Cloud Med Spa - Beverly Hills

Buccat fat pad reduction is best when there is a disharmony between the cheekbone area and the cheeks themselves. Facial liposuction is risky for causing facial irregularities that can be difficult to repair, and may miss the actual problem, namely excess Buccat fat! A well done facelift with bidirectional vectors can give predictable, natural results. There is little need to remodel your bones in my opinion.

Three things can cause a soft saggy neck: extra fat, looseness of the deep layer (SMAS and platysma muscle) and… drum roll… loose skin. The dreaded three signs of an aging neck! An incision under the chin alone can address extra fat and tighten the platysma… but it can’t tighten loose skin, and it can’t raise up the SMAS. Tightening the skin and raising the SMAS itself is best done through incisions inside the ear and behind the ear. Patients who have had weight fluctuations often have extra skin, so a lower facelift, mini lift or facelift which also elevates the SMAS often give superior results. Is it wrong just to do the neck? No! But patients may want to do the lower facelift at a later date to obtain a more complete result, especially if they lift also want skin removal and an elevation of the SMAS, the deep layer of the face. So what are the pitfalls to avoid? If a patient tries to solve all the problems with only an under-the-chin lift. The doctor, with all the best intentions, may overly defat the neck with aggressive radio frequency tightening or aggressive liposuction, but can’t remove and lift the skin and SMAS, the neck can still look loose! Why? Because excess skin can’t be removed with just an incision below the chin! And if the beck is aggressively defatted, it may appear ‘stringy’. So… good results start with a well done nack lift that help the skin as well as the platysma and the removal of the right amount of fat. Better results may also involve elevation of the SMAS. And great results, making the face less square and more oval or heart shaped, also treat the midface, the area below and to the side of the eye area… but that’s a whole other discussion!

There is a technique that can help, by reducing the downward projection of breast tissue, redoing the lift. Feel free to schedule an in person or Zoom consultation and we can discuss.

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.

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.