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Dr. Rivkin on American Health Journal

May 25, 2012

The Success of Non Surgical Techniques



American Health Journal is a medical news program that investigates medical advances. This segment features Dr. Alexander Rivkin's work with nonsurgical cosmetic procedures, and highlights just how much patients enjoy the results.]

Transcript of Dr. Rivkin on American Health Journal


HOST: A well defined chin gives you a distinctive profile. If you don’t have the kind of chin you wish you did, there is a non-surgical procedure that can change that. Here to explain is Dr. Alexander Rivkin Medical Director of the Westside Aesthetics in Los Angeles.

Dr. Alexander Rivkin: I call this procedure a non-surgical chin enhancement. It’s a series of very precise injections to change the shape of the chin to the patience’s preference. It is a substitute for surgical chin enhancement which involves an implant and general anesthesia and all of that kind of stuff.

This is a much easier and risk-free way of doing the same thing. Actually, it’s a way of doing it better because the physician is much more in control of where the injections are going – of what the shape of the chin is going to be and it can be tailored to the patience’s preference.

This procedure is an injection. It’s an injection of a filler substance called Radiesse into the area of the chin. It’s much more precise than a surgical procedure because you can expand just the areas you that want to expand, and you can mold the chin and make the chin into whatever shape you want.

The substance that I’m injecting is calcium hydroxylapatite – this is a substance that’s been used in surgery for a long time as a solid implant.

It’s similar in its effect to collagen, which means, when you inject it into the deep layer of the skin, it lifts it up and plumps up the skin and it stays plumped up. As a physician, I want to make sure that what I’m injecting … There’s no allergic reaction, it’s non animal based, it doesn’t get absorbed by the body and it doesn’t move.

In the chin, it will last about two to two and a half years. [In this particular case,] the patient is a male. When he came in, he said he had a weak chin. He didn’t like his chin. He didn’t think he had a masculine enough chin. He thought his chin was tapered down too much and that it wasn’t really wide, and it made his face look really round. He didn’t like that; he wanted more of a square face.

What I’d like to do is widen and square off his chin so it’s a little more classically masculine looking. And then what I’d also like to do, is project it. Right now, if you look at his profile, his nose is fairly prominent, his chin doesn’t recede but it’s not as prominent. His profile is out of proportion.

Now, when you look at his profile, his nose and his chin kind of flow — the reason it’s successful is because the patient has it all under their control. They have a mirror in one hand and, as I’m doing the procedure, I stop I ask, ‘OK look at this, tell me what you think.. Are we going in the right direction? Do you think this is good?’ And it’s all up to them.

That’s where the success lies. Success doesn’t lie in what I think is perfection. Success lies in making the patient happy. When they see themselves and they say, “Well this is what I really want to look like.”

Success means achieving that goal. That’s what this can bring, and that’s nice.

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