tayani photobook 010214
TRANSCRIPT
1
www.Tayani.com
See Better. Look Better. Feel Better.
2 3Welcome to Tayani Institute
WELCOME TO THE PRACTICE4 Welcome to Tayani Institute
6 Meet our Physicians
SKINCARE & ANTI-AGING8 Skin Resurfacing
12 Photorejuvenation & Sclerotherapy
16 Laser Hair Removal
18 Botox®
22 Facial Fillers
26 Latisse®
28 Microdermabrasion
30 Dermatology & Skincare
WEST COAST CENTER FOR SURGERIES32 About West Coast Center for Surgeries
EYE CARE34 Cataracts
36 Pterygium
38 Basal Cell
40 Bells Palsy
42 Chalazion
44 Ectropion
46 Endoscopic Brow
48 Entropion
50 Squamous Cell Carcinoma
52 Orbital Decompression
54 Orbital Psuedotumor
56 Ptosis
58 Quad Blepharoplasty
60 Blepharoplasty
70 Trauma
PLASTIC SURGERY76 Facelift
78 Otoplasty & Rhinoplasty
80 Neck Lift
82 Brachioplasty & Liposuction
84 Fat Transfer & Breast Augmentation
86 Breast Lift & Abdominoplasty
MODEL
4 5Welcome to The Tayani Institute
Welcome to our Practice
Tayani Institute provides the highest level of eye, skin and cosmetic patient care possible.
Our focus is on family eye care, adult and child skin care, plastic surgery and facial cosmetic
surgery. We continually strive to meet the goals of each individual patient. We employ a staff
of dedicated professionals working together to provide patients with a pleasant atmosphere,
outstanding service and striking results. We proudly serve a diverse base of patients with our
signature brand of service and expertise.
The Tayani team is comprised of board certified, sub-specialty trained physicians in a calm,
patient-focused atmosphere. While each of our staff members provides a specific service,
we work hand-in-hand to provide our patients with a superb experience upon every visit. We
offer complimentary evaluations that allow patients to become familiar with who we are and
what we can offer. This also provides us an opportunity to create a treatment plan tailored to
your specific wants and needs.
AFFILIATED HOSPITALSHoag (Newport Beach & Irvine)
Mission Regional
Memorial Care Saddleback (Laguna Hills & San Clemente)
Bear Valley Hospital
Mountain Community
INDEPENDENT PHYSICIANS’ ASSOCIATIONMonarch
Memorial Care
MHAP (Mission Hospital Affiliated Physicians)
Heritage
Regal
Prospect Medical
And Others
SURGERY CENTERSWest Coast Surgery Center
Pacific Hills Surgery Center
Magnolia Surgery Center
INSURANCESMedicare
Cal Optima
Scan
Secure Horizons
Aetna
Cigna
Blue Shield
Anthem Blue Cross
United Healthcare
Health Net
Op Engineers
First Health
(Most Major Commercial Insurance Plans)
Most other PPO’s
No-interest financing options are available for cash paying patients through Care Credit.*Not all physicians at The Tayani Institute are members of these IPAs, hospital staffs and surgical centers. Not all physicians at The Tayani Institute accept these insurance plans. Please verify coverage prior to booking procedures.
“ We change the way you see the world, and the way the world sees you.”
6 7Meet our Physicians
Ramin Tayani, MD, FAAO, FAACSRamin Tayani, M.D. is a board-certified, fellowship-trained ophthalmic
surgeon, specializing in orbital-facial ophthalmic plastic and recon-
structive surgery of the eyes and upper face. With over 12 years of
experience, Dr. Tayani is one of Orange County’s leading experts in
eyelid surgery. Dr. Tayani has chosen to specialize in this particularly
delicate area of eye care to insure that patients with eye-related con-
cerns receive the focused attention and specialized care they require.
Peter Joson, MDDr. Peter Joson is a Board-Certified ophthalmologist, fellowship-trained
in glaucoma. His expertise in the diagnosis and management of general
ophthalmic conditions and the many varieties of glaucoma result in opti-
mal care. Dr. Joson believes that medicine, and particularly, ophthalmol-
ogy and glaucoma, are both sciences and arts. He endeavors to apply the
science of medicine and tailor a treatment plan to the individual patient.
8 9
Skin ResurfacingOver time, factors such as sun damage, genetics, diet, and repetitive muscle
movement can contribute to the formation of lines and wrinkles in the face. The
development of pigmentation anomalies, such as “age spots,” or acne scars
can cause skin to lose its smooth, youthful appearance. Laser skin resurfac-
ing can dramatically reduce changes associated with sun exposure and aging.
Laser resurfacing also helps to stimulate the regeneration of the deeper layer
of healthy skin.
Fractional Laser Skin Resurfacing
Laser light penetrates to a precise, controlled depth within
the skin, making the resurfacing procedure safe and pre-
dictable. As the resurfaced areas heal, a vibrant new layer
of skin is produced, creating a refreshed, natural appear-
ance. Less invasive, non-surgical procedures are becom-
ing increasingly popular among facial cosmetic patients.
This is not surprising – the chance to reverse some signs
of aging with a short procedure, involving almost no down
time and a very easy recovery, is very appealing.
Full Face LaserFractional Laser Skin Resurfacing
BeFoRe AFTeR
10 11Fractional Laser Skin Resurfacing
ActiveFX Laser to Treat Brown SpotsFractional Laser Skin Resurfacing
BeFoRe AFTeR
DeepFX Laser to Treat Fine LinesFractional Laser Skin Resurfacing
BeFoRe AFTeR
12 13Intense Pulsed Light
Photorejuvenation & SclerotherapyOur practice utilizes a focused beam of high-intensity technology light known as
Intense Pulsed Light (IPL) or photorejuvenation. This is a safe and effective pro-
cedure used to treat the signs of sun damage and aging skin. From brown spots
and spider veins, freckles and wrinkles, with this comprehensive treatment we are
able to target your problem areas and bring a fresh, youthful glow to your skin. This
procedure effectively treats the face, neck, chest, hand and arms. Patients often
notice a profound improvement after just one treatment. Best results are usually
delivered in a series of treatments spaced three to six weeks apart. Photorejuvena-
tion treats brown spots, broken capillaries (spider veins), rosacea, and fine lines.
Treatment for Spider VeinsIntense Pulsed Light & Sclerotherapy
Treatment for PigmentationIntense Pulsed Light
BeFoRe AFTeR
BeFoRe AFTeR
14 15Intense Pulsed Light
Treatment for RosaceaIntense Pulsed Light
BeFoRe AFTeR
Treatment for Photo DamageIntense Pulsed Light
BeFoRe AFTeR
16 17Laser Hair Removal
Shaving and waxing can so often be ineffective, painful and temporary. Laser
hair removal is a great way of permanently reducing unwanted hair, whether it
be on your legs, underarms, bikini area or elsewhere. Laser hair removal works
by targeting the melanin within the hair follicle; a series of several treatments
may be needed. Following your laser hair removal treatment you may be slightly
red, but this is usually minimal and gone within a few hours.
Laser Hair Removal
Treatment for Back HairLaser Hair Removal
Treatment for Chin HairLaser Hair Removal
BeFoRe AFTeR
BeFoRe AFTeR
18 19Botox®
Botox® is considered by many in the field of cosmetic medicine to be a “wonder
drug.” Approved for cosmetic use in 2002 by the FDA, this treatment has been used
therapeutically for over twenty-five years. Botox® is a type of drug called a “neuro-
modulator.” Neuromodulators relax the muscle and prevent its activity. This helps
slow the formation of fine lines and wrinkles. Botox® is used cosmetically to achieve
a more restful and smooth appearance of the areas treated. For cosmetic purposes,
it is generally administered around and between the eyes and in the forehead.
Botox is a quick procedure, taking no more than fifteen minutes and there is no downtime. The effects develop within three to five days and will typically last from three to six months. Occasionally, a touch-up may be required and will usually take place two weeks after the first treatment to ensure that the product has achieved its maximum benefit.
Botox®
Minimize Wrinkles Between the EyesBotox®
Minimize Wrinkles Between the EyesBotox®
BeFoRe AFTeR
BeFoRe AFTeR
20 21Botox®
BeFoRe AFTeR
Minimize Forehead WrinklesBotox®
BeFoRe AFTeR
Minimize Crow’s FeetBotox®
22 23Facial Fillers
Like the name implies, fillers simply “fill” areas of soft tissue to flatten wrinkles,
fill creases and create a full, youthful contour to the face. Injected fillers are also
used to help fill out skin depressions and some types of scars. They are also
frequently used to create a fuller, more lush appearance to the lip. The most
common facial regions for treatment with injected fillers are the deep smile lines
from the nose to the corners of the mouth (nasolabial folds), the lips, the circles
under the lower eyelids, the cheeks, and the jaw line in front of jowls.
Facial Fillers
Fillers can also be used to reduce scars from acne or
trauma. Injectables alone are not always sufficient for
severe surface wrinkles on the face, or for the multiple
vertical lines around the lips. Therefore, our physicians
may suggest a combination of treatments including
Botox®, fillers and laser procedures.
MODEL
24 25Facial Fillers
Minimize Nasolabial FoldsFacial Filler
Minimize Nasolabial FoldsFacial Filler
Minimize Nasolabial FoldsFacial Filler
Lip EnhancementFacial Filler
BeFoRe AFTeRBeFoRe AFTeR
BeFoRe AFTeRBeFoRe AFTeR
26 27
Latisse®
Latisse®
Latisse® is the first and only FDA-approved product to treat thin lashes. Latisse®
works by extending the length of the growth phase of the eyelash and increasing
the quantity of lashes grown, leaving you with longer, thicker and darker lashes.
This eye-opening product is not only safe and effective, but extremely easy to
use as well. Before you go to bed, simply place one drop of Latisse® on the
applicators provided and apply to the base of the upper lashes (the product
will be distributed to the lower lashes while you sleep). Results for many begin
to appear as soon as eight weeks and one can expect to see complete results
anywhere between twelve to sixteen weeks. This revolutionary product is
receiving rave reviews from women across the country and looks to make false
lashes and expensive mascaras a mere memory.
Volumize LashesLatisse®
BeFoRe AFTeR
BeFoRe AFTeR
28 29Microdermabrasion
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Microdermabrasion
BeFoRe AFTeR
Revitalize Aging SkinMicrodermabrasion
30 31Skin Care
A basic skin care routine is essential for optimal results. It is important to understand
it is a 24 hour a day, 7 day a week regimen. There are several basic steps to fol-
low. First, it is necessary to cleanse the skin morning and evening. Next you need
to exfoliate; most people tend to skip this step in their weekly routine. This is the
one step you will notice an immediate difference. You may use a scrub with small
grains and gently scrub the dead skin cells from the surface of your skin. Do this
on a weekly basis, but it is important to understand not to over exfoliate the skin.
Dermatology & Skin Care
Another skincare rule is to use a good moisturizer, even if
your skin is oily. Apply the moisturizer to your skin while
it is still moist. Finally, apply sunscreen. Never leave
home without it! Sun damage is the number one cause
of wrinkles. Our physicians offer multiple medical-grade
skin care products to treat all types of skin conditions –
talk to our team to determine which one is right for you.
MODEL
32 33
Welcome to West Coast Center for Surgeries (WCCS), a multi-speciality outpatient
surgical center. In early 2014, the WCCS Center for Excellence for Eyes was
unveiled. Patients can now find the latest in technology for cataract and refractive
procedures with our state-of-the-art bladeless custom surgery. In addition, WCCS
offers optimal safety, and extraordinary comfort for our patients. Our highly trained
professional staff provides exceptional surgical and post-operative care. We look
forward to introducing you to our team, our facility, and to the widespread services
we offer at WCCS Center of Excellence for Eyes.
West Coast Center for Surgeries
SURGICAL SERVICESBoard Certified Surgeons & Anesthesiologists
State-of-the-art facility
Relaxing environment
Exceptional surgical and post-operative care
Optimal safety guidelines
Special assistance provided as needed
Preferred provider for most health insurance plans
Financing option available
ACCREDITATIONSMedicare Certified & State Licensed
Accreditation Association for Ambulatory Health Care (AAAHC)
The Joint Commision
34 35Cataracts
Cataracts (clouding of the eye’s lens) affect half of all Americans over the age
of 65. Patients often have no symptoms when cataracts first develop. However,
they will appear and get worse over time if not treated.
CoMMon SyMPToMS InCLude
Blurred or hazy vision
Double vision
Poor vision in bright light
Seeing halos around lights
Poor vision at night
Yellowish tinged vision
Frequent changes in eyeglasses or contact lens prescription
CataractsTReATMenT oPTIonS
Surgery is the most effective treatment for cataracts. Femtosecond Lasers are
also used in Ophthalmic surgery and produce exacting, standardized results,
surgery after surgery. This takes guesswork out of physician talent and raises
the bar on quality and consistency of surgical results. By using a surgical laser
rather than a scalpel, a physician is ensuring that your optical health and surgi-
cal outcomes are of the highest priority.
Post surgery, there are 3 types of lenses that can help keep your vision sharp: • Monofocal lenses provide clear vision at one set distance• Toric lenses help combat astigmatism• Multifocal lenses allow sharp near- and far-sighted vision
CATARACT LenS RePLACeMenT
36 37
PterygiumBenign Growth Relief
Pterygium
Pterygium is a benign growth of the lining of the white part of the eye that grows
into the cornea. A pterygium usually begins at the inner side of the eye. It can
be different colors, including red, pink, white, yellow, or gray.
SyMPToMS oF PTeRygIuM
Dryness, Redness, Irritation, Inflammation, Tearing, In more severe cases, the
pterygium may grow over the pupil and limit vision.
TReATMenT oPTIonS
In most mild cases of pterygium, artificial tears can be used to reduce dryness
and irritation. A surgical procedure may be necessary if the pterygium persists.
Pterygium
PTeRygIuM AFTeR TReATMenT
38 39Basal Cell
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Basal Cell
Eye CareBasal Cell
BeFoRe AFTeR
BeFoRe AFTeR
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
40 41Bells Palsy - gold Weight
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Bells Palsy - Gold Weight
Eye CareBells Palsy - Gold Weight
BeFoRe AFTeR
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
42 43Chalazion
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Chalazion
Eye CareChalazion
BeFoRe AFTeR
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
44 45ectropion
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Ectropion with Skin Graft
Eye CareEctropion
BeFoRe AFTeR
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
46 47endoscopic Brow
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Endoscopic Brow
Eye CareEndoscopic Brow
BeFoRe AFTeRRaymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.
board certified ophthalmologist and orbital facial plastic surgeon
48 49entropion
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Entropion
Eye CareEntropion
BeFoRe AFTeR
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
50 51
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Squamous Cell Carcinoma
Squamouth Cell Carcinoma
Eye CareSquamouth Cell Carcinoma
BeFoRe AFTeR
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
52 53orbital decompression
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Orbital Decopression
Eye CareOrbital Decompression
BeFoRe AFTeR
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
54 55orbital Psuedotumor
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Orbital Psuedotumor
Eye CareOrbital Psuedotumor
BeFoRe AFTeR
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
CT SCAn - BACk CT SCAn - FRonT
56 57Ptosis
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Ptosis
Eye CarePtosis
BeFoRe AFTeR
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
BeFoRe AFTeR
58 59
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Quad Blepharoplasty
BeFoRe AFTeR
Eye CareQuad Blepharoplasty
Quad Blepharoplasty
BeFoRe AFTeR
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
60 61Blepharoplasty
The eyes are one of the first parts of our face to show aging. Excess skin, caused
by a natural decrease in skin laxity, can cause a droopy upper eyelid or a wrinkled,
“crêpey” appearance to the lower eye area. Women experiencing this often say
they have difficulties putting on mascara and other eye make-up.
This concern can be remedied through a surgical procedure called blepharoplasty.
Often referred to as eyelid surgery, nearly 150,000 procedures were performed
in the US last year. Patients who undergo a blepharoplasty are sometimes born
with heavy eyelids or puffy under-eyes; others are looking to rejuvenate the eye
area.
Blepharoplasty
Eyelid surgery is performed in an outpatient surgery center under general anesthesia or a
combination of local anesthesia and sedation. The procedure provides permanent results,
and it is rare for someone to need a secondary blepharoplasty.
MODEL
BeFoRe AFTeR
BeFoRe AFTeR
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
62 63Blepharoplasty
Blepharoplasty
BeFoRe AFTeR
BeFoRe AFTeR
Blepharoplasty
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
BeFoRe AFTeR
BeFoRe AFTeR
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
64 65
BeFoRe AFTeR
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
Blepharoplasty
BeFoRe AFTeR
66 67
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed. tment the device is lightly pressed against the
skin, which causes a gentle abrasion through a fine crystal spray that breaks up
dead skin and other imperfections. Microdermabrasion functions as an exfoliator
Trauma - Matthew
Trauma
with suction that removes imperfections, buffs
the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves
to partially or completely remove the top layer
of the skin. It diminishes scars and dark spots
while working to remove sun damaged skin. The
procedure is virtually painless and will leave skin
glowing and feeling refreshed.
68 69
Trauma Trauma
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
Trauma
BeFoRe AFTeR
70 71
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Trauma - Joel
Eye CareTrauma
Trauma
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
BeFoRe AFTeR
72 73
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Trauma -
Eye CareTrauma
Trauma
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
BeFoRe AFTeR
74 75
Microdermabrasion is a non-invasive procedure that revitalizes dull skin. At the
time of treatment the device is lightly pressed against the skin, which causes a
gentle abrasion through a fine crystal spray that breaks up dead skin and other
imperfections. Microdermabrasion functions as an exfoliator with suction that
removes imperfections, buffs the skin, enhances skin texture, and improves
circulation and lymph flow. The treatment serves to partially or completely remove
the top layer of the skin. It diminishes scars and dark spots while working to
remove sun damaged skin. The procedure is virtually painless and will leave skin
glowing and feeling refreshed.
Trauma -
Eye CareTrauma
Trauma
Raymin Tayani, m.D., F.a.a.O., F.a.a.C.S., F.a.C.S.board certified ophthalmologist and orbital facial plastic surgeon
BeFoRe AFTeR
76 77Facelift
As we age our skin loses elasticity, the facial tissues lose their youthful fullness
and the supporting structures starts to sag. This process begins in our thirties.
Facial fillers can provide some temporary relief and for some is sufficient to
achieve their aesthetic goals. However, repositioning the fallen underlying
structures responsible for the descent of the cheeks, sagging jawlines, and a
blunted neck is best managed by performing a facelift.
The goals of a facelift include the elevation and resuspension of underlying
tissues as well as restoring the volume of the upper face. Incisions are placed
as inconspicuously as possible, in the skin folds in front of the ear, the ear canal,
behind the ear and in the crease beneath the chin. Dr. Citron is an expert in facial
rejuvenation and facelift surgery who can help you understand the many options
available to you to best suit your needs and aesthetic goals.
Facelift
78 79otoplasty | Rhinoplasty
OtoplastyOtoplasty is defined as an operation to reshape the ear. Common aesthetic con-
cerns regarding the ear are prominent ears and/or absence of the cartilage fold
close to the top of the ear referred to as the antihelical fold. Most otoplasty
procedures involve excision of a wedge of cartilage from the concha, the bowl
shaped cartilage. The surgery is performed through an incision within the fold
on the back of the ear. This allows the ear to be rotated back closer to the head
relieving the prominent appearance. If necessary, using suture techniques, an
antihelical fold can be created. The procedure may be performed under local
anesthesia with sedation.
RhinoplastyRhinoplasty is defined as surgery to reshape the nose. Nasal deformity may be
purely cosmetic in nature or as a result of trauma. As one of our most prominent
facial features, the nose is a focal point of attention. Common complaints include
a hump that interrupts the smooth contour, an overly prominent nose, a drooping
tip, a tip that is too wide or bulbous, poor tip definition, and breathing difficulties.
A chin that is too small creates a loss of facial harmony and makes the nose
look even larger than it is. For this reason many rhinoplasty patients benefit from
a simultaneous chin augmentation. Most rhinoplasties are performed with all
incisions hidden inside the nose (closed rhinoplasty). Dr. Citron is an expert in
rhinoplasty using the closed technique and nasal reconstruction.
80 81neck Lift (Cervicoplasty)
Neck Lift (Cervicoplasty)Aging of the neck is a result of multiple processes including sagging of the
muscles, accumulation and decent of fat and loss of soft tissue. A tendency
toward accelerated change is more pronounced in people with relatively smaller
chins, permitting additional sagging to be present.
Neck lifts are an integral part of face lifting, but in selected individuals may
provide adequate correction alone. Techniques are customized to the patients’
specific needs and goals. Liposuction, muscle suspension, chin augmentation
and excess skin excision are used to recreate the youthful contours of the neck.
Many procedures are performed in a minimally invasive fashion with minimal
downtime.
82 83Brachioplasty | Liposuction
BrachioplastyBrachioplasty or surgery to reshape the arms is performed to relieve the
excess skin and fat that hangs. Traditional brachioplasty is performed using a
combination of skin excision and liposuction. For a large amount of hanging skin,
this is the only method that will give a satisfactory result. However a large scar
extends on the back of the arm, much like a seam on a shirt, from the elbow to
the armpit. For those with a lesser amount of sagging skin, as the patient shown
to the right, laser-assisted liposuction can be used to achieve removal of fat and
skin tightening without the large scar. Recovery is enhanced by wearing an elastic
sleeve to help reshape the arm and limit swelling. Dr. Citron was one of the first
plastic surgeons to develop this technique and has helped many women have
better shaped arms without the scars of traditional brachioplasty.
LiposuctionLiposuction or Suction-Assisted Lipectomy is a procedure that sculpts the body
by removing unwanted fat from specific areas. Commonly requested areas include
the neck, chest, abdomen, back, arms and thighs. Using specialized techniques
of laser-assisted liposuction and ultrasonic liposuction problem areas such as
the male chest, upper back, bra line and loose skin can be effectively treated.
All treatments involve the use of tumescent technique in which a saline solution
containing an anesthetic agent is infiltrated into the treatment area prior to
liposuction to facilitate fat removal, decrease bleeding and increase patient
comfort. Dr. Citron is an expert in liposuction and body contouring who has been
performing liposuction for nearly 20 years, developed and taught techniques of
laser-assisted liposuction for Sciton Laser Corporation.
84 85Autologous Fat Transfer | Breast Augmentation
Autologous Fat TransferAs we age there is a loss of youthful fullness of the face. In some patients the
predominant mechanism of aging is soft tissue loss. Restoration of volume
with fat is a natural alternative to fillers for restoring volume of the cheeks, lips
and hands as well as many other areas of the body. Fat is harvested from a
small incision on the abdomen, purified and injected using small syringes and
specialized blunt tipped needles.
Autologous Fat Transfer is commonly performed with facelift surgery to
restore volume in the perioral creases and is an important component of hand
rejuvenation.
Breast Augmentation Breast augmentation can be performed to fulfill your desire for fuller breasts or to
restore breast volume lost after pregnancy or weight loss. Dr. Citron believes that
breast augmentation should be performed with the goal of achieving the most
natural appearing result. Choosing the proper implant size is done in consultation
after discussing your aesthetic goals, examining and taking into consideration
the dimensions of your chest and skin envelope. Most patients choose silicone
gel implants, however saline-filled implants are still a good choice for many.
The decision to undergo breast augmentation surgery is a highly personal one
as breast augmentation not only improves ones silhouette but also may greatly
enhance self-esteem.
86 87Breast Lift | Abdominoplasty
Breast Lift (Mastopexy)Pregnancy, nursing and the relentless pull of gravity can take its toll on the female breast. Loss of breast volume and skin elasticity can cause the breasts to sag. A mastopexy or breast lift is a surgical procedure that raises and reshapes the falling breast. A small degree of sagging may be corrected by excising skin around the areolae resulting in a circumferential scar around the nipple-areolar complex. More extensive sagging requires a vertical incision from the areola to the base of the breast to remove excess skin. Severe sagging is treated by the standard approach that utilizes an incision within the fold underneath the breasts well resulting in an “anchor scar” to excise the redundant skin. Many women with sagging breasts also have significant volume loss and desire correction requiring simultaneous augmentation. Augmentation mastopexy, as seen in the patient shown, is a complex procedure, regarded by many plastic surgeons as one of the most challenging, that essentially decreases the size of the skin envelope and increases the size of the breast simultaneously.
AbdominoplastyIn many women, pregnancy stretches the abdominal wall and skin resulting in
loss of elasticity and skin sagging. Abdominoplasty or reshaping of the abdominal
wall, commonly referred to as a tummy tuck, is a surgical procedure that removes
redundant skin and fat from the abdomen and tightens the muscles of the inner
abdominal wall.
When performed as an outpatient procedure, the slender contours of the youthful
abdomen can be restored in hours. Liposuction of the flanks and lifting of the
lateral thigh skin can be done at the same surgical setting. Patients with a lesser
degree of bulging and skin excess may be candidates for a smaller procedure or
Mini-Abdominoplasty. A supporting garment is worn for 4-6 weeks after surgery
for added comfort and to hasten recovery.
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