Blog — Notes of a Plastic Surgeon

Welcome to my blog. I am a plastic surgeon in Seattle and have been in private practice since 1991. I've seen more than a few interesting faces and cases through my years spent in the exam room, the operating room and the emergency room. And I have an opinion on just about everything relating to plastic surgery (and a lot of unrelated stuff). If you like my blog, let me know. Thanks for reading! Lisa

Category: Facial Fillers

Agressive Skin Care + Enough Filler = GREAT RESULTS

December 14th, 2011 — 10:25pm

Seattle Plastic Surgeon shows off a GREAT NON-SURGICAL RESULT – take a look at this.

Seattle Plastic Surgeon, Facial filler, skin careTop 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, Facial Fillers, Facial Rejuvenation, Non-invasive, Skin Care

Fill ‘er up for higher patient satisfaction.

November 16th, 2011 — 12:48am
Seattle Plastic Surgeon recommends full tank for HA fillers

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, Lip Enhancement and Augmentation, Nasolabial Folds, Non-invasive, Plastic Surgery, Skin Care

The FDA approves Restylane for lip augmentation and/or enhancement.

October 28th, 2011 — 6:18pm

Lip enhancement can be subtle. It doesn’t have to be bizarre.

Seattle Plastic Surgeon is thrilled to share news of the FDA approval of Restylane for lip enhancement and/or augmentation.  It’s about time!

Earlier this month the FDA approved the hyaluronic acid filler Restylane for lip enhancement.  This puts what is sort of like the Good Housekeeping Seal of Approval on a procedure that I have been doing for several years.

Lip enhancement/augmentation gets a really bad rap in the popular media because it is so overdone in many high profile individuals.  But really, it doesn’t have to be that way.  No Donald Duck lips are necessary.  The enhancement can be really lovely and subtle like the lady in the photo.  She had just 1 cc of filler placed in her lips with most of it going to her lower lip.  Nice, huh?   This is yet another thing I love about practicing plastic surgery in Seattle.  Patients want lovely and subtle, not LOOK AT ME.

Most lip enhancement/augmentation patients can go about their usual business and social lives the day after injection.  The bruising and swelling is usually pretty minimal if the patient is careful not to take any medication that can encourage bruising (aspirin and ibuprofen are the most common offenders) for a week before injection and is vigilant about icing the area for a few hours after injection.

So from now on when you hear lip ehancement/augmentation/enlargement etc., don’t think bizarre Donald Duck lips ala the First Wives Club.  Think lovely and subtle and now FDA approved!

Thanks for reading.  Seattle Plastic Surgeon, Dr. Lisa Lynn Sowder

Facial Fillers, Government and Politics, Lip Enhancement and Augmentation, Skin Care

Let’s lose the misleading before and after photos, please.

September 29th, 2011 — 6:16pm

Seattle Plastic Surgery, Dr. Lisa Lynn Sowder gets picky and prickly about before and after photos.  You should be picky and prickly too!

I have blogged about this topic on many occasions but this example takes the cake!  Not because it is blatantly Photoshopped but because it comes from an advertisement insert in the latest edition of Plastic Surgery Practice and the “from the editor” editorial is on the topic of misleading before and after photos used by vendor reps promoting a product or device!  Hello Captain Irony.

The example above is a case of poor photographic technique where the lighting in the “before” photo is from above and in the “after” photo is more face on.  This makes the result of the nasolabial fold treatment much more dramatic than it likely is.  I know not if this is advertent or inadvertent.  Either way, it is misleading.

This sort of stuff drives me to blog about it and it makes me lose confidence in the products or devices that show these photos to doctors or to prospective patients.


Thanks for reading and send me any examples you have found of misleading photography.  I collect this stuff!  Dr. Lisa Lynn Sowder

Facial Fillers, Patient Beware, Plastic Surgery

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