Category: Social Media

Plastic Surgery-The Male Factor

Posted on by Randal Haworth
Man running
Exercise is hard work

For the last eight years or so, I, as one of the foremost cosmetic injection experts in Beverly Hills, have noticed an increasing number of men seeking aesthetic improvement outside of diet and exercise. However, I see this growth as less a trend and more of a real shift in the industry.

This growth is spurred on by society’s reliance on visual rather than written communication and its unabashed obsession with youth and beauty over old-fashioned wisdom and experience. The eruption of social media, including Instagram and the like, has only heightened the problem. It has awakened our once dormant  narcissism into the self-perpetuating collective contagion that it is today. 

Consequently, there is less social stigma for men to seek out ways to better their appearance in this highly competitive world. In 2018, more aesthetic technologies are finally delivering on their promises to reduce wrinkles, firm faces, reverse atrophy and sculpt bodies without hair. The armamentarium used includes Botox, Jeuveau( or #Newtox), Juvederm, Vollure, Restylane, Radiesse,Voluma, Bellafill, IP, laser hair removal and other lasers to treat brown discoloration, and red patches. Men are not only seeking out ways to keep themselves looking young and competitive but also non-surgical ways to actually enhance their features; these include filler/liquid nosejobs (rhinoplasties), cheek and chin augmentations and jawline defining and even laser induced fat burning with SculpSure..

All done with the expert hands of a board certified plastic surgeon or his personally trained expert nurse injectors (such as Katherine Braun, R.N. helming The Haworth Institute’s own medispa, Self-Centered Aesthetics™), results which are both significant and, most importantly, natural.  This is ideal for men wanting their appearance to be on point in order to compliment their skill set at work.

No cutting, no stitches, less recovery, less expense- what’s there not to like for those men who simply want to look good with minimal expense and time? 

Has the Upper Lip Lift gone Mainstream?

Posted on by Randal Haworth

Blanketing Instagram may be the pout of the moment: an ample, upturned mouth revealing front pearly whites. It’s a look that has generated a fresh trend in cosmetic surgery: the lip lift. “Social media is driving a whole lot of esthetic selections,” says Andrew Jacono, a Park Avenue cosmetic surgeon, but “the voluptuous lip is not something you may get with injections. Filling lips only makes them appear to be sausages but doesn’t change their condition. Only the upper lip lift can naturally turnthe lip up and out.” The 30-minute office procedure excises tissue from just underneath the nose to shorten the distance between nose and mouth, causing the top lip to relax a bit, exposing more teeth, or “tooth show.” In Gen Z’ers and young millennials, it gives an ideal selfie pout; in older candidates, it can shave up to 7 years from the countenance ($3,000-$10,000).

As upper lips age, they elongate to eventually hide the upper teeth, while lower lips drop to expose the bottom teeth. Beverly Hills plastic surgeon Randal Haworth says lips, like breasts, go over time south. “When Angelina [Jolie] was 19, she had an insouciant mouth and had the Bardot upper tooth exposure ,” he says. “Nowadays her lip is starting to hide her teeth. It is the same with Jane Fonda.” Jacono offers that face-lifts improve the corners of the mouth but don’t address the problem: “Shortening the top lip is probably the most effective esthetic procedures I really do.”

Some surgeons will work with dentists to coordinate how much teeth to show.

“Showing 2 millimeters of tooth while you are at rest is ideal,says Manhattan esthetic dental professional Lana Rozenberg, who claims patients once requested heavier veneers to push away the lip for pout.

Now the Bugs Rabbit look can’t be avoided can be avoided, with surgeons just like NYC’s Oren Tepper working with esthetic dentist Jonathan Levine to open LipSync. “Ten years past, there was an ‘aha’ moment when hands were an era giveaway. Now we realize the mouth is a lot more telling, ” says Tepper.

A before and after of a conservative upper lip liftA before and after of a conservative upper lip lift
A conservative upper lip lift result accompanying the Hollywood reporter article, performed by another plastic surgeon. result accompanying the Hollywood reporter article, performed by another plastic surgeon.

There is one disadvantage to a lip lift; its scar. “You can hide part of the incision inside the nostrils, but there is usually always some visibility at the bottom edge of the nasal area, ” says Beverly Hills cosmetic surgeon Leif Rogers, adding “If not done properly, it can change the look of the nose. “

Dr. Haworth acknowledged this as a problem about 15 years ago, ever since patients began complaining of this subtle nasal change. He realized there were two factors playing a part in this:

  1. Excess tension around the incision line where the upper lip attaches to the nose and …
  2. When the incision is made into the nose in a good faith attempt to hide the scar.

This led him to evolve his methods as a necessity to meet the increasingly discerning tastes of his patients. “Cutting into the nasal still can be a disaster even though it is motivated by goodwill towards the patients. By cutting into the nose, it breaks the circular stability of the nostril itself thus allowing it to “unfurl” and migrate inferiorly.

Another thing I have discovered is that when a lip lift is performed, it mustn’t just resist the downward forces of gravity but it must also resist the hundreds of thousands of mouth movements that occur per day. That’s why I needed to develop the OOS Upper Lip Lift which involves securing the upper lip to the strong lining of the bone around the base of the nose (periosteum). This technique is clearly superior to any skin-only lip lift whether it is modified or not. This results in a superior results in terms of beauty, scarring, lack of nasal distortion and longevity.

http://upperliplift.com

‘Their lips are preposterously out of proportion!’ MAFS brides Jessika Power and Ines Basic ‘are destroying their looks with facial fillers’, says a leading cosmetic surgeon

Posted on by Randal Haworth

A renowned plastic surgeon has delivered a withering assessment of this year’s Married At First Sight stars, saying they are too dependent on fillers.

Beverly Hills-based Dr. Randal Haworth says the latest crop of brides have ‘over-inflated lips’ that sit uncomfortably with their faces and ‘don’t do them any favours’.

Speaking exclusively to Daily Mail Australia, the CEO of DrHaworth.com also claimed that reality TV stars more generally are sending a harmful message to young fans by excessively plumping up their features.

‘Their lips are preposterously out of proportion!’ MAFS brides Jessika Power and Ines Basic ‘are destroying their looks with facial fillers’, says a leading cosmetic surgeon. Pictured left: Jessika pre-2017, and right: in 2019

After being shown before-and-after photos of Jessika Power, Martha Kalifatidis and Ines Basic, Dr. Haworth didn’t hold back.

‘Like a loud out-of-tune instrument in an otherwise beautiful orchestra, these over-inflated lips resemble baboon bottoms in heat and do no one any favours,’ he said.

Speaking about reality stars generally, he said there is a risk they are projecting unrealistic beauty standards on to a young generation of women. 

He added: ‘As a renowned lip reshaping expert, I can say it is not just the lips, but also the surgically and “filter enhanced” faces and bodies that send a bad message to young people. It breeds insecurity and bland conformity whereby everyone starts to look the same.’

‘These over-inflated lips resemble baboon bottoms in heat’: After being shown before-and-after photos of several Married At First Sight stars, Dr. Randal Haworth didn’t hold back. Pictured left: an undated photo of Martha Kalifatidis from several years ago, and right: in 2019

Several MAFS contestants, including single mother Susie Bradley, have admitted to using off-the-shelf lip fillers, such as Juvéderm.

In photos taken before their cosmetic transformations, the reality stars are almost unrecognisable compared to how they look today.

But Dr. Haworth believes that facial fillers have not necessarily improved or complemented the brides’ natural features.

‘Instead of enhancing facial sensuality, overly plumped lips tend to do the opposite and even age the face in a strange way,’ he observed.

Plump pouts: Several MAFS contestants, including Ines Basic, have admitted to regularly getting lip fillers. Pictured left: Ines in September 2018, and right: on April 18, 2019

‘The exaggerated lips of Jessika only serve to distract from her natural beauty’: Dr. Haworth told Daily Mail Australia that ‘overly plumped lips tend to age the face in a strange way’. Pictured: Jessika before and after having lip fillers

He added: ‘For example, the exaggerated lips of Jessika only serve to distract from her natural beauty, while the lips of Martha just draw attention to her other churlish facial plastic surgery, including her rhinoplasty.’

Dr. Haworth went on to say that ‘so-called practitioners’ of cosmetic enhancements are allowing ‘their own aesthetic judgment to be hijacked by social media influencers’ and reality stars like the Kardashians.

‘This [fixation] encourages tunnel vision in doctors and nurse injectors alike, focusing only on lip volume and not on shape,’ he said. 

‘Doctors and nurse injectors alike focus only on lip volume and not on shape’: Dr. Haworth wasn’t a fan of Martha Kalifatidis’ cosmetic enhancements. Pictured before and after she underwent facial fillers

Speaking to NW magazine on Monday, Jessika confirmed she has spent $25,000 on her cosmetic transformation so far – and has no plans to slow down. 

Last month, Ines also admitted she has been getting lip fillers ‘for years’. 

Furthermore, Martha has acknowledged having Botox and facial fillers in addition to undergoing a rhinoplasty and breast enlargement.

Mummy makeover: Susie Bradley underwent extensive cosmetic work after having her first child. Pictured left: Susie in 2015, and right: earlier this year

Born to be wild! Tammy Hembrow looks unrecognisable in a newly unearthed hip-hop music video from 2014 – which shows the fitness model smoking and drinking

Posted on by Randal Haworth

efore making a name for herself on Instagram, Tammy Hembrow starred in an outrageous hip-hop music video.

A newly-unearthed YouTube video shows the now 24-year-old letting lose in the clip for underground Aussie hip-hop band Mr Hill & Rahjconkas’ 2014 single, Non Stop.

The video was uploaded in April 2014, and five years later, Tammy is virtually unrecognisable from her former self.


  • Who’s that girl? Five years later, Tammy Hembrow is virtually unrecognisable from her former self. Pictured on Monday

  • Wild child: In the music video, Tammy can be seen puffing on a cigarette while swigging back drinks

Now and then: Before making a name for herself on Instagram Tammy Hembrow was starring in rap music videos. Pictured left in a 2014 music video, and right on Monday
Compared to her current appearance, Tammy’s face appeared to be much fresher, bearing classic girl-next-door good looks.

Her lips appear smaller, her face is less full, and her nose looks much different.

Even Tammy’s hair is a different hue, having once been a golden blonde compared to the platinum she’s known for now.


Wild child: In the music video, Tammy can be seen puffing on a cigarette while swigging back drinks

Natural beauty: Compared to her current appearance, Tammy’s face appeared much more natural looking, bearing classic girl-next-door good looks

In an interview with Daily Mail Australia in August 2018, Beverly Hills plastic surgeon Dr Randal Haworth claimed Tammy may have undergone a nose job, liposuction and dermal fillers to achieve her bombshell look. 

‘Based on what I presume to be filtered photos, she has undergone a striking transformation of not only her facial features but also of her facial shape,’ Dr Haworth claimed at the time.  

He added: ‘Specifically, her jawline is more defined into a “V-line”. I would even venture to say her chin has been shortened and narrowed compared to her teenage years.’


Golden girl: Even Tammy’s hair is a different hue, having once been a golden blonde compared to the platinum she’s known for now

Helping hand: In an interview with Daily Mail Australia in August 2018, Beverly Hills plastic surgeon Dr Randal Haworth claimed Tammy may have undergone a nose job, liposuction and dermal fillers to achieve her bombshell look

Dr Haworth also believes her V-line chin could have been achieved through either ‘liposuction or bony chin modification’.

He also acknowledged that ‘losing her “baby fat” may have been a contributing factor’ to the visible changes in Tammy’s jawline.  

Furthermore, Dr Haworth claimed that Tammy may have undergone a rhinoplasty to fine-tune her look, saying: ‘A subtle, balanced rhinoplasty to narrow her nasal bones and refine her tip may have been carried out.’


Finger licking good: At one stage in the music video, she’s seen seductively licking the screen of her iPhone

Sharing is caring: Another scene from the music video shows a girl squirting a liquid out of her own mouth and into Tammy’s open mouth

‘Based on what I presume to be filtered photos, she has undergone a striking transformation of not only her facial features but also of her facial shape,’ Dr Haworth told Daily Mail Australia

He also suggested that Tammy’s cheekbones look more sculpted and angled upwards in recent photos, while her eye-hollows appear less apparent.

Both of these changes are likely to have been carried out with a filler such as Voluma or Restylane Lyft, or even achieved via fat transfer. 

According to Dr Haworth, Tammy’s lips have also almost certainly been enhanced due to their ‘overly plumped’ appearance.


Giving cheek: Dr Haworth has also suggested that Tammy’s cheekbones look more sculpted and angled upwards in recent photos, while her eye-hollows appear less apparent

Drink up: The hard partying music video shows Tammy having drinks poured directly into her open mouth

He claimed: ‘Like Kylie Jenner, Tammy has been originally inspired by the Angelina Jolie lip variety. Paradoxically, lips oversized for a face can mature the visage beyond its years.’

In the music video, Tammy can be seen puffing on a cigarette while swigging back drinks.

At one stage, she’s seen licking the screen of her iPhone, before another girl squirts a liquid out of her mouth into Tammy’s open mouth.  


Lip service: According to Dr Haworth, Tammy’s lips have also almost certainly been enhanced due to their ‘overly plumped’ appearance

According to Beverly Hills-based plastic surgeon Dr Randal Haworth, Tammy seems to have achieved a flat stomach naturally.

Posted on by Randal Haworth
 

How Instagram sensation Tammy Hembrow, 24, achieved a flat stomach after giving birth without a tummy tuck

She’s the Australian Instagram sensation who built her own fitness empire from the ground up.

And so it comes as no surprise that Tammy Hembrow has an incredible figure and washboard abs – even after having two children.

But many fans will be surprised to discover the 24-year-old was able to achieve her post-baby physique without the help of a tummy tuck.

   

According to Beverly Hills-based plastic surgeon Dr Randal Haworth, Tammy seems to have achieved a flat stomach naturally.

The main reason the businesswoman was able to bounce back so well is because of her relatively young age, he claimed.

‘Some are blessed with better genetics than others. It also doesn’t hurt to have youth on your side,’ Dr. Haworth said.

‘It may be hard to believe but I have seen a number of patients similar to Tammy who have rebounded remarkably well after a pregnancy without the help of plastic surgery.’

Expert opinion: The main reason the businesswoman was able to bounce back so well is because of her relatively young age, Dr Haworth claimed

He added: ‘Their abdominal musculature regains its strength and the skin tightens with little-to-no stretch marks.

‘Indeed, the only thing which has remained after Tammy’s pregnancy is her umbilical hernia.’

Tammy shares two children with her ex-fiancé Reece Hawkins: two-year-old daughter Saskia and son Wolf, three.

  Family: Tammy shares two children with her ex-fiancé Reece Hawkins: two-year-old daughter Saskia and son Wolf, three

Busy mum! Tammy revealed last year that it can sometimes be hard to find time to exercise

Tammy told New Idea last year that it can be hard to find time to exercise.

However, she suggested that busy mothers should try and squeeze in lounge room workouts whenever they can.

‘I honestly feel better when I get my workout in, less sluggish and I find it easier to keep up with my kids,’ she said at the time.

‘Whether it’s a gym workout or HIIT home workout I always try to fit it in when I can.’

‘I honestly feel better when I get my workout in’: However, she suggested that busy mothers should try and squeeze in lounge room workouts whenever they can .

Is Yelp Contributing To Opiate Drug Addiction?

Posted on by Randal Haworth
doid_yelpI recently came across this article by Jonathan Kaplan, and it struck a chord with me. The Yelp review is something that doctors have become accustomed to in recent years, but not always by choice. While Yelp can be a great way for patients to find new doctors, it also poses a lot of problems for the medical community. The care of a doctor is very different from the service you might get at a restaurant, so why would you review the two using the same system? It is much more difficult for patients to review their health care objectively. Their opinions are often based on their emotions and the pain they are feeling. In his article, Kaplan suggests that Yelp reviews might be contributing the opioid crisis in America. A patient in a great deal of discomfort may ask for more pain killers. Their doctor is trained to know the proper dosage to give them, and will often deny them anything more than what is necessary. However, more recently, patients who do not feel their pain has been sufficiently addressed have taken to Yelp to voice their anger. A bad Yelp review can really make things difficult on a practice, so more and more often, doctors find themselves giving in to these requests in order to avoid the negative reviews. I can’t count how many doctors, not just plastic surgeons, who been held hostage by their misguided patients threatening to post misleading if not blatantly false reviews if they do not get what they want. Consequently, these online reviews can be inherently biased, arising from personal agendas and not  from impartial reporting of facts. It’s not hard to imagine how this can also harm the unsuspecting public who, prompted by a malevolent post, may seek alternative treatment from a less qualified professional. This was unfortunately the case when my friends daughter was booked for a liver transplant for a congenital condition to be performed by one of the worlds preeminent liver transplant surgeons here in Los Angeles. After reading a negative online review, she canceled her surgery and ended up getting surgery elsewhere. Tragically her operation was bungled because of a negligent mismatch which resulted in her ultimate death. This could’ve been avoided if she did not read the deliberately misleading online review by the disgruntled patient (who I later came to find out was denied further Vicodin pain medication for her own good since it contains acetaminophen, a known tocsin to the liver). Like in any profession, doctors have patients that are wonderful and compliant, but they can also come across others that can be difficult to work with. The review of one difficult person should not affect an entire medical practice. Furthermore, the fear of negative reviews can not and should not lead doctors to over prescribe medication and put the health of their patients at risk.