All posts by Darshan Shah, MD

Providing exceptional face, breast, and body procedures to individuals across Central and Southern California, world-renowned surgeon Darshan Shah is an experienced professional who is dedicated to helping patients to look and feel beautiful. He has undergone extensive training at some of the most prestigious schools in the country. At Beautologie Cosmetic Surgery & Laser Center, Dr. Shah works together with Dr. Milan Shah and Dr. Brett Lehocky to incorporate the latest in cosmetic surgery technology into our practice so patients can benefit from the latest techniques and treatments available. His genuinely caring approach and attention to detail have enabled him to win the trust of patients from around the world. It is no wonder that patients from across the globe turn to Dr. Darshan Shah for all their plastic surgery needs. You can find more info at: Google+

Lip Shortening Surgery Obscure But Often Effective, Says ASPS Study

You’ve probably heard the expression “long in the tooth” – but how about long in the lip? According to a recent study, lip shortening surgery has been getting short shrift from many plastic surgeons, despite its many benefits. In fact, many argue, it fills a valuable niche in the world of facial rejuvenation.

Lip shortening will be getting a lot more attention, now that study author John E. Gatti, MD, is presenting his latest findings at the American Society of Plastic Surgeons (ASPS) annual conference this week. He proposes that this procedure – also known as the lip lift – should be offered more widely.

When most people think of lip enhancement surgery, what likely comes to mind is lip augmentation. This procedure basically involves restoring volume that is lost during the aging process. There are several different approaches that plastic surgeons use to restore volume to the lips, including:

  • Injectable Fillers. Restylane, Juvederm, and similar products can be used to plump up the lips without the need for surgery.
  • Facial Fat Grafting. This procedure uses your own natural body fat to add volume to your lips.
  • Facial Implants. Using small implants made from solid, durable silicone, many surgeons are able to permanently augment the appearance of the lips.

However, volume isn’t everything. According to Dr. Gatti, “the length of the upper lip increases with age, and this is associated with thinning of the lip and insufficient coverage of the upper teeth.” As a result of this thinning, the delicately sculpted appearance of the youthful lip is ruined.

Lip shortening surgery is able to restore the youthful shape of lips by removing a small strip of skin at the base of the nose. This allows the plastic surgeon to draw back the skin and shorten the appearance of the lips. Dr. Gatti study, which examined 166 lip lifts over a period of 22 years, found that most patients felt their facial appearance had been improved by the procedure.

But this procedure isn’t for everyone, cautions Dr. Gatti. According to the study, 26 percent of the patients required revision surgery, mostly for minor scar irregularities. This procedure involves treating delicate, highly visible areas. As a result, small imperfections can be magnified.

Why Do Women Really Get Botox? Not Because They’re Trying to Look Younger

Liz Spikol at The Philly Post recently wrote a thought-provoking article on why women have Botox and other facial rejuvenation procedures. It’s not, as many might think, merely to look younger. In fact, Spikol says, women have Botox because they want to look familiar.

It all stems from the transition that women make in their forties. Until early middle age, Spikol says, women tend to look the same as they did during their college years. During this time of early adulthood, women come into their own as adults. They become accustomed to looking a certain way. As a result, this look of early adulthood becomes an important part of their identities.

Nowadays, women are especially aware of different aspects of their bodies, in part because of the proliferation of beauty magazines:

“A lot of women in this culture know their faces and hands and hip bones and knee caps and every other body part intimately, particularly if they believe those parts are flawed. When a magazine has special sections devoted to individual body types, face shapes or hair type, we women know exactly which pages to look at. ‘Oh, that’s me—combination skin!’”

When the signs of aging begin to appear in early middle age, they emerge as an affront to a woman’s sense of self understanding. The reflection that appears in the mirror looks unfamiliar and strange. For Spikol, the change came with lines on her face that appeared almost overnight, and gray streaks in her hair.

“Women who start to use Botox in their 40s aren’t doing it because they want to return to a younger life. No one who’s in her 40s wants to be in her 20s again, I assure you. They just want to look like the person they’ve seen in the mirror every morning for decades. The person who, bizarrely, is disappearing.”

5 Quick Fixes for Puffy Eyes

Puffiness around the eyes is a common problem that can result from alcohol intake, salty foods, and even crying. If you have persistent signs of aging around the eyes, We recommend an eyelid procedure or skincare regimen.

However, for temporary puffiness around the eyes, there are quick and easy fixes that you can use to get on with your day. Let’s highlight five easy ways to temporarily reduce the appearance of puffy eyes.

Caffeine. When applied topically, caffeine can help to get rid of bags under your eyes. It works by drawing water away from the skin. This creates a tighter appearance. If puffiness is a persistent problem, you may wish to consider purchasing an eye cream that contains caffeine. However, for a quick solution, you can apply cool teabags to your eyelids for 5 minutes.

Witch Hazel. Often used as an astringent, witch hazel has a variety of skincare applications, and can be found at most drugstores. It was used for centuries by Native Americans to treat swelling and inflammation, and was adopted by New England settlers early in our country’s history. By applying cotton pads soaked in witch hazel, you can reduce the appearance of puffiness.

Cucumber. These tasty green fruits, a member of the melon family, contain enzymes that are able to reduce the appearance of inflammation. There is a good reason why you always see cucumber slices at the spa!

Eye Massage. RealBeauty recommends eye massage as a method to push away excess fluid beneath your skin. It’s also a relaxing interlude in an otherwise busy day. Use your ring fingers, start at the inner corners of your eyes, and slowly massage in a circular motion to the outer corners. By moving to your temples and down to your jawline, you can enjoy a full facial massage.

Cold Spoons. Almost anything that can cool your skin will reduce the appearance of puffiness. Cold metal spoons can tighten up your skin, as can a frozen bag of peas, if you are pressed for time and don’t have anything else on hand.

More Than Cosmetic: 3 Unexpected Ways That Botox is Changing People’s Lives

The rise of Botox Cosmetic over the past 10 years looms large over the popular imagination. But many people don’t know that Botox has a much longer history. In fact, the most popular cosmetic procedure in the United States has its roots in important therapies for chronic conditions. Botox continues to be used for its astounding – and sometimes counterintuitive – benefits.

What makes Botox so useful for therapy? It’s made from botulinum toxin, which has the ability to inhibit nerve impulses at targeted sites. A Botox injection causes targeted muscles to relax. When applied to the face, this allows other muscles to stretch, which erases the appearance of wrinkles. As a result, Botox has helped millions as a non-surgical alternative to facelift. Doctors have taken advantage of this relaxing effect to help people with chronic conditions linked to muscles.

1. Muscle Spasms

For thousands of Americans, muscle spasms are a daily problem. They can be caused by stroke, brain injury, or other neurological problems. Muscles can spasm spontaneously, or remain clenched over long periods, which can be painful and debilitating. Due to its ability to relax targeted muscles, Botox is able to help in physical recovery and rehabilitation.

Despite the development of other drugs, Botox often remains the treatment of choice. A recent article in the UK Daily Mail profiled a young woman who had suffered a stroke at the age of 15. During her recovery, her right fist was continually clenched, which made it difficult for her to perform daily tasks. Doctors applied Botox so that she could finally relax her hand. Other muscle relaxants were considered, but would have had broader side effects throughout her body.

2. Teeth Grinding

This common habit often occurs at night, when people are sleeping. Over time, teeth grinding often results in cracked or worn-down teeth. ABC News reports that by relaxing certain jaw muscles, Botox is able to diminish – and sometimes even eliminate – teeth grinding.

3. Migraine Headaches

If you have ever experienced a migraine, you can understand the daily torture that chronic sufferers are forced to endure. These blinding headaches are sometimes caused by pressure on certain facial nerves. Research is shown that Botox, by relaxing certain muscles, can relieve pressure on these nerves. For a more permanent solution, many men and women have chosen brow lift surgery, which can also cure certain types of migraines.

Eyebrow Fashion: Arches are Out, Straight Brows are In

The arches have fallen! But it’s not a case for a podiatrist – it’s a continuing trend that may redefine how we understand our eyebrows. According to a recent report in Clinical Plastic Surgery, it seems that the fashionability of arched eyebrows has been on a downward decline for 60 years.

Melissa Rudy, a columnist on, argues this trend can already be seen in the younger generation of female celebrities. You don’t have to look any farther than Emma Watson, Camilla Belle, and Anne Hathaway – fashion-forward starlets with full, expressive eyebrows. They defy the conventions of razor-thin brows that were more popular in previous generations.

At least one plastic surgeon, interviewed by the UK Independent, chalks these changes up to broader social trends:

“Upward curvature of the eyebrows was considered to be an attractive feminine feature in the past. We are finding that more and more women are looking for a flatter, straighter, more masculine look. I think it has to do with the increasing equality of the sexes. Women are subconsciously favouring a masculine brow.

— Mark Soldin, MD

To achieve this fashionable “lowbrow look,” many women are considering cosmetic procedures that can straighten their eyebrows. Since plastic surgeons have traditionally used the brow lift (and similar surgeries) to move the eyebrows in the other direction, many surgeons will probably need to adapt their techniques to match this increasingly popular style.

But there are other techniques that can work just as well. Hair transplants, as Rudy points out, can be used to enhance the appearance of thinned eyebrows. Botox can be used to reduce eyebrow arches by targeting specific facial muscles.

Of course, it also bears mentioning that the study – which was based on an analysis of Western print media between 1945 and 2011 – measures general trends over time. You’ll want to consider your own facial structure before applying these study results to your own appearance.