Category Archives: Face

Permalink to Puffy Eyelids

Puffy Eyelids

puffy eyelids

Eliminate Puffy Eyelids with Blepharoplasty

They say that the eyes are the windows to the soul.  What if these windows were slowly shutting, leaving only a sliver left to peer through?  This is often the case with the skin around the eyes in aging bodies.  Those swollen, puffy eyelids are dead giveaways of long nights and stressful days.  The skin of the eyelids is quite unique, as it is the thinnest skin on the body, as well as some of the most elastic.  Over time; however, this elasticity fades, and the once taut folds of skin become loose and saggy.  In certain cases, the puffy or drooping eyelids can even cause acute vision loss, or ineffective peripheral vision.

In most cases, puffy eyelids are not cause for poor vision, rather for a feeling of disappointment when looking in the mirror each morning.  Those who see that they have lost the shape and definition around their eyes know how big of a difference it can make.  Round, radiant eyes can always grab the attention of a room, while bulging, sagging eyelids are easily looked past.

The area around the eyes is some of the most sensitive skin.  Underneath this skin are pads of fat that help absorb impacts so that the eyes remain properly in place and undamaged.  Over time, the fat pads around the eyes can become enlarged.  This swelling causes the look of puffy eyelids and is found to be quite unattractive to most individuals.  For certain individuals, the bulging or sagging can become so drastic that loss of peripheral vision can occur, though this usually occurs as the skin is exposed to elements over time.   There are certain cases of patients in need of a blepharoplasty as young as their mid-twenties due to allergies, sinus, thyroid, or kidney problems.

A blepharoplasty operation is generally quick and painless.  Patients can return to normal functions about one week after surgery, once all the sutures have dissolved or been removed.  For those that wake up in the morning and feel dissatisfied with the appearance or size of their eyes, it may be time to give Dr. K a call to set up a consultation and be on your way to a more youthful look and feel.  At Advanced Concepts in Plastic Surgery, restoring the size and shape of patients’ eyes is only half of what matters, most important is seeing that gleam of happiness that comes from the eyes of a satisfied patient.

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Permalink to Face Lift Procedures

Face Lift Procedures

face lift procedures

ACPS’ Techniques for Face Lift Procedures

Face lift procedures continues to be one third of the practice at Advanced Concepts in Plastic Surgery. The volume of patients is steadily increasing due to the excellent results and a minimal downtime.  ACPS has been doing face lift procedures for more than 25 years. Over that period of time the evolution of the facelift has gone to shorter scars, less invasive undermining and more use of lasers with less swelling downtime and risk.

2014 marked the third year of the laser facelift which is only available at ACPS in Sacramento. Not everyone is a candidate. For those who are it means very short incisions, minimal downtime and fast recovery.

Hallmarks of the APS technique which allow for continued excellence to differentiate us from others doing facial surgery include:

  1. Continued emphasis on the natural look. Our goal is to put you in your personal quotes “Time Machine” to look the way you did 10 to 15 years ago. Not like someone else or some over pulled movie star.
  2. Continued use of minimal incisions in most patients. In the past incisions went high into the temples and way behind the ears. Minimal incisions from the sideburn to behind the ear lobe decrease the total amount of scarring. There are no hairline changes.
  3. The muscle tightening with “zipper” sutures avoid lifting the deep layer. This helps to avoid the possibility of nerve complications as well as weeks of additional recovery due to swelling.
  4. Laser tightening with or without liposuction using smart Lipo on the neck and jowls. This avoids major dissection of the neck which in the past has been the largest cause of complications in facial surgery. With Smart Lipo the skin shrinks getting much better results than we have seen in the past.
  5. Continued use of fat grafting. With 25 years’ experience in fat grafting the results are consistent with most patients showing 75 to 80% of the fat graft continuing indefinitely. Facial rejuvenation is not just pulling the skin because it has been deflated. Facial sagging is treated by lifting and filling.
  6. Laser facelift is still combined with minimal incision brow lift using the endoscope in small incisions behind the hairline; the brow is lifted by separating it from the deeper layers and reattaching it without skin or hair removal. This combination of minimal surgery procedures using laser and endoscopy is the best results for total facial rejuvenation. At Dr K’s Concepts in Plastic Surgery we take less time for you to be back at work and feeling better! So just call us and find out why we are the best place for you to beautify yourself with Dr K’s great hands…

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Permalink to Lip Augmentation

Lip Augmentation

Lip Augmentation Advanced Concepts in Plastic Surgery image

Pucker Up with Lip Augmentation

The shape and volume of the lips is an attribute that many do not take heed to until it is too late. The effects of aging or other natural causes can create wrinkles, contours, and drooping. These effects are most obvious in aging women, but even those as young as their early twenties have been documented wishing for fuller or more voluminous lips. Lip augmentation is for those who wish to achieve a more youthful look through a minimally invasive surgical procedure or injection. There are many options when it comes to how patients want to achieve their desired look. With a variety of injections choices, patients are able to decide what they want going into their body, and which will have the best looking results.

Once a patient decides that lip augmentation is in fact for them there are certain factors that must be examined such as existing health problems like cold sores, diabetes, or blood-clotting problems. For those with a history of any of these previously mentioned conditions, it is probably best to avoid any type of cosmetic operation. If patients are deemed healthy, the next step in the augmentation process is to decide whether an injection will lead to the sought after results, or if an implant is necessary.

After the type of augmentation, injection or implant, is decided to be right for the patient the process can begin. Using local anesthesia, the lips and mouth area are temporarily numbed, and an injection is made. The effectiveness of the injections varies throughout patients; sometimes multiple injections are necessary along different points of the lips in order to shape the lips properly. Procedures using injections are generally priced per syringe, therefore if more than one is necessary, patients can expect an increase in the price of their operation. Once the lips are filled and shaped, the patient can be released from surgery, and the steps to recovery can be initiated.

The recovery process starts with a bag of ice directly on the mouth area to reduce swelling and relieve any pain present immediately after the procedure. With Dr. K, lip augmentation can be hassle free, and the voluminous lips that are so often swooned over can be obtained. Call to schedule a consultation with Dr. K to start on the path to your dream lips today!

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Permalink to Face Lift: Youthful Beauty and Radiance

Face Lift: Youthful Beauty and Radiance

Face Lift Advanced Concepts in Plastic Surgery Image

The Modern Face Lift

As kids, we all wished we could be grown up.  As adults, we all wish we could be kids again.  Aging is a natural occurrence that is not preventable.  Just as any item exposed to the elements, our bodies deteriorate and change every day in order to adapt to our lifestyle.  Some age gracefully and lose little of their youthful radiance, while others quickly become the wrinkled elders they dreaded from the beginning.  A youthful face is not only wrinkle free, but it is full of volume and shape, not stretched tightly from ear to ear.  Through a face lift, you can return that glow and volume to your skin.

Less invasive than ever, the modern face lift uses only one incision to not only tighten the skin of the face, but also employs relocated fat cells and tightens muscle groups to allow your face to gain the desired volume and lift.  A small amount of fat cells harvested from the stomach area of a patient is used to revive that gentle softness of the cheeks and chin.  The addition of fat cells in unison with the tightening of the skin over the face not only reduces wrinkles and brings back the glow and softness of youthful skin; it also creates youthful smiles and prevents from obvious side effects that are dead giveaways of facelifts.   The results of these operations generally last effectively for ten years until a slight touch-up is required.

Cosmetic facial surgery now focuses on restoring youth rather than creating drastic changes.  It has become not only about looking ageless, but feeling it as well both physically and mentally.  Looking young can make a person feel young, and with youth comes confidence and curiosity.  A facial lift could be the key to opening new doors in social, personal, and professional relationships based on appearance as well as attitude.  Not to say that age does not bring a certain type of beauty naturally, but if you are unhappy with the way your skin sags or sits why not do something about it.  With the costs and risks of face lifts declining, there are fewer reasons to avoid the chance to bring youth back to your face.

With over one hundred years of advancement, facial lifts have been popular for decades.  The demand for cosmetic surgery is higher than ever, and with an increasing number of surgeons to choose from, Dr. K offers comprehensive options to help patients come out of the operation looking exactly how they pictured.  If a full facelift seems off putting, there are also non-surgical options that offer similar, although less extensive results.

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Permalink to Liposuction for Transgender Feminization

Liposuction for Transgender Feminization

Liposuction is a powerful tool in the art of body sculpting. Especially Smartlipo TriPlex and Vaser Hi-Def Liposuction. Nowhere is this more evident than when I’m faced with the challenge of shaping common features of one gender into another!

Transgender cosmetic surgeries are becoming more popular as more and more transgender people are seeking plastic surgery that can help them look more “passable.” (“Passable” is a term used among the transgender community and admirers to describe a person who is seen and treated as their desired gender identity.) The more common patients that I see are the male to female gender change. I do not deal with the actual reproductive organ changes as that is a very specialized surgery which is only done in a few centers across the country. However feminization is a subject with which I am well acquainted. There are various ways of feminizing the male face and body. In the face these include brow lifting, rhinoplasty, eyelid surgery, liposuction and occasionally facelift surgeries. With these surgeries, the idea is to change an angular male face to a softer, more rounded feminin face.

In the body, the same concepts apply. Men generally tend to have more angular obviously more muscular bodies. As they get older and heavier they carry their fat in different areas. Typical male fat distribution is in the abdomen hips and chest. This creates a large waist. This is the exact opposite of what is desired in the female physique. An hourglass figure is the desired shape with a small waist and curvy hips and buttocks. This can be achieved with aggressive liposuction of the back flanks and abdomen and if necessary performing a Brazilian Butt Lift to create fullness and curves in the hip and buttocks area. This is typically a four hour procedure that can be done under sedation and as an outpatient. The downtime is about five days before going back to work. However if the Brazilian Butt Lift is performed it does mean that there is limited sitting for at least the first month. The patient can lie down on her side or stomach but not on the back. Sitting when that is done is on the sit bones and not fully on the area where the fragile new fat has been transferred.

An example shown below is a male to female transsexual who had a rather square abdomen and hips. She had had previous buttock injections and gluteal implants which were removed. (I never recommend gluteal implants due to a large percentage of complications). The only surgery performed was a very aggressive liposuction using SmartLipo TriPlex. The results speak for themselves.

transexual liposuction feminizationliposuction transexual feminization

Transgender surgeries are becoming a more more popular form of cosmetic plastic surgery with more patients seeking improvements. It is becoming much more sophisticated now. In the past adjustment breast implants and genital reassignment surgery. Now different aspects of the face and body can be treated to have a much more subtle and natural looking results. It is becoming easier with time and science to become passable and there are transgender resources all over the internet that can help with all the finer details required to make that transition smooth.

Permalink to Plastic Surgery Timeline – When Will I Heal By?

Plastic Surgery Timeline – When Will I Heal By?

plastic surgery recovery time

Plastic Surgery Recovery Time

In plastic surgery, often one of the biggest questions patients will ask me is,”What is the plastic surgery recovery time for this procedure?” Of course, this depends on the surgery and partially on an individual basis although for the most part, it is pretty predictable.

I recently found a little straight-forward article by a husband and wife plastic surgery team out in Columbus Ohio who summed it all up very nicely. Drs. Christine and Michael Sullivan of The Sullivan Centre are certified plastic surgeons and this is what they wrote about plastic surgery recovery time:

Breast Augmentation or Liposuction (Including SmartLipo TriPlex)
To be ready by New Year’s, have surgery by December 1.To be ready by Valentine’s Day, have surgery by January 14.To be ready for Graduation, have surgery by April 20.To be ready by Independence Day, have surgery by June 4.To be ready by Labor Day, have surgery by August 1.To be ready by Thanksgiving, have surgery by October 22.To be ready by Christmas, have surgery by November 25.
Facelift or Rhinoplasty
To be ready by New Year’s, have surgery by September 1.To be ready by Valentine’s Day, have surgery by October 14.To be ready for Graduation, have surgery by January 20.To be ready by Independence Day, have surgery by March 4.To be ready by Labor Day, have surgery by May 1.To be ready by Thanksgiving, have surgery by July 22.To be ready by Christmas, have surgery by August 25.
Tummy Tuck or Breast Lift
To be ready by New Year’s, have surgery by November 15.To be ready by Valentine’s Day, have surgery by December 31.To be ready for Graduation, have surgery by March 5.To be ready by Independence Day, have surgery by May 15.To be ready by Labor Day, have surgery by July 15.To be ready by Thanksgiving, have surgery by October 7.To be ready by Christmas, have surgery by November 10.
I found this to be very accurate and helpful! Good job, Drs. Sullivan!

About The Sullivan Centre: The Sullivan Centre, co-founded by Drs. Christine and Michael Sullivan, is the first free-standing ambulatory surgical center dedicated to cosmetic surgery in central Ohio. It is located at 97706 Olentangy River Road in Columbus, Ohio 43235. Reach them at or by phone at 614-436-8888.
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Permalink to Lisa Rinna Lip Augmentation Repair

Lisa Rinna Lip Augmentation Repair

Lisa Rinna lip augmentation repair

Lisa Rinna before her lip augmentation repair

Lisa Rinna is in the news again this time because she has had her lips fixed, i.e. reduced after a lip augmentation gone very wrong. Not coincidentally, this announcement comes at the same time that she is starting a new reality series with her husband called, “Harry Loves Lisa” on TV Land. Any publicity is good publicity especially since so much attention has been paid to her lips in the past. Her lips were always a topic of conversation. And why? I would suggest it is because she is a very attractive, vivacious woman with incredibly ugly lips. I’m sure at some point right after the injections they were attractive, but over time as always happens with silicone injections they changed into scarred distorted things. They looked like they belonged on a puffer fish. Lips like that have never naturally appeared on a human being since we appeared on the planet. Nevertheless, why did they look so bad? Because they simply did not look natural. Big lips are pretty when they are shaped well but not just because they are big.

If you look at the anatomy of beautiful lips you will see that:

  1. There are three ovals in the upper lip.
  2. There are two ovals in the lower lip.
  3. The upper lip has three distinct parts.
  4. The lower lip is always larger than the upper.
  5. Lips are full not inflated six the central portion of lip actually hangs down little bit and is not concave.
Lip Augmentation in Sacramento

Lip Augmentation at Advanced Concepts in Plastic Surgery

The worst thing about her lips is that she had silicone injections because she thought other fillers look good for a while, why not get something permanent. Well, there are actually a few problems with that line of thinking.

  1. Silicone injections into the body or face, i.e., lips, are illegal.
  2. They have always been illegal. In the past very few doctors had permission to use them experimentally in tiny amounts called microbe droplets, never for plumping up lips.
  3. They are indeed permanent—permanent results and permanent complications.
  4. The results of silicone may initially look good but will become scarred, irritated and filled with nodules of scar tissue causing the lips to appear bigger and odd shaped.
  5. The only way she could fix this problem now is to have all the silicone cut out and that’s exactly what she had done. Her surgeon Garth Fisher actually did a very nice job of removing what silicone he could and reshaping the lips. She now looks normal and attractive and her lips complement her face very well, returning her natural beauty and symmetry. Removing the horizontal wedges and taking out as much silicone as he could has restored her symmetry. However, she isn’t out of the woods yet because there is likely silicone still in her lip because silicone migrates and moves. The only way to remove it completely is to remove the entire lip. I’ve actually had to deal with this with patients who had silicone injected into their breasts by other doctors. At some point in time when it gets bad enough the only treatment is total mastectomy and reconstruction.

So, what can you learn from this if you are considering lip augmentation?

Never gets silicone injections of any kind.

Ask to see examples of your doctor’s work. If he shows you a picture like, Donatella Brassard who looks like too bloated leeches are feasting horizontally on her face, then run.

Getting as much content as you can afford is not getting your money’s worth.

Balance and proportion creates beauty not bulk.

The search for beauty is pervasive and there are always unscrupulous people willing to take advantage of that. Do your homework on anything that you would have injected into your body.

Permalink to Bridalplasty – Brides Compete for Extreme Plastic Surgery

Bridalplasty – Brides Compete for Extreme Plastic Surgery

BridalplastyJust when you thought our TV entertainment culture had hit rock bottom, some network executive somewhere comes up with yet another lower level of low! Bridalplasty is that new low. Bridalplasty is a new reality TV show soon to be offered by E! that will show soon to be brides competing in various ways in an attempt to win extreme plastic surgery. I don’t even know where to begin in regard to the obnoxious lack of ethics on every level that this sad excuse for entertainment brings up. Celebrity surgeon Terry Dubrow, who will be performing the surgeries on Bridalplasty, really needs to rethink this.

Part of the Bridalplasty’s concept includes the bride first showing her results to the groom at the “unveiling” during the actual wedding ceremony.

“Viewers will witness his emotional and possibly shocked reaction as they stand at the altar and he lifts her veil to see her for the first time following her extreme plastic surgery,” says E!, according to the Hollywood Reporter.

This, of course just takes the whole idea of the groom not seeing the bride in her wedding dress until the ceremony to a whole new level. A nose job, breast augmentation, lip augmentation and some liposuction and he may not even recognize her! That shouldn’t make an intimidating moment any more difficult, should it? Unfortunately, this is what the network and potentially, the audience,  is after. They are selling the shock of emotional vulnerability.

This concept trivializes plastic surgery, important life decisions, and it makes a mockery of the institution of marriage. It is beyond sad how far entertainment corporations, audiences and participants are willing to go in search of money and the cheap emotional thrills.

Surgery, whether it is cosmetic or otherwise is a serious life and death issue, (although I have personally never lost a patient during cosmetic surgery in 28+ years). Surgery is not entertainment and marriage is not trivial. The very concept of the TV show Bridalplasty trivializes both and knocks our culture down a few more notches in the ranks of civilized societies.

Permalink to Kim Kardashian Fesses to Botox but NOT Breast Augmentation

Kim Kardashian Fesses to Botox but NOT Breast Augmentation


Kim Kardashian says she has only used Botox

Kim Kardashian, of Keeping Up with the Kardashians, admitted to using Botox, in an interview with ABC News show Nightline. However, she says she has not had a nose job or breast augmentation.

“Trust me honey, if I take this bra off you will tell me I need to get them done. I’m totally not against plastic surgery. … I’ve tried Botox before. That’s the only thing that I’ve done.”

Just the way she says that, I tend to believe her and while a great breast augmentation will look very natural, natural, can look natural as well! ;)

However, Kim Kardashian’s sister, Courtney Kardashian says that she has had breast augmentation and seems to be very proud of it!

“I have had breast implants, but it’s so funny ’cause it’s not a secret, I could care less. It’s so funny because the ‘before’ picture that they [In Touch magazine] showed was after I had my boob job, so I’m like, they should have written ‘before Mason’ and ‘after Mason.’ Like my boobs have like tripled since breastfeeding.”

They go on to say that none of the Kardashians have had nose jobs and from looking at pictures on the Internet, even the “before and after” pictures that argue that she has, I tend to believe they haven’t. So much of what you see in those pictures can be explained by lighting and make-up. Kim Kardashian says that she actually did want to get her nose done but decided against it.

“But what’s funny is about my nose, it’s my biggest insecurity. I always want to get my nose done. … I went to a doctor, I had them take the pictures, he showed me what it would look like and it just didn’t– It– I wouldn’t look the same.”

I agree with Kim Kardashian here, if that is her natural nose, she does not need anything done to perfect it. If anything, there is more risk in changing it and it not looking as nice or as individual as it does naturally. Perfection doesn’t have to be generic, people all look different for a reason, plastic surgery is not about trying to make every face look perfectly the same, it is about enhancing what you do have or fixing issues that bother you. In Kim’s case, I would keep that nose, it looks great on her.

Permalink to Cher – Plastic Surgery & The VMA’s

Cher – Plastic Surgery & The VMA’s

CHER- Video Music Awards 2010 - VMAs with Lady Gaga

CHER at the 2010 Video Music Awards "VMA's"

Cher presented Lady Gaga with the Video Music Award for Video of the Year Award last night at the 2010 MTV Video Music Awards. When Cher first walked out wearing a similar or the same outfit she wore for her 1980’s video, “If I Could Turn Back Time,” you could almost hear a collective, “wow,” as the entire country watching realized she is now in her 60’s! Indeed, Cher is 64 years old and looks, even on my high definition T.V., like she’s in her early 40’s. Is plastic surgery the secret? Actually, no… as in, “no, it isn’t a secret.” Cher takes care of herself, but she also has been very open about her use of plastic surgery to maintain her looks.  Make Me Heal reports, “Cher has had a breast augmentation, rhinoplasty (nose job), blepharoplasty (eyelid surgery), and possibly many others including enhancing the appearance of her teeth, liposuction, and a facelift. Although speculation revolved around Cher getting cheek implants, a tummy tuck, and a rib removed, she has completely denied the truth in those rumors. However, Cher openly admits she has become “the plastic surgery poster girl”.

The great thing about Cher is that she doesn’t expect anyone to not realize how old she is, she’s been a celebrity since the mid 1960s! Instead, she’s realistic about her age and the fact that time and gravity tend to be harsh on us all. But this is where great plastic surgery can work. Of course, when we look at Cher we think, “wow, she must have had a lot of work done.” But we don’t think, “YIKES!” like we do with some of the really bad celebrity plastic surgery we are all familiar with. To me, She looks great. She looks like she’s had very talented plastic surgeons and beyond that, she also obviously listened to their recommendations. I’m sure a lot of those scary celebrity plastic surgery cases are more a result of the celebrity insisting on procedures than doctors may have recommended against. At 64, Cher is an example of plastic surgery as an art.

What did/do you think of Cher’s plastic surgery and her overall look? Please weigh in below!

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  • Andrew Kaczynski, MD

  • Advanced Concepts in Plastic Surgery
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  • Granite Bay, CA 95746
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