Issue link: http://viewer.e-digitaledition.com/i/308946
and by comparing past photographs with those taken in the office, Dr. Asaadi can plan a procedure that restores their youth- ful appearance. He then explains every aspect of the procedure or procedures needed, as well as preventive steps to assuage postoperative complications. COV ER FE AT UR E After hump removal during nasal surgery, the new smooth profile is checked and rechecked by Dr. Asaadi several times using a wet finger on the dorsal line of the nose. COMPREHENSIVE COSMETIC OFFERINGS ASAADI PLASTIC SURGERY provides a number of surgical and nonsurgical cosmetic treatments, including: • Arm lift • Body lift • Botox cosmetic • Breast enlargement, lift, reconstruction and reduction • Cosmetic fillers (i.e., Juvéderm, Juvéderm VOLUMA, Belotero) • Chemical peel • Core abdominoplasty • Ear reshaping • Eyelid surgery • Face and neck lift • Facial implants • Fat transfer injection to face, breast, buttocks • Forehead lift • Laser resurfacing • Latisse • Liposuction • Male breast reduction (correction of gynecomastia) • MasterTuck (Liposelection of abdomen without abdominoplasty and with adequate skin tightening) • Nasal surgery • Natural breast augmentation • Permanent make-up • Skin care and products • Thigh lift • Tummy tuck • Ultherapy • VASER liposelection (ultrasound liposuction) Blepharoplasty Blepharoplasty is a complex, multifac- eted procedure for retouching upper and lower eyelids. Since it has become a staple cosmetic surgery offering, the traditional philosophical approach — to remove skin, fat and muscle without concern for preserving tone and elasticity — has been replaced with a more nuanced method that preserves eyelid anatomy and function. During the procedure, Dr. Asaadi makes incisions in the creases of the upper eyelids and below the lashes in the lower eyelids. He then separates the skin from underly- ing fatty tissue and muscle, removes fat and trims slack muscles. "In the 50 years since blepharoplasty was invented, it's become completely different in principle and technique," Dr. Asaadi says. "The most challenging parts of the operation are the lower eyelids, cheek and midfacial areas." Youthful people's lower eyelids appear not to exist at all, as though eyelashes emerge from an undefined space below the eyes. As people age, the eyelids' almond shape transforms to a rounder, baggier appearance due to fat accumulation. "Traditional blepharoplasty methods will not correct the lid/cheek junction," Dr. Asaadi says. "How much fat is removed from the lower eyelid is important. If all the fat from the area is removed, the result will be a hollow look. The eyelid has to be tightened to restore the almond-shaped, youthful appearance." No blepharoplasty procedure is the same. Because each procedure depends upon patient-specific anatomical and genetic determinants, a careful plan- ning process is paramount to achieving optimal outcomes. An important part of the preparation is close observation of any malar bags, or festoons, which are caused by the aging process or family history. "If festoons go unidentified and you proceed with an operation, the lower eyelid may get better, but patients will return with bagginess below the surgically corrected anatomy," Dr. Asaadi explains. "You've unmasked a deformity patients were unaware of. Correcting festoons must be a part of the procedure to make the whole face appear more youthful. For best results, it is essential to determine the best way to treat the festoon — which can be a problem with the muscle, skin, or fat, or even a combination of the three — during the planning process." For patients who do not wish to go the surgical route, a noninvasive solution also 6 | Central New Jersey MD NEWS ■ M D N E W S . CO M