Panfacial Optimization Using Botox

This patient was looking for panfacial optimization and a more refreshed look! ⁣⁣
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This can be accomplished with sprinkling botox to her forehead, glabella (frown lines), crow’s feet, bunny lines, platysmal bands, and light amounts under her eyes. ⁣⁣
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She then had 1 syringe of filler (0.55cc Volbella) to restore the lid cheek junction (under eye) and 1cc Radiesse for better jaw rejuvenation.⁣⁣

How Much Botox do I Need?

 
 
 
 
 
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A post shared by Effie Politis, MD, FACS (@dreffiepolitis)

A common question asked by most Botox patients: “𝘏𝘰𝘸 𝘮𝘶𝘤𝘩 𝘉𝘰𝘵𝘰𝘹 𝘥𝘰 𝘐 𝘯𝘦𝘦𝘥?” ⁣

Understandably so, since this is an important consideration before going through the treatment, as the amount of Botox you need determines the overall cost of the procedure.⁣

Every patient is unique in terms of both facial characteristics and desired result. ⁣

Individual facial muscle requires different amounts of Botox in order to fully relax & prevent wrinkle formation. ⁣

There are also other characteristics that influence how your body reacts to Botox injections: your gender, size and strength of your facial muscles, and your metabolism.⁣

It’s important to make sure that you receive the proper amount of Botox units required for your individual needs and goals. Dr. Effie will make sure you meet your needs and desired results. ⁣

The goal is always to achieve balance on the needs of what the patient wants, and what the plastic surgeon advises to give as the best result. ⁣⁣⁣
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Attempting to save money by undertreating an area will not create a satisfying result and could end up costing you more money if a fix is needed. An experienced Botox injector will determine the right amount of Botox needed to deliver the results you are looking for.⁣

If you want to know more, consult with @dreffiepolitis today! ⁣

Call us: (813) 542 – 2587⁣⁣⁣⁣⁣⁣⁣⁣⁣
Check our website: politisplasticsurgery.com⁣⁣⁣⁣⁣⁣⁣
Visit us: 5016 West Cypress Street, Suite 200, Tampa, FL 33607⁣⁣

“Rejawvenation” with Radiesse

 
 
 
 
 
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With CaHa biostimulator called Radiesse. ⁣

It works by placing calcium hydroxyapatite microspheres in an organic vehicle or carrier which provides both volume replacement and collagen biostimulation creating long-lasting improvements for >18 months resulting in tighter and more elastic skin with increased skin thickness. ⁣


This is like bone putty and works really well for building up the posterior jaw given we lose skeletal support to our facial buttresses each decade. This leads to loss of soft tissue support and descent inferiorly. ⁣

Unfortunately, many injectors are performing this on people of all ages given its popularity on social media which can also masculinize the jaw when applied to the wrong patient. ⁣

As a board-certified plastic surgeon, I provide each patient with a customized beauty plan that best suits their needs and long term goals. This involves analyzing the face from top to bottom in thirds, and medial to lateral in fifths. ⁣

Our customized beauty plan ensures gradual improvement so patients look natural and refreshed. ⁣

What is midface augmentation?

 
 
 
 
 
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A post shared by Effie Politis, MD, FACS (@dreffiepolitis)

Maintaining the golden ratio or phi in this patient by mid-face augmentation. ⁣

This hyaluronic acid filler has inherently high lift capacity (Vycross technology) which helps maintain the inverted triangle of youth. ⁣

This will maintain fullness by expanding the midface centrally while using the bony support of the zygoma (bony arch of the cheek) laterally as a scaffold to detract from forming deep central wrinkles like the nasolabial folds (commonly known as smile/laugh lines). ⁣

She had 1 cc Voluma to right and left mid and lateral face for a total of 2 cc. ⁣


A few things to know about fillers : ⁣

–– Smooths fine lines & facial wrinkles⁣
–– Restores youthful volume to areas like the midface and jawline⁣
–– Creates balance in areas that are slightly asymmetrical⁣
–– Reverses mild skin laxity due to aging⁣
–– Fills out shallow scarring for a smoother look⁣
–– Rejuvenates the area under the eyes to produce a refreshed, awake appearance⁣
–– Requires little to no recovery time⁣
–– Results are temporary & requires repeat injections⁣
–– Results are dependent on the experience & qualifications of your injector⁣

Always consult with a board-certified plastic surgeon. ⁣

What is a butt lift?


Do you have loose, sagging skin in your buttocks? Are you uncomfortable with the excess fat? Have you just had dramatic weight loss and feel self-conscious about your gluteal area?

Well, you don’t have to let this situation hurt your self-confidence and frustrate your efforts to achieve a slimmer, more sculpted body. You can get a butt lift and have smoother, more youthful buttocks!

What is a butt lift?

A buttock lift is a procedure to remove excess fat and skin through surgical excision and liposuction. It helps with loose, sagging skin, extra fat from aging, or mobility problems. It also alleviates discomfort due to the excess skin, makes the buttock area smoother and more toned, and gives long-lasting results.

A butt lift surgery can help you to:

  • Remove the loose skin and cellulite below your waistline after pregnancy
  • Eliminate skin laxity and sagginess (ptosis) of your buttocks
  • Make your butts proportionate to the rest of your body, particularly after significant weight loss or bariatric surgery
  • Make your buttock area smoother and more toned

Continue reading about Butt lift surgery here.

Interlocking Cogwheel Suture for Mastopexy

 
 
 
 
 
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A post shared by Effie Politis, MD, FACS (@dreffiepolitis)

The Interlocking Gore-Tex periareolar suture technique is used for periareolar closure to avoid postoperative widening of the nipple-areola complex. ⁣

The GORE-TEX® Suture is a microporous, monofilament suture of flexible biomaterial for excellent handling, reduced hole-leakage, and minimal irritation in soft tissue approximation. ⁣

This permanent suture helps in stabilizing the nipple-areolar complex over time to prevent widening or stretch deformity.⁣

Swipe for a video of Dr. Effie using this technique and an uncensored version of this photo! ⁣

What defines the perfect breasts?

 
 
 
 
 
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According to Dr. Malluci of the Royal Free and University College London Hospitals, it is the relative size of the upper and lower halves of breasts that holds the secret of the perfect bust.

He believes the most-appealing female breasts should be only slightly smaller above the nipple than below.

To support his hypothesis, he asked more than 1,300 people to rank four breast types with different proportions. Board-certified plastic surgeons have championed the adoption of this aesthetic principal.

This golden ratio for breasts is not just a modern phenomenon.

Throughout history, from the earliest representations of women to the statues of antiquity, from Renaissance masters to modern photographers, artists have chosen the same proportions.

Lower Eyelid Rejuvenation with Dr. Effie Politis

 
 
 
 
 
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A post shared by Effie Politis, MD, FACS (@dreffiepolitis)

There are a variety of treatments to help rejuvenate the lower lids. ⁣

First and foremost, the eyes and upper/middle face are examined in terms of skin quality, bone structure, volume loss, and fat descent/deflation. ⁣

Typically, the upper lids are always paired with the brows as they complement each other, and treating one may leave the other deficient. ⁣

The lower lids must be treated as part of the midface. I typically examine the relation of the globe to the bony orbit and facial width vs projection. ⁣

Most opt for a blending of the lid-cheek junction. This can be done with a single HA filler or sandwiching two different fillers with different lift capacities. ⁣

In addition, some benefit from surgical repositioning of fat and tightening of the lower lid. Others may benefit from energy-based skin tightening modalities in conjunction with neuromodulators or fillers. ⁣

See your board-certified plastic surgeon for a treatment plan that will benefit you and your lifestyle!

Breast Reduction: Before and After Look

 
 
 
 
 
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There are a variety of ways to perform a breast reduction.

⁣I love doing breast reductions because patients feel immediate relief from the upper neck and back pain as has been shown and patient-related outcome studies. ⁣

⁣This lovely patient, in her 40s, has failed nonmedical modalities to relieve her upper neck and back pain. ⁣
⁣Because of her large and wide breast, she was a candidate for an inferior pedicle breast reduction with modified vertical skin excision. ⁣

⁣In general, we minimize the scars underneath the breast. The breast is shaped and cone better through a vertical incision so we take advantage of this incision and shorten the horizontal one so there is a less boxy appearance. ⁣

The patient had immediate relief of her symptoms and is back to work after having a week off.⁣

Abdominoplasty Procedure with Dr. Effie Politis

 
 
 
 
 
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A post shared by Effie Politis, MD, FACS (@dreffiepolitis)


Here I showed the steps of an abdominoplasty procedure which includes:⁣

1. preoperative evaluation and marking⁣
2. excision of the lower abdominal skin⁣
3. undermining of her abdominal flap to her costal margins⁣
4. recruitment of superior and lateral tissue⁣
5. excision of sub-scarpal fat ⁣

 
 
 
 
 
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A post shared by Effie Politis, MD, FACS (@dreffiepolitis)


6. repositioning of the umbilicus⁣
7. liposuction of the flanks ⁣
8. and finally, sewing of the superior and inferior flaps in a layered closure. ⁣

The various steps of an abdominoplasty as shown here is a methodical process that needs to be precisely executed. ⁣

Preoperative evaluation is key, as well as obtaining ideal weight with diet and exercise. ⁣