Liver spots, commonly known as age spots, are a sign of aging that can compromise a smooth, youthful look of the face and other areas. The spots are usually seen in black, brown or tan colors, and in varying sizes. Exposure to the sun over the years causes these spots in sun-exposed areas such as the face, hands, shoulders and arms. People above the age of 50 are more commonly affected by age spots.

Several non-surgical treatments can be used to mitigate the effect of liver spots or remove them entirely from the skin. An experienced treatment provider will suggest the best solutions depending on a patient’s skin type, color and the size of the spots. Dr. Gary Motykie MD is a board certified plastic surgeon providing treatment for age spots to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.

Non-Surgical Treatment Options

It is possible to treat age spots with non-surgical treatments that will involve minimal to no downtime or discomfort. But the provider must take care to select a treatment that can penetrate below the epidermis because the pigment in age spots is located at the bottom of the epidermis.

Medications

In case of mild to moderate appearance of liver spots, some prescription bleaching creams may be applied to reduce their effect over several months. If the condition is more severe, the provider may recommend a combination of these creams along with retinoids and a steroid.  

During and after the treatment, the patient should use a broad spectrum sunscreen with an SPF of 30 or higher for a few months. Initial side effects of the treatment may include itching, redness, dryness or stinging sensation.

Light-Based Treatments

Melanocytes, which are melanin producing cells, are the cause behind age spots. Melanocytes can be eliminated or disintegrated with the help of targeted light based treatments such as IPL or laser therapy. The top layer of the skin remains unaffected with these treatments.  

Following light therapy, the age spots will gradually diminish over a few months. These treatments do not have any significant side effects, but mild skin discoloration may occur in some cases. Sun protection is essential with these treatments.

Freezing (Cryotherapy)

Liquid nitrogen or another freezing agent may be applied to destroy the melanin pigment. The skin begins to appear lighter as the treated area heals. Freezing therapy may be used over a single liver spots or a small cluster of spots.

Dermabrasion

This procedure involves planing or sanding down of the upper skin layer with a fast rotating brush. As the top layer is removed, it gets replaced with new skin. Temporary redness and scab formation may occur with this technique.

Chemical Peel

Customized chemical peels can be applied to treat age spots. The chemical will cause the uppermost layer of skin to peel. New skin will appear in its place, causing the age spots to fade. Dr. Gary Motykie MD receives patients from Beverly Hills, West Hollywood, Los Angeles, and other communities throughout the region for age spot treatment.

Contact Beverly Hills Board Certified Plastic Surgeon Dr. Gary Motykie to Schedule a Consultation

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Over 200,000 nose job surgery procedures are performed each year in the US, putting it among the top five plastic surgery procedures in the country. Rhinoplasty or nose job is primarily performed for cosmetic purposes, but it may also be used to correct breathing obstructions through the nostrils. In case of severe injury to the nose, reconstructive rhinoplasty may be performed.

The nose job surgeon will recommend open or closed rhinoplasty technique, depending on the extent of changes required. Open surgery may be used when major alterations to the shape or size of the nose are required. Closed rhinoplasty is preferred for smaller improvements, and it leaves no visible scars on the outside.

Board certified plastic surgeon Dr. Gary Motykie MD provides this procedure to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.

Surgical Techniques

Based on the patient’s cosmetic needs and their specific nose and facial anatomy, the surgeon will determine the right surgical technique to be used.

Reduction Rhinoplasty

Reduction rhinoplasty is one of the more common types of nose job procedures. It involves size reduction of the nose to bring it in balance with other facial features such as the chin, and improve overall facial proportion.

The surgeon may additionally perform reshaping of nostrils and nasal tip or removal of a nasal bump along with this procedure. Precise amount of bone and cartilage removal will be performed to create the right shape and size of the nose.

Augmentation Rhinoplasty

If the nose looks disproportionately small or accentuates other facial features beyond what is required, the surgeon may recommend augmentation rhinoplasty surgery. It may involve tissue or bone grafting to build up the nasal bridge and tip.

Cartilage from the septum or other areas such as the ribs may be used. In some cases, the surgeon may use synthetic implants for augmentation. Dr. Gary Motykie MD receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for rhinoplasty.

Post-Traumatic Rhinoplasty

If the patient has sustained a major injury in the nasal area, the surgeon may have to perform post-traumatic nose surgery in order to restore function as well as aesthetics. This may involve tasks such as straightening of the nose, repairing of a fractured bone, and correcting the deviated nasal septum.

Reconstructive Rhinoplasty

Full or partial loss of the nose may occur if the patient suffers from skin cancer or another disease or injury. Following cancer surgery, the surgeon may have to perform reconstructive nose surgery to restore the natural shape of the nose. Skin grafting, flap technique, and nose implants may be employed in reconstruction.

Ethnic Rhinoplasty

People of different ethnic origins such as African Americans, Asians, or Hispanics will have some nasal characteristics that are peculiar to their ethnicity. They may choose to undergo ethnic rhinoplasty to enhance their nasal contours as desired.

Recovery

Nose job may involve downtime of about one week. Sutures, splint, or nasal packing may be removed around the end of first week. Soreness, nosebleeds, and headaches may occur in the first few days. Patients should avoid blowing their nose during the recovery phase – certainly right after the surgery and certainly hard.

Contact Beverly Hills Board Certified Plastic Surgeon Dr. Gary Motykie to Schedule a Consultation

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To see more services and treatments provided by Board Certified Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles | West Hollywood, CA and his team please visit:

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      • motykiemedspa.com
      • freezethefatbeverlyhills.com
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The nose is a unique part of the face that can dramatically accentuate its beauty and proportion. A little change to the nose will have a magnified impact on the overall facial appearance. Therefore, a nose reshaping procedure such as rhinoplasty becomes a highly creative plastic surgery that should involve the principles of both science and art in order to achieve the best outcome.

The cosmetic surgeon should carefully assess the patient’s unique facial features and structure and balance these scientific facts against the patient’s personal aesthetic needs and desires. Rhinoplasty should be performed by a trained and experienced surgeon who can achieve this subtle balance between science and art and ensure maximum patient satisfaction.

Dr. Gary Motykie MD is a board certified plastic surgeon providing rhinoplasty and various other surgical and non-surgical cosmetic procedures to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.

Creating Facial Balance

A candidate for rhinoplasty will usually have one or more concerns about the shape, size, or overall construction of the nose. Some patients may want to improve their existing nose profile, while some others may be dissatisfied with the oversized nostrils or a flat nasal tip. While the surgeon will have to carefully account for the patient’s individual cosmetic needs, they must ensure that the nose is improved in context of the entire face and not in isolation.

The key concern of the surgeon at the time of rhinoplasty planning should be to maintain a natural balance and proportion among different facial features while making essential changes to the nose to meet the patient’s goals. For instance, if the patient desires a smaller sized nose, it should not result in the chin looking disproportionately pronounced.

At the same time, nose performs the vital breathing function. Any cosmetic changes should not compromise the functional efficiency of the nose. If the nose reconstruction or reshaping of nostrils leads to breathing obstructions, the patient may have to go through a revision rhinoplasty later on. Such consequences can be avoided when the surgeon approaches rhinoplasty both as a science and an art.

Dr. Gary Motykie MD will carefully examine all aspects of the nose and face, and engage closely with the patient to develop a comprehensive rhinoplasty plan that justifies the principles of both science and art. Dr. Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for rhinoplasty.

Subtle Changes

In rhinoplasty, just one millimeter of alteration to the size or shape of the nose can make a significant aesthetic impact. The essential identity and integrity of the face must be retained while making desirable changes to the nose. If the patient wants only a minor improvement such as reduction of a dorsal hump, it should be approached delicately.

The surgeon should shave off just one millimeter of bone at a time and then re-drape the skin to assess facial proportion before proceeding further. Similarly, the relationship between various facial features should be taken into account and only subtle changes should be made to achieve the patient’s cosmetic goals.

Contact Beverly Hills Board Certified Plastic Surgeon Dr. Gary Motykie to Schedule a Consultation

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To see more services and treatments provided by Board Certified Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles | West Hollywood, CA and his team please visit:

• • • drmotykie.com
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Rhytidectomy, commonly known as facelift surgery, is a major procedure that will usually take between two to four hours. The best outcomes for this procedure can be achieved when the patient has prepared well for the surgery. Dr. Gary Motykie MD is a board certified plastic surgeon providing rhytidectomy and other procedures to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.

Moderate and Stable Weight

Prior to the facelift surgery, the patient should start working on optimizing body weight. By the time the surgery date is approaching, the weight should be moderate and stabilized. This effort will ensure that at the time of surgery there is less weight on the facial skin flaps. The facial skin will be loose following the weight loss, and the surgeon will be able to pull it more efficiently. However, crash diet or other extreme weight loss methods should be avoided.

Low Salt Diet

The patient should preferably choose a low salt diet for several weeks or months prior to facelift surgery. Processed foods, snacks, and other foods with high salt content can contribute to water retention, which can cause swelling in the face. Swelling will stretch the tissue beyond normal and reduce the tightening when the surgical procedure is performed. Dr. Gary Motykie MD receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas.

No Smoking, Aspirin, Vitamin E

The patient must stop smoking at least two weeks prior to facelift surgery. Smoking alters blood flow, which can impede the healing process. Aspirin and other blood thinners and Vitamin E must be avoided for a few weeks before surgery.

If the patient is taking any prescription drugs, their schedule may have to be altered in consultation with the physician. The plastic surgeon will advise these guidelines at the time of initial consultation, and the patient must adhere to them diligently for a safe surgery.

A Day before Facelift

The patient should wash the hair thoroughly one day prior to facelift surgery. This will reduce the risk of infection during surgery. Alcohol consumption should be avoided at least one day before the surgery. The patient should ideally soak up a suitable night’s sleep before surgery so that they are well-rested during the procedure. Eating and drinking should be avoided for at least eight hours before the surgery. However, prior to this, the patient should stay well-hydrated throughout the day.

Advance Arrangements

A facelift is usually performed as an outpatient procedure. But the patient will not be in a position to drive home on their own due to lingering anesthesia effects and initial discomfort from the surgery. Therefore, they should make advance arrangements for someone to drive them back home after the surgery.

The patient should preferably have some family member or friend to assist at home for about 48 hours after the surgery. Alternatively, they may consider hiring a professional help. If the patient is working, they should apply for a leave from work in advance for at least one week for post-operative recovery.

Contact Beverly Hills Board Certified Plastic Surgeon Dr. Gary Motykie to Schedule a Consultation

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To see more services and treatments provided by Board Certified Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles | West Hollywood, CA and his team please visit:

• • • drmotykie.com
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    • freezethefatbeverlyhills.com
    • drgarymotykie.com

Face is an aesthetically prominent part of the body, which will reveal the onset of aging before other areas. Facial signs of aging can be corrected with facelift, which is a major plastic surgery procedure requiring adequate preparation. Dr. Gary Motykie MD is a leading plastic surgeon providing facelift surgery to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.

Things to Do

Maintain Fitness and Stable Body Weight

Prior to facelift surgery, you should focus on maintaining general health and fitness. Ensure that your body weight is not fluctuating. If the weight on your facial skin flaps is less heavy and skin is supple, the surgeon will be able to pull it smoothly and provide a natural looking, youthful appearance.

Increase Protein Intake

Proteins are essential for tissue healing. Therefore, increase the intake of lean proteins in your diet a few weeks before the facelift surgery, and continue with the same intake for a similar period after the surgery.

Keep Head in an Elevated Position

For a few days after facelift, try to keep your head in an elevated position as far as possible. This will allow for improved healing and faster recovery in the first week.

Rest Sufficiently and Sleep Well

Before your facelift procedure, your body should be well-rested. The night before the surgery, try to sleep well. Wash your hair thoroughly a day before, and avoid alcohol in the last two or three days before facelift.

Arrange for After-care

You should arrange for someone to drive you home after the facelift procedure. In the first few days, you should ideally have someone to support with the household tasks. Dr. Gary Motykie MD receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for facelift surgery.

Things to Avoid

Avoid Smoking

Smoking can interfere with the blood flow and slow down the healing process. Smokers have a higher risk of complications during and after surgery. Therefore, stop smoking for several weeks before and after facelift.

Avoid Aspirin and Herbal Supplements

Aspirin is a blood thinner, which can increase the risk of bleeding during surgery. If you take aspirin, analgesics, NSAIDs, vitamin E or any herbal meds, stop using them at least two weeks prior to facelift. Talk to your surgeon about these as well as any prescription medications you may be taking.

Avoid Excessive Salt Intake

Choose low salt foods for at least two weeks prior to facelift, and continue to have reduced salt intake for a few weeks after the procedure. High sodium will increase water retention in the body, which can increase post-surgical swelling.

Avoid Eating or Drinking Before Surgery

Your surgeon will advise you to keep an empty stomach for a minimum of eight hours before the scheduled facelift surgery. This will help minimize the feeling of vomiting and nausea related with anesthesia.

Avoid Sun Exposure

Protect the facial skin against tanning and direct sun exposure in the weeks preceding facelift. Use a sunscreen of SPF 30 or higher for more protection.

Contact Beverly Hills Board Certified Plastic Surgeon Dr. Gary Motykie to Schedule a Consultation

Click Here for Virtual Consultation

Click Here to Schedule a In Office Consultation

To see more services and treatments provided by Board Certified Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles | West Hollywood, CA and his team please visit:

• • • drmotykie.com
    • motykiemedspa.com
    • freezethefatbeverlyhills.com
    • drgarymotykie.com