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When dealing with nodules in the lip it is important to know what material was used to augment the lips. The treatment really varies depending on what was used and how long ago the treatment was performed. Occasional Hyaluronic acid compounds (Restylane, Juvederm, Volbella, etc) can ball up and cause small bumps. These usually resolve in a couple of weeks with massage or dilute injection of a steroid anti-inflammatory solution called kenelog.  Another option is to dissolve the Hyaluronic acid completely with a protein called Hyaluronidase. This material is injected directly into the affected area. Results are quite impressive and visible within 2-3 days.

Another condition that is much more difficult to treat is called 'Bio-film". We don't exactly understand why some patients basically develop a hard film around the implants in their lips/face! These nodules are also injected with Kenelog steroid, treated with Oral antibiotics, and anti-metabolites such as 5FU. If several injections over a few weeks does not dissolve the nodules they can be excised.

Finally; non FDA products such as Silicone and Bioalcamid (seen more frequently in patients from Mexico and South America) don't respond well to steroid injections and can cause severe deformities. These "granulomas" need to be excised. There is always scarring and downtime with excision of these inflammatory nodules in the lip and I perform it as a last resort.The incision is placed inside the mucosa and the hard nodules are surgically removed. Downtime and swelling/bruising is about one week.

Call us if you have irregular bumps or nodules in your lip or face and wish an evaluation to have these lesions removed.

323 653 7700

Dr David Rahimi

Please read about Dr. David Rahimi's interview with Sean Arenas from Playboy.com

Cosmetic Surgery for men is no longer an absolute Taboo. Non surgical modalities and "no downtime" procedures are allowing men to look better with little or no downtime. The key is to look natural.

Please come in for a complimentary consultation

323 653 7700

Zonya Villatoro

Office manager

Dr. A. David Rahimi, lead surgeon at Forever Young in Los Angeles, has seen a dramatic increase in male patients in less than twenty years. “When I finished my training in 1999, maybe 5 percent of my patients were men,” he says. “Now, one-third of my patients are men.” Advances in surgical and nonsurgical techniques have made cosmetic enhancements more readily acceptable. “Twenty years ago, all we had available was cutting surgery,” he notes. “We now have many, many options to tighten up the skin, remove brown spots and fine lines, and make someone look healthier and younger.”

Dr. Rahimi, on the other hand, has a more conservative outlook. “More and more men will speak about receiving cosmetic surgery, but it’s still taboo because, unfortunately, some practitioners go overboard. They do a little and it looks good, so the patient asks for more. The [surgeon] agrees and they make the client look done or fake,” says Dr. Rahimi. “And I don’t think men are going to talk at parties with each other about getting Botox or fillers,” he adds. “It’ll always be something that they do but not readily admit to—but it’s becoming more acceptable in our society.”

 //www.playboy.com/articles/men-cosmetic-surgery-aging

The non ablative Diamond hand piece of venus Viva is ideal for tightening of the skin. There is no downtime and no pain while getting the treatment.

Venus Viva also has an ablative hand piece that inserts 36 small needles under the skin. RF energy is transmitted through the needles and tightens the skin. This modality does have a 3 day downtime (swelling and peeling).

Many conditions ranging from Rosacea to acne scarring and discolorations can be treated with these 2 types of Venus Viva. Please watch our video and consider seeing Dr David Rahimi for a complimentary consultation.

Yours,

Zonya Villatoro

office manager

323 653 7700

https://www.youtube.com/watch?v=ph98TiVwe74

I have now used Bellafill for the past 3 years. I have tested nearly a 100 patients and seen no adverse reactions to the test spots. Allergic reactions to the Collagen portion of Bellafill are possible but very rare. 

Overall I have to say that I am very impressed with Bellafill. Besides the rare occurrence of bruising and swelling I have only seen deeper nodules twice. Both times the "granulomas" resolved with massage and dilute kenelog injection (kenelog 2.5mg/cc 0..2 cc).

I have found Bellafill to be effective for deeper rolling acne scars. I perform subcision with a NoKor needle followed by injection of Bellafill at various levels of the dermis. Deeper laugh lines can also be filled with Bellafill. This is an FDA approved indication.

As an off label use I use Bellafill to augment cheeks and the chin. Deeper layers of Bellafill can also be placed judiciously along the jawline. This results in a lifting of the cheeks and sharper and more well defined demarcation between the cheek and neck. It is ideal for patients who have lost a lot of weight or are experiencing sagging from excessive sun exposure.

Please watch our video on Youtube

Dr David Rahimi

https://www.youtube.com/watch?v=PoK26l412nc

I am often asked to explain the differences between these 4 main non-surgical technologies.

Educated patients are often confused after reading about all the possible options. Which one is better is a complicated question and requires a little bit of explanation.

Allow me to ask you a question before delving into explaining the 4 modalities (5 if you want to include venus Viva).

Which medication is stronger for a headache; Tylenol or Advil or Excedrin? The answer is that some patients respond better to Tylenol and others have a more immediate response with Advil.

This is Dr. David Rahimi's 20th year practicing Cosmetic Surgery and Dermatology and our center own 30 different laser and light sources. We have it and perform it If it works well and is safe.

Ultherapy and Thermage CPT work on a deeper layers and are more aggressive. Fewer sessions are needed and results are usually more impressive and long lasting. Venus Viva, Pelleve and Thermi are usually more conservative but require more sessions.

Choose a board certified Dermatologist with experience and after a face to face interview he or she can tell you which one is best suited for you.

Consultations are complimentary and we offer Saturday appointments and procedures.

Look your best self; not someone else

Come in and get treated by Dr. David Rahimi

He was recently voted Top Doctor 2018 and Super Doctor 2018 by his colleagues

323 653 7700

Zonya Villatoro-office manager

We offer a wide variety of services for Cosmetic Rejuvenation of Men.

Most men want to look younger without cutting surgery or much downtime.

New advances in Cosmetic Surgery and  Dermatology have now made this possible.

This is an outline of my third book which is in progress.

Please come in for a complimentary consultation.

323 653 7700

Saturday appointment and procedures available.

Cosmetic Surgery for Men

Forever Young, Inc.

A. David Rahimi,MD,FAAD,FAACS

1. Introduction- Who am I and why am I qualified to write this book:

· Triple board certified in Dermatology, General Cosmetic Surgery, and Cosmetic Facial Surgery.

· In private practice since 1999 and have performed over 100000 laser and surgical procedures. CEO of Forever Young, Inc. and former Co-director of Beverly Hills Cosmetic Surgery fellowship.

· Two practices with 30 laser and light sources.

· Media appearance and Acknowledgements: Beverly hills Times, La Opinion, Web MD, 213 Magazine, “Top Doctor” award by Los Angeles Times Magazine

· Superdoctor award by Los Angeles Times 2018

·

2. What constitutes Beauty and how is it defined in men

3. Facial Aging in men and the Taboo of admitting Cosmetic surgery

4. The 10 “commandments of looking AND being healthy”

5. Surgical vs. non-surgical modalities: advantages and disadvantages of non-surgical modalities

6. Ablative Lasers: (Mixto) fractional Co2 laser (CO2 laser can lift and tighten the skin)

7. Chemical peels: Glycolic, Jessner, Tri Chloro Acetic Acid (TCA) and Phenol-when to use

8. Non-ablative laser, Ultrasound, and light sources for removal of redness and fine lines: IPL Photofacial, Thermi-RF, Cooltouch CT3 laser, Diolite Laser, Clear and Brilliant laser

What is the difference and how do they work?

9. Fillers such as Juvederm, Voluma, Resrylane, Radiesse, Sculptra and permanent fillers such as Bellafill, Silicone and Bioalcamid- Risks of permanent fillers

10. Botox and Dysport ; at what age do they stop being effective?

11. Skin needling, Dermarollers and Dermapen, Venus Viva with RF energy: pros and Cons

12. Non surgical lifts such as Ultherapy, Thermage CPT, Pelleve and Venus Viva

13. Gynecomastia and laser Liposuction

14. Aging neck: Excess fat, loose skin , neck bands--Platysmal Neck bands

15. Eyelid and Browlift-cutting vs. Non-surgical approaches

16. The concept of “Quadrafecta” The whole is greater than the sum of its parts “Aristotle”

18. Acknowledgement

I have seen and treated many patients with unsightly and thickened thyroid surgery scars. The scar itself can be treated with Diolite laser for the removal of redness and Mixto Co2 laser for the removal of the thickening and hypertrophic parts. Furthermore the loose skin around the neck can be safely treated with Ultherapy (Ultrasound neck and face lift) or Thermacool CPT (Radiofrequency face and neck lift). Please see us for a complimentary consultation.

The ideal time to have these procedures performed is debatable. I tell my patients that it is never too late but that best results are achieved if the laser and tightening is performed in the first 12 months after the recovery.

323 653 7700

Dr. A. David Rahimi

Many of my patients notice aging of their eyelids starting in their 40s and early 50s.

We do offer cutting surgery and removal of skin and fat but this option is only acceptable to a small percentage of my patients.

Cutting surgery of excess skin and fat (Blepharoplasty) requires downtime and is associated with scarring.

Rarely scars can become thickened and unsightly. There is also the usually larger cost of cutting surgery and downtime.

Non surgical treatment of the eyelids with Restylane fillers, Lasers such as Mixto Co2 laser

and Ultherepay are alternatives that should be considered.

Excess skin can be tightened and removed with laser. Hollowness and deep "tear troughs"

can be filled in with fillers such as Restylane and Juvederm. Pelleve, Venus Viva,

Thermacool CPT, Ultherapy are non surgical laser, Ultrasound and radiofrequency

devices that can tighten and lift the skin without the need for cutting surgery.

Downtime is usually shorter and the procedures are generally safer.

Please come in for a complimentary consultation.

323 653 7700

Dr. David Rahimi

One of the biggest challenges in treating patients with darker skin color and acne scarring is the possibility of blotchy skin after the treatment. This is called post inflammatory hyper pigmentation. Basically patients with an olive skin complexion (Asian, Hispanic, Ethnic skin) can develop blotchy skin and discoloration after laser treatment.

I often per-treat my patient's skin with a fading lotion (hydroquinone cream) and Retin A 1-2 weeks prior to aggressive laser treatment. Another more recent advance has been the introduction of venus Viva nono-fractional radiofrequency treatment. This incredible device is "color blind" and is ideal for the treatment of acne scarring in darker skin colors. Another advantage is that skin heals in 2-3 days (rather than the 5-10 days it takes for aggressive Mixto CO2 lasers).

I often combine the procedure with Subcision, dermal fillers such as Bellafill and Sculptra, and even laser resurfacing. Please read out this on our Acne site

www.losangelesacnecenter.com  and come in for a complimentary consultation.

Dr A. David Rahimi 

323 653 7700

Click on the link below to read about the technology and see a few before and after pics

//foreveryoung.net/venus_viva.html

Acne scarring can be both physically and emotionally very traumatic. I have dedicated the last 19 years of my professional life to helping patients with unsightly and often disabling acne scarring. No 2 people are the same and no 2 scars on the same face are exactly the same. The key to being successful and achieving incredible results is to analyses each scar separately and treat it using the best possible options out there.

I was very fortunate to train with a brilliant physician and surgeon with the name of James Fulton, III, MD.

He was eccentric and aggressive but kind and caring. Among his accomplishments was the co-development of Retin A in the 1960 with Dr. Kligman. He also developed Benzamycin topical antibiotic solution for the treatment of acne. In the 1980s he had many acne clinics all over Los Angele and treated hundreds of young adults.

Since 1999 I have improved on Dr. Fulton’s approach to acne and acne scarring. New laser and radiofrequency devices have make acne scarring treatments safer and more affordable.

Please visit our Acne Scarring page under the procedures and schedule a time to visit us at

Los Angeles Acne Center.

You can also e mail me for a complimentary copy of our Acne Book.

afshinrahimi@yahoo.com

323 653 7700

A. David Rahimi, MD,FAAD,FAACS,FAAFCS.

I performe cutting face and neck lifts but most of my patients prefer a minimally invasive approach and no scarring. Laser liposuction with Smartlipo Triplex has been a good alternative to surgery for some of my patients.

More recently a new device called ThermiRF is gaining acceptance in the US. This FDA approved modality melts fat and tightens the skin from inside with 3 small scars that are smaller than the back of a pencil erasure. the scars are behind the ears and under the chin and barely visible.

Thermi uses a small probe and "injects" Radiofrequency energy under the skin resulting in a tightening and elevation of the neck and jowls. The same technology can be used in the breasts, buttocks and abdominal skin..

Call us and schedule a consultation to see if you are a candidate for this virtually scar-less neck lift.

323 653 7700

A. David Rahimi, MD,FAAD,FAACS,FAAFCS.

https://www.thermi.com/home

I performed many breast lifts during my Cosmetic Surgery fellowship in 1999. I never liked the scars. Some patients did great and had barely visible scars. Most of my patients had visible scars that made them self-conscious about their appearance. Occasionally the scars would become hypertrophic or even keloidal. I stopped doing breast lifts shortly after.

Recently I became very impressed with a new procedure called Thermi RF.

Thermi uses a small probe and injects Radiofrequency energy under the skin resulting in a tightening and elevation of the breast. The same technology can be used in the buttocks and abdominal skin.

Please watch this video by another surgeon back east. I hope to produce our own video this year.

Call us and schedule a consultation to see if you are a candidate for this virtually scar-less breast lift.

323 653 7700

A. David Rahimi, MD,FAAD,FAACS,FAAFCS.

 https://www.youtube.com/watch?v=7lHTWWUSpxs

Kybella for the treatment of excess fat under the chin and neck is becoming more and more popular.

The fact is that men in 2016 have several options to improve their jawline and contour their neck. In fact, 73 percent of people say they don’t like the extra fat under their chin and neck, according to a survey by the American Society of Dermatological Surgery found.

Here are the surgical and non-surgical options:

Smartlipo Triplex uses 3 different wavelengths and a laser to gently remove excess fat and tighten the skin from within. This procedure is invasive but can be performed under local anesthesia and leaves practically no scarring. Downtime is 3-5 days and cost varies between $2500-$5000

Some patients are against anything invasive. We also offer them a combination treatment with kybella and Ultherapy.

Kybella gradually melts excess neck fat over a few weeks and may even results in a little tightening of the skin. Subsequently any residual loose skin is tightened with either Ultherapy, Pelleve, Venus Viva, or Thermage CPT.

All these devices are offered at Forever Young Inc. and performed under light sedation for maximum efficacy and minimum pain and downtime.

Kybella treatments have 2-3 days of down time and cost $750-$1500

Ultherapy of face, neck, eyes performed by Dr. David Rahimi is $3500

We offer packages and free 6 month care credit financing

Please visit out website for more information and “before and after” photographs

//www.kybellahq.com/

www.foreveryoung.net

Thank you

A. David Rahimi, MD,FAAD,FAACS.