This is a difficult question without seeing you specifically but most likely you could operate on the problem ear and try and make it as close as possible to matching the good ear. The process with ears is to give you two very nice matching ears that would look perfectly normal to anyone looking at them. If you already have one very good ear, we would go ahead and work on the pixie ear and match it to the good ear.
If you want to do simple injections, you can do injections with Juvederm or another material but that will be temporary. If you want to do something that will give you lips that will be permanent, you need to do a dermal fat graft which is an operation that I invented which takes your own skin and fat from the lower abdomen and grafts it into the lips but would give you permanent large lips like Angelina Jolie. It is an excellent procedure with a really, really nice result and, again, the big thing is it tends to be permanent.
This is an excellent question. With all of our procedures here at the Foundation for Hair Restoration and Plastic Surgery, the fees that we quote include essentially everything. That means that the surgical fee is included in the quote. Anesthesia, which is typically done locally for otoplasty, in other words not done under IV sedation, simply done with a mild oral sedative like Ambien and Valium coupled with anesthesia to ensure the patient feels no pain, is covered as a part of this procedure as well as pre-operative and post-operative check-ups, stitch removal, etc.
With fractional resurfacing, the laser beam is broken up over small areas and fractionated and, in doing so, it is less aggressive but at the same time can get a noticeable result depending upon the laser and the power that is used. The nice thing about fractional lasering is it can usually be done in our office setting without any anesthesia. In my office right now, we are using the Co2 Fraxel which I like better than the other old Fraxel because it has enough power to get a good result and can still be done without any anesthesia except for a topical cream that is placed on the skin.
There are many different types of fat transfers and there are literally thousands of these procedures performed throughout the world every single year. It has become more and more popular and several of the Foundation for Hair Restoration and Plastic Surgery doctors do perform different types of fat transfer procedures. For a list of our locations and doctors, please go to www.FHRPS.com or pl4s7icf4stg2.wpengine.com or www.plasticsurgeryofthebody.com for more information on the fat transfer procedure, which has become more popular and more prevalent over the last several years.
Laser hair removal is an excellent procedure, especially for people who have visible hair problems. The reason it is an excellent procedure is it does not traumatize the skin and, after a number of treatments and depending upon the area, can if not permanently remove the hair cause it to stay away for a significant length of time. Usually on the upper lip, after three or four treatments, the hair thins out, the follicles begin to die and the patient finds that they have very little re-growth of hair.
There is no special pre-Botox or pre-injection treatment for the frown lines on the forehead before having a Botox injection. Following your regular course of face cleaning in the morning should be satisfactory. It does not make sense to do anything out of the ordinary like extra exfoliation or extra moisturizing or anything else directly before the treatment. Simply ensure that your face and your forehead is clean before the treatment and the doctor will take care of everything else.
Each patient is slightly different so it does make sense to ask your specific doctor and/or nurse whether it is okay to wear makeup directly after having an injectable filler treatment. With that said, while most patients experience very brief pinkness or redness in the area of the injectable filler and in rare cases very light bruising or very light swelling for a very short time, the great majority of patients are presentable and comfortable in public within a couple of hours of having an injectable treatment.
Fat transfer is a good option for plumping up the lips. However, over time, it will dissipate and the lips will go back to their normal size. I have invented a procedure where I take fat and dermis, which is a dermal fat graft, from the lower abdomen above the suprapubic area and place it into the lips and you get permanently enlarged lips that look very natural. The procedure is a little more extensive than simply injecting fat into the lips but it is a one-time procedure and gets you an excellent result.
If you wish to have work done on your eyelids and get third party reimbursement such as insurance or Medicare if that is the case, you have to get work done by an ophthalmologist with regard to lateral temporal field visual cuts. If it can be shown objectively by an ophthalmologist that you have restriction of vision or problems reading, sometimes you can get third party reimbursement. However, at 40 years old, it is probably unlikely that you are going to get reimbursement from a third party as the people who are involved with this try very hard to avoid any kind of payment if at all possible.