Virginia Facial Plastic Surgery Blog

Hi,

First off I am not sure if you are a serious patient or playing a prank.  I hope its a prank because no one should look to Michael Jackson as an ideal or a goal for cosmetic surgery.  Although he was an amazing artist and singer, he was very misguided and needed psychological help rather than all the plastic surgery that he got.  Unfortunately there are plenty of doctors out there who can be talked into doing anything by a paying patient.  Doctors should NOT have allowed his desires for drastic face change to get as far as it did.  They could have likely saved his life if they had said "no" to him.

Now, some patients do suffer from patchy Vitiligo and significant emotionaly distress from that.  Skin lightening treatments can be done for that by skilled dermatologists.  That is much more involved and irreversible compared to the use of routine bleaching creams with Hydroquinone used for typical melasma or hyperpigmentation.

I would urge you to see some good doctors and get their opinion.  My practice is focused on nose surgery (Rhinoplasty and Revision Rhinoplasty). 

Best of luck

Hi Srour,

I do not personally know any surgeons down in Roanoke.  I also try not to make recommendations since I cannot ever vouch for anyone else's results.  However, there are some well known surgeons at UVA.  Dr. Stephen S. Park is a well known Facial Plastic Surgeon there.  You can start your search there. 

Good luck

Hi Paula,

A two part excision is also known as serial excision.  This can be done for large moles or large scars or small areas of hair loss on the scalp.  When one excision would result in a very large excision and a long scar, the surgery is split up and part of the scar (or mole or alopecia) is removed then the rest is removed after the area has healed.  It can even be done over 3 to 4 times. 

The length of scars is much less important than their orientation, color, surface characteristics and location. 

Depressed scars dont respond to Lasers alone.  Sometimes filling with Restylane or Juvederm does not even work if the scar is tethered down.  The filler just ends up to the left or right of the scar.

Releasing the scar and filling it is an option.  Excision and dermabrasion is an option.  There are multiple options in scar revision but the options are limited by the patient's skin color and ethnicity. 

If you email me some pictures, I would be glad to take a look and make more specific comments.

Good luck

Hi Maria,

I didn't get any previous messages from you that I can remember.  Can you resend it.

I do know Dr. Silver and he is a very well known and respected Facial Plastic Surgeon. 

I'd be glad to answer your questions once you send me more information.

Regards,

Hi,

I have done many successful surgical lip reductions.  It is a simple and elegant procedure that takes about 30 minutes or less with recovery time of about a week or so. 

Hi,

I certainly have never come across a patient who wanted a reduction. I would urge you to think twice before undergoing any such procedure as it will leave noticeable scars and you will likely end up regretting your decision later in life as the area tends to atrophy with age and is one of the signs of an older or aged upper lip necessitating filler injections to build up and highlight the cupid's bow and the philtrum ridges.

It would be my pleasure to see your pictures and answer your question.

You can ""upload"" photographs from the ""contact us"" page:
http://www.virginiafacialplasticsurgery.com/vfps-contact.html

The cost varies but for a primary Rhinoplasty it would be in the $6-7K range with Anesthesia and Hospital fees adding another $1800 or slightly more. 

I would urge you to not undergo surgery prior to seeing your ""new nose & new look"" with the aid of digital imaging. 

Significant changes are very possible but they have to be in the framework of a ""safe"" rhinoplasty in order not to compromise the structural integrity of the nose. 

Also, in men, you want to be very careful not to ""feminize"" the nose and prevent creating an ""operated look."" 

I hope this information helped.