5 Responses To Plastic Surgery Shaming

Dealing with shaming from others is, unfortunately, sometimes a result of getting plastic surgery. You are, of course, under no obligation to respond to them or engage with their trolling. However, if you do feel the need to stick up for yourself, your body, and your choices, here are some tips to help you out.

My Body, My Choices

Plastic surgery model
Much of the shaming women experience when they decide plastic surgery is right for them is because other people feel like they have some sort of say when it comes to your body. Don’t be afraid to remind them that this is your body and you can do what you want with it. Other people do not own it, nor do they have the right to make comments about it.

I’m Not Doing This For Anyone But Myself

I love myself
Some folks may comment that the choice to get plastic surgery must “be for a man” or something along those lines. For this sort of shaming, feel free to tell them, as in point one, that this is for yourself alone. The choice is not to please a man or make anyone like you, it’s because you decided it’s what’s best for your own body.

This Was Not An Impulse Buy

Glasses resting on old book
As you are likely well aware, the choice to get plastic surgery involves plenty of research and long days spent thinking about what is right for you. It’s not like rushing into Target and going on a shopping spree. Anyone who feels like shaming you with the phrase "you’re just doing it without thinking about it” clearly has not done their own research into how plastic surgery works and the process of deciding on doctors, procedures, risks, and rewards.

Yes, I Considered This Important Enough To Save Up For

Money saved up for plastic surgery
Sometimes people may disguise their shaming with phrases along the lines of “well how could you afford that!?” or “aren’t there better things to spend your hard-earned money on?” This might be a perfect time to ask such people if they’ve ever saved up for anything they considered important, like a new car or a fancy tech gadget. If something is important to you, it’s perfectly reasonable to find ways to pay for it.

This Body Is Just As “Real” As Any Other

Authenticity road sign
People have a bad habit of shaming plastic surgery by calling it “fake” and anything else “real.” But that means everything from pushup bras, makeup, and hair curlers to tanning and Spanx can also be called “fake.” This is an arbitrary line to draw. Rather, you body is still as “real” as you say it is, and it is your choice how to frame whatever you decide to do with it.

Take the Depression Out of Your Pre-Jowls

Southlake plastic surgeon, Dr. Vennemeyer, gives tips on restoring a youthful jawline

What is a pre-jowl and how is it making you look older? Everyone knows how jowls can ruin a perfectly young-looking face. Pre-jowls are the depression in front of jowls. The creases that form in this area are often called “marionette folds.” The pre-jowls visually break up the appearance of the jawline. A smooth, continuous jawline from the chin to the angle of the jaw is a youthful characteristic. Unfortunately, many of us start to see the pre-jowl depression starting in our thirties.

Figure 1: The pre-jowls break up the jawline, creating a weakened, aged appearance.

Figure 1: The pre-jowls break up the jawline, creating a weakened, aged appearance.

These distressing little buggers result from three causes. First, drooping cheek tissues form into jowls when they droop over the jawline. The jowls end at a point where the tissues are stuck to the bone—this is where the pre-jowl starts. Thus, the bulging jowl creates a relative depression where the tissues are stuck to the bone. Second, we start losing bone mass in the jawbones. This involutional change makes the chin and the pre-jowl area jawline look weaker. The third cause is a little muscle called the Depressor Anguli Oris or “DAO.” As it’s name would imply to Latin scholars, it is the muscle responsible for pulling down the corners of the mouth. It is mostly used for making unhappy sorts of faces. Excess tension in this muscle contributes to the downturned appearance the corner of your mouth may get. There is a DAO muscle on each side extending from the corner of your mouth to the lower jaw (mandible) right in the middle of the pre-jowl, implicating itself as a major player in the contour problem.

The solution for pre-jowls involves two basic concepts: weakening the DAOs and restoring volume balance. Botox or Xeomin is a perfect way to relax the DAO. I usually use 5 units per side as a starting point in my patients. Once the Botox is working you will notice less mouth downturn and less depression. Volume can be restored with fat grafting or injectable filler. I recommend fat grafting to my patients who plan to have a facelift or other procedure in the near future. For everyone else, I recommend injectable fillers like Juvederm or Radiesse. Restoring volume balance may require removing some jowl volume for the best possible result. Specifically, people with heavy jowls will get the best result from reducing their jowls through a facelift or liposuction, in addition to adding volume in the pre-jowl area. This restores a youthful, tapered shape to your face and improves the square shape that heavy jowls lend.

Figure 2: Note the improvement after a facelift with fat grafting to the pre-jowl areas and chin.

Figure 2: Note the improvement after a facelift with fat grafting to the pre-jowl areas and chin.

Figure 3: Note how the stronger chin and continuous jawline make this woman look younger. She also had fat grafting to the cheeks and a lower eyelid lift.

Figure 3: Note how the stronger chin and continuous jawline make this woman look younger. She also had fat grafting to the cheeks and a lower eyelid lift.

The pre-jowl area in the above patient could be significantly improved with Botox and filler; however, she was interested in a full-face rejuvenation. This made fat grafting a good option for her since she was already having a facelift and lower eyelid lift.

Brow Lift – Underappreciated but Amazing

Brow Lift Plastic Surgery Procedures

You’ve heard of all the common plastic surgery procedures – breast augmentation, tummy tucks, eyelid lifts, facelifts, and others. You know the great results people get from them.

However, you may not have thought about a brow lift. If you are concerned about the appearance of your upper eyelids, a brow lift may be necessary to achieve a natural appearing result.

Extra skin around your eyelids makes you appear tired and older. People often fixate on this. They fail to realize much of the upper eyelid skin is not extra eyelid skin at all. Actually, your sagging brow pushes skin down onto your upper eyelid. This makes you appear stern and angry (whether you actually are or not). That works together with the already tired appearance you have from any extra eyelid skin.

You can notice the effects of a sagging brow most below the tail of your brow where the skin hoods over your upper eyelids. A brow lift targets this area, restoring the arch of the brow and improving the hooding. Your eyes will appear more open and brighter. That “extra” skin on your upper eyelids also appears less. Any remaining extra upper eyelid skin—the true excess—can be removed at the same time with an upper eyelid lift.

The combination of a brow lift and upper eyelid lift will give the most natural appearing result in people with drooping brows.

How a Brow Lift Works

I use several different brow lift techniques and choose depending on your anatomy and degree of brow droop. Essentially, all techniques seek to conceal the scar by placing the incisions along or behind the hairline.

For people with minimal droop, an endoscopic or temporal brow lift with short hidden incisions may work well. For those with a high hairline, the incision is usually placed right along the hairline and is barely perceptible. This technique can even be used to lower the hairline for people with excessively high foreheads. For those with the most sever droop needing a lot of lift, the coronal brow lift is often performed. This involves a longer incision behind the hairline for maximum lifting power.

When performing an exam for facial rejuvenation, I look at many different factors before recommending the best technique for someone. During the exam, I lift the tail of the brow to see if a brow lift would help. In patients who would benefit, you see that a brow lift literally opens their eyes, making them look and feel brighter. The key is lifting the outer brow, not the inner brow. Lifting the outer brow makes people look younger, lifting the inner brow makes people look surprised. It’s also critical to restore the brow to a normal youthful position and avoid over-elevating it. When these important aesthetic rules are followed you can get a lot of benefit from a brow lift. It’s no doubt one of the most underappreciated cosmetic surgery procedures.

Unhappy with your eyes? Dr. Vennemeyer can help. Contact us to set up a consultation today.

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