Tag Archives: Face


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 Chelsea Clinton Plastic Surgery – Awkward Teen to Lovely Bride!

Chelsea Clinton Plastic Surgery – Awkward Teen to Lovely Bride!

Chelsea Clinton plastic-surgery

A refined Chelsea Clinton

A lot has been written lately about Chelsea Clinton and her recent wedding. The dresses, the schedule, the expense, the choreography of the wedding dance. All the little details our celebrity obsessed public thrives on and the media is happy to dish out 24 hours a day. There’s also been commentary about possible plastic surgery. Indeed if you look at photos of her growing up you can see that there are some changes. Most noticeably she seems to have had a chin implant and a correction of her somewhat gummy smile, probably with Botox.

So what’s the big deal? The media are always obsessed with celebrity plastic surgery. Mostly they discuss which celebrity is getting what plastic surgery and whether it is good, bad or ugly. In some cases, when it is good plastic surgery or you can’t quite tell whether the celebrity has had a nip/tuck or not and what they might be doing to maintain or enhance their appearance.

But for the vast number of people in the United States that have plastic surgery it’s not about beautiful people getting more beautiful or going to extreme lengths with plastic surgery in a desperate attempt to get that next big roll. It’s more often about people who just have a few details about their body or face that they’d like to change in an effort to be a little more confident about their physical appearance. One way to look at it is that we sort of work from the impression that there is a bell curve of appearance. We all want to be inside the bell curve ideally as far to the right of the top as possible, but most of us understand that that position is occupied by a few actors, actresses, supermodels and genetically blessed people. For the rest of us were content to be within two standard deviations of normal, whatever that is. The fact is that our brains are programmed to recognize attractiveness and symmetry as part of our genetic programming to search for a healthy mate. There is a correlation between attractiveness, health and lack of genetic diseases. So therefore we are programmed to recognize beauty and attractiveness, and instinctively know what falls within the bell curve. At the same time, we tend to assess our own placement on that bell curve and we often have little things that we consider changing in order to move ourselves just a little bit more toward the right. Now this can be complicated by various psychological issues of self-doubt or self worth but for most of us, we see ourselves fairly realistically and can make rational decisions about what plastic surgery might offer us.

Chelsea Clinton as a Teenager

Ah, the awkward teen years :)

Chelsea Clinton, as a teen, had a few challenges with her features and tended to look a bit awkward. Many teens experience an awkward phase as their features mature on the way to adulthood. As she has grown up and matured her looks  improved but she still had a receding chin and a rather “gummy” smile. With the plastic surgery that was performed, she successfully moved herself a standard deviation in the right direction of the bell curve. Her features look much more proportional and most would agree that she looked very pretty in her wedding photos.

So what does this have to do with the big picture? One of my staff members recently told me that before she started working for me she thought that plastic surgery was about bringing in a photo of your favorite movie star and having the surgeon make you look like that. That is absolutely not what plastic surgery is about. Plastic surgery is about restoring or improving balance, symmetry and aesthetic beauty. Like Chelsea Clinton, it is about fixing just a few of those little things that tend to make a positive difference. It’s about optimizing the attractive features that you have and balancing the rest. That is good plastic surgery. It worked for Chelsea Clinton!

Mazel tov!

Chelsea Clinton Wedding

The beaming bride, Chelsea Clinton on her wedding day.


Permalink to Brow Lift Choices, Which One is Right for You?

Brow Lift Choices, Which One is Right for You?

Many times patients come to see me at Advanced Concepts in Plastic Surgery in Sacramento and they don’t like the way their eyes look.  They know that they look heavy, tired, full, squinty, and request eyelid surgery and sometimes even think they need a full facelift.   In reality, what they need is a brow lift.

In some people the brow skin stays tight for a lifetime.  In others it starts dissent and stretches as early as their twenties.  As the brow drops the upper eyelids also drop and make the eyelids look full or droopy.  The best way to check this is to put a finger on the brow and lift directly upward to see how much the brow contributes to the look of the eyelid.  If the brow is the main factor in the appearance of the lids, eyelid surgery alone is never enough for good results, therefore, a brow lift is needed.  In fact aggressive eyelid surgery when a brow lift is needed can make a future brow lift impossible because the eyes may not close.

So if a brow lift is needed, which one will work the best?  Like most things in plastic surgery there are many choices.  The best choice for most people is the endoscopic brow lift: five small incisions behind the hairline.  A TV camera is put in the incisions to help separate the skin from the bone, the skin is pulled up just the right amount and reattached at a higher spot.  There is no skin removed and a tiny amount of hair is cut to close the incisions of the brow lift.

However if the patient has a high hairline you don’t want to pull that even higher.  Therefore, for these brow lifts, the incisions are made right at the hairline so the scar is hidden by the growing hair.  Therefore the skin is lifted, pulled, and just the right amount is removed.  What this does is lift the brow and make the high forehead a normal size at the same time.

A brow lift surgery is just like all plastic surgery procedures, anatomy dictates everything.  The right procedure for the right anatomy gives the right results.


Permalink to Free Facelift Preview

Free Facelift Preview

Considering a Facelift? Here at Advanced Concepts in Plastic Surgery, we like to give things away free if at all possible.  Since we almost never get that chance, after all, body sculpting tends to have many fixed costs associated with it, I thought I’d let everyone in on a little secret.

Everyone considering facelift surgery wants to know what he or she will look like after the facelift surgery is performed.  It is only human nature that if we are going to pay for something, we want some idea what we will be getting!

Of course as a plastic surgeon in Sacramento, I’ve performed thousands of face-lifts over the last 25 years but as hard as I may try to describe what I will be doing, words can only go so far.  You will look more rested, this or that will be lifted, skin will be smoother and more relaxed. The mental picture a patient will get will likely be somewhat accurate but they may still have a hard time picturing.

Over the years a lot of software has been developed to duplicate what the result of facelift surgery will be.  However the facelift preview software still relies on the surgeon’s ability to manipulate the software and may exaggerate or understate what the final result may be. It also only shows a two-dimensional image.

What if there was a way to preview the result of a facelift in a simple, cost-efficient way?  In fact, what if it were free and you didn’t even have to visit a plastic surgeon for a consultation? Well there is.  In plastic surgery, this method has been known for years.  In fact, I learned about it in my residency years ago.  Another plastic surgeon recently published and article about it although the idea has been around for decades.

And the fancy, high tech method to previewing what your facelift surgery will end up looking like? –Lie down.  That’s it.  Lie down on your back with a mirror and look at your face.   Most of the sagging effects are due to gravity and lying down takes some of that out of play.  Pictures taken of this position nicely preview a future facelift.    Now if you’re a real stickler for accuracy you could say lying down only accounts for some of the effects of gravity and ideally you would actually do well to stand on your head.  This is true and some doctors have actually written about this as well.  Dr. PatrickTonnard, when talking about the MACS facelift, one of the best facelift innovations of the last 10 years, has a picture showing this in his book.  However, from a practical standpoint not many people can stand on their heads for very long, or want to.

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    Love the Mirror Again! http://conta.cc/shkiPaLove the Mirror Again! Solutions for the Face & Neckevents.r20.constantcontact.comAs the new year begins, you may be wondering what new facial rejuvenation technologies are available to turn back time. Join Dr. Andrew Kaczynski and Dolce Vita Day Spa's registered nurse, Danielle Ward as well as other Muse […]

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Location Info

  • Andrew Kaczynski, MD

  • Advanced Concepts in Plastic Surgery
  • 77 Cadillac Drive
  • Sacramento, CA, 95825
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  • 9719 Village Center Drive, Suite 110
  • Granite Bay, CA 95746
  • (916) 925-5522