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The Different Types of Revision Surgery in Beverly Hills

Have you had bad results from a surgery performed by another doctor and were left with unsatisfactory results? If so, you are not alone, as it is a relatively common situation. Fortunately, Dr. Gabriel Chiu is an expert at revision surgeries. Correcting problems with an earlier procedure is a challenging task, but Dr. Chiu and the staff at Beverly Hills Plastic Surgery are the go-to experts in the area. Here are some of the different types of revision surgeries that can be performed:

Capsular Contracture

Capsular contracture is the infrequent problem of malformed scar tissue around a breast implant after breast augmentation surgery. During a breast augmentation procedure, a pocket in the breast tissue is formed and the implant is inserted. As the tissue heals after the procedure, a capsule of scar tissue develops to hold the implant in place. When this capsule contracts, thickens or squeezes the implant, the breast can harden or even become distorted. This is when capsular contracture occurs. Capsular contracture can be corrected through surgery which will improve the condition of the breasts.

Breast Reconstruction

Most women seek breast reconstruction typically after a mastectomy, injury, or birth defect. In several cases, breast reconstruction is performed immediately after mastectomy, but it is always important to consult with a plastic surgeon to determine the best plan of action for your body. Breast reconstruction is designed to reestablish a natural and symmetrical appearance of   the female upper body. This will maintain body proportion but mostly breast reconstruction will boost self-confidence after losing one or both breasts or lack of breasts due to a biological abnormality.

Scar Revision

If you are tired of or embarrassed of an unattractive scar or a scar that impedes movement, then a scar revision procedure could be right for you. Whether the scar is the result of a traumatic injury or a previous surgery, a scar revision procedure can improve your appearance.

Scar revision surgery is one of the most common reconstructive surgery procedures.

Rhinoplasty Revision

A rhinoplasty, also known as nose surgery, is a procedure that is intended to produce results that last a lifetime. However, rhinoplasty revision is desired by individuals who did not get the physical appearance they anticipated with their first procedure. With a rhinoplasty revision procedure, a patient must undergo a following nose job in order to repair undesirable results from the previous surgery.

Liposuction Revision Surgery

Liposuction revision can commonly result from changes in health or a sudden weight gain. Primary liposuction procedures can be an effective way to eliminate fat deposits from areas of the body that are resilient to diet and exercise. In most cases, liposuction can provide enduring benefits that can last many years. However, with various circumstances which cause weight gain, liposuction revision surgery may be needed, due to unexpected irregularities developing as the body changes.

Gynecomastia Revision

Men of all ages can be affected by the condition Gynecomastia, which is the appearance of oversized male breasts. In order to correct this problem and improve their sense of well being, many men decide to undergo Gynecomastia surgery. However, because of diet, genetics or the use of certain medications and drugs, some men can eventually gain back their enlarged breasts. In other cases, some men who did not get the results they desired the first time around may decide to undergo a following procedure to improve their appearance.

Revision Surgery in Beverly Hills

When undergoing surgery, you should always choose a surgeon whom you can trust and with whom you can have candid, comprehensive and open communications. Dr. Chiu provides a relaxed environment for patients and ensures that your consultation is a comfortable, enjoyable experience in which you feel confident expressing concerns and asking any and all questions regarding your procedure(s). Dr. Chiu takes the time to thoroughly understand your goals and objectives so he can help you achieve the aesthetic results you desire. If you are considering undergoing a revision surgery in Beverly Hills, please contact us here today to schedule a consultation.




How Do Breast Implants “Bottom Out”?

Nobody likes hitting the bottom or “bottoming out” when it comes to breast implants, which occurs when implants slip below the natural or surgically lowered inframammary crease, causing a much lower breast crease. Nipples and the areola complex may also tilt upward as the result of breast implants heading south, while any inflammatory scars may travel upward towards the lower breast mound.

Typically, those at most risk for bottoming out experienced an over-dissection of the implant pocket during the initial surgery or if the implant is too big or heavy for the amount of skin and underlying breast tissue. The placement of the implant also plays a key role, because if your implants were placed fully underneath chest muscle, there is a much lower risk that they will bottom out than if they were placed above the muscle or partially below muscle.

If you have undergone breast implant surgery in Beverly Hills, it is important to know the best practices in case something goes wrong.

Revision Surgery

The only way to correct bottoming-out is through revision surgery, which often times may mean removing the implants and allowing a period of several months for the old pocket to heal and recover. In less extreme cases, however, implant pockets can be surgically revised, where the pocket is either doubled over on itself to seal the break or when permanent sutures are applied to support the implant. Both of these options have consequences for remove and replace operations because the stitches left behind often will cause scarring.

Another route would be to use tissue substitutes such as Alloderm or Strattice to hold the breast up and to support the implant. Products such as these are used to create a structural brace for women who do not have enough tissue of their own. For some, a breast lift (mastopexy), with possible removal of skin along the inframammary fold, might be needed as well.

Ways to Prevent

The very best results of breast augmentations occur if and only if implants stay inside of the pocket. One crucial variable that is always needed in any breast enlargement surgery is the initial skill of the chosen physician. So, in choosing for any plastic surgeon, carefully consider the surgeon’s resume, their various patient testimonials, as well as inquire about his or her actual complication rates to compare to those rates found in other implant manufacturer’s studies.

Also take note of other procedure variables that will likely reduce the risk of bottoming out, such as a transaxillary incision, which does not cut the bottom of the breast (or really very much breast tissue at all) so there is less risk of bottoming out.

Submuscular placement can also reduce the risk, with the likelihood of bottoming out often completely eliminated if the implant is placed completely under the muscle. This uncommon sort of placement does pose serious risks that might outweigh the benefits, so be sure to consult with a physician first.

Remember as well to be certain that the implant size used is appropriate to the amount of breast tissue present preoperatively. Implants that are too large are likely to bottom out. Even consider using silicone gel instead of saline because silicone gel implants are less dense than saline implants.

Last but not least, follow all instructions for postoperative care dutifully. It is especially important not to rush back to routine exercises that will add unnecessary stress on the bottom of the pocket. Make sure also to wear an appropriate supportive bra following breast augmentation so that the tissue is not forced to bear the entire weight of the implant.

Breast Revision and Breast Implant Surgery Beverly Hills

Breast implants are supposed to make you look and feel better, so if a breast implant surgery in Beverly Hills does not provide good results, there seems to be no point in going through the pains of an expensive and somewhat risky procedure.

If you are concerned about bottoming out, ask your board-certified plastic surgeon if you are at risk and what steps can be taken to minimize your risk. To learn more about how to receive the best breast augmentation treatment out there, schedule a consultation with a local cosmetic surgeon by contacting Dr. Gabriel Chiu, a renowned plastic and reconstructive surgeon whose utmost goal is to help his patients achieve their personal aesthetic goals in a caring and relaxing environment.


Which Cosmetic Facial Surgery Is Right For You?

Posted in Cosmetic Surgery — Tags:

If you’re considering cosmetic facial surgery but you’re not completely sure which is the best procedure for you, then you will find this information useful as you make your decision. Here are some of the most common facial procedures and their ideal candidates:


A facelift is a surgical procedure where the skin on the face is tightened in order to smooth it out and reduce the appearance of lines and wrinkles. There is more than one type of facelift, with a full facelift being the most common. However, you can also get a mid-facelift depending on what it is you want to achieve.

An ideal candidate for a facelift is in good health and has a good amount of skin elasticity. Facelifts are most commonly performed on people between the ages of 40 and 70 but they can be performed on younger patients too.

Brow Lift

A brow lift, also called a ‘forehead lift’, is a procedure where the skin on the forehead is tightened in order to reduce the appearance of frown lines, which are the deep lines that appear on your forehead with age. By eliminating these lines, you can achieve a natural looking and youthful appearance.

If you’re unhappy with lines on your forehead and want to soften your facial expression while also making your eyes look more youthful then a brow lift could be the perfect procedure for you.


Rhinoplasty, also known as “nose reshaping” or a “nose job,” can improve the appearance and function of the nose. From the bridge and nostrils to the tip and overall profile of the nose, nose surgery can correct a variety of aesthetic concerns. Nose surgery can improve the size, shape, and overall appearance of your nose. Rhinoplasty will help balance your facial features by creating a nose that is in better harmony with the rest of your face.

If you are unhappy with the overall appearance of your nose, you may be an ideal candidate for a rhinoplasty.

Eyelid Surgery

Eyelid surgery, also known as blepharoplasty, is a procedure that’s used to remove excess skin from around the eyes in order to achieve a more youthful appearance by eliminating wrinkles and fat.

If you are unhappy with lines and wrinkles around your eyes; or you feel you have excess skin or fat in this area, then you might benefit from eyelid surgery.

Chin & Cheek Augmentation

Chin and cheek augmentation are surgical procedures that insert implants to permanently enhance the facial structure. Chin augmentation increases the projection of the chin, while cheek augmentation produces a fuller and more sculpted appearance. These two procedures can significantly improve your profile and facial definition to enhance your attractiveness with permanent, predictable results.

If your cheeks and chin lack definition and are causing you to have a weak profile, chin and cheek augmentation may be the facial surgery for you. Facial implants for the chin and cheeks can create a more distinct, sculpted facial structure to enhance your overall appearance.

Thread Lift

A thread lift is a minimally-invasive procedure done to correct sagging eyebrows and eyelids, aging neck tissues, and deep furrows between the nose and corners of the mouth. It can add volume while lifting certain areas of the face and jowls.

Most patients who receive a thread lift are between ages 35 and 45 and desire a facelift but do not have the amount of time off needed for recovery or who cannot afford the standard facelift.

Ideal candidates for any facial procedure are in healthy physical and psychological condition. They must have realistic expectations that they discuss with their surgeon during their consultation. Interested candidates should discuss their goals with Dr. Chiu in detail to determine which facial procedure would best accomplish their desires.

Choosing the Right Surgeon

When undergoing cosmetic facial surgery, you should always choose a surgeon whom you can trust and with whom you can have candid, comprehensive and open communications. Dr. Chiu provides a relaxed environment for patients and ensures that your consultation is a comfortable, enjoyable experience in which you feel confident expressing concerns and asking any and all questions regarding your procedure(s). Dr. Chiu takes the time to thoroughly understand your goals and objectives so he can help you achieve the aesthetic results you desire. If you are considering plastic surgery, please contact us here today to schedule a consultation.


How to Avoid Wrinkles

Posted in Beauty Tips — Tags:

The common consensus among many women and men is that aging skin is inevitable, that everybody wrinkles at the same rate, and that there really is not much that can be done to prevent it. However, with the ample array of information and technologies available on the market today, there are multiple ways to prolong looking as young as you feel. It is important to maintain the best aging skin care possible to preserve your youthful glow.

Whether you are only just beginning to see the first signs of aging, or already have skin that doesn’t exactly keep your birthday a low key secret, there are certain habits that can help avoid the onset of premature wrinkles to keep your skin looking younger (and healthier) longer. Here are some of the best aging skin care tips to avoid getting those unwanted visible lines on an otherwise fresh face.

Get a Full Night’s Rest

It might sound obvious, but getting the right amount of sleep is necessary. It is vital to sleep at least 7 to 8 hours a night to rejuvenate the skin, which is why it’s called “beauty sleep!”

Skip Tanning and the Sun

Not surprisingly, tanning is one of the leading causes of premature wrinkles, as ultraviolet rays hugely penetrate deep layers of the skin, weakening the skin’s support structure. Though wearing lotion with SPF 15 or higher will help protect the skin — which by itself should be a daily part of the skin regime — staying away from harsh sunlight is often a good idea to prevent faster signs of aging. Something not to ever skip out on, however, is remembering to wear enough sunscreen. This is the best aging skin care habit to maintain and truly makes a difference in hindering the appearance of age on the face.

Trash Those Cigarettes

Smoking monumentally accelerates the skin’s aging process, with wrinkling having been discovered in smokers as young as twenty. Not only is smoke inhalation by itself terrible for the skin, not to mention your health in general, but tobacco is widely known to turn the skin an unhealthy color and texture. The best thing you can do for your skin and your body is to quit smoking.

Don’t Worry, Be Happy

Like it or not, even daily facial contractions, such frowning and squinting contribute tremendously to the onset of crow’s feet, frown lines, and other unwanted facial flaws. Simple steps such as wearing sunglasses or corrective eyewear to avoid squinting or regularly relaxing the resting face will help minimize extraneous contractions that prevent wrinkling.

No Yo-Yo Dieting

Another surprising factor in wrinkle development would be unhealthy weight loss, as research has shown that unbalanced years of losing weight and gaining the weight back can damage the skin’s elastic structure. Losing or gaining weight in a steady manner, however, can ease the skin into accepting the new size of one’s body.

It’s important also to remember that the skin is actually the body’s largest organ and needs ample protecting. Eating a balanced diet helps keep skin healthy and though one can never truly rid themselves of wrinkles entirely, there are definitely some things that can be considered when eating to minimize signs of aging on the skin.

Stay Hydrated

They say that good skin starts from within, so make sure to stay hydrated with water, coconut water, and green tea, which are all full of antioxidants that play a vital part in keeping skin young and healthy. Plus, not only is moisturizing from within important, but water also detoxes the body by flushing out harmful wastes.

Be Nice to Your Skin

Especially for those struggling with acne, it is important not to scrub too aggressively when skin breaks out. The worst thing that can be done to acne-prone skin is to engage in constant scrubbing or over washing, which further irritates the skin.

Acne is not merely caused by dirt or uncleanliness, but more from hormones. Instead of rubbing the face raw, wash very gently and use products, like salicylic acid, that target the acne directly. Poking, prodding, and picking at the face causes scarring, pigmentation, and more chances of bacteria entering deep into the skin.

Trade Coffee for Cocoa

That morning cup of Joe can be more harmful than you think. Too much caffeine can first of all, interfere with sleep quality, cutting into rejuvenation time and prematurely aging the skin. What’s more is that repetitive movements like sipping through a straw can causes fine lines and wrinkles.

Why not skip that morning brew and go for something sweeter instead? In a 2006 study published in the Journal of Nutrition, researchers found that cocoa contained high levels of two dietary flavanols (epicatchin and catechin) that can protect the skin from sun damage, affect hydration, improve circulation to skin cells, and make the skin look and feel smoother.

Superfood it!

There’s no single miracle food that can make the skin less wrinkly, but choosing foods that are known to contain vitamins, minerals, and omega-3 fatty acids definitely contributes to the best aging skin care techniques. Things such as Vitamins A, C, E, riboflavin, niacin, pyridoxine and selenium all play key roles in skin health.

Moisturize, Moisturize, Moisturize

And finally, the cardinal rule to top it all off. Moisturizing cannot be emphasized enough because even the simplest moisturizer without any special added ingredients can reduce the appearance of fine lines and wrinkles. The skin looks plumper and suppler, rather than drier with more fine lines. Furthermore, most skin moisturizers and treatments on the market today contain some type of anti-aging ingredient that can be highly beneficial to de-aging the skin.

Let Us Help!

To learn more about the best aging skin care, schedule a consultation to discuss further options to shake up your skin routine with various non-surgical anti-aging treatments, contact Dr. Gabriel Chiu, a renowned plastic and reconstructive surgeon whose utmost goal is to help his patients achieve their personal aesthetic goals in a caring and relaxing environment.



Surgical vs. Non-Surgical Rhinoplasty

Posted in Rhinoplasty — Tags:

Do you feel that your nose is too large, too wide, asymmetrical, or has an unattractive angle? Nose surgery can improve the size, shape, and overall appearance of your nose. Rhinoplasty can create a nose that will help to balance your facial features and improve your overall quality of life. Learn more about the different options for rhinoplasty in Beverly Hills here.

Surgical Rhinoplasty

Rhinoplasty, also known as nose reshaping or a nose job, is a cosmetic surgery that enhances the appearance of a patient. It can be performed in a variety of surgeries.

Functional Rhinoplasty

  • Nasal airway obstructions may be caused by several abnormalities that develop or that have been present since birth
  • Optimize the airways without altering the nasal contour
  • Relieve any nasal airway obstructions
  • Includes a unique procedure and techniques that are customized to the needs of each patient

Closed Rhinoplasty

  • Involves incisions placed within the nostrils
  • Modifications are made without lifting the skin and tissues
  • Provides limited access to underlying nasal structures
  • Results in no visible scarring
  • Accelerated recovery time
  • Recommended for most patients

Open Rhinoplasty

  • Involves an incision on the underside of the nose between the nostrils (on the columella)
  • Tissues are lifted in order to give access to the underlying nasal structures
  • Recommended for patients who require extensive modifications to the nasal tip

Revision Rhinoplasty

  • Corrects the results from a previous rhinoplasty procedure
  • Typically involves the open rhinoplasty technique
  • Often requires cartilage grafts from the ears, ribs, or septum in order to augment the nose

Non-Surgical Rhinoplasty

The nose is one of the most prominent features of the face. Many men and women who are unsatisfied with the appearance of their nose but do not want to undergo invasive plastic surgery may have the option of non-surgical rhinoplasty.

Non-surgical rhinoplasty is usually performed with hyaluronic acid injections or collagen-stimulating dermal fillers to augment the shape of the nose. Dermal fillers such as Juvederm, Restylane and Radiesse are the most common fillers used for the procedure. Botox is also used to temporarily freeze the muscles in order to diminish wrinkles around the nose. Non-surgical rhinoplasty will provide the following:

  • Involves the injection of dermal fillers and Botox
  • Can make minor corrections to certain nasal features, including small bumps and a hooked or crooked tip
  • Corrects contour deformities
  • No downtime needed for recovery
  • Results are visible immediately
  • Requires repeat treatments in order to maintain results

Non-surgical rhinoplasty is not recommended for patients who desire the following:

  • Long-lasting and intensive augmentations
  • Improving functional and nasal breathing issues
  • Reduction of large nasal size

Potential candidates who have major nasal deformities and who are seeking a significant alteration in the size or function of their nose may require nose surgery in order to resolve these issues. Your doctor will help you decide which procedure is best for your needs.


Non-surgical rhinoplasty has one of the best benefits which is reversibility. This procedure is reversible in a majority of cases. If for any reason, you are unsatisfied with the results of your non-surgical rhinoplasty, noninvasive injections can be given to immediately dissolve the hyaluronic acid fillers within the first 24 hours of the procedure. The effects of the dermal fillers and Botox will naturally dissolve after a few months of the initial procedure. Therefore, a patient does not need to undergo further injections if they do not want to.

Make Your Consultation for Rhinoplasty in Beverly Hills Today

Dr. Chiu possesses exceptional skills and experience with nose surgery. Many people in the Beverly Hills and Los Angeles area seek him for his surgical precision, mastered techniques, and remarkable ability to consistently create natural-looking results. He utilizes his thorough understanding of the aesthetics of the nose and facial anatomy to develop a customized surgical plan to meet (and often exceed) the needs and expectations of his patients.

If you are unsatisfied with the current features of your nose and desire subtle changes for improvement then it may be time to contact the plastic surgeon Beverly Hills patients trust most. To learn more about surgical and non-surgical rhinoplasty in Beverly Hills, request a consultation here or call us at our office at (310) 888-8087.