Thursday, 28 June 2018

Bryan Mendelson, M.D.

Dr Bryan Mendelson has given over 100 presentations to surgeons around the world. His global audience has developed as a result of his 25 years of research into facial anatomy, facial aging and new techniques to provide natural and lasting rejuvenation for patients.

Wednesday, 20 June 2018

ISAPS Expands Its Mission of Aesthetic Education Worldwide In a Series of “Firsts”

The 23rd Congress of ISAPS was held at the Miyakomesse Conference Center in Kyoto, Japan from October 23 through 27, 2016. More than 1,650 persons from 89 countries participated and the Congress was a great success. On October 23, basic procedures for aesthetic plastic surgery were presented under the title of ISAPS Course for Residents and Fellows.

Monday, 11 June 2018

Keynote Speaker - Dr. Bryan Mendelson

Dr Mendelson is in private practice at The Centre for Facial Plastic Surgery in Melbourne Australia. He graduated from Monash University Medical School, Melbourne, and Interned at the Alfred Hospital Melbourne, then became a Demonstrator in Anatomy at Monash University for a year. In 1971 he moved to the USA to train in general surgery and plastic surgery at the Mayo Clinic, Rochester, Minnesota for six years. There followed a fellowship at the Institute of Reconstructive Plastic Surgery in Manhattan, New York under Doctors Converse, Rees, Aston and others. He is certified by the American Board of Surgery and The American Board of Plastic Surgery.

Thursday, 15 February 2018

Lower Eyelid Blepharoplasty

Extended Transconjunctival Lower Eyelid Blepharoplasty with Release of the Tear Trough Ligament and Fat Redistribution

Background: The transconjunctival lower eyelid blepharoplasty is advantageous for its quick recovery and low complication rates. Conventional techniques rely on fat removal to contour the lower eyelid. This article describes the authors’ extended transconjunctival lower eyelid blepharoplasty technique that takes dissection beyond the orbital rim to address aging changes on the midcheek.

Wednesday, 29 November 2017

Fat Injections or Fillers?

Facelift Surgery in Melbourne

Dr Bryan Mendelson

Fat Injections are quickly becoming as popular as fillers and as a more natural and longer lasting option, it’s easy to see why. As one of Australia’s most prominent and highly regarded plastic surgeons, Dr Bryan Mendelson and his skin clinic are always at the forefront of the industry. They say fat injections in Melbourne are in demand and can be used in conjunction with other procedures such as facelifts; or as a stand alone procedure to restore volume to the ageing face. We asked Dr Mendelson’s team why fat injections are such a great alternative to traditional fillers.

Tuesday, 21 March 2017

Top Things You Should Know About Facelift Surgery - Dr Bryan Mendelson

Facelift Surgery

Dr Mendelson: Hello. I’m Bryan Mendelson, a plastic surgeon from Melbourne. It’s a pleasure to be here today to talk with you.

PSH: Can you tell us about the difference between a good facelift and a poor facelift?

Dr Mendelson: The difference between a high-quality facelift and an ordinary facelift, there are several components. One is, and the most important overall thing is that it doesn’t look as though the person’s had a facelift, they just look fresh, well for their age. That’s not so easy to obtain because there is a tendency to overdo pulling, for example. The public think they can always pick a facelift. The reality is nearly all the patients that I do a facelift on will say, “You know what? No one has picked that I’ve had the facelift.” I’ll say, “Well, do they give you a compliment?” “Oh, they will say I’m looking well.” That’s really the best compliment you can have.

Now, there are cultural differences in different parts of the world. For example, in Los Angeles, if no one picked you had a facelift you would feel like you didn’t get a good result or Brazil, for example. In more sophisticated areas or culturally sophisticated, there’s not the want to be seen to have had a facelift, which is a status symbol, for us it’s just like a stigma.

Then you look at what is it about the face that’s detectable. Well, disproportionate tightness in certain areas, the windswept look which a good facelift just doesn’t do. Visible deformities like pulling earlobes is a classic thing or the neck underdone for the rest of the face or even overdone. Like, in California, some surgeons tighten the neck more than is natural for someone of a certain age. Usually with a good facelift you’re going to turn the age back eight to 10 years for someone in their late 40s or 50s, not someone in their 30s, otherwise they’d be looking like an infant.

Now, the other thing where patients worry, “How do I know you’re not going to unintentionally pull too tight?” The way to describe that is it’s to do with a technique of surgery. If the surgeon lifts the skin and pulls the skin tight it’s like pulling a piece of elastic. You tend to thin the skin, and pulling it tight often is necessary to get a good and lasting result but the more anatomically correct way of doing the surgery is to tighten the support layer which is … The function of the support layer is to support the skin so if you take the laxity out of the support layer the skin will look toned rather than stretched. Using that technique of surgery, it’s really impossible to be overdone there so you do not have to worry about the windswept look.

I give the analogy it’s like laxity of a chain, a chain necklace, you tighten it until there’s no more laxity and there’s no point in tightening it any more. The key question is what causes the ageing process because it’s a universal thing. Amongst all humans we can, always wondering about people’s age. Whereas if you’re an animal like your dog the only way you can tell a dog’s age is by its behaviour, if it’s acting like a puppy or an older dog and maybe some grey hairs. It doesn’t have the expression on the face of looking tired as humans get with ageing.

The question is what causes it? Discounting skin ageing with is environmental factors like some and other factors like that but there’s a loss of the bone structure on the face. I didn’t realise that until more recent years, particularly the bone around here and maybe some there a little bit along the jaw. As soon as you lose volume on the face the tissues are less tight. If someone loses weight, particularly if you notice it in someone a young age, they just don’t look quite the same. Then once there’s less volume there tends to be a bit of sag. Then when you move the muscles of your face with expression you’ll see older people when they smile, their smile lines, there’s so many more than there used to be. What’s happened with the sag, so the top of the cheek is sitting a bit lower. When they start smiling instead of smiling from there up they’re smiling up there, the ageing, before they start the smile lines so restoring volume is important.

Some people have fillers as we all know. People who have not lost very much volume yet, a little bit of filler is beneficial. Unfortunately, with more ageing, the fillers become less satisfying and less effective. The loss of volume is partly the bone and partly the soft tissue as well. Then sometimes the loss of volume is come from the sag because with the thicker tissue dropping down it’s lower down on the face and therefore it’s thinner up here. There’s a vicious cycle tends to occur, perpetuate, with more movement, more loss of volume, more thinning of the tissues. Obviously, the key to surgery is restoring the structures to the correct position on the face, restoring the volume of the bone of the face, then restoring the volume of the soft tissue and then it looks natural.

It’s a great cause of anxiety for many people about first day back at work because they’re so worried it’s going to be detected. If they prepare for that which firstly is having sufficient time. I would always encourage someone to put off the surgery until they have the time so that they can enjoy the recovery. The recovery enjoyment or how you feel about it is going to determine your satisfaction with the whole process. If the facelift experience was a good one you’ll always be happy about your appearance rather than you have to struggle because you didn’t have enough time. If you only had three weeks off, well two and a half weeks after surgery you could be looking in front of the mirror and thinking, “How on earth in three days is this going to look natural?” Very important, yeah.

Afterwards is so important and people can’t really discuss this with family members, particular husbands, they really need a good support network. Because they’re not going out to coffee with their girlfriends and others they haven’t got the normal chance to communicate and be part of the world. In the office we’ve got outstanding staff who really love what they do in supporting people. The nurses are really outstanding. I’m always being told, “Never let her go.” Then also we have the physiotherapist, Joan, who does lymphatic drainage and ultrasound. She’s been with me for 30 years, she’s wonderful. Also, she’s experienced so she knows that people are going through and they can chat.

Then we have the skin care specialist, Natasha, who just put the hands on the face because people for weeks haven’t been able to do that. Just to have, knowing someone else is doing it really helps. Then we have the heal light which is LED light that speeds up the rate of healing. It’s nice to know everything is working to support you rather than you having to look out for your own needs which tends to be what happens when people have surgery in overseas places. They’re staying in a hotel and they’re told to come back next week and it’s too much, they need constant support.

I hope this information is helpful to people who were concerned because they didn’t know enough about it and have pre-conceived ideas that might have been incorrect that was discouraging them. Information, it is really important to have information because so much of the fear is because of misinformation. We have outstanding patient advisors in the office. People are most welcome to call my office and come along and speak with a patient advisor, which we don’t charge for that. That’s a complimentary service because that will help people know whether it’s right for them. They can ask questions that they may be a little embarrassed to ask the surgeon. Just nice to know and be reassured. Then if the patient advisor, Jilda or Jennifer, feels that they can help then often they’ll expedite the patient to come to see me a little sooner because they get priority care. Thank you so much for this.

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Facelift Surgery in Melbourne Victoria - Understanding the Face

Facelift Surgery in Melbourne Victoria
Facelift Surgery in Melbourne Victoria
Modern day facelifts are a world away from those overstretched, all-too-obvious ones of the past. We have more knowledge of facial anatomy and how the face and all its muscles, including the skin, works as well as the tools and know-how to work with it. And no one understands this more so than Dr Bryan Mendelson, plastic surgeon in Melbourne. Anyone who’s done any sort of research, or has anything to do with the aesthetics industry, should be aware of Dr Mendelson’s skill and ability to make his patients look completely natural, and his book In Your Face has been read by thousands around the country and indeed around the world. We take a look at what makes Dr Mendelson so successful when it comes to facelifts and his innate understanding of the face and its spaces.

Skin Deep – Not Any More

We know that simply pulling the skin up and sewing it higher or tighter just does not work. This is the stuff of horror celebrity facelifts of the 80s and 90s.

The way to a more natural looking facelift is to work on the internal support structures of the face. Dr Mendelson tells us, “It might look as if your skin has sagged, but actually it sits on a sagging support layer – and this is where the correction needs to take place.” This technique is known as the SMAS procedure. This method greatly reduces the chances of excessive bruising and swelling which means less downtime and allows you to get back to your everyday life a lot sooner. It also produces a long-lasting, more natural effect without the skin appearing “pulled”.

The Signs of Facial Ageing

The main signs of facial ageing are:

  • Prominent jowl (laxity of skin along the jawline)
  • Laxity in cheek
  • Laxity in upper neck
  • Heaviness of nasolabial fold (that crease that runs down the side of your nose, down to the lips)
  • Marionette fold (the crease that runs from the side of your mouth down to your chin)
  • Heavy neck

Dr Mendelson says, “Some people are unfortunately also born to have a heavy neck, where the neck starts just beneath the tip of the chin rather than having a properly revealed throat. The neck and the jawline can now be restored to an attractive contour showing clear definition between the face and the neck. It requires excellent surgical skill and certain expertise in anatomy so currently it is only being performed by a few surgeons. It is called the pre-masseter lower facelift.”

Dr Mendelson states that ideally a facelift will bring clarity around the eyes, attractive fullness over the cheekbones and clearer lines along the jaw and upper neck. He says, “The result of a well-performed facelift is natural, and it’s subtle, and the result is lasting. In addition to which it also slows the appearance of further ageing.”

Understanding Anatomy

The reason why modern facelifts are so much more successful than the outdated and almost laughable results of the past is because of our increased knowledge of facial anatomy. Surgeons have a much more detailed understanding of the deeper layers of the face, such as the muscles, tissues, skin and how it all works together. This enables them to better manipulate their appearance and identify how best to do that on a case by case basis. However, if you are considering a facelift, keep in mind that in order to get a natural result, you need to ensure your surgeon is one of the few who actually knows his stuff.

Dr Mendelson is an authority in facial anatomy. His research into the subject is recognised around the world and was included in the classic anatomy textbook, Gray’s Anatomy. His findings have led to the development of the advanced surgical techniques that we see being adopted around the world today. Dr Mendelson performs live demonstrative surgeries in countries such as Milan, Cologne, Barcelona, Madrid, Istanbul, Dallas, Moscow, Taipei and the list goes on, to teach other surgeons his techniques and how he produces such natural looking outcomes.

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