July 20th, 2010 Dr. Pincus
Cosmetic surgery is being performed in ever increasing numbers, including many teenagers who are getting nosejobs as high school graduation presents. With such a premium on youth and beauty nowadays, many teenagers and young adults are trying to emulate their favorite TV or movie idols. Additionally, since cosmetic surgery is now considered fairly mainstream and not just for the wealthy or vain, many teenagers are jumping on the bandwagon.
The most common procedure we see in this age group is rhinoplasty or nosejob. Since having a large or very unattractive nose can be the source of much derision and loss of confidence growing up, it can be quite transformational in terms of self esteem, if performed correctly with a natural appearance. In days gone by, many teenagers would be embarrassed to make this change, thinking that it would be an insult to the parents whose features they inherited or that they might lose their ethnic identity. However, in these cases, conservative approaches can be used to maintain the same general look but with a feature that integrates better with their face and self-image.
The procedure is usually performed when the teenager stops growing in height. This generally corresponds with their face being fairly mature looking. For girls this is 15-16 years old and for boys it is 17-18 years old. There are several reasons for delaying surgery. The most important is that surgical intervention before the nose has fully matured can affect growth centers within the nose. This could produce an infantile or stunted nose or asymmetries of the nose. Another reason for delaying surgery would be to allow an immature face to “catch up to” or “grow into” better balance with a nose that might appear too large. Some exceptions to this rule might be acute nasal trauma, severe nasal obstruction or significant psychological problems.
In addition to rhinoplasty, some teenagers and young adults are having chin augmentation to balance out a profile or add “strength” to the lower face, as well as cheek augmentation to widen an overly narrow face. Other procedures, such as removing fat from the lower eyelids or cheeks and raising congenitally low eyebrows, are also occasionally being performed.
Unfortunately, when too many procedures are performed, especially if done incorrectly or not conservatively, the effect can be to lose the subtle beauty of youth and produce a result that may seem unnatural.
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March 26th, 2010 Dr. Pincus

I recently performed a procedure to feminize the upper face of a male to female transsexual. To obtain the correct exposure, a coronal incision is first made. Then the bony ridge over the eyes is burred down using an electric hand drill. Following this, an arch to the eyebrows is created, as with a standard open browlift. Finally, there was filling in and rounding out of a depression over the ridge with methyl methacrylate. Though most patients do not need the synthetic augmentation, occasionally it is necessary to obtain the optimal, more feminine result.
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December 3rd, 2008 Dr. Pincus
What is that quality that makes heads turn and hearts quicken when a beautiful person comes into the room? We all know it when we see it. But explanations vary from one person to the next. We see examples of beauty in all its variety when we go to the movies or peruse many of the popular magazines. Much has been written about what constitutes beauty from Aristotle’s concept that it exists when all parts work together to Leonardo Da Vinci’s geometrical analysis. Though no one definition may totally pin down this elusive quality, it has been said, quite simply, that beauty is a reflection of proportion and symmetry. The argment for this definition is that proportion and symmetry suggest a healthier human being which is best for propagation of the species. Therefore, we are attracted to these qualities for a future mate. Though most of us have some degree of disproportion and asymmetry, features which go beyond subtle deviation can be detracting from our overall appearance. Luckily, through advances in cosmetic surgical techniques, as well as new implant and filler products, our facial features can be brought more in line with accepted Western aesthetics. Rhinoplasty or nasal restructuring, cheek or chin implantation, eyelid and brow lifts, fillers to the lips and cheeks are just some of the modern day methods of accomplishing these goals.
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November 17th, 2008 Dr. Pincus
Welcome to the blog of Beverly Hills rhinoplasty and cosmetic surgery specialist Dr. Stephen Pincus.
Selecting a Beverly Hills facial plastic surgeon to improve your appearance is a difficult chore, whether you desire a facelift, rhinoplasty or any additional facial rejuvenation procedures.
In order to make the right decision, you need to feel comfortable knowing that your surgeon has the experience, technical ability, artistry, and compassion necessary to produce a successful result. Our mission is to present you with a clear picture of his commitment to excellence in the pursuit of surgical cosmetic enhancement.
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