Posts Tagged "Dr. Tarick Smiley"


There are lots of terminologies thrown around as regards to facelift surgeries—weekend lift, SMAS facelift, deep plane, skin-only lift, just to name a few—which add up to the confusion. For this reason, leading Los Angeles plastic surgeon Dr. Tarick Smiley says prudent patients should ask their doctors about the specific details of their surgery.

 

Dr. Smiley says he prefers the SMAS facelift technique due to its long-lasting, natural rejuvenating effects. It involves tightening the layer called superficial muscular aponeurotic system, which extends from the neck to the temple area.

 

The SMAS layer lies beneath the facial fat and skin and so tightening it means the deeper structure receives most of the tension, which in turn promotes good scarring as the skin receives very little of the “opposing” pull.

 

Meanwhile, older techniques (skin only lifts) can be problematic in terms of scar appearance and longevity. Because most of the tension is placed onto the skin, scar widening and overly tight appearance (done or fake look) are the usual results.

 

Furthermore, the skin is susceptible to the effects of gravity and continuous aging; hence, the celebrity plastic surgeon stays away from the procedure due to its unstable, usually short-lived results.

 

Dr. Smiley regularly posts educational videos on his Snapchat account to demonstrate the impressive results of SMAS facelift.

 

One patient was particularly impressed with her results that she allowed Dr. Smiley to showcase her outcome on social media.

 

smas facelift

 

The 60-year-old female patient had come to Dr. Smiley because of her sagging mid face, sunken lower lid, significant jowling, laugh lines (medically referred to as nasolabial folds), and neck bands. To address these problems, the celebrity surgeon performed SMAS facelift and neck lift.

 

He placed the incision “inside” the hairline (around the temple area), which extended behind the tragus (small bump in front of the ear) and then curved behind the ear for optimal scar concealment.

 

With SMAS facelift, Dr. Smiley was able to restore the softness over the cheekbone and reposition the sagging cheek fat pad, which in turn eliminated the laugh lines. Moreover, the technique allowed him to tighten the jawline and thus erase the appearance of jowling, and to improve the neck as well.

 

The SMAS facelift typically entails 3-3.5 hours of operative time and a social recovery (all the outward signs of surgery are gone) of two weeks. Nonetheless, all is worth it as it can erase up to 20 years off from one face, with the results expected to last 12-15 years.

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Facelift for cheek enhancement must address these following problems: hollowness below the cheekbone, sagging of the mid face, and laugh lines (nasolabial folds).

 

It is important to note that the cheeks can easily reveal a poorly executed facelift. With incorrect direction of pull or excessive tension, the patient can end up with flat cheeks, overly tight mid face, and/or skin pleating behind the ears where the wound is closed with sutures.

 

facelift for cheek

To avoid these aforementioned problems, renowned Inland Empire plastic surgery expert Dr. Tarick Smiley explains the critical components of facelift for cheek improvement:

 

  • Going beyond skin pulling and tightening

 

Dr. Smiley warns that relying too much on skin pulling and tightening can lead to flatness below the cheeks that can appear immediately after surgery or years down the road. For a more stable and natural-looking result, he highlights the importance of “deeper” tissue reposition, which is only possible when the underlying structure beneath the skin (fat, tissue, and muscle) is tightened and reshaped as well.

 

Dr. Smiley prefers deep plane SMAS technique in which the fat, connective tissue, and muscle are all being lifted to achieve natural and long-lasting results.

 

The SMAS technique has also been known to prevent flatness of the cheek, sunken mid face, and other surgical stigmata, he further explains.

 

  • Volumizers in the form of fat transfer

 

Fat and tissue reposition alone has no or very little effect on patients with gaunt appearance due to advancing age or inherited feature. For this reason, Dr. Smiley often incorporates fat transfer in his facelift surgeries for a more natural, three-dimensional rejuvenating effect.

 

Fat transfer not just corrects the hollowness below the cheekbone; it can also create a smooth transition between the lower lid and cheek, and soften the laugh lines.

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Drastic breast reduction surgery is performed not solely for aesthetic reasons, but to improve the patient’s quality of life, said leading Beverly Hills plastic surgeon Dr. Tarick Smiley.

 

Dr. Smiley has recently demonstrated drastic breast reduction surgery on his Snapchat account. The female patient shown in the video complained about the chronic back pain, postural problem, and shoulder discomfort due to the extra weight of her large, pendulous breasts.

 

drastic breast reduction

The left photo shows the result of drastic breast reduction surgery.

In the video, Dr. Smiley has explained the challenges of drastic breast reduction, particularly relating to increased bleeding and loss of nipple sensation. However, the risks can be avoided or at least minimized with meticulous dissection and deep understanding of the breast anatomy, he added.

 

Dr. Smiley said that large, pendulous breasts have longer blood supply originating from the muscle and therefore there is an increased risk of excessive bleeding and nipple areola loss.

 

“Nipple areola loss occurs when its skin literally dies,” he said, adding that one way to avoid this complication is to perform free nipple graft in which it is removed entirely from its stalk (main blood supply) and later grafted back into its place after eliminating some of the breast tissue and skin to reduce the “cup size.”

drastic breast reduction

The right breast looks significantly smaller and perkier versus the “untreated” left side.

 

But even the free nipple graft has its own caveat, Dr. Smiley has warned.

 

“We try to avoid the free nipple graft because it typically causes loss of sensation in the areola. Hence, we only decide if this is warranted during the operation and I will try to avoid it as much as possible,” he said.

 

During the operation, Dr. Smiley decided not to perform the free nipple graft; hence the areolar complex has remained attached to its stalk or main blood supply. Nonetheless, he was able to lift the drooping nipple by 20 cm from its previous location.

 

He also reduced the areola so it will look proportionate to the new, smaller breast size.

 

Meanwhile, Dr. Smiley has ensured that the scar goes precisely around the areola’s border and parallel to the breast fold for optimal scar concealment.

 

And while the vertical scar between the nipple area and the breast fold is in a more obvious location, Dr. Smiley said it is expected to fade into the background after 6-12 months.

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Brazilian booty lift, also referred to as buttock augmentation via fat transfer, is one of the most commonly sought after procedures in Beverly Hills plastic surgery.

 

Instead of implants, patients can achieve fuller, shapelier backside with the use of their own fat, which is derived from two or more areas.

 

Leading Beverly Hills plastic surgeon Dr. Tarick Smiley has recently posted a Snapchat video explaining how Brazilian booty lift can achieve the “Kylie effect.”

 

brazilian booty lift

Posterior View of the Patient.  The left photo shows the results of Brazilian booty lift with a “Kylie effect” in mind.

 

Over the past several months, Dr. Smiley’s patients have been citing reality TV star Kylie Jenner’s voluptuous body to describe their cosmetic goal.

 

“Basically, the Kylie effect is achieved by creating a narrow and high waist and the fullness of the hips,” he explained in the Snapchat video.

 

One female patient had requested for this “effect,” although she is naturally thin (weighing just 115 lbs. at the time of surgery) and so Dr. Smiley used multiple donor fats/liposuction sites to collect enough fats to be injected into her buttocks.

 

Dr. Smiley used the inner thigh, flanks, lower back, and arms as donor sites. He performed liposuction via microcannula, a suction probe with a very narrow body to dislodge and suction the fats in the most accurate and gentlest manner.

 

The use of microcannula, Dr. Smiley said, is particularly critical when treating the inner thigh because the area is susceptible to surface irregularities and so he avoids the use of large cannulas, which remove fats in bigger chunks and thus with less precision.

 

Moreover, Dr. Smiley had focused on reshaping the lower back and flanks through meticulous liposuction in order to replicate the reality TV star’s sultry silhouette.

 

Afterwards, the collected fats were processed with the centrifuge to separate and discard impurities such as the oil and blood cells.

 

Dr. Smiley injected more fats into the hips to make them appear fuller and curvier.

 

The celebrity plastic surgeon said that achieving high level of symmetry on both sides is one of the challenges of Brazilian booty lift; hence, he always uses laser light to guide him during the actual injection of fat.

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The effects of hourglass tummy tuck will depend on many factors such as the surgeon’s skills, ancillary procedures (e.g., liposuction and muscle repair), and patient’s anatomy.

 

Leading Beverly Hills plastic surgeon Dr. Tarick Smiley explains the fundamental factors affecting the final results of hourglass tummy tuck, which he regularly demonstrates on his Snapchat account.

 

hourglass tummy tuck

  • Patient’s anatomy

 

Generally speaking, the more distance between the lowest rib and the pelvic bone the more definition one can achieve from tummy tuck.

 

Meanwhile, women with a markedly short distance between these two points could not get the same amount of definition achieved by individuals with a “great distance” between them, with or without hourglass tummy tuck.

 

  • Adjunct procedure/s of tummy tuck

 

Dr. Smiley almost always incorporates muscle repair in his tummy tucks. This rather critical component of the surgery involves tying the pair of loose muscle that extends from the breastbone to the pubic region. Aside from creating a flatter frontal abdomen, he says the procedure makes the results less susceptible to the effects of “unplanned” pregnancy or even mild to moderate weight gain.

 

Meanwhile, the standard tummy tuck (hip to hip incision) cannot address the appearance of love handles (fat rolls along the flanks) or any excess skin on the sides.

 

Liposuction can further define the waist and hips by removing the excess fat beneath the skin, while extending the tummy tuck incision into the flanks can help the surgeon remove the excess tissue on the side.

 

  • Surgeon’s technical and artistic skills

 

Tummy tuck, as with any body contouring surgery, combines art and science. The goal is to remove a precise amount of skin and fat without causing surgical telltale signs such as unacceptable scarring, contour irregularities, navel deformity, and skin asymmetries.

 

Dr. Smiley, who has performed over 7,000 tummy tucks to date, says that experience allows him to determine the ideal tension during muscle repair and the exact amount of skin removal and fat without destroying the natural curves and contours of the frontal abdomen and waistline.

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