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 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.

Megan Fox Plastic Surgery Controversy

This time it’s Megan Fox - another, “does she or doesn’t she? Has she or hasn’t she?”  Unlike Heidi Montag’s obvious cosmetic surgeries, Megan Fox has a more refined look.  Megan Fox is a beautiful young woman by anyone’s standards – you don’t have to be a Transformers fan to enjoy that!  But, has she had some “refining”?  The beauty of good plastic surgery is that it is subtle, and it often begs the question, “Did she or didn’t she?”

As a plastic surgeon here in Sacramento, I get questions all the time as to whether I think this starlet or that celebrity has had cosmetic work done. One thing I often say is that pretty much everyone in that line of work has or will have something done to improve their appearance. Because Megan Fox has been in the news a lot lately, combined with the fact that she is one of the most beautiful starlets in Hollywood, I get asked about her a lot! If you look at pictures of Megan Fox on the Internet, you can come to several conclusions fairly quickly.  In my medical opinion, I believe I can spot a few procedures she’s undergone.  The important thing is that if she has undergone these procedures, they were performed very well so kudos to her doctor!

1. Megan Fox most definitely has had breast augmentation with breast implants. That’s fairly obvious even to a non-plastic surgeon, but her enhancement matches the rest of her figure, and it is not over the top literally like Heidi Montag’s breast augmentation.  It enhances her body without distracting from her other features.

2. She has also probably had two rhinoplasties.  The first rhinoplasty looks to be slightly unsuccessful.  There is an inverted V look on her upper nose in several photos that were taken after the bump was removed from her nose. This inverted V comes from the bones not coming together after being fractured. This was corrected the second time around, and further refinement appears to have been done on her nose, especially the tip.

3. Megan Fox likely has regular  Botox injections in her forehead. Even young people have some expression lines, but her forehead is incredibly clear without even a hint of a line. By using Botox at her age, she will avoid lines appearing in the future. She also seems to have had some shaping with advanced Botox techniques to raise a lateral and give her an exotic Angelina Jolie -type look.

4. Megan Fox also appears to have had a very good lip augmentation. Unlike many lip augmentations, Megan Fox’s lips are not over-the-top.  Her lips are definitely fuller, but it still looks relatively natural.

5. There has also been some suggestion of cheek implants, but unless they are very small, she just appears to have gotten older and a little more defined with some weight loss.

So what does this all mean?  It means that plastic surgery has something for everybody: for a middle-aged woman who wants to take in her neck a bit, or a young woman who wants a flatter stomach after having babies… or an aspiring superstar just shy of perfection. Were the changes reasonable?  I think she managed to fine tune her already attractive features and she did so without going way overboard like Heidi Montag. Is she more beautiful?  You can judge for yourself. But generally speaking a straight nose, fuller lips, a curved brow, and fuller breasts are often considered to be more attractive by our culture’s current standards of feminine beauty.