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Robert G. Aycock, MD, FACS · Plastic Surgery

San Francisco Cosmetic Surgery Blog

“Pillow Face”: What it is and How to Avoid it

April 22nd, 2012

If you’re like most women, you want to avoid joining the likes of certain celebrities tagged with the label “pillow face” by the media.

“Pillow face” is a direct play on the puffy, unattractive result of using too much facial filler or transferred fat. Another term often used to describe this overfilled look is “chipmunky.”

We begin to experience loss of volume in the face in the mid-20s, and by the mid-40s some noticeable wrinkling and loss of skin elasticity have left their mark. Intended to plump up areas of lost volume and restore a youthful fullness, injectables like Juvederm®, Sculptra™, Restylane®, and Radiesse® can be very effective if administered correctly. Injectables allow you to turn back the clock temporarily, without committing to surgical procedures like face lift or eyelid lift. There’s little or no downtime and the injection process if virtually painless. It’s also markedly less expensive.

Despite the many benefits of facial injectables, overfilling can completely undermine the original purpose of using facial fillers — to create a more attractive look. With facial fat transfer, some doctors like to overfill in anticipation of fat loss, but when fat loss is marginal, the artificial-looking pillow face results. The dreaded pillow face can bring unwanted attention and make you even more self-conscious than you were before seeking treatment. It is important that you maintain realistic expectations about what facial fillers can and cannot do and understand the effects of overfilling.

The key to avoiding pillow face lies in choosing a skilled medical expert that you can trust. If you’re thinking of enhancing your appearance with facial fillers, make sure you do your research and choose an experienced Bay Area cosmetic surgeon like Dr.Robert Aycock. Dr. Aycock tailors his facial treatments to each patient and works to achieve beautiful results that are subtle and natural looking, not painfully obvious.

Dr. Aycock has spent his professional career studying the elements of beauty, including ideal facial proportions and the concept of facial balance. He knows what works for each patient and he is able to use his keen insight to create positive changes using a variety of facial fillers. He’s worked with each one of these fillers and researched their effects. He takes your personal ideals and combines them with classic standards of beauty to create a final appearance that is youthful and classy.

Trust Dr. Robert Aycock and his experienced team to give you personalized, natural-looking facial filler results. To set up a personal facial rejuvenation appointment, please contact Dr. Aycock at (925) 937-8377.

Rhinoplasty

April 10th, 2012

Unhappy with your nose? Maybe you feel it’s a bit bumpy, large, or asymmetrical and distracts from your other facial features. Perhaps the tip is too bulbous, the bridge too flat, or the nostrils too small. If you’ve suffered a nose injury in the past, it may look a little “off” and seem to stand out. Some patients seek nose surgery just to improve breathing. Whatever the reason, a skilled rhinoplasty surgeon like Dr. Robert Aycock can help you reshape your nose to a more pleasing, attractive shape.

Designing a New Nose

There are a wide variety of changes Dr. Aycock can make to help you achieve your ideal nose shape. Most common is the removal of excess cartilage and bone to create a subtler, smoother appearance. For patients who wish to enhance a particularly small nose, Dr. Aycock can add tissue to reach the perfect size and shape. Above all, Dr. Aycock will make certain that airflow is optimal and functionality of the nose is not compromised by your physical alterations.

It does help the team if you have an idea of what you’d like your new nose to look like, but don’t feel you have to have an exact depiction in mind. Dr. Aycock will show you a variety of before and after photos to get a feel for your preferences. You’ll start by discussing the aspects of your nose that you are not too fond of and go from there.

Rhinoplasty Steps

On surgery day, you’ll be sedated using general anesthesia. Dr. Aycock will begin the rhinoplasty reshaping by making incisions and pulling back the nasal skin to access the tissue underneath. The nose structure is gently altered according to exact specifications, followed by a redraping of the skin.

Finally, Dr. Aycock sutures the incisions and applies a nose splint to protect the area. The team will let you know exactly what to expect during the healing process and provide explicit instructions to ensure a safe and productive recovery.

Find out how cosmetic surgery can help you get the nose you’ve always wanted. To set up a personal rhinoplasty appointment, please contact Dr. Aycock at (925) 937-8377.

The Vampire Facelift: Staying Power or Just a Trend?

March 11th, 2012

Nicknamed the “Vampire Facelift,” the FDA-approved procedure Selphyl is designed to minimize facial wrinkling without surgery using a patient’s own blood. After Selphyl physicians draw blood from the arm, they use a centrifuge to separate the platelets from the red blood cells, mix the platelets with a fibrin mixture, and inject the mixture into the wrinkled facial areas. The platelet mixture stimulates collagen growth and attracts stem cells to the target area, which then become new skin cells. The resulting skin should become smoother and appear less wrinkled within a few weeks.

Results can be comparable to injectable fillers, but what sets it apart from other facial injection treatments is the extraction and injection of a patient’s own blood. The blood drawing process can make some patients feel a bit uneasy, but many feel it is worth the effort since the procedure is much less invasive than facial plastic surgery. Some patients are also attracted to the natural aspect; since the blood comes from a patient’s body, there’s no worry about allergic reactions or other concerns related to animal or synthetic injectable materials.

Although many have reported positive results after Selphyl, calling it a “facelift” is a bit misleading. One word of caution: If you are scheduling your Vampire Facelift hoping to see dramatic results comparable to those of a surgical facelift, you may face disappointment. If you’re looking for long-term wrinkle reduction, Selphyl results typically only last around15 months and will need to be performed regularly.

Some physicians feel the nickname is a bit of a turn-off for potential patients, and many cosmetic surgeons are hesitant to offer a new treatment that hasn’t been around long enough to have a stable safety record. Another downside is the cost, which can set patients back as much as $1,500 per injection. For a more cost-effective, proven nonsurgical wrinkle reduction alternative, keep in mind that facial fillers like Juvederm®, Fat Transfer, Radiesse®, and Sculptra™ can give you results that last 6 months to a year or more.

Dr. Robert Aycock can perform a thorough skin evaluation and discuss a wide variety of anti-aging options to help you choose the best course of action. If you’d like to schedule a facial consultation, please contact Dr. Aycock at (925) 937-8377.

What cosmetic procedures can help me tighten and firm my body?

January 29th, 2012

That’s a great question and one that is asked by many men and women like you who want to improve their appearance so they can look as young, vibrant, and exuberant as they feel. There are a wide variety of advanced cosmetic body contouring procedures out there to help you achieve tightening and firming. They are especially beneficial for those areas of the body that are resistant to exercise efforts, altered by pregnancy, or naturally flabby or saggy. State-of-the-art surgical procedures like Liposuction, Tummy Tuck, Buttock Lift, Leg Lift, Arm Lift, Breast Lift and Post Bariatric Surgery can pick up where Mother Nature left off and provide you with just enough enhancement to give you that extra “wow factor.” As you are researching your options, remember that starting with a highly skilled cosmetic surgeon is crucial in your final result.

Dr. Robert Aycock is one cosmetic surgeon in the Bay Area who is being widely talked about for his dramatic tightening and firming results. He’s known for not just performing standard body contouring procedures with precision, but also for his innate ability to accentuate his patients’ natural beauty with body plastic surgery that is very individualized. For instance, if you are hoping to improve the appearance of sagging skin in the upper arms, localized fat in the lower tummy area, and cellulite in the upper thighs, Dr. Aycock can put together a custom-tailored body makeover combination designed to address all three issues in one surgery. His results are centered around accomplishing your contouring goals by making slight changes that greatly enhance your figure and ultimately improve your confidence.

If you’re seriously interested in the benefits of body contouring, talk with Dr. Aycock about the incredible changes that are possible and you won’t be disappointed. He offers many cosmetic procedures for toning and firming. His experience, reputation, and great results make him easy to trust.

The team is really helpful during personal consultations — they’ll listen to your goals carefully and then make recommendations to give you the results you want. Also be sure to take a look at Dr. Aycock’s before and after photos to help you decide on your ideal procedures. You can contact Dr. Aycock online or call him at (925) 937-8377 to schedule your cosmetic body contouring orientation. They’ll take excellent care of you.

Surgical Solutions for Younger Looking Skin

January 15th, 2012

“Those forehead wrinkles weren’t their yesterday, were they? And where’d those crow’s feet come from? My arms never used to flap like that when I wave…”

If these notions sound familiar and you’re concerned about signs of aging on your facial and body skin, it may be time to consider the incredible perks of cosmetic surgery. Dr. Robert Aycock is a skilled cosmetic surgeon who understands that his patients want to fight signs of aging with natural-looking enhancements. That’s why he takes the time to create personalized cosmetic changes that will not only rejuvenate your appearance, but also do so in a subtle, sensitive way. You want people to notice, but keep them guessing as to the source of your invigorated appeal.

Every one of our surgical anti-aging solutions is tailored to fit your unique appearance goals. We can review the physical traits that make you self-conscious and design an anti-aging program to target one or several areas of concern.

Anti-Aging Procedures Available

  • For sagging skin on the thighs, arms, or buttocks, the leg lift, arm lift, and butt lift can improve the appearance of flabby skin and slim these areas.
  • The neck lift takes care of loose skin, wrinkling, and fat deposits that typically appear after age 40.
  • The eyelid lift is a very effective treatment for drooping eyelids that can make you look older than you are.
  • The facelift and the midface lift are ideal for addressing multiple facial aging issues at once, including wrinkling, loss of elasticity, deep creases, and more.
  • Lip augmentation is a popular way to treat loss of volume and wrinkling of the lips due to aging.

See how easy and affordable cosmetic skin improvement can be. If you’d like to discuss your surgical options for younger looking skin, please contact our office in the Bay Area today.

Improving Volume with Chin, Cheek, and Lip Augmentation

December 18th, 2011

As you get older, skin loses those essential natural substances that are responsible for providing a full, plump, fresh facial appearance. Sunken cheeks, thinning lips, and a receding chin are all normal signs of aging. The good news is that you don’t have to just sit back and watch these changes occur.

With advanced facial augmentation procedures from Dr. Robert Aycock, you can combat facial fat loss and achieve a more youthful and attractive look. Cheek, chin, and lip augmentation are also good solutions for people who are not necessarily losing facial volume due to aging, but wish to enhance their genetic facial structure by strengthening these features.

Cheek Implants

Cheek implant surgery, or cheek augmentation, is performed to improve cheek contours and enhance facial symmetry. It may be performed to create the look of high cheekbones or to help diminish the appearance of other features that are overly prominent, such as a strong chin or large nose. Pre-formed implants are positioned under the soft tissue and held in place by this existing cheek tissue.

Chin Implants

A weak chin can be a source of self-consciousness for some people, and it is especially noticeable if other features are strong. If your chin seems small, a chin implant can help bring a sense of balance to your facial appearance and even minimize the look of a large nose. Pre-formed chin implants are inserted under the chin or inside the lower lip.

Lip Augmentation

If you’re tired of trying to fake full lips with lip-plumping glosses, augmentation can provide permanent, full, pouty lips. Patients with small, deflated lips, asymmetrical lips, wrinkling, or drooping can choose from synthetic implants or biological fillers to create a natural-looking lip enhancement. Lip enhancement injections (Restylane® and Juvederm®) will need to be repeated to maintain results, whereas synthetic implants (PermaLips™) and biological grafts (AlloDerm®) are permanent.

Keep in mind that you can combine augmentation procedures for a more dramatic result and reduced recovery time. If you’re ready to discuss the benefits of volume-enhancing implants, please contact Dr. Robert Aycock in the Bay Area today.

The Benefits of Laser Hair Removal

August 21st, 2011

If keeping body or facial hair contained seems to be a constant struggle, we’d like you to consider a nonsurgical approach to a more beautiful you. Laser hair removal and IPL (intense pulsed light) uses the latest technology available to remove unwanted hair from under the skin, where the follicle originates. The process is safe, easy, and highly effective for creating smooth, hairless surfaces.

Ineffective, Temporary Shaving Methods

Daily shaving can be a pain, and we don’t have to tell you how annoying new growth can feel when you don’t have a chance to use the razor. Depilatory creams are messy and sometimes painful, and the results don’t usually last as long as the packaging promises. Waxing can get expensive with repeat treatments needed every few weeks or so, and tweezing often ends badly without the ability to precisely judge your ideal eyebrow shape.

Why the Laser?

Laser and IPL treatments work efficiently, treating hundreds of hair follicles simultaneously. After the recommended treatment regimen of 4 – 8 session at 4 – 8 week intervals, you’ll experience completely halted hair growth without any damage to the skin! Daily shaving becomes a thing of the past.

Personalizing Your Laser Hair Removal Treatment

Laser and IPL hair removal can be performed on a variety of bodily areas, including the face, legs, upper lip, neck, chest, underarms, bikini line, and back. There are certain qualifications that will render you a good candidate for laser hair removal, so be sure to schedule a personalized exam and orientation to find out if you meet the criteria.

Dr. Robert Aycock and his team will explain your hair removal options and review the procedure details to help you understand how it works, as well as what you can do to experience ideal results over the long-term.

For more information, please view our online hair reduction presentation.

We invite you to come in for an orientation to find out more about the process and the results. If you are ready to try our state-of-the-art laser hair removal, please contact Dr. Robert Aycock in the Bay Area to schedule your appointment.

Rhinoplasty for Facial Balance

July 17th, 2011

Have you always felt that your nose just doesn’t quite fit your face? Do you zone in on your nose in the mirror and view photos of yourself with a sense that there’s room for improvement?

The cosmetic procedure rhinoplasty is an effective method to reshape your nose and improve contour in order to bring a sense of balance and harmony to your face. Achieving a new, personalized profile designed by you and Dr. Aycock can be an long-term source of self-confidence and pride.

The goal of any rhinoplasty at Dr. Aycock’s plastic surgery practice is to provide you with a nasal structure that greatly enhances your aesthetic beauty and appears completely natural as well.

Nasal Design

Building a new nose based on your existing bone structure is an engineering feat that requires a high skill level, a firm grasp on the principles of bone and tissue reshaping, and an ability to not only articulate a vision, but also to bring that vision to reality with sophisticated plastic surgery techniques.

In the process of renewing your nasal profile, Dr. Aycock will perform a methodical facial analysis. The final nose design must be visually appealing on its own, as well as in relation to other facial features like the chin, cheeks, and forehead.

Every face is unique — what may be considered an overly prominent nose on one individual may appear weak or small on another. While Dr. Aycock is faced with the task of creating a nose shape that is pleasing to the eye, he must also design and execute a final nose appearance that brings all other features into balance. Finally, Dr. Aycock must ensure that any changes made respect the flow of air through the nostrils and allow for optimal breathing function.

What Would You Change?

Does your nose seem to broad, long, or bumpy for your liking? Perhaps the nostrils are too wide, or the tip is too bulbous. Whatever the problem, Dr. Aycock can work with you to develop a refreshed, attractive nose. Feel free to bring in photos of specific nose types that you find appealing. Dr. Aycock and his team will help you settle on a final design that is just right for your face. In some cases, the addition of a chin augmentation or cheek implants may help improve a patient’s rhinoplasty results.

To get an idea of the results that are possible with rhinoplasty, we invite you to view our nose surgery before and after photos. If you are ready to discuss the benefits of nose surgery and find out if you are a good candidate, please don’t hesitate to contact Dr. Robert Aycock at your earliest convenience.

Surgical Breast Correction for Asymmetry

June 18th, 2011

If your breasts are different sizes or shapes, you are not alone. While perfect breasts are the standard in Hollywood, very few women are actually born with identical breasts. Asymmetry is a very common occurrence and may manifest in many ways, including shape, size, nipple height, or areola size variations.

While asymmetry in natural breast tissue is normal, you don’t have to keep them that way. Expert surgical correction from Dr. Robert Aycock is an effective avenue to ensure your breasts are more closely matched.

Could You Benefit From Corrective Breast Surgery?

For many women, the philosophy that “you feel good when you look good” rings true. A physical imbalance can lead to feelings of self-consciousness or low self-esteem, and a surgical improvement can free the mind from obsessing over these imperfections. Thankfully, breast surgery offers a time-tested option for women who want to improve the appearance of differing breasts.

You may be a good candidate for breast asymmetry surgery if you are bothered by the appearance of your asymmetrical breasts, the imbalance makes it difficult to find bras or clothes that fit, and you feel a change would enhance your self-confidence.

Personal Breast Design

Breast asymmetry surgery requires an in-depth physical evaluation to fully understand the problem and develop a fitting solution. You want to make sure your surgeon has many years of experience along with the proper skill necessary to deliver a beautiful, natural-looking result. If you undergo corrective breast surgery on one or both breasts, Dr. Aycock will tailor your procedure to precisely fit your personal needs.

Dr. Aycock was voted one of The Most Dependable Plastic Surgeons of the Western United States
in 2008, recognized as the Best
Plastic Surgeon,
MedSpa, and Healthcare
Surgery Center
in Marin County in
2008 and 2009, and
voted Bohemian Best of the Northbay
2008 and 2009.

Depending on your degree of asymmetry, Dr. Aycock will choose the technique or combination of techniques carefully to deliver ideal proportions. While slight asymmetry can often be corrected with minimal manual excision and tissue reshaping, more dramatic cases of imbalance may require additional or alternative methods.

A breast augmentation procedure can be performed with two different sized implants to help you achieve a uniform appearance. If you have one breast that is much larger than the other, a breast reduction may be used to even out the tissue. After a thorough physical examination and discussion of your breast appearance goals, you and Dr. Aycock will decide on the best method of achieving your perfect result.

A more aesthetically pleasing, balanced breast appearance can do wonders to create a positive body image. To discuss your breast asymmetry correction opportunities, please contact Dr. Robert Aycock in the Bay Area.

Is There an Age Limit on Your Bikini Body?

June 5th, 2011

At what age should a woman stop wearing a bikini?

A May 2011 Today Show story highlighted a recent poll of 2000 women who put the bikini’s “expiration date” at age 47. Miniskirts were pinned at 35, and stilettos at 35. Editor-in-chief of Allure Magazine Linda Wells disagreed with the findings, saying that “the message should not be that you can’t wear these things after a certain age, the message is to take a look at yourself and wear them with confidence if you feel good about it.”

A panel of health and beauty experts agreed that it’s not about age, it’s about appropriateness and that “if it’s a matter of gravity, there are things that can help you.”

Matching What’s Outside to Inner Beauty

Beauty is more than skin deep, and attractiveness is not defined by age. Most men will tell you that confidence is an attractive trait, even more so than physical features. If you are missing that key confidence due to dissatisfaction with your physical appearance, cosmetic surgery that is performed with great skill and personalization can help you accentuate your natural beauty. An experienced, successful cosmetic surgeon is able to play upon the strength of your positive features and downplay or restore your weaker ones for a beautiful reinvention.

Cosmetic Surgery for a Bikini-Ready Body

Dr. Robert Aycock is one such San Francisco cosmetic surgeon who has helped many women enhance their figures with safe, state-of-the-art procedures. Liposuction can minimize fat deposits in places like the thighs, love handles, and stomach, and is extremely useful when diet and fitness efforts fail. A tummy tuck can help you get rid of the stubborn tummy pouch, and breast surgery can enhance and lift sagging or small breasts. Other procedures like the buttock lift, leg lift, and arm lift can target specific body areas to get you back in the bikini game.

Choosing Your Swim Attire

Today’s swimwear styles are creative and cater to all body types. From the Brazilian bikini to the modest one-piece, there is something for everyone out there. If you prefer to ease your way back to the bikini, try a tankini that combines a tank top for more coverage with a normal bikini bottom. Visit a comprehensive swimwear shop and play with different shapes and fits until you find one that flatters. Experts agree the golden rule of choosing swimwear is only this: wear what you feel comfortable in.

As many women age, descriptions of their personal style often change from  “hot” and “sexy” to “tasteful” or “classy.” Whether your philosophy is “leave something to the imagination” or “flaunt it if you’ve got it,” Dr. Aycock and his team can help you fine-tune your shape with state-of-the-art body contouring procedures.

To quote Today Show co-anchor Natalie Morales, “If Sharon Stone can do it at age 53, then why can’t you?”

Discover the cosmetic surgery treatments that could help you get your body bikini-ready. For a personalized discussion of your options, please contact Dr. Robert Aycock.

Call our San Francisco plastic surgery office at 925.937.8377 or contact us online.