Rib cartilage is not something every Revision Rhinoplasty patient needs.

The reason it sometimes becomes part of the conversation is that previous surgery can change the amount and strength of cartilage remaining in the nose.

Imagine a patient whose first Rhinoplasty removed or altered cartilage that originally helped support the nasal tip. Years later, correcting the tip may require more than simply reshaping what remains. Additional structural material may be necessary to rebuild support.

In selected cases, the patient’s own rib cartilage can provide that material.

The decision is not based on the fact that a Rhinoplasty is a revision. We look at the current nasal framework, what needs to be corrected, how much support is already present, and what type of reconstruction may be required.

Revision Rhinoplasty begins with understanding what the previous operation changed before deciding what the next operation should do.

If you have had a previous Rhinoplasty and are considering another procedure, we can evaluate the existing structure and explain which options may be appropriate for your specific anatomy.

Fillers and laser treatments can improve facial volume and skin quality, but they cannot fully address the deeper tissue changes that occur with aging.

When I see significant jowling, loose skin, or facial tissue descent, a Facelift may offer a more effective approach by repositioning deeper structures rather than simply adding volume.

At Beverly Hills Plastic Surgery Group, I evaluate each patient’s facial anatomy to determine whether non-surgical treatments or a Facelift will best address their concerns and achieve a natural, balanced result.

350cc does not describe an implant completely.

Two implants can contain the same volume while distributing that volume differently. One may have a wider base and less projection. Another may be narrower and project farther forward.

That difference can have a noticeable effect on the final breast shape.

We also have to consider what the implant is being placed into. Chest width, existing breast tissue, skin characteristics, natural asymmetry, and the patient’s current breast shape all influence how an implant may look.

This is why choosing Breast Augmentation implants from a CC number alone can be misleading.

A patient may come in asking for a specific volume because she liked that number on a friend or saw it online. But the same implant can behave very differently on two different bodies.

At Beverly Hills Plastic Surgery Group, our job is to determine the combination of volume, width, and projection that works with the patient’s anatomy and the result she is trying to achieve.

Breast Augmentation planning should begin with the patient, not with an implant number.

If you’ve spent any time on social media lately, you may have seen headlines about Brazilian World Cup star Vinicius Junior, whose facial features looked noticeably different after some downtime following this summer’s tournament. Fans quickly speculated about cosmetic work, and reports pointed to a procedure focused specifically on reshaping and defining the chin. While the internet debated the before-and-after photos, the conversation put a spotlight on a treatment that’s been quietly growing in popularity for years: chin harmonization.

What Is Chin Harmonization?

Chin harmonization is a cosmetic approach designed to bring better balance and proportion to the lower face by refining the shape, projection, and definition of the chin. Rather than focusing on a single feature in isolation, the goal is to make the chin work in harmony with the rest of the face — the jawline, the nose, the lips, and the overall facial structure — so that no one feature looks out of place.

Depending on a patient’s anatomy and goals, chin harmonization can be achieved in more than one way. Some patients benefit from injectable fillers that add subtle volume and sharpen the chin’s contour with no downtime. Others, particularly those looking for a more permanent or dramatic change, may be better candidates for a chin implant or a sliding genioplasty, in which the surgeon repositions the patient’s jawbone to build a stronger, more balanced profile. A skilled plastic surgeon will evaluate facial proportions carefully before recommending which technique fits the patient best.

Why Do Patients Get Chin Harmonization?

Patients seek out chin harmonization for a variety of reasons, but most come down to a desire for better facial balance. A weak or recessed chin can make the nose appear larger than it is, soften the jawline, or create the appearance of a double chin even in patients who aren’t overweight. By strengthening and defining the chin, patients often notice that their whole face appears more proportionate, not just their chin alone.

Others pursue chin harmonization alongside procedures like rhinoplasty or a neck lift, since the chin, nose, and neck all influence the overall shape of the face. Adjusting the chin can sometimes reduce the need for more invasive changes elsewhere.

Is Chin Harmonization Right for You?

Because chin harmonization can range from a quick filler appointment to a surgical procedure, the right approach depends entirely on your anatomy, goals, and how permanent you’d like the results to be. A consultation with a board-certified plastic surgeon is the best way to determine which technique will bring your profile into balance.

Schedule a consultation with Beverly Hills Plastic Surgery Group to learn whether chin harmonization is right for you.

Tailbone pain, medically known as coccydynia, can turn something as simple as sitting down into a daily struggle. For patients who haven’t found relief through physical therapy, cushions, or medication, an unexpected solution can make all the difference: fat grafting. At Beverly Hills Plastic Surgery Group, Dr. Payman Danielpour has seen firsthand how this technique, typically associated with facial rejuvenation or body contouring, can also provide meaningful relief from chronic tailbone discomfort.

What Is Fat Grafting?

Fat grafting, also called fat transfer, is a procedure that relocates a patient’s own fat from one area of the body to another. Because the fat comes from the patient rather than a synthetic filler, the results tend to look and feel more natural, and the risk of rejection is minimal. Surgeons often use fat grafting to restore volume to the face, enhance the buttocks, or smooth out contour irregularities elsewhere on the body.

What Is Liposuction?

Liposuction is the procedure used to harvest that fat in the first place. A thin, hollow tube called a cannula is inserted through small incisions, and gentle suction removes excess fat from areas like the abdomen, thighs, or flanks. While liposuction is best known as a body-contouring treatment on its own, the fat it collects doesn’t have to go to waste; it can be purified and reinjected elsewhere in the body, including areas that need extra cushioning, like the tailbone.

Connecting the Dots: Fat Grafting for Tailbone Pain

The tailbone, or coccyx, has relatively little natural padding. When that padding is lost or was never sufficient to begin with, everyday pressure from sitting can become painful. By grafting fat directly around the coccyx, a surgeon can add a soft, natural cushion exactly where it’s needed, potentially easing pressure-related pain.

This connection isn’t just theoretical. One patient, Rebecca, shared her experience on this patient resource site after developing tailbone pain following a car accident and subsequent physical therapy. After trying multiple treatments without success, she visited Dr. Danielpour for liposuction to address stubborn abdominal fat and happened to mention her ongoing tailbone pain. She recalled that he mentioned having successfully treated tailbone pain using fat grafting. He injected fat harvested during her liposuction procedure into the area at the top of the gluteal cleft. Rebecca described the results as fast and dramatic, noting that the improvement was immediate and that a year later, her tailbone pain has largely abated.

Is Fat Grafting Right for You?

Not every case of tailbone pain will respond the same way, and a thorough evaluation is essential before considering this approach. If you’re struggling with coccydynia and traditional treatments haven’t helped, it may be worth discussing fat grafting with a board-certified plastic surgeon experienced in the technique.

Schedule a consultation with Beverly Hills Plastic Surgery Group to find out if fat grafting could help address your tailbone pain.

Abdominoplasty remains one of the most transformative procedures in aesthetic body surgery. While technical execution inside the operating room is fundamental to achieving excellent outcomes, patient preparation before surgery plays an equally important role in recovery, safety, and long term success.

Preparation should begin several weeks before the scheduled procedure through a structured evaluation of medical history, physical health, nutritional status, and postoperative planning. Careful preparation allows both surgeon and patient to approach surgery with realistic expectations and a shared understanding of the treatment plan.

Comprehensive Surgical Evaluation

Preparation begins with a detailed consultation and physical examination. The surgeon evaluates abdominal skin quality, muscle separation, fat distribution, previous surgical scars, and overall body proportions to determine the most appropriate surgical approach.

Many patients seeking abdominoplasty also present with rectus diastasis following pregnancy or significant weight fluctuations. Identifying these anatomical changes during consultation allows for comprehensive repair during surgery.

Dr. Payman Danielpour and Dr. John Layke are recognized leaders in aesthetic surgery who have developed advanced techniques for breast, body, and facial procedures. Their collaborative philosophy emphasizes individualized planning based upon each patient’s anatomy rather than relying on standardized operative protocols.

Optimizing Overall Health

Patients are encouraged to maintain a stable weight before surgery, as substantial fluctuations following abdominoplasty may compromise long term results.

Smoking cessation is essential because nicotine significantly reduces blood flow to healing tissues and increases the risk of wound complications. Patients should discontinue nicotine products well in advance of surgery according to their surgeon’s recommendations.

Medical conditions including diabetes, hypertension, and nutritional deficiencies should also be carefully optimized before the procedure. Laboratory testing and medical clearance may be recommended depending upon the patient’s health history.

Preparing for Recovery

Successful recovery begins before surgery. Patients should arrange transportation home, organize assistance during the first several days, and prepare a comfortable recovery environment.

Frequently used items should be positioned within easy reach to minimize bending or stretching. Compression garments, prescribed medications, hydration supplies, and nutritious meals should all be prepared before the day of surgery.

Patients should also understand normal postoperative expectations, including temporary swelling, bruising, activity restrictions, and gradual improvement over several months.

Establishing Realistic Expectations

Although improvements are immediately noticeable following surgery, final contour refinement develops gradually as swelling resolves and tissues mature.

Patients who approach recovery with patience and follow postoperative instructions consistently generally experience the most predictable outcomes. Walking is encouraged early to promote circulation, while strenuous exercise and heavy lifting are resumed only after appropriate healing has occurred.

The Importance of Surgical Experience

Abdominoplasty requires far more than skin removal. Successful outcomes depend upon restoring abdominal support, achieving balanced body proportions, preserving blood supply, and creating discreet scar placement.

Based in Beverly Hills and Los Angeles, Dr. Danielpour and Dr. Layke are widely respected throughout the aesthetic surgery community for their commitment to innovation, precision, and individualized patient care. Their extensive experience allows them to tailor every tummy tuck procedure according to each patient’s anatomy while maintaining the highest standards of safety and aesthetic excellence.

When thorough preparation is combined with advanced surgical planning and meticulous technique, tummy tuck surgery can deliver long lasting improvements in abdominal contour, core support, and overall body harmony.

Brachioplasty has become an increasingly valuable procedure for patients who have experienced significant weight loss or substantial age related skin laxity. While a traditional arm lift effectively addresses excess tissue between the elbow and axilla, some patients present with more extensive skin redundancy that extends beyond the upper arm into the lateral chest wall. In these situations, an extended brachioplasty provides a more comprehensive solution.

Extended brachioplasty is an advanced body contouring procedure designed to remove excess skin and reshape the upper arm while continuing the correction along the side of the chest. This expanded approach restores smoother body contours and improves the transition between the arm, axilla, and torso. For properly selected patients, it delivers a level of refinement that cannot be achieved through a standard arm lift alone.

Understanding the Need for Extended Correction

Patients who have undergone bariatric surgery or experienced dramatic weight reduction often develop significant skin laxity that extends well beyond the upper arm. The remaining tissue may create discomfort during daily activities, interfere with clothing fit, and limit participation in exercise despite successful weight loss.

In many cases, the underlying concern is not excess fat but rather stretched skin that has permanently lost its elasticity. Even with dedicated exercise and excellent physical conditioning, these tissues cannot contract sufficiently to restore normal contour.

Extended brachioplasty addresses this anatomical challenge by excising redundant skin across a broader treatment area while carefully preserving vascular supply and minimizing tension during closure.

Surgical Planning and Technique

Successful extended brachioplasty begins with meticulous preoperative analysis. Skin quality, soft tissue distribution, previous scars, and overall body proportions must all be evaluated before determining incision placement.

The procedure generally involves an incision beginning near the elbow, extending toward the axilla, and continuing along the lateral chest wall when indicated. Although the incision is longer than that used during a traditional brachioplasty, careful placement allows it to remain relatively concealed when the arms are resting naturally.

Equally important is maintaining harmonious contour rather than simply removing the maximum amount of tissue. Overresection may produce excessive tension and compromise healing, whereas conservative reshaping creates smoother transitions and more natural results.

Patient Selection

Ideal candidates are individuals whose weight has remained stable for several months and who maintain realistic expectations regarding scar placement. Most patients report that the improvement in body contour, comfort, and clothing fit far outweighs the tradeoff of a carefully planned surgical scar.

Extended brachioplasty is frequently combined with other body contouring procedures including tummy tuck surgery, lower body lift, breast procedures, or thigh lift as part of comprehensive post weight loss reconstruction.

Advanced Surgical Expertise

Procedures involving extensive body contouring require considerable technical experience and aesthetic judgment. Dr. Payman Danielpour and Dr. John Layke are highly regarded specialists in Beverly Hills whose expertise in advanced body contouring has earned recognition among both patients and professional colleagues. Their continued refinement of modern surgical techniques emphasizes natural body proportions, precise tissue handling, and individualized operative planning.

Their philosophy extends beyond removing excess skin. Every procedure is carefully customized to restore balanced anatomy while preserving the unique characteristics of each patient’s physique.

As body contouring continues to evolve, extended brachioplasty remains an important option for patients requiring comprehensive correction of the upper arm and lateral chest. Through thoughtful patient selection and meticulous surgical execution, the procedure can dramatically improve both physical comfort and aesthetic balance while restoring confidence following significant body transformation.

Facelift and neck lift surgery continue to evolve as surgeons refine techniques that prioritize natural rejuvenation, long term durability, and minimized visible scarring. While patients often focus on the lifting aspect of these procedures, incision design remains one of the most critical components of surgical planning. The location, length, and configuration of incisions directly influence access to underlying anatomy, the extent of correction achievable, scar concealment, and ultimately the aesthetic outcome.

Among today’s leading facial rejuvenation specialists, Dr. John Layke and Dr. Payman Danielpour have earned recognition for their advanced surgical techniques and commitment to individualized treatment planning. Their work in aesthetic facial surgery reflects a philosophy that combines anatomical precision with artistic judgment, resulting in outcomes that restore youthful contours while preserving each patient’s unique appearance.

Traditional Facelift Incisions

The traditional facelift incision remains one of the most versatile approaches for addressing moderate to advanced facial aging. The incision typically begins within the hairline at the temple, follows the natural contours around the ear, and extends into the hair-bearing scalp behind the ear.

This approach provides excellent access to the superficial musculoaponeurotic system (SMAS), deeper facial tissues, and neck structures. It allows comprehensive correction of jowling, midface descent, jawline laxity, and cervical skin redundancy.

When executed properly, scars generally heal inconspicuously within natural creases and hair-bearing regions.

Deep Plane Facelift Incisions

Deep plane facelift techniques often utilize a similar external incision pattern but differ significantly in the depth of dissection and tissue manipulation. Rather than focusing primarily on skin tightening, the deep plane approach releases retaining ligaments and repositions deeper facial structures.

Dr. Layke is particularly recognized for his expertise in advanced facial rejuvenation procedures, including deep plane techniques designed to achieve natural movement and long-lasting results. The incision design itself remains discreet while allowing access to the deeper anatomical layers responsible for facial aging.

Limited-Incision Facelift

Patients with mild to moderate laxity may be candidates for a short-scar or limited-incision facelift. These incisions are generally confined to the temple and area surrounding the ear without significant extension into the posterior scalp.

While recovery may be shorter and scars smaller, the procedure is best suited for carefully selected patients with less advanced aging changes. Surgical goals and tissue quality must be thoroughly evaluated before choosing this approach.

Neck Lift Incisions

Neck lift surgery frequently employs a combination of incisions depending on the severity of aging and the anatomical concerns being addressed.

Small incisions hidden behind the ears allow for lateral tightening of neck tissues and skin redraping. In many cases, an additional small incision beneath the chin is utilized to access deeper structures, including the platysma muscle and submental fat.

This submental approach allows surgeons to perform platysmaplasty, remove excess fat, and improve cervicomental angle definition. The incision is typically well concealed within the natural shadow beneath the chin.

Individualized Surgical Planning

There is no universally ideal incision pattern for facial rejuvenation surgery. Variables such as skin quality, degree of tissue descent, facial anatomy, hairline position, and aesthetic goals all influence surgical decision-making.

Dr. Danielpour and Dr. Layke are highly regarded specialists whose extensive experience allows them to customize incision placement and operative strategy for each patient. Their commitment to advancing facial, breast, and body surgery has led to the development and refinement of techniques that maximize rejuvenation while minimizing visible evidence of surgery.

As modern facelift and neck lift procedures continue to evolve, thoughtful incision design remains fundamental to achieving results that are elegant, natural, and enduring.

From your iconic sayings to the laughs, you bring to the office every day, we couldn’t let your birthday pass without sharing some of our favorite “Dr.Layke -isms”

Thank you for being an amazing doctor, mentor , and boss! Wishing you a year filled with happiness, success, and plenty of unforgettable one-liners! @drjlayke

Celebrity board certified plastic surgeons Dr. John Layke and Dr. Payman Danielpour are emphasizing the over in overdone.

The Beverly Hills Plastic Surgery Group partners sat down with ET to break down why exaggerated filler trends are fading, and what A-list patients and beyond should be investing in instead.

“I’m over BBLs, overfilled lips, and thread lifts,” Layke explained.

“The fake look with overfilled faces and buttocks is done,” Danielpour added.

So, what’s in? According to the doctors, it’s all about treatments designed to improve skin quality and texture without changing the face.