About this time last year, Heidi Montag, a reality TV star from the popular MTV reality show, The Hills, underwent 10 aesthetic surgical procedures at the age of 24. It is hard for me to comprehend why a young beautiful girl would undergo extensive surgery like this.
Check her out:
I can tell you 2 things:
1) I loved her show and I thought she was beautiful
2) If she came to my office and inquired about these 10 procedures…I would not have performed them.
People ask, why would you turn down a patient? Patients have to be physically and mentally healthy to undergo facial aesthetic surgery. If I had a patient who asked to look like Barbie, as Heidi requested, I would have first considered her mental health as unstable and would have advised her against any sort of facial cosmetic surgery until she became mentally stable.
The loss of volume as we age is a part of the aging process. Restoration of this volume with facial fillers (Restylane, Perlane, Juvéderm), Sculptra, or autologous fat grafting can be a wonderful option for rejuvenating the face. Heidi’s young face had not lost volume. In her mid-twenties, she had the perfect balance of definition and volume. During her surgery, it appears that she may have had fat transferred from her body to her face. This addition of volume has over-inflated her face and blunted her naturally beautiful lines, arches, and facial contours. She appears to almost have a “fat” person’s face on a very skinny and unnatural-appearing body (This would be an entire other story!)
What is the POINT!?
No point or philosophy in facial plastic surgery is simple. A blanket statement stating that adding volume to the face creates a youthful appearance is not correct. As a facial specialist, I have to identify if the patient has lost volume, the location of the lost volume, and the best method to re-fill. As you can see, adding volume to the wrong areas of the face can cause an unattractive outcome.
As a fellowship trained facial plastic surgeon, Dr. Kulbersh offers facial fillers at his offices in Charlotte and Columbia.