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This special section is the first in a series of advice columns and anonymous Q&A sessions wherein San Diegans considering anything from chemical peels and Botox to breast augmentation and rhinoplasty can interact with the city's most esteemed physicians - before going under the knife or needle.

Medical experts Dr. Steven R. Cohen, Dr. Ahmad Saad and Dr. Tracy Leong practice at FACES+ Plastic Surgery, Dermatology, Skin & Laser Center in La Jolla, an internationally recognized aesthetic medicine and cosmetic surgery facility. Clinical Professor of Plastic Surgery and Former Chief of Craniofacial and Plastic Surgery at Rady Children's Hospital, board-certified plastic surgeon Steven R. Cohen, M.D., F.A.C.S., started and oversees the practice. These physicians will use this space to educate and interact with potential patients.

This first presentation by the doctors also serves as their personal introductions. Future issues will get more into the nitty-gritty of advice based on examinations of emerging trends and cutting- edge research.

For an in-person consultation with the city's most esteemed aesthetic medical team, whose combined Ivy League training spans from University of Pennsylvania to Yale and beyond, contact FACES+ at (858) 453-7224.

 

What's the latest in lipo?

Recent advances in liposuction empower expert surgeons to be master sculptors able to redefine muscular contour. Employing the latest techniques in fat removal and fat grafting, we can reshape the human form, taking fat and regenerative cells from love handles, for example, and using them to enhance breasts, buttocks and lips. - Steven R. Cohen, MD

I love the idea of new boobs, but hate pain. What should I do?

For natural-looking breasts and an elegant silhouette with minimal pain and rapid recovery, the surgeons at our facility developed the Harmonie Breast Enhancement procedure. For select patients, we perform surgery under local anesthesia, making the procedure not only simple and safe, but also cost- effective. I can't promise the entire process will be absolutely pain-free, but, with recent advances, many patients have reported having virtually pain-free recovery with our approach. For before-and-after photos or to see what your new breasts might look like today, try the 3D Breast Simulator at facesplus.com. - Steven R. Cohen, M.D.

 

Steven R. Cohen, M.D.
Plastic Surgeon, FACES+

Former Chief of Craniofacial and Plastic Surgery, Rady Children's Hospital
Clinical Professor of Plastic Surgery, University of California San Diego

Craniofacial Surgeon, Fresh Start Surgical Gifts

 

 

I want healthy, glowing skin by summer without having to spend my bikini and yoga membership budget. Now what?

Microneedling may be the answer to your dermatological prayers. It's a great option for those who can't afford the time and financial investment traditional laser treatments require. A pen-like device with fine needles is passed over the face, creating microscopic injuries in the top layers of the skin, triggering the body's natural response of producing new collagen and elastin. In the days and weeks following the treatment, patients notice improved skin texture, as well as reductions in fine lines, acne, scarring, discoloration and pore size.

Don't be intimidated by the name. Microneedling is virtually painless (thank you, numbing cream) and takes only 10 to 15 minutes per treatment. Unlike laser treatments, microneedling can be done on all skin types and colors. Most patients experience 1 or 2 days of redness followed by glowing, rejuvenated skin for weeks to months. So, you can skip the lasers for now and get back to your downward dogs. Namaste! - Tracy Leong, M.D.

 

Tracy Leong, M.D.
Director of Dermatology, FACES+

Fellow, American Academy of Dermatology
Aesthetic Trainer, Allergan, Inc.

 

 

 

Should I get a nose job?

Because the complex anatomy and mechanics of the nose are hypersensitive to minimal alteration, rhinoplasty (aka nose surgery) is a delicate procedure that requires absolute precision. Fractions of a millimeter make a world of difference when it comes to the face, so deciding whether or not to get a nose job should not be taken lightly.

Having lived in six countries, learned to speak five languages and been blessed with the opportunity to experience global cultures firsthand, I've gained a fascination for how simple anatomical changes to the face can affect ethnic identity and individual personality. Helping patients improve their impressions of self while maintaining their ethnic and cultural identities is a moving experience for me, and one that requires careful consideration.

So... should you get a nose job? I can do the work, but that decision needs to be yours alone. - Ahmad N. Saad, MD

 

Ahmad N. Saad, MD
Plastic Surgeon, FACES+

Attending Plastic Surgeon, University of California San Diego

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