December 14th, 2011 — 10:25pm
Seattle Plastic Surgeon shows off a GREAT NON-SURGICAL RESULT – take a look at this.
Top photo before treatment. After photo is after agressive skin care and HA filler over a nine month period.
I saw this patient recently who I have been treating with aggressive skin care and HA fillers (eg Restylane, Juvederm, Perlane, Prevelle) over about 9 months. She has been very, very dedicated to her skin care program and I’ve been very, very dedicated to injecting her with filler where she needs it and, as mentioned in a previous blog, using enough to really filler ‘er up.
And take a look at these photos. Her skin quality is so much better and the shape of her jaw line and chin is so improved and her wrinkles —- what wrinkles?????
Fat transfer followed by a deep chemical peel could have achieved this result but no face lift, I repeat, no face lift could have achieved this sort of improvement.
Yes, she will need continued skin care and will need to come in every year or so for some more filler but remember, this is all with no down time and very, very little pain and suffering.
And just remember all of those things we do that also need maintenance – hair, nails, legs, bikini line (ouch), eyebrows, etc. Oh yeah, and how about getting your teeth cleaned every 6 months. No down time but talk about pain and suffering!
Thanks for reading! Dr. Lisa Lynn Sowder
Aging Issues, Dental issues, Face lift, facial fillers, fat injection, jawline, nasolabial folds, Non-invasive, Plastic surgery, Seattle plastic surgery, skin care
November 16th, 2011 — 12:48am

Fill ‘er up even if it means saving up some hard earned $$$.
Seattle Plastic Surgeon, Dr. Lisa Lynn Sowder blogs about patient satisfaction with HA fillers such as Restylane, Perlane, Prevelle and Juvederm.
I’ve been using these fabulous new facial fillers for many years now and have come to really, really love the way they rejuvenate the face without looking fake or tight or overdone.
Here is one thing I have learned over the years: patient satisfaction is directly proportional to how full their tank is filled. The tank is your face and the fuel is the filler.
Some patients will get to full with one syringe and some will require a half dozen. It just depends on how many creases a patient has, how deep the creases are and how much fullness would benefit the patient. And I am not talking freak show fullenss here. This is Seattle. I’m from Spokane. I don’t do freak show.
The big issue, of course, is the cost and these magical fillers are pricey. Many patients are reluctant to spend the money ($2800 for 6 syringes!) especially considering that these fillers are temporary. But …….. it has also been my experience that these temporary fillers can often last 18 – 24 months even though they are advertised as lasting 6 months. And ……….. patient’s who fill ‘er up usually need much less volume for subsequent “maintenance” injections.
“Fill ‘er up” patients are almost always thrilled and I know they will be back for more. The patients who settle for just partial correction are rarely impressed and often don’t come back for repeat injections.
So if you need a lot to ”fill ‘er up”, save up and let me really do it right! Thanks for reading! Dr. Lisa Lynn Sowder
Aging Issues, facial fillers, jawline, Lip enhancement and augmentation, nasolabial folds, Non-invasive, Plastic surgery, Seattle plastic surgery, skin care
July 20th, 2011 — 11:09pm
Seattle Plastic Surgeon, Dr. Lisa Sowder speaks the truth (in the nicest possible way).

- It’s the nasolabial folds that make Mel look old.
I saw a very handsome male patient in my office this week who wanted to know why he looked older than what his birth certificate would suggest. He had recently been mistaken for his daughter’s grandfather (ouch) at a restaurant. He left the waitress microscopic tip and made an appointment with me.
The facial feature that aged him the most was his nasolabial folds, those parenthesis lines that run from the base of the nose to the corner of the mouth. (When an stage actor wants to look older, the makeup person draws those lines in and presto, the actor looks 20 years older.)
The good news for my patient was that filling in those folds with a little filler would take years off his face with little to no down time. Most hyaluroinc acid fillers in this area of the face last a year or more.
He did great with two syringes of Juvederm and did not look at all “done” (which is another advantage of fillers). I encouraged him to go back to the restaurant with his daughter and let the waitress redeem herself. He said he felt embarrassed by his tip but I’m sure the waitress was more embarrassed by her faux pas. I hope they are able to work it out and move on!
facial fillers, nasolabial folds, Non-invasive, Seattle plastic surgery
June 2nd, 2011 — 7:26pm

Lower face in the upright position.Lower face in the supine position.

Lower face in the supine position.
Plastic surgeons always, always, always do our preoperative markings with patients in the upright position. It doesn’t matter if we’re operating on a face, a chest or an abdomen. Most people understand the effect that position has on breasts and bellys but have never really thought about the effect that position has on the face.
Take a look at these photos posted on the Real Self website by a lady with questions about facial surgery. Look at how much improvement she gets with her jaw line and her nasolabial folds (the creases that run from the nose to the corner of the mouth) when she lies down. Also look how her square face assumes a more oval shape. Wild, huh?
These photos also illustrate why we sit patients up during or near completion of a face lift. A face that looks great supine on the operating room table may need a little tweaking once gravity is added to the equation.
Thanks for reading!
Lisa Lynn Sowder, M.D., Seattle Plastic Surgeon
Face lift, jawline, nasolabial folds, Plastic surgery