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Question: What is the Foglietti Natural Vector Face Lift Technique®? Answer: The Foglietti Natural Vector Face Lift ® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightening, th...

Question: I'm over 50 and have been thinking about getting a facelift but my girlfriend told me that most doctors wouldn't do the operation on a smoker. Why would smoking be a problem? Is my friend wrong?


Answer: The nicotine in cigarettes, cigars, electric vapor cigarettes, nicotine patches, and nicotine gum causes vasoconstriction (tightening of the blood vessels) at the surgical site, which results in decreased blood circulation. When the wound site isn't getting a proper f

Question: I'm 57 years old with the face of a 45 year old but the neck of a 70 year old. When I cover my neck I look so much younger. I can only use a scarf to do this though because a turtleneck emphasizes my gobbler. I don't know if a face lift could help this or not. Is there anything that can be done; a scarf in 90 degree weather is torture!!


Answer: The neck is every bit as important as the face when it comes to having a youthful appearance. It's not that unusual to see a

Question: I'm over 50 and have been thinking about getting a facelift but my girlfriend told me that most doctors wouldn't do the operation on a smoker. Why would smoking be a problem? Is my friend wrong?

 

Answer: The nicotine in cigarettes, cigars, electric vapor cigarettes, nicotine patches, and nicotine gum causes vasoconstriction (tightening of the blood vessels) at the surgical site, which results in decreased blood circulation. When the wound site isn't getting a proper fl

What is the Foglietti Natural Vector Face Lift Technique®?

The Foglietti Natural Vector Face Lift ® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightening, the

Question: I'm 66 years old and had a consultation with you a year ago about having a facelift. I looked at the Before & After Album of your surgeries and was so impressed with the results of your vector technique. I have only one reservation about having the procedure; my cheeks have really thinned and I'm scared '™ll look like a skeleton. Is there a way to prevent that?

Answer: I'm excited to give you a new answer to your question! When I initially responded to your email, the

Question: For years I've had a minor amount of puffiness under my eyes. It was not always a problem; I just sometimes looked run down. However, I recently noticed that I've developed what looks like a sunken line or ring underneath the puffy part of my lower eyelid. I thought the puffiness made me look tired, this sunken ring makes me look downright old! How can this be treated?

Answer: What you're describing sounds like a tear trough deformity. I've had patients refer to

What is the Foglietti Natural Vector Face Lift Technique®?


The Foglietti Natural Vector Face Lift ® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightening, the s

Question: My sister lives in Desert Springs California and was telling me that her cosmetic surgeon was offering stem cell therapy in his office. I thought that research in stem cells was no longer allowed. Is this a scam?

Answer: Stem cells are capable of developing into any type of cell or tissue in the body thus offering the possibility for use in treating a wide range of serious injuries and diseases. It was initially believed that embryonic tissue was the richest source of st

What is the Foglietti Natural Vector Face Lift Technique®?

The Foglietti Natural Vector Face Lift ® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightening, the

Question: I'm 44 years old and have developed wrinkles around my eyes and lines around my mouth. I've read ads for both Botox® and Juvéderm® XC but am confused about which would work best for me. Are there significant differences between the two products?

Answer: Botox® and Juvéderm® XC are excellent products that function in completely different ways. In fact, I use both products together on a very regular basis because they compliment one another so well.

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What is the Foglietti Natural Vector Face Lift Technique®?

The Foglietti Natural Vector Face Lift ® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightening, the

Question: My husband is a 43 year old man who exercises regularly but is still very self conscious about this appearance because he has breasts. (If you call them that on a man?) He won't even go to the pool in the summer because he's uncomfortable being shirtless in public. No matter how much he works out, he's unable to lose the fat or tighten the skin in this area. Is there a surgery that could help him?

Answer: Your husband's problem is not uncommon and definitely makes a man v

Question: I was hoping you could clarify a disagreement that my sister and I are currently having. I have my 40th High School reunion coming up in August and her daughter is getting married in June. We both have a “wish list” of cosmetic procedures that we're considering. I booked an appointment with your office for the end of February but my sister said she's going to wait until April to set something up! I told her she wouldn't have enough time to do it before the wedding! Am I right??

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Question: I've read about lasers being used on the face to get rid of fine lines and wrinkles or skin discoloration. It sounds like something '™d like to do but right now I can't afford it. Is there anything I can do for improvement while I save my pennies for a procedure like that?

Answer: Laser treatments for facial skin, depending upon the laser used and the intensity of the treatment, can be highly effective. The drawbacks for people wanting such procedures are, as you noted, the

What is the Foglietti Natural Vector Face Lift Technique®?

The Foglietti Natural Vector Face Lift ® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightening, the

Question: Why is it that you see so many celebrities having bad plastic surgery? Some of them were very attractive people who are now morphed and look nothing like they did prior to surgery. They make their living on their looks; why wouldn't they go to the best surgeon available to protect their assets?

 

Answer: Some celebrities who have recently undergone bad facial surgery have been quite vocal about their unhappiness with the outcome, while others may be very happy with how they

What is the Foglietti Natural Vector Face Lift Technique®?

 

 

The Foglietti Natural Vector Face Lift ® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system

Question: I developed cellulite in my thighs and bottom; even at my best weight it is still visible. What is the cause of cellulite and are there any treatments for it that really work?

 

Answer: The dimpled or cottage cheese appearance is caused by the structural difference between cellulite fat and normal fat. Both cellulite fat and normal fat cells are the same consistency. The difference is due to the architecture of the cellulite fat cells just under the skin's surface. Bands (s

Question: I developed cellulite in my thighs and bottom; even at my best weight it is still visible. What is the cause of cellulite and are there any treatments for it that really work?

 

Answer: The dimpled or cottage cheese appearance is caused by the structural difference between cellulite fat and normal fat. Both cellulite fat and normal fat cells are the same consistency. The difference is due to the architecture of the cellulite fat cells just under the skin's surface. Bands (s

Question: I have some fine wrinkles and a few creases on my upper chest (just between and above my breasts). I'm really self-conscious of this, especially when I wear V-neck tops or dresses with straps. Is there anything that can be done to treat that area?

 

Answer: The area you're describing, known as the décolletage, is a concern to many women who opt for fashions that highlight the cleavage and collarbone. The main cause of this problem is excessive sun exposure and aging. Jus

What is the Foglietti Natural Vector Face Lift Technique®?

 

The Foglietti Natural Vector Face Lift ® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightening

Question: On a frequent basis, I see advertisements for products that are “better than Botox”, lunchtime laser liposuction, weekend facelifts, non-surgical tummy tucks, facial exercise equipment for jowls, and products that can thicken your hair and fill in balding areas in one treatment. Is there any truth to these claims; do they work even a little?

 

Answer: If it sounds too good to be true… well, you know the rest. The golden standard for treatment of these areas of the body

What is the Foglietti Natural Vector Face Lift Technique®?

 

The Foglietti Natural Vector Face Lift ® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightening

Question: After nursing three children, my breasts are sagging and flatter. I've been thinking about having a breast lift, but I'm concerned about ending up with really small breasts and also about the scars from the surgery. Do the scars fade eventually or will they always show?

 

Answer: It is very common for the breast size to diminish and the skin to sag after having children or losing significant weight. Each pregnancy can result in less breast tissue and more sagging. (Ptosis

Question: I have a two-part question that I've been meaning to email you about for some time. I was wondering whether or not Plastic Surgeons ever sell gift certificates for their services and if they do, whether or not it would be considered acceptable or impolite to give such a gift?

 

Answer: That's an excellent question and the timing couldn't be better with the holidays pending! The answer to the first part of your question is “Definitely!” At the Cosmetic Surgery Instit

What is the Foglietti Natural Vector Face Lift Technique®?

 

The Foglietti Natural Vector Face Lift ® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightening

Question: Since plastic surgery is almost always elective, do insurance companies ever pay for it?


Answer: In a perfect world we would all be able to make the changes we would like and have it covered by our insurance programs. Unfortunately, that isn't always the case. However, because plastic surgery encompasses both reconstructive surgery and cosmetic surgery, insurance will often pay for more procedures than you might expect. Most surgeries that are recommended to improve func

Question: I've been hearing people on TV and radio talking about “facial rejuvenation” and I was wondering what they meant by that exactly, do they just mean face lifts?


Answer: Facial rejuvenation is a broad term used in Cosmetic Surgery to refer to procedures that make a person look younger. The aging face is defined by a loss of tissue volume (thickness) in the mid face and a decrease in overall skin elasticity. The result of these changes is a more hallowed look around the

What is the Foglietti Natural Vector Face Lift Technique®?


The Foglietti Natural Vector Face Lift ® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightenin

Question:  I'm interested in having my breasts larger but I don't want them to be too big.

I am presently an A cup and would like to be a full B cup. I want to enhance my figure but don't want my breasts to be the first thing people notice. I'm also a runner and concerned that breast implants could make working out uncomfortable. What's your experience with this kind of situation?


Answer:  Inquiries like yours have actually become more common lat

Question: If we ever get sunlight in Cleveland again, what is the best way to protect myself from skin cancer?


Answer: According to The American Association of Dermatology, in the United States this year, more than 2 million cases of skin cancer will be diagnosed. Most Americans will have one of these skin cancers: basal cell carcinoma (the most common), squamous cell carcinoma, or melanoma. Most of these cancers are the result of damage caused by UVB (burning rays) and UVA (penetra

What is the Foglietti Natural Vector Face Lift Technique®?


The Foglietti Natural Vector Face Lift ® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightenin

Question: Can an actress like Angelina Jolie have a lip treatment that looks natural and is permanent?


Answer: I don't think that Angelina Jolie has had lip augmentation. I have seen photos of her at a young age and she had very full lips. Voluptuous lips are definitely the trend today and have been in vogue for some time. Luckily, there are a number of enhancement alternatives available to people who weren't fortunate enough to be born with full lips.


Some

Question: I am 66 years old and when I was 58 I had a facelift and eyelid surgery. My neck and eyelid skin has gradually loosened again and I'm beginning to develop jowls. I really want to keep a youthful look and was wondering if it's safe to have another facelift and eye surgery?


Answer: Your question is one I frequently hear when consulting with patients your age. The mid forties and fifties are a common time for people to begin facial rejuvenation surgery. People in this age

What is the Foglietti Natural Vector Face Lift Technique®?


The Foglietti Natural Vector Face Lift ® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightenin

Question: I developed cellulite in my thighs and bottom; even at my best weight it is still visible. What is the cause of cellulite and are there any treatments for it that really work?


Answer: The dimpled or cottage cheese appearance is caused by the structural difference between cellulite fat and normal fat. Both cellulite fat and normal fat cells are the same consistency. The difference is due to the architecture of the cellulite fat cells just under the skin's surface. Bands (

Question:  Do breast implants interfere with mammography and can a mammogram damage the implants?

Answer:  This is a question that I address with all of my breast implant patients.

The answer depends upon whether the implant is surgically placed above or below the pectoralis (chest) muscle.  Most of the time in very small or medium sized candidates for breast augmentation (A and B cups), the implants are placed beneath the ches

Question:  My husband is a 43 year old man who exercises regularly but is still very self conscious about his appearance because he has breasts. (if you call them that on a man?) He won't even go to the pool in the summer because he's uncomfortable being shirtless in public. No matter how much he works out, he's unable to lose the fat or tighten the skin in this area.  Is there a surgery that could help him?

Answer:   Your

What is the Natural (Vector) Facelift®?

The Natural (Vector) Facelift® is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightening, the skin is then gently positioned over t

Question:  Since plastic surgery is almost always elective, do insurance companies ever pay for it?

Answer:   In a perfect world we would all be able to make the changes we would like and have it covered by our insurance programs. Unfortunately, that isn't always the case. However, because plastic surgery encompasses both reconstructive surgery and cosmetic surgery, insurance will often pay for more procedures than you might expect.


Question:
  I have recently seen short magazine & news articles about a prescription medication that is supposed grow eyelashes. My eyelashes are really thin and fall out very easily; this has always been a problem. I've tried the eyelash extensions and they are such a pain to have put on and eventually come off.  Would this stuff work for someone like me or is it only for people who have a body hair disorder?

Answer:  The new product that

Question:  I have recently read about a new liposuction technique that uses a laser. The article said that there is little bruising, and a quick recovery time? How is this different from standard liposuction?


Answer:  Liposuction has evolved tremendously over the last several decades. In the past two decades alone, a number of new techniques and instruments have been developed for liposuction surgery, the most recent of which is

Question:  With all the layoffs that have been occurring and the resulting competitive workforce, I've recently been considering plastic surgery. I'm 55 years old and working middle management in a field that has seen a lot of job reductions. I'm wondering what you would suggest to give me a “competitive edge” over some of the younger entrants into the job market?

Answer: In a perfect world, competition in the workforce would be based pure

Question:  My neighbor recently had a facelift and although she looks much better, her ­­face and neck. Is that normal when you have a facelift? What is traditionally done in a facelift and what would be considered a different procedure?

Answer: This is a good question; generally the facelift includes the face (from the level of the temples to the chin) and the neck (from the jaw line to the adam's apple). The eyelids (upper or lower) and the fo

Question:  For years I've had a minor amount of puffiness under my eyes. It was not always a problem, I just sometimes looked run down. However, I recently noticed that I've developed what looks like a sunken line or ring underneath the puffy part of my lower eyelid. I thought the puffiness made me look tired, this sunken ring makes me look downright old! How can this be treated?


Answer:  What you're describing sounds like

Question:   I am 66 years old, and when I was 58 I had a facelift and eyelid surgery. My neck and eyelid skin has gradually loosened again and I'm beginning to develop jowls.  I really want to keep a youthful look and was wondering if it's safe to have another facelift and eye surgery?

Answer:  Your question is one I frequently hear when consulting with patients your age. The mid forties and fifties are a common time for peop

What is the Natural (Vector) FaceliftTM?

The Natural (Vector) FaceliftTM is a method of tightening the face in a manner that gives the most natural and relaxed appearance post surgically. This facelift technique tightens the facial tissue covering underlying muscle in multiple directions or vectors; which counteracts the sagging and laxity that occurs as we age. The tissue is then returned to its younger, original position. After this system of tightening, the skin is then gently positioned over t

Question:  I am a 52 year old woman in good health. I was a 1 pack per day smoker until I quit 5 years ago.  I was also a sun worshiper, as I think most of my generationwas, and would burn and tan every summer of my youth. The skin on my face looks pretty good but I am embarrassed by vertical lines around my mouth. Is there anything I can do about this?

Answer:  The history you've just described is a text book example for developing

Question:  I have seen ads for cosmetic surgery where you can recover at a spa or resort immediately after the surgery. Are these facilities safe?

Answer:  The people in charge of marketing these places and some physicians often minimize the complexity of cosmetic surgical procedures, as well as the post-operative recovery. By doing this, they hope to entice patients to their facilities by making surgeries seem effortless and painless.

T

Question:  I'm interested in having my breasts larger but I don't want them to be too big.

I am presently an A cup and would like to be a full B cup. I want to enhance my figure but don't want my breasts to be the first thing people notice. I'm also a runner and concerned that breast implants could make working out uncomfortable. What's your experience with this kind of situation?


Answer:  Inquiries like yours ha

Question: I have a small, flat behind and have always wanted a more rounded one. I'm not interested in something as dramatic as JLo's but '™d like to be significantly more shapely than I currently am. I've heard that there are implants for the bottom and I'm wondering how safe they are?


Answer:  There are a few surgical options available for the small or saggy buttock region; they are free fat transfer, gluteal implants, and

Question: I have been seeing advertisements for laser liposuction. Is this a significant breakthrough in liposuction surgery and, if so, what are the benefits?


Answer:  To be very frank, laser-assisted liposuction is purely gimmick. The technique of tumescent liposuction remains the gold standard for excellent results and rapid healing. Other so-called advances such as ultrasonic 
liposuction were the rage and have since prov

Question: Recently I've been seeing a ton of commercials on TV for facelifts with different names. Are they truly facelifts or different kinds of procedures? Are any of these something to be leery of?


Answer:  A lot of the surgeries being advertised (I'm not able to list their real titles) have names like the rapid lift, weekend lift, mini lift, lifetime lift. These are surgeries designed to reduce recuperation time and money spen

Question:  Why is it that you see so many celebrities having bad plastic surgery? Some of them were very attractive people, who are now morphed and look nothing like they did prior to surgery.  They make their living on their looks; why wouldn't they go to the best surgeon available to protect their assets?

Answer:  Some celebrities who have recently undergone bad facial surgery have been quite vocal about their unhappiness with the

Question:  I have seen ads for cosmetic surgery where you can recover at a spa or resort immediately after the surgery. Are these facilities safe?

Answer:  The people in charge of marketing these places and some physicians often minimize the complexity of cosmetic surgical procedures, as well 
as the post-operative recovery. By doing this, they hope to entice patients to their facilities by making surgeries seem effortless and painless

Question: My friend's mom was telling her about  a new facial procedure that was supposed to be amazing. I think she called it a “Natural Vector”?? I'm wondering if you're aware of what she's talking about and what kind of surgery it is?


Answer:  It's very ironic that you asked me about that because the system she was referring to is actually something that was developed in my practice.  The Natural (

Question:  On a frequent basis, I see advertisements for products that are “better than Botox”, lunchtime laser liposuction, weekend facelifts, non-surgical tummy tucks, facial exercise equipment for jowls, and products that can thicken your hair and fill in balding areas in one treatment. Is there any truth to these claims; do they work even a little?


Answer: If it sounds too good to be true… well, you know the rest. The golden

Question:  I've been thinking about getting breast implants and have no idea what size would be best for me. How would I determine that? What is your most commonly requested size?


Answer: There are many things to think about when deciding on an appropriate postoperative breast size. The first thing that you would want to consider is whether or not you want to go with a very natural look or a more “stand out” appearance.

A

Question:  I'm 55 years old with the face of a 45-year- old but the neck of a 70-year-old.  When I cover my neck I look so much younger.  I can only use a scarf to do this though, because a turtleneck emphasizes my gobbler.  I don't know if a facelift could help this or not.  Is there anything that can be done? A scarf in 90º weather is torture!!


Answer: The neck is every bit as important as th