Blog

Tuliplift™

Don't you wish there was a surgical facelift that could be performed entirely under local anesthesia??

In fact there is such a procedure and it was developed by Dr. David Rahimi about 17 years ago. It is called the Tuliplift™

http://www.foreveryoung.net/tulip-face-lift.html (click on our before and after videos)

www tuliplift.com

Since 1999 Dr. Rahimi has performed dozens of these Tuliplift™ procedures completely under local anesthesia and with quite impressive results. (Occasionally Dr. Rahimi also uses a little injectable pain medication, such as Demerol, or muscle relaxer to make the procedure more comfortable.)

Tuliplift™ addresses both the sagging of the tissue, volume loss, and sun damaged and discolored skin.

Here is how Dr. Rahimi himself explains the procedure: I start by removing about an inch of skin from the front of each ear. If you just remove the skin the results are temporarily and the skin stretches back within about 2 to 3 years. In order to ensure a long-lasting results the muscle and deeper tissues are also tightened with permanent sutures Fatty deposit from the neck and Jowl area is removed using laser liposuction. This is followed by tightening the neck muscles surgically. The harvested autologous fat is spun down and injected back into the nasolabial fold and cheek area. (As we age the bones of the cheek and chin resorb and the face falls. Fat is used to lift the cheekbones to their natural state) No drains are needed and a light dressing is removed the next day. Sutures are usually removed 7 to 10 days after the procedure and at that point in time Dr. David Rahimi performs a fractional Mixto CO2 laser to reduce the appearance of the surgical scars and also to remove brown spots on fine lines.

I am often asked why I don't use General Anesthesia to perform my Facelifts. The answer is quite simple: general anesthesia has far greater risks than local anesthesia and my patients understand and prefer this way of doing surgery.

Watch our videos on Youtube: ABC News spot from almost 15 years ago: https://www.youtube.com/watch?v=bJ2V2jFCKOQ

Another video: https://www.youtube.com/watch?v=qCT5CDPsCjU

Here is what is included in the Tuliplift:

-Consultation by Dr. David Rahimi -Removal of the fatty deposits under the chin using Laser Liposuction

-Tightening of the neck muscles (Platysmoplasty)

-Liposuction of the Jowls

-Fat transfer into the nasolabial folds -Tightening of the muscle and underlying structures (not just skin)

-Removal of the excess skin from the side of the face and neck

-3 layers of sutures: permanent sutures are left in for long lasting results

-Sutures are removed 7-10 days after the procedure

Above fees are all inclusive and include OR Fee, Surgical Fee, Doctors Fee, Blood work, and all follow ups. Please call us for a complimentary evaluation. Zonya Villatoro – office manager

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

How to treat Asian skin with Acne Scarring:

Patients with Asian skin have more delicate skin and require a different approach when it comes to acne scar removal.

Mixto fractional Co2 laser is a fractionated CO2 laser that can be safely used in darker skin types. We still prefer to prep the skin for 10-14 days with a combination of Retin-A cream and Hydroquinone. Laser setting are generally milder for patient with darker or more delicate skin.

In addition to lasers these are a few of the other options available when it comes to treating Asian Acne scarring:

Venus Viva

Venus Viva was FDA approved I the united states in 2015.

The device has 2 hand-pieces; the Diamond hand piece is non ablative and tightens the skin without any downtime. In fact it does not break the skin and clients can return to work immediately. Several sessions are needed.

The second hand piece is the nano-fractional ablative Radiofrequency. Tiny prongs/needles actually penetrate the skin and release radiofrequency energy under the skin (in the dermis). This is where the actually scarring is. There is 2-3 days of redness and occasional peeling.

1-2 sessions over 4 weeks are needed to get significant improvement.

Please watch the video below and call us for a complimentary consultation:

http://www.foreveryoung.net/venus_viva.html

A. David Rahimi,MD,FAAD,FAACS

A question I am often asked by patients relates to the efficacy of specific procedures for the elimination of acne scars. The answer is invariably disappointing to them: No one procedure is capable of complete removal of all types of Acne scarring.

Patients often come in and ask for Micro-needling or Subcision or a certain laser to “eliminate” their acne scars.

I spend a substantial portion of my consultation explaining the difference between ice-pick scars, rolling scars, atrophic scars or box-car scars. I then proceed to explain the difference between fillers, lasers and tightening procedure.

Often times a combination of these modalities are needed to improve acne scars.

Deep atrophic scars need to be filled in.

Ice pick scars may need to be excised.

Rolling and Box-car scars need a combination of Subcision and Co2 laser.

My goal is to educate my patient and chose the best and most effective procedure combination for them.

I also make sure that their expectations are realistic. Most patients get 25-30% improvement with one combination treatment.

A second or even third treatment may be needed for even better results.

I recently published a book which discusses my approach and philosophy.

http://www.amazon.com/Acne-Scarring-Treatments-David-

Rahimi/dp/1329203720/ref=sr_1_1?ie=UTF8&qid=1443722957&sr=8-1&keywords=rahimi+acne

I have a German patient who recently sent me articles on a product widely available in Europe. It is called Lipo dissolve and seems to have similar properties as Kybella.

If you recall Mesotherapy really did not work well. It was often administered by non MDs and no one really knew what was actually in the injections.

Kybella id offered by Allergan.

Allergan is a very professional company and just purchased Kytera (the makers of Kybella) for a deal worth over 2 billion dollars.

Allergan will now ensures safety and efficacy and purity of this product.

Prices start at $750 per treatment

2-3 sessions over a few months may be needed to achieve visible and satisfactory results. 

Please read about this new treatment on our website:

www.kybellaHQ.com

thank you

A. David Rahimi,MD,FAAD,FAACS 

I am really excited to announce that Kybella is finally here.

For the first time there is an FDA approved injection that permanently and non surgically dissolve fatty deposits under the chin.

Other areas such as the abdomen and knees and thighs can also be injected; although this would be considered an off label use.

Kybella can also be combined with non-surgical face and eyelifts such as Ulterapy, Thermage CPT, Pelleve, and Venus Viva.

Please read more about this exciting treatment and come in for a free consultation.

www.kybellaHQ.com

A. David Rahimi,MD,FAAD,FAACS

We are one of the first practices in Los Angeles to start using Venus Viva.

This new nano fractional radiofrequency treatment has been successfully used in Korea, China and Europe and has finally received FDA approval in the US.

Here are the highlight:

1. Great for treating patients with darker and delicate skin

2. Less downtime than conventional Fraxel and Co2 lasers

3. Designed to improve wrinkles, acne scarring and problems with pigmentation

4. Quick recovery and reasonably priced from $750 to $1500 per treatment

http://www.venusconcept.com/products/venus-viva/

The New Gold Standard in Medical Aesthetics

Venus Viva™ is a revolutionary, fully customizable FDA cleared solution for facial remodeling and resurfacing. Delivering impressive efficacy through combining NanoFractional Radio Frequency™ (RF) and one-of-a-kind SmartScan™ technology, Venus Viva is the first system that allows you to manually control ablation and coagulation for enhanced treatment efficiency.

• Largest variable treatment area in the industry

• Superior RF depth penetration

• Consistent selectional dermal heating

• Controlled coagulation and ablation ability

• Portability and ease of use

• Immediate and long term results

• Increased treatment options with multi-applicators

  Venus Concept is once again setting new industry standards in device innovation and treatment methods for facial rejuvenation.

  

  The New Gold Standard in Medical Aesthetics

  Venus Viva™ is a revolutionary, fully customizable FDA cleared solution for facial remodeling and resurfacing. Delivering impressive efficacy through combining NanoFractional Radio Frequency™ (RF) and one-of-a-kind SmartScan™ technology, Venus Viva is the first system that allows you to manually control ablation and coagulation for enhanced treatment efficiency.

• Largest variable treatment area in the industry

• Superior RF depth penetration

• Consistent selectional dermal heating

• Controlled coagulation and ablation ability

• Portability and ease of use

• Immediate and long term results

• Increased treatment options with multi-applicators

  Venus Concept is once again setting new industry standards in device innovation and treatment methods for facial rejuvenation.

  

I am delighted to introduce my second published book:

Acne and Acne scarring

A Comprehensive Approach

You can purchase the book on www.lulu.com

Soon to be available on Amazon.com

Please e mail me for a free PDF copy

afshinrahimi@yahoo.com

Pearly Penile Papules (PPP) is a treatable condition that affects a small percentage of men in the United States. The small white bumps around the head of the penis are more than a cosmetic nuisance. My patients complain of occasional irritation and soreness after sex. They can be mistaken for STD and will not go away without medical intervention.

I have treated several dozen such patients over the past 15 years with a combination of Mixto Co2 laser and electrocautery with excellent cosmetic results.

The treatment is practically painless and recovery is about 4-7 days. The risk of scarring is minimal and the majority of the patients are very happy with the laser treatment.

A. David Rahimi,MD,FAAD,FAACS

Here are a few examples:

PPP or Pearly Penile Papules

I have treated nearly 100 patients with PPP over the past 16 years.

This benign condition can cause profound anxiety in younger men.

It is easily treatable with lasers and leaves virtually no marks.

I start the consultation with a thorough medical exam followed by detailed photographs outlining the procedure and healing phases. 1-2 sessions are usually needed to eliminate the problem. The healing phase is 5-7 days. Mild redness and soreness can last up to 2 weeks.

Please come in for a free and confidential consultation

Or e-mail me your questions and photographs for a virtual consult.

afshinrahimi@yahoo.com

Quadrafecta

Ultherapy face, neck and eyes

Mixto fractional Co2 laser face, neck and eyes

Voluma fillers

Great non-surgical lifting

www.quadrafecta.com

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I often see patients with deep acne scarring who have atrophic, ice pick, box car, and rolling scars.

These types of scarring are difficult to treat. Each type of scar requires a separate modality and special consideration.

Ice pick scars are punched out using different size round punches. The holes are basically excised and the skin surtured back in place. The ensuing scar from the excision is evened off using a CO2 fractional laser (Mixto CO2).

Rolling and atrophic scars are treated with Subcison.

Subcision involves using a small knife under the skin to cut the bands that are pulling the skin down.

The skin is tightened using Ultherapy or Pelleve.

I call this combination therapy “The Neda protocol”

Please see his for a free consultaion.

Dr. David R.

Forever Young, Inc.

Sculptra and Juvederm Voluma can be used to fill in the hollowness in the temple area. This hollowness happens as we age and worsens in the 50s and 60s.

In addition to harvested fat, Juvederm Voluma and Bellafill can be used to fill these imperfections and rejuvenate the face. The treatment is practically painless and requires little to no downtime.

Please visit us for a free consultation.(the two top photos are before, the bottom 2 photos are immediately after)

Thank you

A. David Rahimi, MD, FAAD, FAACS.