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Dr. Lee Robinson 02-25-09 PART II

Jun 25, 2009|

Plastic Surgeon, Dr. Lee Robinson's weekly visit with Daria, Mitch & Ted.

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Automatically Generated Transcript (may not be 100% accurate)

-- -- -- -- -- Cosmetic surgeon doctor Robinson is here I don't wanna recommend that people do this because I think it would drive him and his staff very crazy but it's super fun to go and look at is this when -- -- caddie actually said that the army -- phone -- get it working on it because he didn't have before and after pictures like I just like to go on because often look at them -- -- easy by the looks a couple times when it's a fascinating one of the most. There all the sections like the I work. The the I work. Anyway I can go on and on but I was looking at chin from. And his before and after pictures and he can change John lines -- so amazingly and it doesn't look like surgery was done it it looks like a magic -- was wave and you and you went from looking like. Like speaker chance for me to like superhero jettison their version of your your questions for the dog who is curious to play 73515. Don't go ahead. I want her -- I'm actually insulated at the end it's just addict -- -- -- topic but I haven't very prominent M. And I'm wondering if there's -- X I don't. It's not a problem. Let's get questioned. It depends upon why each. What the underlying issue is why the -- is prominent in some patients actually entire lower jaw is a little larger. They should be meaning dad. Patients have what's called them under bites. -- -- the lower teeth instead of when the jaws closed. Right did the fifty don't. Close it significantly behind the -- -- Grant is the issue. Doing anything specifically just the chin just really doesn't work and what will normally be done as was cult or fanatic surgery. And oral surgeons will do what are called sliding -- -- enemies where they'll cut. He John -- on each side and slide the jobs back. There are normally taking one in the tooth on either side als or more and then putting little securities in the bone in letting -- Very nice. Way to do that there is some word though -- quirk is generally needed after that to be done to see if the inclusion -- normal if it's just a minor. Little -- true friends of the bones and the inclusion mean the way to teach fit together totally normal. It is possible to go in grind down that's. Prominent bone the problem is is that if the more you grind the -- down the more you have an issue with -- fat cat in. And skin pad that normally sits on top in front of that part. And it's difficult to remove sometimes it excess skin. In other words. There's not a good place of placing decision to take excess skin out and to take much of the bone away the -- that had a -- panel sometimes drop off in sort of sag off the end of what is now a smaller. Underlying bone structure. My profiling at it Alberta but it happened so quick breath you know it is just that like it's my and that. Commented I like my job like actions is that. He felt it in you know it is possible those are very individual things that need to be evaluated because everybody's anatomy is so different that. In most cases there's always something that can be done. Here -- -- Becky doctor -- and it's requesting go ahead. I'm out 87. Now -- eight year old son who what you're getting completely open over the -- And -- the horrific are at what age can I get that car taken away if I can't. Well it depends upon what's making the scar visible at the scar. Is red. -- normally you don't need to wait too long. Six months or maybe a little bit more. Up to a year to do what is called laser. Or vascular lasers can be used to. If a star is raised. And -- B unit in appearance and or read sometimes. Small amounts of steroid injection into the scar will flatten the scar. And make it less noticeable. If the scars just really knew why it. Then sometimes that you will need to do what's called an -- seasonal. A scar revision meaning that you take out that -- being scar tissue and close. The scars and close it was very small sutures and with that type of scar revision use -- sort have to hope that. In closing at the second time that the circumstances around that tissue and how it -- or somehow significantly different than. How he'll the first time otherwise it would possibly. Scar or heels similarly no words. Some very bottom of another star -- you put you take -- scar tissue but it has to heal the body heals will scar tissue and if and there are some places on the body in some patients that we'll just ten to scar a certain way in certain areas so sort of depends upon eggs. They better look silly like on the on the chin and then he would say on the yum probably because facial skin does in most cases in a controlled circumstance. We'll tend to heal within less scarring less wide less -- be less raised type the scars and areas that have very thick skin such as the back. So there is series of the joints and you just. Just leave a scar on his chin is it'll lessen with time but then he'll have a scar there and then he can play young Indiana Jones well. -- -- could -- that girls stay postcards that what happened was is that you basically cut aid little scooter handle screw it. And so when those -- EPA that -- like first I -- sent but it's approximately. Gonna have almost three inches long. -- -- good news is that something can probably be done the problem -- sort of is that seminary years old is. Sometimes they. Children that age don't tolerate doing. Things that would normally be Yemen and an adult under local anesthesia meaning a little protection and bring you just doesn't talk about put him in the van we get a good yeah advances boil the same time to Canada and that's. I think it's worth the consultation probably were police looking up very good things here call the -- cosmetic surgeon doctor Lee Robinson and Melinda your next what's your question. -- -- -- enhance I want to announce he heard or -- Because that's it you're wearing it it's a pretty apparent -- so later -- -- -- -- that -- surgical management since. Well a laser well hold them back up a little bit. Isn't that there's no laser procedure that were placed doing a face lift in a patient who was a candidate for a facelift and the reason for that is that. Doing something superficial. To the surface of the skin will not tighten. What are these structures that have sagged in patients saying anybody over in mid forties to fifties. As saying tissues -- -- loomed in the neck that shelling in the mid. If she can. Area. Were. That can't be replaced -- just doing something superficial to just the skin now. There are procedures that can improve texture of the skin and those can be done we do those all the time in the office. We have approved what's called pearl fractional -- which. Utilizes a technique of fractional laser. Application -- and titans in significantly smooth it help with general overall tone. But again if you are looking at somebody that he had a look at exactly what this. The reason is of the patients coming in scratched her purse is literally gravity induced staging. What do you know about that tightened the TI ATA and we heard that I have heard is that titan titan is any. Utilizes infrared infra red energy to heat did -- continues tissues dismayed by a company called Cutera. They do make a lot of different types of lasers and this one. Our whole handful. If not more of the non invasive procedures that are designed. To try to get past. The problem. Trying to tighten tissues under the skin without. Actually. Cutting -- going under the skin like you do surgery it's difficult. I would have saved at the results or. My old M best also according to their website they are dramatic background but because. Of a mild to moderate its results -- some patients with that in not just that damn I don't wanna singled announced sale McDyess they don't worker David. Those any of those procedures are just very. They're very much in demand but the technology. Is. I don't think is really caught up with the new demand to put people want to people want surgical results but they don't want surgery yeah. And I unfortunately. I think in 2009 we're not quite there yet. But we're heading in that direction they're trying good Larry yeah. I -- go ahead -- -- quest. Until -- rendering in that stretch marks and heard that they can. You can do something like that is -- -- -- -- stretch marks and one out when he -- skin grafting for. -- little boy's skin grafting could removes he moved to stink if you cut out. Stretch marks and replace it with skin taken her -- part of the body you have now two areas that looked very bad. Skin grafting never looks normal. Ever looks normal. Abdominal last d.s or tummy tucks actually just remove the skin has stretch marks in it. Normally from the belly button down the pubic bone and out to also move to that hip bones. To treat the actual. Stretch march. When it's in place in leading this -- skin around there's not a lot of things that are really good -- there's a -- laser technology out there that is used to revitalize. Skin that is used in some patients a year you can actually get good results but the results are a little bit unpredictable. Yeah well I think is I can like hardly changed does flap left over from like pregnant. If they're not getting there to do attorney costs. -- -- -- -- -- -- You have to be of value it's you figure out how much laxity there is in the skin between the -- -- and -- pubic bone after. The pregnancy and then how much muscle laxity there is underneath debt to determine how much those muscles need to be tightened up balls. Can I ask you a personal question. Sure okay. Are they for pregnancy. Okay what stage yeah -- Curiosity and fear of -- Stage in the pregnancy did you develop some -- -- post delivery was that the leading up soon. Earth -- do you remember when they appeared. I do any real my friend and we all had a -- the same time still like to actually got stretch marks like it took nine months he can he start if you read it. And then after it was who really deep red in about it went after that it -- -- quite a bit -- other 21 be get any stretch marks. I'd hit. A good. And then otherwise -- -- -- really developed while she was pregnant I made it more afterwards and they're not very deep at all. I think I got the work that they I looked like I got attacked by a tiger. -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- Thank you don't banned drugs that's all we have time for today I'll be back next week.