and to say the least, was not happy with the consultation. Dr. Hughes had great reviews and feedback and for me, the best assurance I can get is from the recommendation of my peers/other patients. So I decided to schedule a consultation with Dr. Hughes and they actually were able to fit me in the next day! Yes!

So I went to have my consultation with Dr. Hughes the first or second week of July after having done some research. He asked me what I was thinking about doing, and to my untrained eye, I wasn’t sure but thought I wanted something done for my hooded eyes. I talked about a procedure I saw someone else do on realself and he did not recommend that and he explained in detail why not—I cannot remember exactly how he put it but he explained doing fat grafting in that area is very unforgiving and the skin is so thin that any irregularities that could form in the future would be very apparent. I didn’t want to take any chances and I appreciated that he listened, then explained risk/reward and then provide recommendations. Ultimately he recommended an upper blepharoplasty and I knew about this procedure as well but again just wasn’t sure what was right for me. With this upper bleph, he would only be removing the excess skin, not creating a crease/lid as mine were still in tact. I liked the sound of this because to me it meant I wasn’t going to look like a completely different person since I generally like the shape of my eyes. Note, Dr. Hughes is conservative in his recommendations as in….he’s not trying to hack up your face and do as many procedures as he can convince you of. Because he genuinely wants the best result for me, I did almost have to convince him to do this eye-lift, because I am a ‘younger’ patient for this procedure (I just turned 31).

Next, I had been thinking about getting a tip rhinoplasty. I had been looking at older pictures of mine and it appeared my nose had begun drooping a bit and had slightly changed shape. Dr. Hughes recommended lifting the tip and reducing the size of the tip to produce the nicest result without compromising the overall aesthetic.

Lastly, I had mentioned to him that my developing nasolabial folds were bothering me. I had lost a little weight recently and the lower half of my face lost some volume. The nasolabial folds became more apparent after the weightloss and Dr. Hughes suggested starting with juvederm there. He would put it in the lower cheek area which would actually lift the skin a bit and diminish the lines a bit, instead of just simply injecting them directly into the folds. I was also pleasantly surprised that it was he, the plastic surgeon, that would be doing the injections, not a PA or something.

I actually trusted him from the first minute I shook his hand. He is extremely knowledgeable and I can tell he is confident as a result of the good work he does. That put me at ease. Do not mistake this for lack of care/concern. He actually invested a lot of time with me after the initial consultation because afterwards all of these additional questions came to mind that he responded to promptly and thoughtfully.

I moved forward with surgery a week and a half later (it was me who wanted to move quickly and glad they could accommodate). I came in at 9am and left that day around 1. Everyone there was really nice especially the guy who does the anesthesia. Some of the other nurse ladies there weren’t quite as warm as I would have liked, but I wasn’t there to be coddled anyway and obviously they did their job. I healed rather quickly actually. Within a week the splint on my nose was taken off and the stitches from my upper bleph were removed. I had some minor swelling and bruising but I was impressed with how ‘normal’ I looked (or could get away with using some concealer). I anticipated the worst and the result was the best. Over the following weeks everything continued to heal swiftly. Actually, I am still only a few weeks out and you can look at the pictures and decide for yourself! I can’t believe it has only been 4 ½ weeks since I had the procedure done.

The results are all flawless. My eyes look refreshed and the shape has not changed. My nose has not changed drastically but looks more refined and perky. And lastly, the subtle change from the juvederm was exactly what I needed for a little youthfulness in my face. Note, I had some injectables in my tear troughs before that did end up looking sort of lumpy and so was concerned about having the juvederm in my cheek, but he executed it flawlessly…so smooth.

I feel lucky to have found Dr. Hughes. It’s hard to admit that sometimes you get down on yourself because of thing you don't like about your appearance. But now I can say this was the best thing I could have done for myself based on how I am feeling today. Dr. Hughes made some subtle changes to my face that have made me feel truly beautiful and self-confident.

I couldn’t recommend a better choice than Dr. Hughes.

These are pix from just after surgery showing the eyes and how they have healed (first pic is from this morning)--note I had a little eyeshadow on at the time. I know I still have some more healing to do. I think I will get Mederma because there is still red in the crease. Nevertheless, no one has noticed it and I know it will continue to get better and better. I'll update next week which will be 5 weeks out.