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Body & Soul

Facial Plastic Surgery and Its Effects on the Voice with Babak Azizzadeh, MD

Dr. Azizzadeh is a Board Certified, Harvard trained Facial Plastic Surgeon, specializing exclusively in facial plastic surgery. As a clinical faculty of the UCLA School of Medicine, Dr. Azizzadeh is actively involved in teaching facial plastic surgery to residents and medical students. In addition to his busy surgical practice, Dr. Azizzadeh has also been actively involved in several humanitarian causes such as the Medical Missions for Children (MMFC) and the R.O.S.E. Fund (Regaining One’s Self-esteem), a national non-profit organization committed to ending violence against women and children by assisting survivors in regaining their self-esteem. He has operated on many famous faces. Dr. Azizzadeh's website is http://www.facialplastics.info/

LAUGH LINES & THE PROFESSIONAL ARTIST

MBADC: What about the laugh lines? How might procedures to correct those affect a singer?

BA: The procedures to correct laugh lines are very minimal procedures where both the downtime and the muscle of the face are not directly affected by the procedure, and I don’t think that they would have any effect on the professional singer. And this goes back again to the cosmetic surgery game plan for the performing artist. That is a great procedure where it causes subtle improvement but makes a big difference for the patient, but not many people will notice a dramatic change in the patient. [The plan is] short downtime, to not affect a professional singer, to not make a very dramatic change in the way the artist looks.

MBADC: What would be the procedure for the professional singer who has laugh lines?

BA: There are [several] ways of approaching it. What a lot of people use right now are non-surgical techniques, for example injecting substances like collagen, Restylane or Radiance--these are what we call fillers. They fill in that area for the laugh line. That’s one approach to correcting the laugh line. Generally speaking, they’re temporary measures—collagen lasts 3 months, Restylane lasts 6 months, Radiance lasts about a year--so they would have to be repeated. The alternatives are minor surgical procedures where we use what we call a cheek lift…The laugh lines are caused by this malar fat pad. It’s a fat pad that comes down with gravity as we age. And we would move the fat pad back into its normal anatomic location. And in doing so, this procedure takes about 45 minutes and has a fairly good longevity of lasting about 4-5 years, and the downtime is about three to four days. And it does make a very nice change without a significant downtime. So I usually offer both non-surgical as well as surgical. And some people choose to do the non-surgical, and some people choose to do the surgical, depending on what their needs are.

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