Facial Plastic Surgery, Ear, Nose and Throat

Facial Plastic Surgery

including Cosmetic and Reconstructive Surgery, Injectables, Chemical and Laser Peels, IPL, and Cosmetic Dermatology

Otolaryngology

including Ear, Nose, Sinus, Throat, Voice, Snoring and Sleep Apnea, Thyroid and Parathyroid, and Skin Cancer

Questions and Answers

Dr. John Roesler is a featured professional on www.RealSelf.com, a new website devoted to delivering information to consumers with an interest in cosmetic surgery, skin care, and beauty.



Check out his answers to the following questions:
  1. Is a Mini-Face Lift a Good Option for Those Who Don't Want a Full Face Lift?
  2. What Are the Best Alternatives to a Face Lift?
  3. What Is Artefill Supposed to Treat?
  4. What Works Best to Restore Volume and Facial Fullness?
  5. How Can I Avoid Restylane Bumps?
  6. Lip Augmentation - How Can I Get a Natural Look?
  7. Are There Any Botox Alternatives?
  8. What Is the Most Safe and Effective Way to Remove Fat Pads from the Lower Eyelids?
  9. How Do I Find the Best Rhinoplasty Surgeon?
  10. What's the Best Wrinkle Filler?
  11. How Do I Check For Skin Cancer Signs?

How Do I Check For Skin Cancer Signs?

Skin cancers and premalignant skin lesions appear in more ways than one. Irregular or enlarging moles are certainly the most important skin changes to look for, as melanoma is by far the worst type of skin cancer. But basal cell carcinoma is actually the most common, most preventable, and most treatable skin cancer.

What’s the Best Wrinkle Filler?

Overall, the most versatile, long lasting, and effective filler currently is Juvederm. I like it because it comes in two concentrations, Ultra and Ultra Plus, that can be used for finer or deeper lines. After injection, this product has excellent longevity (upwards of 6 months), is soft and supple, and causes minimal skin reaction. It can be used anywhere, including the lips, and, worst case scenario, it can be dissolved with hyaluronidase.

How Do I Find the Best Rhinoplasty Surgeon?

Your best choice for a rhinoplasty surgeon should be someone who routinely addresses both breathing and cosmetic issues, is experienced with both open and closed surgical approaches, and is able to show you many of his or her before and after surgery photos of different noses.

What Is the Most Safe and Effective Way to Remove Fat Pads from the Lower Eyelids?

Transconjunctival lower eyelid blepharoplasty is 100% the way to go, especially for a young person who has genetic (versus age-related) orbital fat pseudoherniation. I recommend this procedure for patients with lower eyelid ‘fat bags’ related to aging, as well.

Are There Any Botox Alternatives?

Botox cosmetic (the purified, injectable protein produced by the Allergan company) is the BEST (safest, simplest, longest lasting, least expensive, and most effective) treatment for dynamic wrinkles in the forehead, between the eyebrows (frown lines), and laterally around the eyes (crow’s feet).

Lip Augmentation – How Can I Get a Natural Look?

The widespread use of lipstick clearly demonstrates the demand for fullness of the lips. Female patients frequently look at celebrities and socialites whose lips are ‘over the top’ in terms of augmentation, however, and are fearful that they might end up with huge, ‘fake’ looking lips if they were to undergo injection augmentation.

How Can I Avoid Restylane Bumps?

Restylane does not cause bumps under the skin unless:
1. It is injected too superficially; 2. It is injected unevenly
Skin reactions or prolonged inflammation related to the injection of Restylane are extremely rare (I, personally, have never seen it).

What Works Best to Restore Volume and Facial Fullness?

Excellent results can be achieved by – Injectable fillers, Fat injections, Implants, Sculptra, Facelift surgery

What Is Artefill Supposed to Treat?

The availability of a safe, permanent, FDA-approved filler, namely Artefill, should be exciting to any patient who has been pleased with their results from temporary injectables.

What Are the Best Alternatives to a Face Lift?

A deep plane face lift, skillfully performed, along with platysmaplasty, smooths sagging platysmal bands (the ‘turkey gobble’), removes excess skin while tightening the deeper tissues of the neck and jowls, and lifts the malar fat pad.

Is a Mini-Face Lift a Good Option for Those Who Don’t Want a Full Face Lift?

The mini-facelift is an old concept really – an idea that will always sound good, except that, unfortunately, it does not result in superior, or even good, lasting results.