: Before & After Photos

Surgeries performed by certified American Board of Plastic Surgery renowned surgeon Dr. Andrew Barnett, San Francisco, CA

Patient 1

We’ve all seen them – famous celebrities, well-known socialites, politicians, people of wealth and power – with horrible facelifts. With all their resources and connections, how is that possible? And if these people end up with horrible results… well… it makes one nervous when considering a facelift. Why do celebrities and people of means end up with bad facelifts?

I trained with a very famous plastic surgeon – Dr. Bruce Connell – acknowledged as one of the finest facelift surgeons of the 20th century. Practicing in Southern California, his patients were a true who’s who in Hollywood, fashion, national politics, and business. Now retired, in the 1970’s, 80’s, and 90’s, he developed the techniques that are now considered the state-of-the-art. His work in defining the neck and jawline, creating a long-lasting natural result, is required reading for every plastic surgeon who aspires to become a true master of facial rejuvenation.

Dr. Connell and I had many discussions about what makes a great facelift, which I will blog about in the next few months (Hint: After you learn the advanced techniques, develop the advanced skills, and obtain the excellent judgment that comes with deep experience, you’re essentially guaranteed to obtain a good facelift. But good is not the goal. To get consistently great results, you need to focus on the details! More to come!)

Over the year I worked closely with Dr. Connell, learning his techniques and approach to facial rejuvenation, we only created wonderful results, and many were on celebrities. These were household names, and they were all very thankful.  However, even in the 1980’s – bad celebrity facelifts were common. I once asked Dr. Connell why that happened.  He thought for a moment then said “Three reasons. First, flavor of the month. Second, enough is never enough. Third, listening to the wrong people.”

Bad Facelift Infographic

Flavor of the Month

It’s natural to want the latest and the greatest. The hot new surgeon, the brand-new techniques, the latest equipment. How often do you get a facelift? Who wants to think that they missed something new and spectacular? In the next blog we’ll look at some examples of how that philosophy can go wrong and how to separate cutting edge from bleeding edge (no pun intended).

Enough is Never Enough

Who hasn’t eaten a great meal where the food is rich, tasty, and, well… spectacular. And who, in that situation, at one time or another, has failed to exercise appropriate judgment. The result? You go home stuffed, nauseated, and regretting your lack of control – “It would have been great if I’d just stopped after that first serving of pasta, the first piece of cake, and let’s not talk about the cocktails…”  It happens with plastic surgery as well. In another blog I’ll discuss some well known examples and how to know when enough is enough.

Listening to the Wrong People

In the old days, when you were interested in finding a new doctor, financial advisor, or attorney, you did your homework. You asked people you trusted, you looked for reliable sources. Things have changed. It’s really easy to get lots of information from well meaning friends, the internet, and from social media. But how good and how reliable is that information? Are you listening to the wrong people? In another blog I’ll provide you with an approach which will give you insight and tools on deciding who to listen to, and who to ignore.

Good is not the goal – great is the goal.

Why Do Celebrities and Wealthy People Sometimes End Up with Bad Facelifts? - Blog

Male

Individual results may vary.

Click here to contact Dr. Andrew Barnett and set up a consultation.

Patient 2

In my last blog, I discussed breast implant sizing to explain how I customize my choice of implant for you.  In this blog I’ll discuss implant profile.

Once we determine the size of the implant you want for your augmentation, we next need to determine the implant profile. Profile is another way of saying shape.  There are two factors in discussing profile – projection and base width.

If you can picture a breast implant placed on a tabletop, the height of the implant from the table represents the projection, and the width of the implant across the tabletop is the base width.  If the implant was made of soft clay (it’s not but just imagine it was), if you put your hand on the top of the implant and push down towards the tabletop, the clay will flatten down (less projection) and the portion of the clay that is touching the tabletop will increase (greater base width.) The total volume of the clay implant doesn’t change, just the shape.

Implants that have more projection and narrower base width are called high profile, implants with less projection and wider base are called low profile. Profile doesn’t change volume, it just changes shape. So if a 360cc (12 ounce) breast implant is going to make you a C cup, a high profile 360cc implant, or a low profile 360cc implant will both make you a C cup – the difference will be the shape of your breast.  High profile will give you a more projecting breast, and a low profile will give you a wider breast.

Breast Implant Profiles Walnut Creek

When deciding on the correct implant, we’ll first determine the size of the breast you want.  Next, I’ll ask you if you want more projection or a fuller, rounder breast.  Finally, I’ll measure the width of your breast.  Based on these criteria, I will recommend the profile.  There are high, high medium, medium, low medium and low profile implants in most sizes.

If you’ve read all my blogs on implant selection, you’ll now understand implant size (volume), implant fill (saline or gel), implant  shape (round or teardrop), implant surface (texture or smooth), implant profile (high to low), and implant manufacturer (Allergan, Mentor, or Sientra).  And that’s all there is to implant selection!

For more information on breast augmentation, read my blogs on how to decide which incision is best for you, whether the implants should be placed in front or behind (above or below) the muscles of the chest, and how to determine if you need a lift as well as a breast augmentation.

Breast Implant Primer – Implant Profile - Blog

Male

Individual results may vary.

Click here to contact Dr. Andrew Barnett and set up a consultation.

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