About Maryland Plastic Surgery

fontana_bioMy Philosophy of Aesthetic Cosmetic Surgery:

It is not uncommon to look at the face or figure of a stranger and immediately find them attractive. Yet, on closer inspection of the person’s face or figure, you realize that each part of the individual’s face or figure may actually be unattractive. Somehow the combination of the specific facial features or body parts blend themselves into an attractive individual. This blending of characteristics of a person into an attractive individual is what I call balance. It is my task as a plastic surgeon to create this balance in ALL of my patients, or in other words to bring a patient’s face, breasts and body into an aesthetic balance and harmony. For you as a patient, you must ask these questions:

  1. Does the plastic surgeon have the correct aesthetic sense to define this balance.
  2. Is the plastic surgeon experienced enough and does he/she possess the technical skills necessary to produce the expected end result?


The following information may help you understand each of the procedures from a “plastic surgeon to patient” point of view. It will enable you to evaluate a post operative result not only from an aesthetic point of view but also from a technical view point. With close analysis, you will be able to discern on other websites the differences between a poor, average and excellent surgical result.

General information and animation of each of the procedures can be found in the website of the American Society of Plastic Surgery at www.plasticsurgery.org

Facial Aesthetic Surgery and the Process of Facial Aging

The rate of facial aging is dependent on many factors but the following contribute the most:

  1. Sun exposure
  2. Smoking
  3. Skin quality
  4. Skin care regiment
  5. General health and life style
  6. Genetics

Interestingly, of the six factors, every patient can influence and positively affect five of the six factors, number 1, 2, 3, 4, and 5. We can not change our genetics as we have no choice about who are parents might be. The aging process is not constant process. By that I mean, you do not age exactly the same amount every day like the ticking of a clock. Individuals age in bursts. Either because of illness, emotional trauma (family problems, financial problems), or unhealthy life style, you may shows signs of aging in a dramatic fashion within a very short period. The following will help you identify the first signs of facial aging.

Facial wrinkle/creases versus folds

Understanding the process of facial aging will aid you in determining what procedure or non-invasive techniques suit you best. As one ages the skin of the face thins, facial volume decreases and creases and folds of the facial skin develop. A fold is the direct result of thin skin, volume loss and stretched skin. Examples of folds are the fold of skin beginning at the nostril extending to the jowls, the so-called nasolabial fold. Facial skin creases are a result of repetitive facial muscle movement, so much that the skin creases permanently. Examples of facial skin crease are the frown lines between the eyebrows in the forehead area and the so-called crow’s feet seen around the eyes during animation, i.e smiling. By understanding the difference between folds and creases , you will better understand why they are each treated differently.

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