Get ready for another wrinkle-relaxing option beyond Botox, Dysport, and Xeomin because a new injectable called Jeuveau recently received FDA approval for vertical lines between the eyebrows—and plans call for a significantly lower cost. Slated for a Spring 2019 launch, this product from Evolus is approved strictly for aesthetic use, unlike Botox, which has myriad FDA approvals for a variety of medical conditions under its belt.

But this isn’t the only Botox-related news… Revance’s RT002 is also in the pipeline, and this injectable toxin, which is in the final stages of FDA trials, has shown to provide wrinkle-smoothing results for up to seven months—almost double the amount of time that currently available toxins are able to deliver. Although it’s impossible to say when RT002 will hit the market (likely with a different name and no sooner than 2020), this is definitely a development doctors and patients alike are keeping a close eye on.

Yet another option currently dubbed BoNT/E is also in the final stages of FDA trials, but this product is distinctly different than other wrinkle-relaxing injectables on the market. Said to take action faster and last for significantly less time, BoNT/E is likely to be geared toward first-time toxin users who are apprehensive about three or so months of reduced muscle movement—or those looking for a “quick fix” as opposed to a longer-term commitment.

In addition to new injectable toxin products, new injectable techniques are also gaining momentum. For example, “micro-Botox” or “Baby Botox” involves superficial injections that solely target the skin rather than the muscles that cause wrinkles associated with facial expressions. Benefits of this injection technique also include reduced oil and sweat production, which helps refine the overall appearance of the complexion, in addition to preventing the formation of lines that are visible while the face is at rest.

Dr. Rizk responds:
New options in terms of products and injection techniques are always advantageous for patients. With more products and more ways to use them, treatment can be tailored for each patient’s unique needs—and help them achieve their goals both short- and long-term. These pending developments also expand the potential patient base that can enjoy the results achieved with these treatments. “Botox” is no longer limited to improving the appearance of visible signs of aging, and there are now far-reaching benefits for patients of all ages beyond expression-related wrinkles.

To learn more about the many uses for Botox as well as other currently available and forthcoming injectable toxins, call 212-452-3362 today to schedule a consultation with double board-certified facial plastic surgeon Sam Rizk, MD.

Why Asian eyelids require a natural approach

There are many special considerations when approaching blepharoplasty in patients of Asian descent. First and foremost is maintaining ethnic integrity while delivering the results a patient desires. The means to this end is a highly-experienced plastic surgeon who understands the anatomical nuances between Eastern and Asian eyelids—and New York City facial plastic surgeon Dr. Sam Rizk not only has a proven track record for optimal outcomes, he shares his unique techniques with plastic surgeons around the world.

Also known as “double eyelid” surgery, the primary goal of blepharoplasty in Asian patients is creating a natural-looking eyelid fold between the eyelid and brow bone. Without this crease, eyes can appear puffy or tired—but blepharoplasty can be used to create a wider eye-opening as well as a more alert appearance.

Asian blepharoplasty requires advanced techniques, and there are a variety of incision options that can be used depending on the patient’s unique anatomy as well as his or her goals. A full incision where the crease will ultimately reside is one approach, and this is generally recommended for older patients experiencing moderate to severe eyelid puffiness or drooping. This incision is used to remove excess skin and fat, as well as reshape the eyelid and attach it to the tissues beneath—and the scar is virtually undetectable once healed.

In patients without excess skin, a partial incision can yield similarly dramatic results. With this approach, several small incisions are made in lieu of one long incision to excise excess fat and create a more defined eyelid crease.

In select patients with limited excess skin and fat, a less invasive approach that involves strategically-placed sutures within the upper eyelid can be used to create a natural-looking crease and provide long-lasting results.

Dr. Rizk responds:
Regardless of ethnicity, all blepharoplasty procedures should be tailored to each patient’s unique anatomy and goals, however, this is especially important when approaching Asian eyelid surgery. This highly intricate procedure requires a board-certified facial plastic surgeon with exemplary skills and expertise as well as an artistic eye in order to achieve the ideal and most natural-looking outcomes.

To learn more about Asian and other ethnic blepharoplasty techniques and procedures, call 212-452-3362 today to schedule a consultation with New York City double board-certified facial plastic surgeon Sam Rizk, MD.

What is the “ideal” female lip?

Lips are definitely not one-size-fits-all, and many women have their own ideas about the “ideal” lips they’d like to have. Personal preferences are one thing, but proportion and balance with other facial features is paramount—and there actually is a way to quantify the most attractive lip shape and size for any given face.

It all comes down to math, and a study published in the JAMA Facial Plastic Surgery Journal has detailed the formula. Essentially, the “perfect” pout has an upper-to-lower lip ratio of 1:2 and a surface area that equals 9.6% of the lower third of the face.

Very few women are naturally blessed with lips that perfectly fit this rule, and the natural aging process affects the shape and size of the lips as well. The most common time-related changes include loss of volume that leads to thinning and wrinkling, vertical lines around the lip border and a downward turn of the lips’ corners.

Fortunately, injectable hyaluronic acid fillers can help restore a more youthful-looking appearance and achieve ideal lip proportions in patients of all ages. There are a variety of products designed specifically for this area, and they can be used to increase lip volume, plump up surrounding skin and elevate the corners to a more aesthetically pleasing position.

In some cases, a lip lift may be the best approach for more significant long-lasting improvement. This surgical procedure can improve thin lips, increase the distance between the nose and upper lip, and address drooping at the corners of the mouth. There are a variety of lip-lift techniques, and the best approach is dictated by the patient’s unique concerns and goals.

Dr. Rizk responds:
Lip enhancement is one of the most requested treatments, as relatively subtle changes can make a significant impact on a patient’s overall facial appearance. However, it’s essential to consider both the mathematical “rules” as well as the patient’s desired results. There is a fine line between lips that look natural and lips that look overdone, and properly performed lip enhancement should be almost undetectable. Choosing an experienced physician with an artistic eye helps avoid the “duck lip” appearance that is often associated with lip enhancement—and ensures beautiful outcomes that help improve the attractiveness of the face as a whole.

To learn more about lip enhancement with injectable fillers or surgical lip-lift procedures, call 212-452-3362 today to schedule a consultation with New York City double board-certified facial plastic surgeon Sam Rizk, MD.

Why a “strong chin” can be key for a man’s appearance

There are several key attributes that contribute to a masculine face, and defined facial contours are perhaps the most important. In addition to focal points like the cheekbones and jawline, the chin plays a particularly pivotal role in overall facial harmony and the appearance of the male face.

The projection of the chin is especially significant, and a jaw that falls behind the lower lip can cause the face to appear unbalanced. Often referred to as a “weak chin,” this condition is less than desirable in men and women alike, though its overall impact on facial appearance can be more pronounced in male patients. The appearance of a weak chin can be exacerbated by an overly large nose, which is why roughly 30% of the rhinoplasty procedures performed on males may be accompanied by chin augmentation.

There are both non-surgical and surgical chin augmentation options that help create the appearance of a strong chin. In males that only require a small degree of chin enhancement, injectable fillers or a patient’s own fat can be used to increase projection as well as jawline definition. However, surgical procedures such as the insertion of a chin implant can provide more significant and longer-lasting results.

The ideal chin augmentation approach is based on careful measurement of the angles and symmetry of a male patient’s facial features. The goal is to create balance and harmony across the entire face as well as the neck, which is why liposuction beneath the chin or on the neck may be recommended as well to obtain optimal results. Chin augmentation requires a surgeon with an artistic vision who takes a variety of other factors into consideration when planning non-invasive or surgical intervention, as the ultimate appearance of the chin is intrinsically tied to the nose, neck, lips, and forehead as well.

Chin augmentation surgery involves the placement of a silicone implant that enhances projection and definition. Depending on the patient’s anatomy and desired outcomes, an implant can be placed through an incision within the mouth or under the chin. Most plastic surgeons prefer using an incision beneath the chin to minimize the risk of implant shifting and infection due to natural bacteria in the mouth, however, the scar is virtually undetectable once healed.

Dr. Rizk responds:
There are distinct nuances that contribute to the perception of a masculine or feminine face, and in most cases, it comes down to geometry, and mainly the angles associated with certain facial features. While the female face is characterized by softer transitions from one area of the face to another, sharper angles and more defined contours are considered more of a male aesthetic ideal. A “strong chin” can be safely and easily created with an implant that brings the lower face more in line with the projection of other parts of the face, such as the nose, cheekbones, and forehead. The simple act of augmenting the chin (with or without other facial refinements) helps create a more balanced and masculine-looking profile that enhances overall attractiveness and boosts self-esteem in male patients.

To learn more about chin enhancement with injectable fillers or chin implants, call 212-452-3362 today to schedule a consultation with New York City double board-certified facial plastic surgeon Sam Rizk, MD.

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Sam Rizk, MD

By Dr. Sam S. Rizk, M.D., FACS.

Dr. Rizk is a double board-certified facial plastic surgeon who specializes in rhinoplasty surgery and a recognized expert on the latest advances in facial plastic surgery techniques. He performs a range of facial plastic surgeries at his New York practice.

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