The traditional surgical rhinoplasty, commonly called a "nose job" is associated with many complications, risks, pain and a long recovery time.  To avoid these problems, I use advanced cosmetic surgery techniques to sculpt the nose without surgery, by correcting bumps, drooping tips, or crooked noses safely and quickly.  This scar-free nose sculpting method may be done as a stand alone procedure or as part of the "scar-free" Newman Lift.  The nose is sculpted to a more cosmetically pleasing appearance in just minutes with minimal risk and at a fraction of the cost of the traditional nose surgery.

THE NOSE SCULPTING METHOD

For the non-surgical nose sculpting procedure I use filling materials such as your own body fat, Juvederm,  Radiesse or Artefill to enhance and improve the look of the nose by filling depressions, smoothing out sharp angles, forming and lifting the tip of the nose, making your nose appear more attractive and in better harmony with your face.

UNIQUE CONSULTATION

What is unique about this procedure is that at the consultation you have the opportunity to see with true before and after pictures of your own nose what your nose will look like with this technique.  During the consultation I can show you the change you can expect with the procedure with a simple injection of sterile saline to the nose.  Although it is not exactly the same feel and consistency as the fillers it gives you an immediate visible change to your appearance giving you the ability to see how well you like the improvements.  It also allows you to discuss with me in a more informed manner and assists in choosing the most appropriate filler for your desired sculpted look.

ADVANTAGES OVER SURGERY

1. No general anesthesia.

2. No need for pain medications

3. Minutes to achieve the sculpted results safely

4. A fraction of the cost of surgery

5. Can choose filler

6. Can control amount of correction

7. Can reverse changes

8. No down time

9. No scars

10. Undetectable natural looking results

Dr. Nathan Newman is a world-renowned cosmetic surgeon in Beverly Hills, on the forefront of advanced cosmetic surgery. For a consultation please call 310-273-3344, or write to info@orchidsurgery.com.

The invention of advanced technologies provides us the ability to reverse the signs of aging and to correct undesirable facial features to give natural results with minimal risk, recovery time and at a fraction of the cost of the old style face lifts.

FACIAL FULLNESS

The fullness around the eyes, the cheeks and the pre-jowl area on the jaw is key took youthful.  As we age we loose the fat in these areas and we begin to seem tired, hollow, sunken, gaunt, and old.

SKIN TONE & ELASTICITY

Skin exposure to the sun and the environment, even with the routine of daily life, causes the skin to change color, texture and to lose its elasticity.  Sunspots, precancerous growths, patchy areas of rough, dry and oily areas appear over time, along with acne scars and other injuries to the skin appear over time and cause the skin to look aged and worn.

RESTORING FULLNESS

The desired amount of facial volume can be restored with fillers.  Your own body fat is the most natural and most cost effective filler that can be injected.  However, the number of FDA approved skin fillers to correct wrinkles, acne scars and to give fullness is increasing yearly.  The types of fillers and their brand names include collagen (Evolence), hyaluronic acid-based fillers (Restylane, Juvederm, Hylaform, Perlane, and Elevess), calcium hydroxylapatite (Radiesse), poly-l-lactic acid (Sculptra), polymethylmethacrylate microspheres (PMMA) in bovine-based collagen (ArteFill) and silicon.  These fillers last from 6 months to 2 or more years.

THE FAT CELL ADVANTAGE

The best and most natural filler is fat.  With fat transfer the fat is taken from an undesired part of the body, like a mini-liposuction, and the fat is injected using a needle into the desired areas to increase its volume.  The fat cells are larger than the other fillers available and therefore it can give much more volume at a more cost-effective manner.  The fat cells are alive and become part of the area that it is injected into.  It does not move and once the fat grafting is completed the fat is permanent filler.  But perhaps the most unique advantage of fat is that it contains adult stem cells.  Stem cells are precursor cells that have the potential to grow and take the form of its surrounding tissues.  New technological advances have made it possible for us to concentrate the adult stem cells naturally found in the fat to yield a better and more effective treatment results.

REPAIRING SKIN DAMAGE

The skin goes through tremendous wear and tear over the years.  Combining chemical peels and laser treatments you can restore the smooth, firm and even toned skin glow to your skin.  The strength and type of the treatments should be individualized to your needs to achieve the desired results.

OTHER TREATMENTS COMBINATIONS TO CONSIDER

In some cases other treatments may need to be added to achieve the desired results.  These treatments may include lipo-sculpture, suspension lift, brow-lift, eye-lid lift, jaw augmentation, lip enhancement, Mesothrapy, Botox and others an indicated on an individual basis.

SUMMARY

Face lift surgery for most patients today does not require a risky surgery with the scars and at times complications associated with the older surgical methods.  Today's technology has made possible the beautiful and natural looking Composite Scar-Free Face Lift  by combining different treatment techniques to reverse the signs of aging by repairing, renewing, filling and lifting the skin with long lasting results, minimal risk, minimal recovery time and in a cost effective manner.

Dr. Nathan Newman is a world-renowned cosmetic surgeon in Beverly Hills, on the forefront of advanced cosmetic surgery. For a consultation please call 310-273-3344, or write to info@orchidsurgery.com.

Laser treatments such as CO2 and Erbium skin resurfacing lasers revolutionized the way cosmetic surgeons treated wrinkles from the very dangerous and unpredictable deep chemical peels such as the phenol peel to a more precise, predictable and safer method. However these lasers were associated with a painful and lengthy recovery period that was fraught with risks and complications. Fractional laser technology has dramatically improved such ablative laser treatments and other non-ablative laser treatments and eliminated the prolonged and uncomfortable recuperation associated with the non-fractionated lasers.

The Fractionated Laser Advantage
Lasers that are fractionated induce their effect as a microscopic grid skipping and sparing the untreated skin in within the treatment grid. The net effect of this method significantly reduces downtime to a few days by allowing faster skin healing from the untreated skin areas and minimizes adverse effects while yielding dramatic skin rejuvenation results. Fractionated laser treatments do not require general anesthesia as they are well tolerated with or without topical anesthetic creams.

Ablative Fractionated Lasers
CO2 and Erbium skin resurfacing lasers ablate and remove the top layers of skin to treat wrinkles (rhytides) and sun damaged skin (photo aging). The skin will look pink and scabbed and will peel and heal on the skin surface with in 4 to 14 days. The internal skin healing consisting of collagen regeneration occurs over the next 3 to 6 months.

Non-Ablative Fractionated Lasers
Nonablative technologies including infrared lasers (Titan), intense pulsed light (IPL, photofacial), and radiofrequency devices (Thermage), have introduced nonsurgical options to rejuvenating and tightening skin without down time and with minimal risk.

Fractionated non-ablative lasers are great for individuals with busy schedules that do not afford them time off for a recovery period. These laser treatments may cause the skin to be pink for 2 to 4 days, but is easily concealed with a tinted sunscreen or makeup. To achieve optimum desired results with such lasers, a series of 3 to 5 treatments sessions about one month apart are recommended.

Uses For Fractionated Lasers
• Acne scars and chickenpox scars
• Improves sun damaged skin (poikiloderma)- brown spots, age spots
• Smoothes fine lines and wrinkles
• Corrects skin discoloration (dyschromia)
• Improves melasma (mask of pregnancy)
• Rejuvenate the skin on neck, chest and hands
• Improve texture tone
• Reduce pore size
• Improves scars and stretch marks

Fractionated Laser Devices
The most marketed and recognized name of the fractionated lasers is Fraxel. Companies are rapidly developing and introducing competitive laser systems onto the market place with different names and marketing strategies. It is important that your cosmetic surgeon be able to distinguish between the hype and the science behind lasers and other medical devices on the market. The following is a partial list of the fractionated laser on the market today.

[Fraxel SR, Fraxel Repair (AFR), Palomar Lux 1540 Fractional, Lux IR Fractional, Affirm, Pixel, ActiveFX, Scanlite, ProFractional, Lutronic Mosaic, Slim Mixto SX, Lumenis Bridge Lux2940, DeepFX, Exelo 2, Pearl, Starlux 2940.]

Combination Treatments
With the proper understanding of each technology you and your cosmetic surgeon can discuss a combination of lasers along with other appropriate procedures to give you the most benefit with the least risk and cost.

Dr. Nathan Newman is an expert in fat grafting, fat repositioning, lasers and thread lift procedures. He has been published in prestigious medical journals, interviewed by the news media and is an instructor and innovator for these procedures. To schedule your individualized face-to-face consult with Dr. Newman and benefit from his vast experience call 310-273-3344, or visit www.orchidsurgery.com

Many diet fads have come and gone without much success of a long-term reduction in weight.  For many who try diets and are unsuccessful to lose weight, medical causes of such weight gain must be considered.  In some individuals liposuction can be used to de-bulk their fat in order to help them lose weight and to motivate them to maintain their new body shape.  In others liposculpture can be utilized to remove genetically predisposed pockets of fat that seem not to melt despite rigorous diet and exercise. 

Medical Weight Management

Medical causes of weight gain mainly occur because of an imbalance in the hormone system.  Most commonly associated medical conditions are Hypothyroidism, Polycystic Ovarian Syndrome (PCOS), and Insulin Resistance Syndrome (IRS), all of which can be tested for with the appropriate blood test and treated with medications. 

In addition to testing for medically treatable causes of weight gain, an appropriately healthy diet regimen along with a regular and effective exercise routine must be implemented as an overall lifestyle modification.  When willpower is not enough to control hunger appetite suppressants (such as Ginzapine, Tenuate, Bontril, etc), and fat binders (Alli) can be prescribed with regular physician monitoring to help ensure patient safety and to follow and guide them in their lifestyle change

Surgical Weight Management

Today, three surgical options are most commonly available to patients who cannot lose the weight through medical weight management. 

Liposuction

In people where the large mass of the fat precludes them from doing the needed exercise required to lose the weight one or a series of liposuction procedures carried out under local or general anesthesia can be carried out to reduce the fat bulk and enable the patient to start an exercise routine.  The positive change in one's physical appearance attained from liposuction becomes a source of motivation and improved self image which is essential to achieve an appropriate lifestyle change.  Likewise, individuals whose motivation to maintain a desired physique is much stronger than their ability to achieve their desired body shape through diet and exercise may also benefit from liposuction.  

Liposculpture

Pockets of fat, such as the love handles, the neck, the lower abdomen, the lateral thighs and the knees, that are resistant to dietary modification and exercise are removed by the liposculpture technique.  This method is commonly used to sculpt the body under local anesthesia.  In some people, mesotherapy treatment such as Lipozap may be an alternative to the liposculpture method.

Abdominoplasty (Tummy Tuck)

If there is too much loose skin then a tummy tuck may be more appropriate to remove the excess skin and fat.  Usually this is still combined with a liposculpture procedure to remove the fat from the areas that the tummy tuck does not address.  

Bariatric Surgery

Gastric by-pass and gastric ring surgeries have gained favor with obese patients with associated medical conditions.  Such patients lose a substantial amount of weight in a short period and therefore require cosmetic procedures, such as abdominoplasty, arm lift thigh lift, and face lift to remove the loose excess skin and correct abdominal hernias that are commonly seen in such patients.

Maintaining Your Investment

A lifestyle modification with appropriate eating habits and exercise routine are a must to ensure a stable body weight and a long-lasting surgical result.  Only after a thorough medical evaluation should you consider any surgical option. 

Dr. Nathan Newman is a world-renowned Beverly Hills surgeon at the forefront of advanced cosmetic surgery. Tel: 310-273-3344. www.orchidsurgery.com

     Men have embraced and sought advanced cosmetic surgery techniques to maintain a youthful appearance without visible scars and with natural results.

     Technological advances have allowed for affordable procedures to be carried out safely and undetectably.  Almost all the procedures can be performed without the need for general anesthesia and with little to no down-time.  Below I will list and touch upon the most common cosmetic procedures that men seek.

 • Liposuction, Liposculpture and Lipo-correction

 • Fat Repositioning (fat grafting injections)

 • Scar-Free Face-lift and Neck-lift

 • Non-surgical Nose Enhancement and Rhinoplasty (nose surgery)

 • Blepharoplasty (eyelid surgery)

 • Hair Transplantation

 • Otoplasty (ear tuck)

 • Chin Augmentation

 • Gynecomastia (breast reduction)

 • Botox (for expression lines)

 • Wrinkle Correction with temporary and permanent Fillers (Juvederm, Restylane, Radiesse,
Sculptra, Artefill)

 • Laser Hair removal (in all skin colors)

 • Laser Skin Treatments (to tighten skin, even skin tone, and reduce wrinkles in all skin colors)

 • Chemical Peels

 • Acne Scar Correction

 • Abdominoplasty (tummy tuck)

     For men, the pockets of fat on the neck, love handles, waist, flanks, abdomen and chest (breast area) are hard to lose with diet and exercise alone.  Various lipo-techniques are utilized to shape the body to a more desired contour.

     The unwanted fat on the body is repositioned into the face areas that have deflated, hollowed and sagged over the years, causing you to look tired and aged.  By replenishing the fat volume in these areas the skin is lifted to give a healthier, youthful and rested appearance.  A new method has been developed to optimize the amount of adult stem cells in the fat that can be utilized to achieve long-lasting, natural and undetectable cosmetic outcome.

     In addition to the fat, other modalities such as lasers, fillers, Botox, threads, ribbons and chemical peels can be used synergistically to fill, lift, and tighten the skin on the face and neck without visible scars and with natural and undetectable results.  As part of the scar-free approach, nose, chin and cheek enhancement is possible with the use of temporary or permanent fillers and with Botox.

     With significant weight loss the skin may become loose with or without associated medical conditions such as skin rash or hernias.  In such cases, the excess skin is removed surgically and a much more sculpted figure is achieved.

     Advances in cosmetic surgery have made acceptable and affordable procedures available to men seeking to maintain a healthy and youthful appearance.

Call 310-273-3344 or go to NathanNewmanMD.com to schedule your private and confidential consultation.

     As the bikini season approaches my patients seek to improve the shape of their bodies as to not be self-conscious about their figures.  Women tend to have genetically predisposed of fat collection that is usually not resolved with diet and exercise alone.  The most common of these areas are the outer thighs where fat accumulates and gives a saddlebag appearance that even in cloths is not flattering. Other areas include the fat collection under the buttocks, on the back of the thighs, called the "Banana Fold," the inner thigh as well as the knee area.   When fat accumulates in the areas, the buttocks appear undesirably wide and the skin on the thighs and buttocks show dimples, indentations and cellulite.  In order to achieve a well-proportioned contour to the body liposculpting, cellulite correction, mesotherapy (lipodissolve), and liposhifting methods can be used to sculpt the thighs, buttocks and knees. 

     Liposuction alone will not necessarily yield a desired outcome.  Liposculpting techniques must be utilized to contour the thighs and buttocks, while the cellulite correction methods may need to be used to smooth the skin.  The secret to achieving a beautifully contoured silhouette is to sculpt the body in a proportionate manner to create, a smooth natural curves that define and accentuate these features.

HIPS AND SADDLE BAGS

Hips and saddlebags on the outer thighs need to be sculpted to yield a smooth slender curve from the hips and to the knees.  Some patient's figures will need liposuction to remove fat from the bulging areas along with liposhifting of fat into depressed areas to attain the desired figure.

INNER THIGHS

The inner thighs should not be touching each other when the feet are at their normal distance for standing at ease.  The inner thighs must be contoured carefully to achieve this, while maintaining the natural curvature or the inner thigh.          

BANANA FOLDS

The banana folds are the fat pockets on the back of the thighs just below the buttocks.  To have the best results, this fat must be removed and the area sculpted in a very specific manner.  This area requires technical finesse and skills of an expert liposculpture to shape the buttock and thigh in an optimal manner.  Sculpting this area will improve the shape of the thighs and buttocks.   

THE BUTTOCKS

There are different shapes to buttocks depending on one's genetic makeup and personal habits.  The buttocks can be sculpted to be rounder, smaller, or plumper.  If there is excess lateral thigh fat, the buttocks will appear wide and    ill defined. Liposculpture of the lateral thighs, banana folds area under the buttocks and sometimes the lower back area as well, will defined and bring out a beautifully shaped buttocks. 

KNEES

The knees tend to accumulate fat and knob with time.  Liposuction was developed to remove such fat pockets and to shape the area.

FRONT AND THIGHS

The front of the thighs must be kept in proportion to the rest of the thigh.  If the inner and outer thighs are aggressively liposuctioned in a fuller thigh, the front thighs will appear to protrude unnaturally.  If the anterior thighs need to be liposculpted, it must be done by an experienced liposuction doctor since it is a very technically challenging area. 

CELLUITE CORRECTION

Liposculpture will not treat cellulite.  There are different kinds of cellulite and there are different surgical and nonsurgical methods that are utilized to correct cellulite.  These methods should be combined with liposculting techniques for the best results.

ANESTHESIA

Most liposculpting and cellulite correction procedures are done safely with the tumescent technique local anesthesia.  General anesthesia can be given for larger cases or for patients who desire it.

RECOVERY

After the procedure, patients experience soreness that is similar to that of muscle soreness after a hard workout that does not require pain medication. Most patients are able to resume daily activities the next day after surgery and exercise within 2 weeks. 

With advanced liposcupture techniques you can achieve a harmonious and well-proportioned figure.

Dr. Nathan Newman is a world-renowned Beverly Hills surgeon at the forefront of advanced cosmetic surgery. Tel: 310-273-3344. www.orchidsurgery.com

The annual report released last month by The American Society for Aesthetic Plastic Surgery indicates that 11.7 million cosmetic procedures were performed in the US in 2007 at a cost of roughly $13.2 billion.

The popularity of cosmetic procedures exploded in the last decade. Since 1997, surgical procedures have increased by 114 percent, while nonsurgical procedures rose by an impressive 754 percent, according to the report.

Eighteen percent of the procedures performed in 2007 were surgical and 82 percent were nonsurgical.

The most popular cosmetic surgical procedure last year was liposuction, with nearly half a million operations performed. Rounding out the top five were breast augmentation, eyelid surgery, abdominoplasty (better known as a tummy tuck), and breast reduction.