I'm really happy with my upper blepharoplasty but my lower unfortunately didn't get rid of everything. I went to Dr.Mittleman in the Bay Area and it was $4000 for upper and $4000 for lower. The healing process wasn't terrible and I'm happy I did it but I'm sure there is better out there. Especially since my lower still has bags... The before and after are 2 years apart
Dr. Mittelman is incredibly gifted with his hands. I've had his surgeries multiple times, I wouldn't have gone anywhere else. I knew my finished look wouldn't be overdone and would be extremely realistic, tasteful and miraculous. I wouldn't have trusted anyone else. Perfection is what he always achieved, his youthful transformations giving me the most exciting years of my life. In addition Dr. Mittelman is a warm and gentle soul who truly cares about his patients as human beings. Now 70 years old, I'm so glad I had the good fortune to discover him when I was young. Thank you again, Dr. Mittelman!!
I highly recommend Dr. Mittelman. He has an excellent eye and excellent technique. I've received Botox and filler treatments from Dr. Mittelman, and I have been consistently thrilled with the results. I also appreciate the fact that Dr. Mittelman doesn't "over correct." His judgment is spot-on, and his procedures have affected amazing results for me. Recently, I went in for a bit of filler to minimize a brow wrinkle and some sagging in my jawline. I walked out with a significantly more symmetrical face! Dr. Mittelman is professional, friendly, and all-around fantastic. So is his staff!
I have wanted a facelift for years, and I did my homework. I met with at least six cosmetic surgeons in the bay area, and met with Dr. Mittelman at least three different times during the last 10 years. I found his patients to have the most natural looking results, and ultimately chose him to do my surgery. It's important to consider that he specializes only in facial surgery--and not every cosmetic procedure that may be trending. I am now six weeks post-op and I want to thank Dr. Mittelman and Fellow, Dr. Kieliszak, for the beautiful result they achieved with the "canvas" that is my face! The artistic reference is fitting and the result is truly remarkable! I felt their warmth, concern, excitement and enthusiasm for my procedure and they made this adventure as easy as possible. I must also comment on the kindness of Dr. Mittelman's staff. He has an awesome team of delightful, caring, efficient and professional women I have so appreciated throughout this experience. Because of Dr. M's advice, professionalism and pure talent, my 60's looks like a very fun place to be. My heartfelt thanks go to Dr. Mittelman (McDreamy), Dr. Kieliszak (McSteamy), and their professional staff (my nicknames for the doc's).
Amazing Experience! Expectations exceeded! I give Dr. Mittelman and his staff my highest recommendation. Look no further for a facial plastic surgeon. Dr. Mittelman man has given me my natural youthful look back. I decided to have the MMMT (Mittelman Mighty Mini Tuck), eyelids, nose, and a horizontal neck lift and I have been told I now look 15 years younger. Thank you Dr. Mittelman. You are truly gifted!!
Wonderful!I had filler and Botox. Dr. Mittelman did an amazing job. He listened to my concerns and WOW my face looks amazing! and absolutely no bruising. Dr. Mittelman made sure I was comfortable, felt very little pain. Overall aa fantastic experience.
Absolutely fabulous! No pain, nearly no down time, wonderful result! Follow-up appointments were conveniently scheduled and addressed all my questions. I could not be more enthusiastic in recommending Dr. Mittelman!
I just had a rhinoplasty done for a deviated septum, and a bump on top of my nose. Everything turned out perfect and I couldn't be happier with the results. I am 1 week post op and you can barely tell I had anything done. I am amazed at what he has done for me. Dr. Mittelman made me feel so comfortable and answered my many questions before the surgery. I was so scared to have this done, but he made me feel at ease. His staff, along with Dr. Trujillo were all wonderful. They have called me almost everyday since the surgery to see how things were going. I can't thank him enough for giving me the perfect nose! He deserves more than 5 stars!
I highly recommend Dr Mittelman. He and his staff are gracious, professional and fun. Dr Mittelman is easy to talk to and listens my goals for the treatment. I get Botox and fillers and am consistently happy with the result.
Like many of you on here can relate, I have always had an insecurity about my nose. My family has what my grandfather calls, the "Swedish bump," which is basically just a large hump on the bridge of your nose, and a turned down tip, which had been passed down from generation to generation. Though it was always been annoying to me, I never once considered having it surgically removed or altered. This quickly changed after a game of not-so-touch-football where a girls head ended up smashing right into my nose, breaking it in several spots. Needless to say it was not fun, and now 5 years later I am still seeing the negative effects of never having it fixed. My bump has gotten larger, and my nose is now crooked when you look at it straight on. ALSO, a piece of bone, which never healed properly, is now sticking out in an awkwardly annoying angle on the bridge of my nose. I started really considering getting my nose done this last year because I recently got engaged :). I want to look like myself, confident, and beautiful for my fiancé on the day of our wedding, so I decided to take the plunge and look into Drs. who specialize in rhinoplasty. I checked with friends and family who have had procedures done and got referred to Dr. Mittleman from a girl who had gotten her nose done in High-school. I loved how natural her nose looked after her surgery, like it was always the nose she was meant to have. After meeting him and his staff in person I was sold. 2 weeks later I booked my procedure, and now I am only 11 days away from surgery! I will keep everyone posted on my journey, but for now, here are some current photos of my nose :) Feel free to comment or provide advice or insight. Thanks! Updated on 29 Sep 2016: Here are some current photos of my nose. Droopy tip, large bump, and crooked from the front. Updated on 29 Sep 2016: Updated on 5 Oct 2016: Hi all, Super excited and nervous now that I am only 5 days out from my procedure. I am starting to have dreams of my new nose, waking up because I am so anxious and just want it to be over and done with! It is making sleeping a bit difficult and I have a feeling it will only continue to get worse the closer I get to surgery. Any advice?? How do you stay calm during the days before?? I keep looking at my photo imaging of my new nose and all I can do is hope it turns out looking this good. Here is the picture so you can all see :D Updated on 10 Oct 2016: I am happy to say that I am home and writing this from my bed. :) I had my procedure this afternoon at 1:00. The surgery went great and because my surgeon only tapes and does not put a cast on, it is easy to see the results already...and I love my new profile! The hump is gone, yay! Surgery was easy, but I am not going to sugar coat it, the recovery sucked! I was extremely nauseous due to the anesthesia so I was in recovery for close to two hours! Finally the nausea subsided and I was able to go home. Yay! Looking at the front it appears my nostrils/tip area is a bit crooked. It's the day of surgery and I had a closed rhinoplasty so I wanted to ask if this appearance seems normal? Have anyone else experienced this, and does it go away? I go back in tomorrow for a follow up post op appointment so I'll ask my surgeon then as well. Thanks!! Updated on 12 Oct 2016: Officially day two of my post op recovery, and I'm happy to say it has not been bad up to this point at all. I decided to take some extra strength Tylenol this morning to take the edge off, not because of the pain, but because of the discomfort from the swelling. The Arnica tablets seem to have been helping since the bruising is super minimal. The toughest thing so far has been trying to sleep on my back. I am typically a side sleeper, so make sure to prepare your bed or couch to support your back if you not use to sleeping on your back. I am loving more and more that my doctor only taped my nose instead of putting a cast on. It is so fun to get to see immediate results from the surgery. My new profile is amazing and I love it already!! Updated on 14 Oct 2016: Here are some updated pics. I am now on post op day 4 and I honestly feel pretty good. Swelling was its worse around the 48 hour mark but the bruising has not been bad at all. I've been icing with frozen peas and have just been taking Tylenol before bed to help me sleep through the night. So far I am super happy with my profile and even though my tip is quite swollen, it looks pretty straight from the front. Thoughts? Updated on 18 Oct 2016: This morning was the big reveal! Having the tape removed felt amazing, no more itching! And apart from him pushing and poking around on my nose to take a closer look at his handy work, this entire experience has been completely painless. I got to say I am over the moon happy with the results. Well done Doc! :D Updated on 21 Oct 2016: Here are some updated photos from 11 days post op, as well as some side by side before and after shots. I go back in to see Dr. Mittleman next Tuesday for my 2 week post op appointment, but until then he has me taping up my tip at night with surgical tape to help with the heeling and to prevent any chance of my tip dropping. Did anyone else have to do this? He said there are stitches, etc. holding everything in place and this is just done just as a precaution - either way, it seems to be working so far, so no complaints. I am down in the desert this week and the dry hot weather has caused some additional swelling but nothing I can't handle :) Updated on 27 Oct 2016: Here are my 2 week photo updates. I put them next to my before photos to make them easier for everyone to see the subtle difference. Since the swelling has started to go down, the indent that was very apparent on my right side is starting to show back up :( I am disappointed, but my surgeon had made it very clear before the surgery that this may happen. We will most likely need to do some fillers in a few weeks to make my nose as aesthetic and straight as possible, but for now I am happy! Updated on 27 Oct 2016: Updated on 10 Nov 2016: Hi all! Everything is going well over here. I am back to exercising regularly (hallelujah) and apart from the minor swelling on the right side of the bridge in the morning, and sensitivity in the tip throughout the day, I feel great! Everyday is better and better and I couldn't be happier. Here are some 1 month post op pictures so you can see my progress :)
Hello cactusgal, First, you have a good lip shape and are correct that you have a long philtrum. Botox "lip flip" is an option but only lasts 3-4 months, will not shorten the length much and will likely not give you the desired outcome. Filler is also an option but again will not shorten the philtrum or increase the height of your upper lip as much as it will bring out. I think you would be a great candidate for a lip lift operation, which would help with your facial proportions as well as give you a fuller upper lip at rest! HM
Dermal Filler can give correct volume loss.To start, it helps to think of the face in 3 dimensions and multilayered, There's the structural support (such as the cheek bones), the muscle layer (contributing to animation), the soft tissue layer (fat and tissue contributing to volume) and the skin (draped over all the underlying layers). Each injectable has different physiochemical properties and works to achieve specific goals in certain anatomical areas; there isn't one magic filler, they're subdivided into hyaluronic acid (Belotero, Juvederm, Voluma, Restylane), calcium hydroxyapatite (Radiesse) and poly L-lactic acid (Sculptra). Each brand also has subcategories based on the concentration of product and whether it's mixed with anesthetic. hyaluronic acid (HA) fillers, which are made out of a molecule naturally found in our skin (read: high compatibility with little to no reaction), are ideal for first-time patients and can be injected almost anywhere you can think to add volume or shape—nasiolabial lines, cheeks, lips, eyelids, eyebrows, forehead lines and nose. Their greatest advantage is that they're the only filler category that's reversible by an enzyme, hyaluronidase, which can 'melt it almost instantly—this has been revolutionary in treating patients with filler mishaps, Radiesse, in the calcium hydroxyapatite category, has excellent lifting capacity when injected deep onto the bone and it has FDA approval for rejuvenation of the hand, and Sculptra, in the poly L-lactic acid category, is a collagen stimular that works gradually over the course of a series of treatments and works to repair the underlying skin structure over time for a natural-looking correction. We divide fillers into two broad categories—heavy/volumizing or light/superficial. Radiesse is the industry go-to volumizing filler for the malar area [ed. note: cheek bones], the mid-face or the temporal hollow because the longevity is predictable, adding that other choices for these areas are the heavy hyaluronic acid fillers such as Juvederm Voluma XC, and for deep deposition, Perlane-L from the Restylane family of HA products.
Not all Rhinoplasty need a stent to be place inside the nose. a broken nose or extensive reconstruction determines the use of a stent. Occasionally a stent, which is a firm piece of silicone that acts to stabilize the internal structure of the nose and prevent internal adhesion from forming. The Alar stent is a new method to resolve nasal valve collapse. This stent prevents collapse without the need for cartilage grafts or implants, which leads to quick healing.
It would be best to have it dissolved and start again. Do not use permanent filler in the eye area.
Micro Needling with PRP is a safe and very effective skin–resurfacing tool that creates micro channels in the skin to stimulate new collagen and elastin production. In addition, the treatment can reduce the appearance of wrinkles, treat acne scars and smooth out textural issues such as sunspots, stretch marks and hyper–pigmentation. Unlike lasers, the Micro Needling with PRP is safe for all skin types, including darker tones. Micro-needling with PRP (Platelet Rich Plasma) The PRP is derived from the serum portion of the blood, which contains platelets. The platelets contain high levels of growth factors, which, when applied to the skin, will stimulate cell turnover." Micro Needling with PRP may also has a positive effect on the appearance of hyper-pigmentation, hypo-pigmentation, acne scars, traumatic scars and stretch marks and generally creates a fresher appearance or glow to the skin.
