SISTER 2 SISTER (2012) – 5 CRAZY TRANSFORMATIONAL SURGERIES


Everyone dreams of the perfect body, perfect face, perfect hair-even perfect feet. But how far would you be willing to go to get those flawless features? Here’s a look at some of the craziest surgeries out there and what you need to know before doing out money for them.

Belly button surgery
Want to turn that outie into an innie? You’re not alone. What you may not know is that many times an outie is caused by a hernia under the skin. In a simple 20-minute procedure, surgeons can fix those aesthetics and also correct a potential health issue.

“The inner fat surrounding your intestines,” explained Beverly Hills plastic surgeon Dr. Randal Haworth, “will poke itself out into the belly button and can get strangulated as it gets more and more swollen.” The procedure costs around $5,000 , but insurance will usually cover it.

Blood platelet ‘vampire’ facelifts
No, this won’t give you never-aging skin, but it is a step in that direction. A ‘vampire’ facelift takes your own blood and sends it to a lab to create an injectable filler that is then used to refill sagging or aging skin. Priced from $1,000 to $2,500, this procedure can be used instead of the synthetic fillers currently on the market.

“A lot of this sounds cool and sexy, but the practicality is that it is not that great,” Dr. Haworth said. “The appeal comes from using your own blood,” said Dr. Julius Few, director of the Few Institute for Aesthetic Plastic Surgery. “However, it only lasts about a year to a year and a half.” And both surgeons agree that a better option would be a fat transfer. “Fat already has properties in it that make it supercharged,” Dr. Few said. “Especially on faces of color, fat injection is a power tool.”

Eyebrow transplant
At some point, we’ve all experienced the dismay of the overplucked or waxed eyebrow. But if you are one of the few who have experienced unexplained hair loss, the eyebrow transplant may be right for you. “The issues with the eyebrows (is) one you pluck them aggressively, more often than not they won’t grow back,” Dr. Haworth said. This leaves you with one of three possible options: makeup, a tattoo or an eyebrow transplant.

The most common method is to remove hair from the nape of the neck and transplant it to the face. But there are multiple methods and the price can be anywhere from $1,500 to $8,000, so it’s best to first check with a local surgeon. Whichever procedure you choose, the outcome will leave you with beautiful-and in some cases, bushy-brows. “One thing you have to be careful with is (that) the hair will assume the same characteristics as where it originally came from,” Dr. Haworth cautioned, “So if it is more of a tightly wound, kinky hair, it will have that same characteristic no matter where you transplant it to.”


METRO-SEEKER (2012) – RANDAL HAWORTH


Let us introduce you to L.A. resident Dr. Randal Haworth. While primarily a plastic surgeon known amongst his peers for innovations in the field, he’s also an artist. Dr. Haworth began by hand-drawing medical illustrations and then crossed over into fine art in 2000. His current series “Iconography” has been called “anti-pop realism” by art critic Peter Frank who said Dr. Haworth’s art “synthesizes classic style with Pop Surrealism.”

If you don’t know him for his art, you might know him from his time on Fox’s reality show The Swan, which focused on giving people extreme makeovers, or from his numerous quotes in popular magazines like Life & Style, US Weekly, or Cosmopolitan where he is called on time and time again for his expertise.

When did you know medicine was the path for you? Was it something you always dreamed about as a small child or did it come up later in life?

As an only child, my family really wanted me to be a doctor but my DNA steered me in a more creative route since I excelled in art. As a kid living in England, I saw this BBC program featuring a plastic surgeon and it really stuck with me. At 13, I realized if I was going to be a doctor, it was going to be a plastic surgeon. Plastic surgery embodies a good synthesis of art and science. It really bridges both worlds.

How did you decide to go into plastic surgery?

Same reason, but I took a longer, more arduous route to get where I am. I started in general surgery at Cornell where I treated gunshot wounds, cancer patients, trauma victims, etc. Then I crossed a bridge into plastics when I applied and studied at UCLA.

What are some of the challenges you encounter on daily basis?

I’m kind of in a bizarre field if you think about it. I make healthy people temporarily unwell, while creating and controlling a scar; manipulating tissues so it heals in a way that make the patient more beautiful. The whole process constantly amazes me. So to answer your question, the most challenging aspect is the patient. Being able to figure out who is getting surgery for the right reasons is never easy. My goal is to make them happy, period. So, if I missed their expectation, whether it was reasonable or not, I have failed. I have to figure out who they are and determine whether their unhappiness is more deeply rooted.

What were some of the joys and challenges of participating on a reality TV show?

The entire experience was exciting and different. Don’t get me wrong, it was very hard work. I still had to run my practice full time while doing the show, and The Haworth Institute was completely booked throughout the weekends.

For the show, we always did two separate surgical sessions for safety reasons. We did the facial surgeries first, and everything always took a tremendous amount of coordination.

At the time, the show was extremely controversial. The naysayers proclaimed that it was exploitation. However, I found that it was a very emotional experience. These people got the chance to change their lives and they were very appreciative. Their tears brought tears to everyone on staff, myself included.

Tell us a bit about your artwork. How did you get into art, and what media do you work in?

I have always been interested in art- both creating and collecting. My first show “Memories Lost” was at the BGH Gallery/Bergamot Station in Santa Monica. This body of work comprised photorealistic graphite drawings of missing children and adults. My next series was entitled “Icongraphy” and focused upon modern culture through anachronistic figurative images rendered in acrylic on canvas. A preview of “Icongraphy” was staged at The James Gray Gallery in Santa Monica and the official showing was at the prestigious Karen Lynne Gallery in Beverly Hills. “Icongraphy” was a tongue and cheek play on society about the vapid culture and consumerism. The paintings were from olden times manipulated with modern features.

My next series is more authentic. As a plastic surgeon, people think I shouldn’t be taken seriously as an artist. That doesn’t stop me because I’m going to do something that I’ve always dreamed of. I’m taking super-close photos of surgical scenes and blowing them up. I will then use the image as the inspiration as I paint it so closely that the audience won’t know exactly what they are looking at. It will be vaguely unsettling since it has no perspective.

Do you feel your artwork has evolved with the evolution of your profession as a plastic surgeon?

Good question, I have become a better plastic surgeon after painting because it has really allowed me to appreciate minute things. It’s a good lesson for me to be able to appreciate the super subtle details like a little shadow on the corner of a mouth. For me, painting really upped the ante, even though I never had any formal painting training. There are many talented artists, many more talented than me, but being a plastic surgeon, in terms of tweaking the human form, helped me tremendously.

We are familiar with your Icongraphy series. How did this series come to be?

I simply wanted to paint! I saw what was happening in the world, and was influenced by lowbrow art. Icongraphy was in a sense an internal dialogue with myself. The paintings all had messages.

Do you sense a shift in your artwork is on the horizon or are you not done with Icongraphy?

I think I made a statement with Icongraphy, but as for right now I’m done with it. I may return back eventually, but I want to test the waters of other genres. I’m turning my focus on abstract ways of communication.

What’s up next for you?

My interests are with abstract and realism at the moment. I’m inspired by Glenn Brown and the various artists from Romania. As for plastic surgery goes, it is an evolution and not a real seismic shift. I’m going to continue to do what I’m doing, and incorporating the latest technology into my business. It takes a while make sure it is worth investing in or not since a lot of new technology is rubbish. Plastic surgery is a bizarre field!

Where are you from originally and what was the transition like to Los Angeles?

I have moved away and back to Los Angeles three separate times. I was born here but went to boarding school in England until I was 17. Having lived in San Francisco and New York City as well, it definitely took awhile to get accustomed back to L.A. due to the difference in East coast vs. West coast attitude. In New York, people are much more forward with their opinions, which I personally enjoy because I think ultimate politeness involves truth. In L.A. you never know if people are just being polite, or actually authentic.

What is the prevailing attitude surrounding plastic surgery in Los Angeles? Are there any unresolved social stigmas people need to be wary of when considering going under the knife?

I think it is still evolving, but Los Angeles is a lot more open when it comes to plastic surgery. People openly talk about surgery, and as a result, it holds surgeons to a higher standard. Since clients discuss who did their nose, boobs, etc, the surgeon’s work is under extreme scrutiny. As opposed to the more private East coast, Los Angelos are not ashamed to have had work done.

Plastic surgery is still an aesthetic field, so the social stigma is basically not to look fake. In a town where appearance means everything, the stigma is not looking good. So many of my clients come to me because they want their change to look natural. They don’t want anyone to notice that they got plastic surgery, but they want people to notice they are better looking. I always tell them “Everyone will notice, but not everyone will know.”

There are many things to love and loathe about L.A.; what are your favourite and least favourite aspects?

Love: The places that remind me of the long, bygone era of Hollywood in its golden years- The 20’s, 30’s, and even 40’s. It was a unique time with a unique look and feel that no other city in the world can mimic. Places such as Greystone mansion, Los Feliz, Silverlake, and the Spanish Moorish-inspired houses have distinctive, glamorous qualities to them.

I also love the sense of freedom you get when driving with the top down in the car. The weather is unparalleled.

Loathe: Parts of L.A. are ugly from an aesthetic standpoint with the endless sprawling suburban neighborhoods. L.A. also attracts the best and worst of people. The hard part is circumventing the treacherous waters of figuring out who your true friends are.

Everybody needs great pizza. Where do you go when you want to indulge in a slice?

Mozza Pizzeria on Melrose is this pizza shop with the same owners of the high-end Italian place next to it. It’s phenomenal.

L.A. is replete with some amazing art galleries. Do you have any recommendations?

As a collector, I recommend the Hammer and the Robert Berman Gallery at Bergamot Station. I am on the acquisition committee for the MOCA, so I appreciate that L.A. is the epicenter of art; I think the local galleries’ quality reflects that. There are three other amazing galleries in Culver City worth noting: Blum and Poe, Cherry and Martin, and Mihai Nicodim.

What keeps you in L.A.?

My job and my friends keep me here. I think it’s an exciting time to be in L.A. as it is becoming more and more multicultural. There’s a Chinese proverb, “May you live in interesting times” and L.A. is certainly interesting.

How would you describe L.A. in one word?

Unpredictable

Click here to view The Metro Seeker’s full article on Dr Haworth.
Click here to view Dr. Haworth’s artwork.

US WEEKLY (2012) – FASHION POLICE EXTRA: MARCH 2012




Dr. Randal Haworth provides colorful commentary in this March 2012 Issue of Us Weekly:
  • Dianna Agron
    HAWORTH: Her legs are draining all the color from her dress.
    JAMESON: Dianna Far-Gone.
    GARFINKEL: Channeling her inner Madeline.
  • Taylor Swift
    JAMESON: Kanye should have interrupted this moment instead.
    HAWORTH: At least she’s not wearing her surprised face.
    MILLER: Not evne a Taylor could make that dress work.

WEST OF LEGAL RADIO SHOW (2012) – PLASTIC SURGERY: THE GOOD, THE BAD AND THE UGLY, JULY 29, 2012


Plastic surgery is pervasive in our society. There’s some amazing results out there, but even celebrities can have something go wrong. We’ve all seen people with “frozen faces,” “pixie ears” or extremely large lips called the “trout pout.” Dr. Randal Haworth, MD, one of Southern California’s top plastic surgeons, is guest on this week’s West of Legal radio show. Dr. Haworth his own practice in Beverly Hills and is also on staff at Cedars Sinai Medical Center in Los Angeles. A specialist in facial surgery, rhinoplasty and breast augmentation, Haworth was one of two plastic surgeons who appeared on the hit Fox television reality show The Swan for two seasons. Attorney West Seegmiller talks with Dr. Haworth about the growth of the plastic surgery industry, the top procedures performed on men and women and the legal issues involved when something goes wrong. Listen to the West of Legal show every Sunday at 1 p.m. on KFWB News Talk 980. 


Listen to the Show 

Botox® for Depression?

Botox may soon be used to treat psychological depression. We know that it can help alleviate the symptoms of migraines in many.

Dr. Randal Haworth Beverly Hills is an expert specialist in facial plastic surgery including maintenance therapy through fillers and paralytic agents such as Botox®, Dysport® and Xeomen®.

Botulinum toxin A seems to do far more than just block the transmission of acetylcholine (the neurotransmitter chemical released from nerve endings to affect change in muscle, glands etc.).

There is new evidence to suggest that Botulinum toxin type A can be used to treat depression which was first reported in 2006 by two American doctors (Finzi E, Wasserman E “treatment of depression with botulinum toxin A: a case series, Dermatol Surg 2006; 32 (five): 645-649). Based on this small study, a much larger study with careful patient assessment has shown that a single treatment of the glabellar lines (the dreaded “11” frown lines) with botulinum toxin resulted in a significant and sustained benefit for depressed patients (Wollmer MA, de Boer C, Kalak N, et al. “facing depression with botulinum toxin: a randomized controlled trial,” Journal of psychiatric research May 2012; 46 (five): 574-581).

Therefore, one can conclude that Botox®, through control of facial expression, seems to have the ability to control patient mood. However, is this an effect of increased self-confidence on the patient’s part or is this a result of hormone or regulatory peptide secretion as well?

Who knows at this time, but this is intriguing nonetheless. Dr. Haworth of Beverly Hills, however, is still not offering this treatment for depression even though many do say that aesthetic plastic surgery can be surgical psychiatry when performed in properly selected patients! Is this why there are so many ostensibly happy people in Beverly Hills and and its environs? 😉

For further information click on this link to body language.net

The Perfect Lower Eyelid-No Wrinkles, No Hollow Circles

What is the perfect lower eyelid?

We all want to have the eyelids when we were 20  with minimal-to-no wrinkles, no bags, no dark circles and a smooth transition from the lower eyelid into a nice full elevated cheekbone.

But life tends to throw us a curveball. As we get wiser, our wrinkles get proportionately deeper.

80% of this is hardwired into our genetics while 20% is in our hands. In other words, genetics is our gun and the environment is our trigger.

The best treatment is prevention by avoiding environmental toxins-tobacco smoke, harsh chemicals and sun exposure are the three main culprits that come to mind.

The second treatment is maintenance through the use of hygiene, moisturizers and strategic use of topical antioxidant therapy. Among the latter is a dizzying and bewildering array of botanicals, herbals, vitamins, roots, vegetables, nutritional supplements and berries! But the two most singularly effective treatments are the use of vitamin A (derivatives of retinol, Retin-A, etc.) and fat-soluble vitamin C. The early use of these substances goes a long way in helping to prevent and diminish the wrinkles in the first place. I know many 60+ year old patients who have virtually no crows feet (without the use of Botox™) because they have been using a derivative of Retin-A for close to 20 years.

The third and final treatment is direct physical intervention through the use of either lasers, Botox™/Xeomen™, fillers (Restylane®, Juvederm®, etc) and/or plastic surgery. Plastic surgery on the lower eyelid is called blepharoplasty and can consist of any combination of skin removal, fat bag reduction and eradicating the dark circles/hollows that frame the lower eyelid from the cheek.

As a Beverly Hills plastic surgeon dealing with the most discerning of patients, I perform lower eyelid rejuvenation every day in my practice. Any blepharoplasty specialist is well aware of the potential pitfalls of performing surgery on the lower eyelid. The most dreaded complication that patients are fearful of is a changed lower eyelid shape (that “pulled down” look that was so frequent in surgery before the 1990s).

In the vast majority of cases I do remove skin through what I call a lower lid pinch technique utilizing one single stitch. This minimizes any chance of lower eyelid retraction. This scar basically heals as an invisible one, one which needs a magnifying glass to visualize. Though I still reduce protruding fat bags on occasion, the frequency with which I do perform this has dropped precipitously in the last 10 years. In the majority of cases, transferring fat with extreme sensitivity and appreciation of the delicate eyelid anatomy, will not only significantly diminish the dark circles but also hide any protruding fat pockets around the lower eyelid.

Fat transfer, if properly performed, is by-and-large permanent around the lower eyelid and should be performed by extremely experienced plastic surgeons. While adhering to this principle, the incidence of lower eyelid irregularity and small bumps can be vastly diminished.

Oblique view of aging lower eyelid   After a lower blepharoplasty (eyelid tuck)
Wall, aging lower eyelid showing crepey lower eyelid skin, bags and mild hollowing   After a lower blepharoplasty (eyelid tuck) removing excess skin, excess protruding fat bags and performing strategic fat transfer into the lower eyelid circles (hollows)
 
An alternative view of this patient with aging lower eyelids   After a lower blepharoplasty performed by Dr. Randal Haworth in Beverly Hills
This patient has the classic signs of lower eyelid aging including excess eyelid skin with wrinkles, protruding fat bag and mild hollowing (dark circles)   After lower blepharoplasty (eyelid tuck) performed by Dr. Randal Haworth of Beverly Hills. In the surgery, he removed excess eyelid skin, reduce the excess bags of fat and performed judicious fat transfer in the dark circles

Contact The Haworth Institute for further information.

Bad Posture = Droopy Breast Augmentation

As being one of the leading breast augmentation and implant revision specialists in Beverly Hills, Dr. Randal Haworth has noted how important a part posture plays in enhancing the breast appearance. Women with rounded shoulders impart a bigger, heavier look to their breasts, almost matronly if you will. By squaring off the shoulders, not only does a silicone or saline breast augmentation look more perky and youthful, but also a heightened feminine self-confidence is implied. Certainly not a “slacker” look 😉
After Breast Augmentation with rounded shoulders Good posture equals beter breast augmentation result
How rounded shoulders associated with bad posture can change breast augmentation results Note How Good posture Enhances the Breast Augmentation Result
For further information, go to http://www.drhaworth.com/breast-augmentation/ Follow Dr Haworth on Twitter: @drhaworth  

Tricky Lindsay. How Lohan is changing her looks

People seem to always ask me which celebrity did what and why would they do that. Sometimes that is frustrating.

A close friend of mine who is a fine art photographer tells me she can always spot if someone had plastic surgery to which I reply, “No you can’t”…

That is because good plastic surgery is invisible. Therefore, by logical extension, the only plastic surgery she or anybody can recognise is visible. Most  would concur that visible plastic surgery is less ideal than invisible surgery, but this is not always the case. Think Christy Turlington and her obvious rhinoplasty as a reminder of how visible plastic surgery can elevate a face to another worldly, ethereal level and you  will get my point.

Recently Extra asked me to comment what Lindsay had done to herself based on photographs.

Dr Haworth of beverly hills is a specialist in facial plastic surgery, including  rhinoplasty, fillers and facelifts  
Lindsay Lohan in better days   Lindsay Lohan in less better but recent days
This is similar to expecting a detective to know who committed a crime based solely on showing him some iPhone photos. I can only surmise what Lindsay had done. I feel assured to say she definitely had fillers in the past (just look how her lips and cheeks have changed over the years) and a breast augmentation. But recently, the poor woman has undergone more severe change and not for the better.
She looks swollen and has an obvious “double chin”. This to me is a salient clue –

1. Is she simply bloated from substance abuse or withdrawal?

2. Has she gained weight for any number of reasons (in preparation for playing Elizabeth Taylor in Liz and Dick?)

3. Is she swollen after undergoing some involved facial surgery?

Who knows? I am simply a detective here and would need to visit the crime scene, so to speak. I would need to ask questions and perform an examination!



Dr Haworth has no professional affiliation with Lindsay Lohan

Open vs Closed Rhinoplasty in Beverly Hills

In order to perform a nose job or rhinoplasty whether in Beverly Hills, Los Angeles or wherever, the plastic surgeon must be physically able to manipulate only two things under the nasal skin-cartilages and bone, Well, the debate rages on and on as to what is the best of the two methods in gaining access to the internal cartilaginous and bony structures of the nose. The two methods are the “closed” and “open” techniques.

The “closed” technique involves creating incisions confined solely to within the actual nose (usually located just within the nostrils proper) whereas the “open” utilizes the same incisions as the “closed” but also incorporates a small additional one across the columella (the fleshy partition separating the left and right nostril at the bottom of the nose).

In this age of less invasive surgery afforded by modern technology through the use of endoscopes, modern radiology, etc. one would think that the “closed” technique represents a newer evolution in rhinoplasty surgery, but surprisingly, the opposite is true. The “closed” technique is the more traditional approach while the “open” evolved and gained in popularity as both patient and surgeons expectations grew. Perhaps unrealistically, patients increasingly expect perfection and in their quest to deliver the acme of results, surgeons need as much control as possible when performing the surgery. Control involves extremely accurate symmetrical suture placement (to reshape cartilage), hemostasis (to minimize bleeding), strategic cartilage graft location and stabilization among other factors. In order to gain the most control as possible, visibility must be maximized and this is where the “open” method far surpasses the”closed”.

Proponents of the “closed” technique cite prolonged swelling and a potentially visible scar across the columella as two distinct disadvantages to the “open”. However, in proper hands these supposed shortcomings can almost always be avoided. I, as a rhinoplasty specialist, used to perform 80% of my rhinoplasties as “closed”, but now I carry out 90% as “open” and I can safely say that over 95% of my rhinoplasty patients are delighted with their new nose by the end of the second week. If the surgery is carefully undertaken, I have seen essentially no difference in swelling between the “closed” and “open” techniques. However, the one difference I have seen are the clearly superior results afforded by the “open” method.

To see many “open” rhinoplasty results, click here and here for revision rhinoplasty.

Dr Randal Haworth can be contacted at 310 273 3000 and Is a Board Certified Plastic Surgeon (American Board of Plastic Surgery)  who practices at The Haworth Institute in Beverly Hills.

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