What should I be looking for in a Doctor when it comes to Botox or Fillers?

I would put Botox and Dermal Fillers under the heading “injectable.”  As a regional trainer for Allergan (the maker of Botox and Juvederm), I always stress to the trainee that the most important thing about injectables is the evaluation of the face first.  However, this is also the most difficult.  As a Facial Plastic Surgeon, I have a leg up on most by being able to see firsthand this anatomy in the operation room.  Having seen a particular fat pad or muscle while in surgery allows me to have a very precise image for placement of my needle.  Also, of importance is experience.  I have been injecting these products for over 15 years and am ranked in the top 1% of injectors in the U.S.

When is the best time to have a facelift?

This is a common question whether we are talking about a full facial rejuvenation or only a limited procedure such as a brow lift.  Aging is due to many factors and in turn our own bodies’ response to those factors.  Some will show aging that may require surgery as early as their 40’s while others may be able to wait until their 60’s.  There is no “best time” to have rejuvenation surgery.  I tell patients that if they are bothered by any part of their appearance enough to reduce self-confidence or dwell on it in the mirror then it may be time to discuss the possibility.  I am constantly impressed with how a minor change in the face can enhance a person’s self- confidence and their approach with others.

Does the new fat dissolver Kybella really work?

In a word—absolutely!  Kybella is an injectable deoxycholic acid that is FDA approved for use in removing fat from under the chin.  It is a quick in-office procedure similar to filler injections.  Kybella causes immediate and permanent destruction of fat cells.  There is always some swelling that lasts about a week with this procedure as your body’s immune system comes in and “cleans up” the area.  It entails 2-4 injections spaced about 6 weeks apart.  I have seen great results with this product in removing that stubborn chin profile fat in women and men.