Gummy bear or anatomical implants are shaped like a breast. Hence they have texturing on the implant surface to adhere the implant to the breast tissue to prevent rotation. If these implants rotate, it produces an unsightly appearance as the fuller portion of the implant is now higher up.

Traditional silicone implants are hemispherical but assume a breast like shape when the person is in an upright position. Hence even if the implant flips around, it is of no consequence as it still maintains its shape.

Given its natural shape, there is a tendency to think that anatomical implants are better. However a recent study found that plastic surgeons were only 50% correct in predicting if a woman had anatomical or traditional implants when shown a photograph. Traditional implants have the same width and height; anatomical implants can be shaped such that they can be wider than tall, taller than wide etc.

In most patients this is of no consequence. However, uncommonly some women an have unusually shaped chest wall where a shaped implant is preferable. Besides, texturing on the implant surface has been related to a rare form of cancer called ALCL (Anaplastic large cell lymphoma). This has not been observed with smooth surfaced implants.

The verdict:

In most women traditional implants give as good a result as anatomical implants without the risks of rotation and ALCL.

For more information on Plastic Surgery and Non-Surgical Medical Spa Procedures and Treatments in Offices in Dallas, Frisco, Sherman, Texas and surrounding areas please contact the offices of Board Certified Plastic Surgeon Dr. Matthias Solomon by clicking here or calling 214-983-0213.

Serving patients in Highland park, University Park, Preston Hollow, McKinney, Prosper, Allen, Southlake, Denton, Irving, Flower mound, Little Elm, Fort Worth, Texas and surrounding areas.

This is a very common question in my practice. The midface is the area just beneath the lower eyelids; if you draw a line from the corner of the upper lip to the top of the ear, the midface lies above this line.

A traditional facelift cannot elevate the midface. This is why some patients have the lateral sweep deformity (the situation where the lower face is pulled and the midface is droopy). However, a deep plane facelift can lift the midface and the lower face together thereby avoiding the pulled look. Although many surgeons do a midface lift separate from a facelift, in my opinion this is of no benefit. A well done deep plane facelift will elevate both these areas harmoniously and produce excellent rejuvenation of the face.

For more information on Plastic Surgery and Non-Surgical Medical Spa Procedures and Treatments in Offices in Dallas, Frisco, Sherman, Texas and surrounding areas please contact the offices of Board Certified Plastic Surgeon Dr. Matthias Solomon by clicking here or calling 214-983-0213.

Serving patients in Highland park, University Park, Preston Hollow, McKinney, Prosper, Allen, Southlake, Denton, Irving, Flower mound, Little Elm, Fort Worth, Texas and surrounding areas.

In the last post I talked about the two components of an attractive brow:

1. Brow shape

2. Brow height

We covered brow shape in our last post. Today we will look at brow height. But before we get into this, the viewer needs to understand what the lid cheek junction is. This is the junction point of the lower eyelid and the cheek. It is marked by the single arrow in the first photo on the patients right side (our left). The lid cheek junction appears lower with advancing age and a bulging lower eyelid. A lower lid lift will bring this junction up.

In someone with an attractive eyebrow, the pupil is exactly in the middle of two points; one point placed over the mid eyebrow above and the other point placed at the lower eyelid/ cheek junction below. Look at the left eye of the patient in photo 1. The line from the pupil to the brow is shorter than the line from the pupil to the lower lid cheek junction. In photo 2, which shows the patient after a brow lift, the lines are of equal length and the pupil is in the middle of the two points discussed above.

With age, the lid cheek junction gets lower. To balance this out, the brow needs to be lifted so that the pupil is still at the middle of the two points discussed above. Conversely, if a lower eyelid lift is done and the lower lid cheek junction is moved up, then the brow will look attractive even without a brow lift.

Unfortunately a brow lift is one of the most over done procedures in plastic surgery; this makes the patient look odd, surprised and perplexed as the brow is lifted too high and the inner end of the brow (that is ideally lower) is lifted higher than the outer end (which is ideally higher).

Finally between brow shape and brow height; shape takes precedence. A low brow that is well shaped will still look attractive. But a brow at the right height will not look good if the shape is compromised.

At Solomon Plastic Surgery, we go for the natural and rejuvenated look. In certain patients, Dr. Solomon does a lower eyelid lift and fat injection to the brow as opposed to a brow lift, which can lift the brow too high.

For more information on Plastic Surgery and Non-Surgical Medical Spa Procedures and Treatments in Offices in Dallas, Frisco, Sherman, Texas and surrounding areas please contact the offices of Board Certified Plastic Surgeon Dr. Matthias Solomon by clicking here or calling 214-983-0213.

Serving patients in Highland park, University Park, Preston Hollow, McKinney, Prosper, Allen, Southlake, Denton, Irving, Flower mound, Little Elm, Fort Worth, Texas and surrounding areas.