The jawline can be a crucial part of facial aesthetics. A strong jawline in men is often associated with attractiveness and confidence. For women, a jawline can represent youth and beauty. 

Allergan (the maker of BOTOX and JUVEDERM) has just released a filler created specifically for the jawline. This ​​long-lasting filler is now available at aesthetic practices for patients over the age of 21 with moderate to severe loss of jawline definition.

VOLUX is a slightly more cohesive and thicker formula than JUVEDERM VOLUMA. Both of these fillers build volume and create a lift beneath the skin, but while VOLUMA is FDA-approved for the chin and cheeks, VOLUX is FDA-approved to treat the chin and jawline.

The procedure only takes a few minutes, and any swelling is dramatically improved within 48 hours. Results last between 12 and 18 months.

This patient was treated with multiple syringes of VOLUX to the jawline and VOLUMA to the cheeks and chin.

All of our providers are expert injectors and can help you to assess your jawline and other aspects of facial aesthetics. Call us to schedule a consultation.

lip lift is a surgical procedure that shortens the space between the nose and the top of the lip. This increases the amount of pink lip tissue that’s visible, which makes the lips look fuller and more pronounced. It can also increase how much your upper center teeth show when your lips are resting. It leaves a small scar at the base of the nostrils, but it is usually undetectable after a few weeks.

It’s a good option for people who want to add height instead of volume to their lips. Younger people who haven’t achieved the look they want from fillers, or if they find that fillers make their lips look unnaturally plump or duck-like, may prefer a lip lift.

And a lip lift is a good option for reducing the space between the lips and the nose. With age, this space can increase and can make the upper lip look thinner.

 

The two patients above were treated by Dr. Simon Madorsky.

Are you looking for a “snatched” jawline? Are you tired of pushing yourself at the gym but still seeing no changes to your double chin? You are not alone! A stubborn double chin or sometimes called extra submental fat may not be your fault.


Age, genetics, and lifestyle (i.e. diet and exercise) influence the size and stubbornness of a double chin. Achieving a tight and defined jawline depends on several factors including our chin position, amount of
submental fat, and neck skin sagging.


The Youthful Neck
A youthful neckline conveys a sense of health, confidence, and attractiveness. We associate a beautiful neckline with a strong chin and jawline that creates a natural and defined transition from the jaw to the neck.


Understanding the Double Chin
Not all double chins are the same. The double chin seen in younger patients (ages 20-30s) with fullness below the chin is typically due to stubborn, excess fat just below the level of the skin (i.e. pre-platysma fat). These individuals are great candidates for less invasive treatments such as fat dissolvers (i.e. Kybella), Submental Liposuction, and occasionally Isolated Deep Neck Contouring.

Sometimes, these individuals also have a smaller, weaker chin, which makes the “double chin” even more noticeable. For these patients, I like to augment the chin with either filler or a more permanent solution such as a chin implant.

If you’re struggling with a “double chin” but none of this applies to you, don’t worry! We’re only scratching the surface of double chins on this blog. Stay tuned for our next blog where I’ll discuss more advanced treatment options.

 

Dr. Simon Madorsky, facial plastic surgeon, addressed an audience of California Dermatologists at the CalDerm Symposium, September 23-25 in Carlsbad. He spoke on Fillers and Nuromuscular Toxins (such as Botox), providing advice and tips for these injectables, as well as explaining relevant facial anatomy.

He also spoke to the group about wound repair, including various skin flaps and grafts. These are used for both trauma and skin cancer reconstruction.

He had the chance to meet Dr. Sandra Lee, aka Dr. Pimple Popper!!

Dermal fillers, also called injectables, are a safe and effective way to enhance your appearance without the need for invasive surgery or downtime, but results are very dependent on the injector. At the Appearance Center, our providers are highly-trained medical professionals, familiar with the unique anatomy of the face, and have had extensive training and years of experience.

Dermal fillers can be used to address a variety of different cosmetic concerns – restoring lost volume to depleted areas, creating more attractive facial contours, and improving symmetry.

This 60-something patient’s subtle and beautiful results were obtained with Restylane Contour and Restylane Lyft.

FIGHT THE SIGNS OF AGING

As the skin is subjected to elements over time, the appearance of a face changes. Dermal fillers reverse this by giving a person back the facial volume they may have lost. These fillers can also make the cheeks look more contoured, give a more defined jawline, and overall make a patient look refreshed.

One of the great things about dermal fillers is that virtually no recovery time is required. After their treatment session, patients can usually return to most activities right away.

More good news: The results of dermal fillers are not permanent. If you don’t love your results from dermal filler injections, take heart knowing the effects are temporary. 

Filler technology enables results to last six to 18 months although there is variation between individuals, as well as according to the type, quantity and depth of the dermal filler placed within your skin.

In many cases, a skilled cosmetic eye can make more immediate corrections or improve upon your previous results. Our providers are also experienced with correcting over-filling or wrong-site filling done at other locations.

One of the great things about our multi-specialty practice is knowing that you have access to multiple unique specialists in one office. This patient benefitted from the input of our oculoplastic surgeon, cosmetic dermatologist, and facial plastic surgeon.

A Rhinoplasty, or nose job, is surgery performed to alter the way your nose functions and looks. According to the American Society of Plastic Surgeons, nearly 220,000 rhinoplasties are performed yearly, making this the most common facial plastic surgery procedure. Rhinoplasty can simultaneously help you improve breathing and achieve a more balanced appearance

 

Dr. Simon Madorsky

IS RHINOPLASTY RIGHT FOR ME?

A common medical reason for rhinoplasty is difficulty breathing through the nose. Nasal obstruction can cause problems with exercise, disturb sleep, contribute to snoring and sleep apnea, or interfere with other activities. If medical treatments (such as nasal spray or sleep apnea treatment) fail, surgery may be the next step. Rhinoplasty done for medical reasons such as these is often covered by health insurance.
 

WHAT ABOUT COSMETIC RHINOPLASTY?

Patients often ask, “While you’re in there, could you make other changes to my nose?” The answer is yes. The most common requests are reducing a nasal hump, refining the tip, or correcting asymmetries. These cosmetic changes, which are not covered by insurance, are frequently combined with functional rhinoplasty so there is only one recovery.

Hyaluronic acid injections, commonly known as “fillers,” are a popular way to increase lip volume. Injectable filler is relatively quick to perform, has minimal downtime, and provides immediate results.

Not all patients will benefit from lip filler, especially patients with a long upper lip. In those cases, a surgical lip lift is the only option for lip enhancement. 

A lip lift strategically removes skin from right beneath the nose. The lifted red lip becomes more exposed.  This adds height to the red lip and the appearance of volume. The “duck lip” look is avoided. And best of all, the results are permanent. 

Lip lift before and after.

After the lip lift, the patient may be a better candidate for lip filler. The filler can add tasteful volume to the heightened lip, creating the perfect lips. 

“I’ve got some good news, no more cancer.” Dr. Adam Aronson calmly said to Wade Jackson. A dermatologist and Mohs surgeon, Dr. Aronson confirmed that all cancer had been removed from Wade’s lower eyelid, through the process of Mohs surgery, where layers of skin are removed and viewed under a microscope until cancer cells are no longer present.

Wade was then ushered next door to the SCARS Surgery Center, where oculoplastic surgeon Dr. Justin Karlin reconstructed the eyelid tissue. Although the news was good, it was just one more step in Wade’s years-long dance with skin cancer.

Four years earlier, he was at the SCARS Center having skin cancer removed from his nose, also with Mohs surgery. The deficit was so large that it required an extensive reconstruction by plastic surgeon Dr. Simon Madorsky. Not just one operation, but a multi-stage process was required to rebuild that part of Wade’s nose (see page 3).

When asked what he thinks led to these cancers, Wade is quick to respond. “Well, it was simply a lack of knowledge. Back in the late 60s and 70s, the only time we would apply anything was after we were already burnt to a crisp.” Years of outdoor sports and surfing, and then sun exposure while serving in the US Coast Guard sealed his fate.

“Dr. Madorsky had to perform major reconstruction on my nose, and did so with amazing results. This man is truly an artist.”

Quite a compliment from Wade Jackson, who is himself a professional artist.

When a traumatic brain bleed in 2007 upended his life, Wade was unable to return to the business that he and his family had built. He started to sculpt as a way to get his brain working again. With knowledge of welding from his Coast Guard days, Wade utilized metal and stone as his primary media. A passion for all things aquatic inspires his work. While he still struggles with analytical thinking, the creative side of his brain took off.

By 2013 he had created enough works to sell, and was accepted to the Festival of The Arts in Laguna Beach. “This was my breakout.”

When he met Dr. Madorsky in 2017, little did he know the impact they would have on each other. Over the many months of reconstruction and healing, they developed a connection. “At some point, Simon became a friend,” said Wade.

If working towards a PhD at UC Irvine was not enough, Klebea was also planning her wedding in Brazil. Wedding photos would be memories for the rest of her life. She was hoping to improve the unsightly scar on her cheek, a painful reminder of a past skin cancer removal.

She was referred to Dr. Simon Madorsky for scar treatment. During the office visit, he noticed something more ominous on her nose. Two separate nasal lesions were biopsied, and both were found to be basal cell carcinomas. As cancer treatment was planned, he treated her scar with injections and a topical scar cream. The cheek scar improved in time for the wedding, but the subsequent skin cancer surgery loomed large in her mind.

The plan was to undergo Mohs surgery­—a process that gradually removes skin involved with cancer, layer by layer, while sparing the surrounding healthy tissue, all in the same day. Each layer removed is examined with a microscope to track the cancer cell invasion. This process is repeated until no more cancer cells are seen.

Dr. Jonathan Baron performed the Mohs surgery. It took six layers to achieve cure. “He kept taking more layers, kept coming back. It was deeper than expected. I felt like 70 percent of my nose was gone.” Indeed, a large portion of the nose was lost to cancer. “We had discussed types of reconstruction, but I knew we would have to wait until that day to know the options.” When Dr. Madorsky told Klebea that a forehead flap was required for reconstruction, she started to cry.

Three months later, after the nose was fully healed, Klebea was not only cured, but free to live her life—finish her PhD, and enjoy being a newlywed. The SCARS Center team helped Klebea look her best for the wedding day and for every anniversary to come.