Posts Tagged young
Reader Question: Failed Facelift at 35
Posted by admin in Dr D's Truth on April 8, 2013
Reader Question:
Dear Dr. Di Saia,
I am 35 and have had fullness or jowling at my jawline since my late 20′s. One year ago I had a Lower F/L (SMAS included) which the plastic surgeon said was the only thing that would address the jowling. The clean jawline only lasted for one month and then the jowling returned. In addition to that I developed hypertrophic scaring around the ears. Some doctors have said that I’m way to young to have had a Lower F/L and that due to my thick skin it is bound to fail. While others have stated that the doctor was not aggressive enough. Is this procedure never appropriate for someone my age?
I have not to date performed a facelift on such a young patient. Unless the problem was large enough in magnitude, I would not have operated. To date, I have not seen such a young patient appropriate for facelift. I have offered peels, botox, soft tissue fillers and an occasional blepharoplasty in this age group, but not a facelift.
As you have discovered, surgery involves risk. There needs to be enough potential benefit to make those risks reasonable. I would need to know a lot more before I tried to guess what might improve your current situation.
Best Regards,
John Di Saia MD
Originally posted 2005-12-05 19:54:00.
Young Pamela Anderson – Before Plastic Surgery
Posted by admin in celebrity plastic surgery on June 4, 2011
Pamela Anderson as a young lady was a looker already. Here we see her in her teens or twenties seemingly before the concept of plastic surgery dawned upon her.
Best Regards,
John Di Saia MD
Originally posted 2011-01-18 07:30:10.
NJ Bill Aims To Make Botox Off Limits for Minors
Posted by admin in plastic surgery news on June 3, 2011
TRENTON — Minors in New Jersey wouldn’t be able to get Botox injections unless a doctor says it’s medically necessary and documents the reason, under a bill moving through the Assembly. The Assembly Health and Senior Services Committee approved legislation Thursday to clamp down on doctors injecting people under 18 with botulinum toxin for cosmetic purposes. The Federal Drug Administration already bars anyone under 18 from getting Botox for cosmetic reasons. The new state legislation would go further by requiring doctors to document in a patient’s chart the noncosmetic medical reason for performing the procedure on a minor. Botox is used widely to smooth out facial wrinkles, but also can be used to treat headaches and spasms.
Source: app.com/article/20110520/NJNEWS10/305200023/Botox-regulations-minors-pass-NJ-committee
?odyssey=mod_sectionstories
This prospective law in New Jersey would make Botox injections illegal in minors without a doctor’s statement that it is medically necessary. Unfortunately this is not to say such a law would have the desired effect. There are docs who will write those “permit slips.” Watch how many of these Botox-using minors get headaches.
I am not really a fan of laws restricting the flow of medicines. I do not believe they work well. Then again cosmetic treatments in minors are on the rise and as a practitioner I can only do what I feel is right in my own office. These minors aren’t getting their Botox treatments from me.
I have stated before the real lack of reason in using Botox and other wrinkle fighters in patients who are too young to have wrinkles. Would such a law affect the use of other treatments? There are other botulinum toxins. What about fillers? We’ll see if this bill goes anywhere.
Best Regards,
John Di Saia MD
Victoria Beckham – Before Plastic Surgery
Posted by admin in celebrity plastic surgery on December 10, 2010
Posh Spice in images that surfaced online here appears at age 17. She looks like nasal and breast implant work were relatively soon to follow from the time this image was taken.
Best Regards,
John Di Saia MD





