Tag Archive | Plastic surgery

Eye Circles?

Many modern trends in plastic
surgery trend to cure the effects without searching for the causes. Some causes
can be genetic and can appear relatively early in your life. Circles under the
eyes are often caused by volume loss and thinning of the fatty tissue in the
area (which is also why many people look younger when they have more
subcutaneous fat while stringent dieting makes you look older). However, such
changes can be postponed and for many years altogether avoided. Dr.Fisher has
extensive experience in this area and impeccable results. However, prior to the
operation, he always focuses on the causes and circumstantial factors: age,
environment, stress… For instance many women (and men) suffer from loose lower
eyelids due to increased concentration of melanin in the dermis (skin
pigmentation) which causes “dark spots” under the eyes earlier than in people
who do not have increased levels of melanin. It is therefore important to avoid
stress, supplement surgical treatment with vitamins (retinol, A-D, C and E) and
avoid direct sunshine whenever possible.

Dr.Fisher Will Never Let You Down!

Many women fail to do their homework and throw themselves hopelessly after the Hollywood glitz and sparkle. It is the unique understanding of how the body works with the experience wedded in the hands of an artist, which provides Dr.Fisher with such acumen and wise distance when assessing his would-like-to-be competition.

A recent study showed that almost 15% of plastic surgeons in the United States are misleading their patients about saline implants. In some geographic locations, this number can be much larger.

Saline implants are little more than round bags of salt water. As any skilled environmentalist would tell you, such a round bag can last for centuries in the harshest weather conditions without significantly decomposing or malfunctioning. In the safe environment of the human body? “Well, it will last you a lifetime,” as Dr.Fisher says.

Compared to cohesive silicone gel implants, saline implants are somewhat more prominent and sturdy. That is why the popular sex symbols you often seen on magazine covers and the T.V. screens have opted for saline, not silicone. In the latter, the filler material is silicone gel, which is adapted to mimic the consistency of natural breast tissue, and retain its natural shape.

Silicone gel implants cost $1000-$1,500 more than their saline counterparts. This may be the reason for their lasting popularity. However, you should not think of your wallet but your welfare when you come and see Dr.Fisher in Cerritos Towne Center.

“I am very comfortable with all varieties of silicone as well as saline. I mostly use saline implants though, because there is a higher demand for them,” states Dr.Fisher. “I make a tiny incission, not more than an inch-and-a-half, which is completely imperceptible when healed… True, some of the proponents of the saline implants,” says Dr.Fisher, “argue that the silicone gel implant is too complicated. Too complicated? They mean the operation… Nothing is too complicated if you know what you are doing!” responds Dr.Fisher with a smile. “There have also been those who voiced objections based on their bad memories of the flawed liquid-silicone implants popular in the ‘80s… These have long since been made illegal in this country. Of course, you can go to Mexico or Venezuela or wherever these hopeless souls go, trying to save. You never know what you are getting there…”

There are many more types of implants. Do not listen to your girlfriend, because your body may not well accommodate to – or may even reject – the type she has. Modern implants, both saline and gel, are safe, but only a board certified plastic surgeon with experience and unsurpassed artistic acumen, such as Dr.Fisher, can determine which type is best-suited for a you, based on a number of factors.

Therefore, come to us with an open mind and never hesitate to ask; for Dr.Fisher will never experiment with your health. Your safety comes first. He may even postpone your operation or even ask you for a secondary medical exam. Do not be surprised.

Dr.Fisher will never let you down. Your Happiness is His Goal!


Why Not the Best?


In today’s hurried world, you should find some time for yourself and make yourself happy. One of the most obvious choices can be by improving your visage. An experienced, skilled plastic surgeon, such as Dr.Fisher, can take 15-20 years off your face overnight, as if it were the doing of a swift magic wand, not a gentle hand of a mere mortal.

Patients are often surprised how plastic surgery can improve their face – eradicate wrinkles, spots, lines… all those unpleasant signs of aging; and since the outer self molds the inner self equally well as it is often the case the other way round, plastic surgery can add to your mental composure and well being.

Out there, we sometimes see people who did not exercise their choice of a plastic surgeon wisely, and consequently ended up with an equally profound obverse effect: their skin is pulled too tight, unnaturally, ungracefully, or they may even have physical deformities and problems. That is what happens when you do not use your best judgment with respect to your inner satisfaction, but your best judgment with regard to economic concerns. Our advice? If you cannot afford to invest into your well-being and happiness, cannot save a few bucks here, a few bucks there… forget it! Do not give yourself pains. Do not go for the second best – because that might cause just as poor a result as the last – you never know – especially when you have the best one waiting for you.

Dr.Fisher will personally explain to you where the Hollywood starlets – or even erstwhile starlets who, now in their 40s, 50s and 60s, have undergone artful cosmetic procedures to maintain the image of youth – defaulted. Surgery is art – much more than a little nip-and-tuck here and there!

Why, you can see yourself when a facelift goes wrong how even people’s characters alter… Such unfortunate patients will never extol any plastic surgeon. Therefore, ask for the best, look at satisfaction.

During an interview at the 2009 meeting of the American Society of Plastic Surgeons, Dr.Fisher explained the most common pitfalls of facial plastic surgery, and shared some little-known trade secrets for avoiding them.

“During the typical facelift operation, the patient’s ears are subjected to a lot of tension, which causes some drooping of the ear canal,” Dr.Fisher noted. “As the surgeon adjusts the patient’s facial skin and muscle during the face lift, the altered ear drops down, producing extra skin to deal with and dispose of. Patching the patient back up from this usually means producing the ‘pulled’ look. Signs of surgery are conspicuous, as well. If they have a lot more skin to remove, the incision is longer,” he adds emphatically, “and if it’s longer, it is visible.” Shaking his head, Dr.Fisher continues: “We have to do two things: The ear is little higher and there’s more volume. We still do the muscle work, but is there less or more skin? There’s less. And if there’s less skin, the incision is shorter and can be hidden inside the ear.”

Dr.Fisher’s result? A perfectly natural facelift, which will not alter your natural characteristics, will emphasize the beauty of your face, and whose surgical evidence is well concealed. Again: look in the mirror. You deserve better. Why not the best?!


“Sad but True,” – Dr.Fisher Responds

“Can the scars from previous my operation be eliminated by a new surgery?” (Fiona B., Montebello)

Perhaps surprisingly, yes. Scars in the abdominal area (and this also applies to stretch marks) can be entirely eliminated by a skilled surgeon. I have done hundreds, if not thousands of operations where the substantial reason the patient expressed for the surgery was that she, in many cases he, wanted to improve the results of a previous surgery.

Usually, the main objective is to be economical while remaining efficient and equally esthetic. This means finding a fair proportion between maximum gain and maximum loss, so to speak. If there is still excess or mal-distributed fat in the area or perhaps lax or over-hanging skin, the main objective is to eradicate those. This objective must be viewed in proportion to the overall bodytype and size of the patient. Sometimes, even a master surgeon, such as myself, finds it almost impossible to remove entirely evidence of an improperly performed surgical procedure.

The tummy tuck operation itself may also be done in such a way as to remove scars or stretch marks. However, the higher the position of the scar, the more difficult it is to deal with it. It is also generally known that scars heal worse in smokers, not to mention people who use drugs. Scars interfere with the blood supply to the skin in general and sometimes may severely complicate a subsequent or reparative tummy tuck. There is no rule of thumb on this issue here.

Every reparative operation is a compromise of esthetic and pragmatic nature. A personal consultation is absolutely necessary. Unfortunately, many people look at cost of the surgery rather than the skills of the surgeon. In most cases, saving $500 or $1,000 in the short run, will cost you ten times that much in the long run. It is sad but – true.






Many people suffer from protruding or malformed ears, which may have exposed them to ridicule during childhood, severely lowering their self-esteem. Otoplasty, or ear pinning surgery, can effectively eliminate these imperfections and create more aesthetically pleasing ears for the patient.

People with large, malformed or misshaped ears choose to undergo ear pinning surgery. If you have prominent protruding ears, noticeably protruding from the head, if you suffer from the “lop ear” when the tip of your ear appears to fold downward and forward, similar to some dog ears, or if you have cupped ears (disproportionately small), or possibly “shell ears” with the absence of natural ear folds and creases, and no curve in the outer ear rim, you may be the right candidate for otoplasty.

Adults and children alike can receive otoplasty, but the operation is mostly performed on children between 4 to 14 years of age. Although rare, Dr.Fisher performed this surgery many times. “At the age of four,” Dr.Fisher states, “the human ear is nearly fully grown. This is the perfect age for otoplasty.”

Many followers of our site and Dr.Fisher’s blog and website, www.drfisher.com, are full well aware that Dr.Fisher is one of the United States’ foremost experts in reparative surgery and surgery of the hand (carpal tunnel syndrome). He established Marie-Louise Cleft Palate Foundation, and helped many children and adults regain their self-esteem by operating on bodyparts as diverse as you can only imagine – from ears and noses, to feet and genitalia. With his Columbia University background in psychology and physiology, he is also a foremost expert to address when you have any psycho-somatic disorder, such as “outstanding” ears.

How does he perform otoplasty? For adults and older children, the use of local anesthesia and sedatives during the operation is preferable. For young children, however, general anesthesia is recommended. The typical time frame for ear pinning surgery is between 2 to 3 hours. If a particular case is complicated, the operation may take longer.


“It is very easy – if you know how to do it,” says Dr.Fisher with his proverbial good humor and large, welcoming smile. “First, we must expose the ear cartilage by making an incision behind the ear. Then the cartilage must be carved and bent backward, closer to the head. If necessary, superfluous cartilage should be removed, just as we do in nose-shaping. Finally, we apply a few permanent stitches to keep the new shape in place.”


To ensure proper healing and molding of the ear after ear pinning surgery, Dr.Fisher uses a bulky bandage around the head of the patient. There may be some aching and throbbing for a few days, which can be relieved and minimized by very effective medication. Dr.Fisher uses self-absorbing stitches, so there is usually no need for a post-op visit for stitch removal. Normal physical activities can be resumed after approximately four to five weeks.