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June 2007 | www.parungao.com
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When is it time for a facelift? One Baby Boomer’s story
Ever wonder how a woman decides she’s ready for a facelift? Let’s follow the story of Margaret, 59, a dynamic Baby Boomer who says she’s “reinventing herself.”
‘I started with facial fillers’
For several years, Margaret has been happy with her results from non-surgical facial enhancements. Botox treatments have relaxed the lines in her forehead and glabella (the area between the eyebrows) and minimized her crow's feet.
Dr. Parungao has also treated Margaret with Juvéderm to smooth out her nasolabial folds (the lines from the nose to the corners of the mouth) and the “marionette lines” from the corners of the mouth to the chin.
‘Help! I’m developing a turkey neck!’
As she nears her 60th birthday, Margaret is realizing she may need more than injectable fillers to maintain her youthful look. “A few months ago, I noticed my cheeks were starting to drop from the eye socket area,” she says. “It was really bugging me. And even worse, I’m developing my mother’s turkey neck.
“Recently when I went for a Botox treatment, Dr. P said to me, ‘You know, you might benefit more from a facelift than from fillers.’”
How does Dr. Parungao evaluate your face?
“From a medical standpoint, I look at the degree of sagging, loose skin, jowling, the depth of the wrinkles and nasolabial folds and crow's feet,” Dr. Parungao explains. “Then I decide whether a nonsurgical approach can give the patient what she's looking for—or at least get started in the right direction.
“I certainly want to find out about the patient's goals and her social situation. Does she have the time for surgery? Does she have someone to help her around the house while she’s recovering?
“In Margaret's case, we've gone down that path. She's very pleased with what I've done so far with the appearance of her face and now she's ready,” Dr. Parungao explains. “She's got the time and the courage to take the next step and have surgery.”
Coming soon ... Margaret’s online forum
You’re invited to share Margaret’s journey as she prepares for her facelift. On July 6, we will launch an online forum where you can read comments from Margaret and Dr. Parungao—and join in on the conversation. Watch your e-mail for details on how to join the forum.

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Dr. P marking patient for surgery
During the consultation, Dr. Parungao explains
to Margaret how a facelift or rhytidectomy will rejuvenate her face by tightening the underlying muscles and redraping the skin of her face and neck. “I’m doing this for me,” she says.


FDA approves Juvéderm to last up to 1 year
On June 26, Allergan, Inc. announced that the U.S. Food and Drug Administration had approved a label extension of its hyaluronic acid facial filler, Juvéderm, to provide smooth, natural-looking results lasting up to one year with a single treatment.
The FDA approval was based on new clinical data showing that Juvéderm’s effects may last for up to a year, which is longer than reported in clinical studies supporting FDA approval of other hyaluronic acid facial fillers.
Ask Dr. Parungao
How do you determine whether to recommend a full facelift or a mini-facelift?
In Margaret’s case, the biggest factor is the degree of sagging in the neck region and around her cheeks; these might be better served by making the longer, more extensive incision of a full facelift. In a full facelift, I will free more of the facial skin from its underlying tissues and lift it to a greater degree than in a mini-facelift.
Have a question? Ask Dr. Parungao.
Allan J. Parungao, MD FACS, Oak Brook, Naperville, Vernon Hills, IL
Allan J. Parungao, MD FACS, Oak Brook, Naperville, Vernon Hills, IL

Previous issues of Body Beautiful e-newsletter:

March 2011
Want to look sexier in a bikini this summer?

February 2011
Laser hair reduction makes grooming a breeze

December 2010
Embarrassed by flabby upper arms?

October 2010
Job-hunting men turning to Botox, facial fillers, Chicago, IL

September 2010
Most breast reduction surgery can be covered by insurance - September 2010

July 2010
Erase years of sun damage with just 1-2 fractional CO2 laser treatments - July 2010

June 2010
Butt augmentation: Transfer that 'muffin top' fat to your derriere - June 2010

May 2010
On-Q(R) Post-Op Pain Relief System makes recovering from surgery a breeze - May 2010

May 2010 Special Edition
Get Botox? Allergan's Brilliant DistinctionsTM Program earns you valuable rewards! - May 2010 special edition

April 2010
For years, I was so uncomfortable - I had no idea something could be done' - April 2010

March 2010
Diabetic mom gets a Mommy Makeover - March 2010

February 2010 Special Edition
Save on new Juvederm XC - February 2010 special edition

January 2010
Save big on Botox, Juvederm, Radiesse and Latisse - January 2010

December 2009
The proposed 'botax' is off the table - December 2009

November 2009
Replacing saline implants woth silicone gel - November 2009

October 2009
Augmentation mastopexy combines breast lift, implants - October 2009

August 2009
Natural-looking breast implants - August 2009

July 2009
Botox and facial fillers - July 2009

June 2009
Cool liposuction offers advantages over traditional lipo - June 2009

May 2009
Cool liposuction for stubborn belly fat - May 2009

April 2009
Mommy makeover most popular procedure - April 2009

March 2009
Juvederm JuMiR study and complimentary treatment - March 2009

February 2009
Breast lift for more youthful bustline - February 2009

December 2008 Special Edition
Dr. Parungao moves from Oak Park to Hinsdale - December 2008 special edition

July 2008
Clinical skin treatments and home skin care - July 2008

April 2008
Microdermabrasion and IPL photofacials - April 2008

February 2008
Liposuction slims what diet and exercise can't - February 2008

January 2008
Mini-facelift vs Full facelift - January 2008

October 2007
Male Baby Boomer turn to plastic surgery -October 2007

September 2007
Liposuction for stubborn fat - September 2007

August 2007
Hyperpigmentation results from an increase in melanin - August 2007

July 2007
Making a smart decision on plastic surgery - July 2007

June 2007
One Baby Boomers facelift story - June 2007

May 2007
Baby Boomers look years younger with mini-facelifts - May 2007

April 2007
Mommy makeovers, combined plastic surgery procedures - April 2007

March 2007
Facial fillers - Look younger without surgery - March 2007

February 2007
Arm lift surgery for upper arms by Dr. Parungao - February 2007

January 2007
Cosmetic eyelid surgery by Dr. Parungao - January 2007

December 2006
Dr. Parungao chosen to conduct Juvederm trial - December 2006

Schedule a visit with Dr. Parungao today!




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