In a facelift, how do surgeons ensure that they preserve the intertragal notch of the ear when making the post-tragal incision?

Q. Many surgeons seem to distort the little curved portion at the base of the ear opening (intertragal notch?) when making the anterior ear incisions. Instead of a curve it ends up as sharply pointed V, with a “seam” where the lobe joins the cheek. (I posted some photos of my ears on a previous... Read more »

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I had a face and neck lift 6 weeks ago and am still numb

Q. I am still numb down sides of face and under my chin all along to my ears. Also still swollen I think or it is a roll of fat but the swollen or fat is numb is this normal? The surgeon said that I may need lipo? Can anyone tell me why that was not... Read more »

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Is there a non-surgical solution to paradoxical adipose hyperplasia resulting from Coolsculpting?

Plastic Surgeon Dr. Dean Kane of Baltimore Answers Question Regarding CoolSculpting Q. Is there a non-surgical solution to paradoxical adipose hyperplasia resulting from Coolsculpting? A. Thanks for this question. PAH or paradoxical adipose hyperplasia following CoolSculpting (CS) is poorly understood. This puzzling opposite response to cooling fat tissues is stated to occur in one of 300,000 patients. Much like... Read more »

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How can I correct my extremely uneven eyebrows?

Plastic Surgeon Dr. Dean Kane of Baltimore Answers Question Regarding Uneven Eyebrows Q. For as long as I can remember, and confirmed by looking at childhood pictures, I have had uneven eyebrows. One is much higher than the other. I understand that eyebrows are sisters, not twins, but my brows aren’t even friends. My question... Read more »

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How long after filler can you use Sculptra?

Plastic Surgeon Dr. Dean Kane of Baltimore Answers Question Regarding Fillers Q. I had Perlane injected in my tear trough and the very upper cheek/lid (total both eyes 1 ml, so not much). I am wanting Sculptra for my temples and jawline/ lower cheek (in front of earlobes) as I have lost volume there. Perhaps we... Read more »

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Is Restylane recommended for the nose tip?

Plastic Surgeon Dr. Dean Kane of Baltimore Answers Question Regarding Restylane Q. I’d like to correct a post rhinoplasty ridge in the tip of my nose. A. This is difficult to answer without an in-person consultation. Fillers have many different properties and are injected a different levels of the tissue; over the cartilage / bone, in the... Read more »

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What procedure would you recommend for light sagging in the lower face for someone in their early 30s?

Plastic Surgeon Dr. Dean Kane of Baltimore Answers Question Regarding Skin Laxity Q. I’m in my early 30s and I have noticed significant changes in my skin over the last 4 years. Every year it seems to be getting increasingly worse at a faster pace. I’ve noticed my face shape seems to have changed (more... Read more »

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Can I get Restylane Silk lip injections if I have melasma?

Plastic Surgeon Dr. Dean Kane of Baltimore Answers Question Regarding Restylane Silk Q. Can I get Restylane Silk lip injections if I have melasma? I’m wondering specifically if the injections will trigger the melasma? A. While any trauma, even a needle stick can cause pigmentation formation, it is doubtful you will develop melasma. Always select for a... Read more »

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Stampede of the Elephant

In my book, The Elephant roared quietly on its second opening night for invited guests! Held in a bit of reserve as the menu rolls out larger each day, the passionate, professional staff picked up the pace as the evening of tours, drinks and awesome World Cuisine was offered.  Linda Brown Rivelis and Steven Rivelis... Read more »

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19 years old with damage from sun bed use over the years. Would you suggest Botox or fillers?

I wanted to get rid of the small lines on my forehead and underneath my eyes. I also may want some filler in addition to my lip implants. What kind of upkeep would I be looking at? What would the ballpark price be?

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