Alexander Rivkin, MD
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Alexander Rivkin, MD
Plastic surgeon | Views: 244088

Friendname: AlexanderRivkinM.D.
Business Name: Westside Aesthetics
Website: www.westsideaesthetics.com
Location: 1033 Gayley Ave #104
los angeles, CA 90024
United States
Telephone: 310 443 5273
Languages Spoken: English

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Ask An Expert > Alexander Rivkin Message Board > non surgical skin tightening for face
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non surgical skin tightening for face
I am 35 years old and would like to tighten up my jowl and eye area. The stress from my divorce has aged me, and I would like to looked more youthful and refreshed. so many procedures and lasers im confused, if anyone can make some suggestions on best route? I can enclose a picture if any doctors can take a look and advise me.

Plastic surgeon
Melbourne, FL
United States
View My Professional Profile
Non-Surgical Facelift  March 26, 2012 6:01 PM

Non-surgical face lifting has been increasingly popular over the past several years. You may be able to achieve the youthful appearance you desire with facial skin tightening devices and with injectable fillers that add volume back to the face. Pelleve,a skin tightening system and Sculptra are often used together, however it is best to visit a board certified facial plastic surgeon to determine if this option is best for you.

Plastic surgeon
Miami, FL
United States
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  March 27, 2012 6:54 AM

Very small results for any non invasive therapy.

beverly Hills, CA
United States
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As the pioneer in the field of injectable fillers and toxins, I am not owned by pharmaceutical companies so I promise you the truth about injectables. Some are wonderful but certain fillers and toxins can be dangerous. There have been deaths from the aesthetic combination of these agents in Los Angeles, as well as deaths from toxins alone. Recently Miss Nicaragua died from filler injections in her buttocks. All of this is avoidable if the injector knows how to choose and use injectables. Unfortunately this is rare these days, as anyone who has hands is injecting everyone they can. First Wife?s Club lips, golf ball size cheeks and immobile foreheads fill the restaurants as America seems to have forgotten what humans are supposed to look like. Unfortunately, everyday I get a call from a person who has been scarred permanently by trusting someone whom they thought knew what they were doing. This always reminds me of the quote of the gifted Lily Tomlin ?I always wondered why somebody doesn't do something about that. Then I realized I was somebody.? Remember in her show ??The Search for Signs of Intelligent Life in the Universe?? Lily Tomlin appears as a homeless person with a shopping cart holding a can of Campbell?s soup asking the audience ??is this soup or is this art?soup or art???

As a freshman at Penn I remember the arrival of Andy Warhol, together with Edith Sedgwick, on campus. They had come to introduce his Pop Art. With his philosophy ??everything is beautiful, Pop is everything", Warhol took elements of everyday life and created art. I was always interested in the human face and began to study the features and how they differed among various individuals. I once told my art instructor at Penn that when I looked at Mona Lisa, I found her lips much more interesting than her face and how I was always drawn to the eyes and lips of a face.

During my undergraduate years, I would study in a tower that overlooked the Alfred Newton Richard?s Medical Building designed by Louie Kahn. It was not a traditional structure but perched on cement columns, hanging like an alien spacecraft over the campus. Later I would get to know this mighty wizard of design. Both he and I were badly burned as children, so we discussed skin, architecture and the architecture of the face. As people aged, their lips went south due to the loss of dental support. So every older individual?s nose looked larger as they aged because their lips moved lower towards their chin.

As I entered the great rotunda of Penn?s School of Medicine, the mighty image of the Agnew Clinic by Thomas Eakens cast its powerful gaze on me. Although medical school was not the best of times for me (I lost my Father and brother.), I went to England after my third year to study drug abuse. But more Importantly, I wanted to see if there was a world where doctors were more interested in the people than the disease. The singular ability of a gifted English dermatologist to diagnose a barbiturate overdose by merely observing patterns on the skin amazed me and changed my life forever. Dermatology and not psychiatry became my career goal. Yet as far apart as they seemed in those days, I now realize they are so very close together.

After an internship in Los Angeles I returned to Penn for residency. Drs. Walter B. Shelly and Albert Kligman both amazed me. It would be Kligman who taught me to think and to read everything. He was the greatest mind in dermatology and the Inventor of Retin-A. Furthermore, he encouraged me not to be the best I can be, but better. As the West beckoned, the intellectual freedom, as well as the California light I had once experienced during Internship, lured me back to Los Angeles and I transferred residencies to UCLA. Suddenly I found myself in a surgical sub-specialty wherein they did everything but appendectomies. After I graduated as Chief Resident at UCLA, I opened a small 800 square-foot office in Beverly Hills. Then came inject able collagen and my love affair with the syringe.

Also into my life came the great artists Frank Gehry, Ed Moses, Bob Graham, Ed Ruscha, Ellsworth Kelly, John Baldessari, Herb Ritts, Robert Mapplethorpe, and Roy Lichtenstein all of whom revolutionized my vision of art and architecture. We are now in 2012 and I finally realize that art and medicine are profoundly similar. My passion for both is in fact a singular emotion. It is now obvious that the best of each arises from human creativity. Medicine at its best is raised to an art form and aesthetic medicine is not just OK, but, as Al Capone would say, ??It is the ?cherries.? ??. Minimally invasive aesthetic enhancement defines my existence and I am honored to be part of this revolution. Life is not simple; I have survived the BOTOX lawsuit, my nurse?s marriage, the death of two of my dearest friends and all those who imitate me. Just remember that integrity and passion are the critical aspects of a physician and never believe something simply because it has been written down by others.
In 1979, with bovine collagen, I taught myself how to best inject the wrinkle and developed lip augmentation, fulfilling the unspoken demand for what would eventually become known as ??minimally invasive aesthetic techniques" in the land wherein beauty was a negotiable commodity and there was a never-ending hunger for appearance enhancement, Los Angeles, California. But the ascendancy of injectable collagen was aided by the eventual crashing and burning of silicone until the FDA essentially banned breast implants in a collision of quack science, the plaintiff?s bar, and women?s health. Additionally, the justice department banned injectable silicone. There was no turning back. For 35 years, from 1977 to 2012 I have reigned as the king of injectables. As Rick Glogau has said, "No one does it better with injectable fillers than Dr. Arnold W. Klein. With his obsessive (and I mean obsessive) devotion to the literature, Arnie has for years kept an unswerving eye on the development of the field of soft-tissue augmentation. His predictions of the tidal wave of new agents coming into the United States from abroad have come true. With characteristic Hollywood verve, he can identify 'The Good, the Bad, and the Ugly' in the field of soft tissue fillers. His credo has always been 'the results should be natural. You should not be able to detect what was done.? Sometimes that is easier said than done.

It is a new world of cosmetic surgery, totally dominated by minimally invasive techniques, built on a two therapies with stunning synergies of aesthetic effect. We are utilizing injectable fillers for volume and structural problems, botulinum toxin for problems related to repetitive muscular expression lines, and a variety of laser and light therapies aimed at correcting textural and color problems related to imprudent ultraviolet light exposure. But there are now significant issues with many of the recommended drugs and devices. As a watchdog and whistleblower, I have been punished repeatedly for my actions of warning the public of bad injectables and toxins. I have been removed from my post as an editor for many medical journals after speaking out against certain products and pharmaceutical companies in defense of public safety. I continue to spread the word on the dangers of certain agents for cosmetic enhancement by paying for my own lectures, by renting restaurants to host events and using students to hand out flyers for theses lectures during large conventions and meetings hosted by pharmaceutical companies. These companies try to shut me down but I promise you that they never will. The lumpy deformed faces you see in every city are not always the result of bad techniques; they are often the result of bad products. Beauty Editors are far more interested in money than truth, so you won't find the truth regarding beauty enhancement at your local newsstand.

Recently I have developed what I consider the most advanced and revolutionary injection technique that exists. As Kelly Lebrock has said ?Dr Klein does with a needle what other doctors can only hope to do with a knife. The key is my ability smoothly flow a filler under the skin . As the agent flows beneath the surface it pulls the skin back with it, tightening the facial skin while also returning volume and structure to the face. With this technique the number of syringes used is greatly reduced, as is the degree of bruising.

Grace Kelly (Princess Grace of Monaco) was an incomparable beauty. She starred in High Noon and won an Academy Award for The Country Girl. The death of this true Princess in 1982 as the result of an automobile accident was a tragedy. When I would look at her face it was as if you looking were look at an architectural structure equal to ?Notre Dam.? Her cheeks were not balls beneath her eyes rather slight elevations like
picture rail moldings that went back from the side of here eyes to her ears.
These are well visualized as you look at her face from the front and cast wonderful shadows from overhead light. These are in reality the expression of a bony prominence called the zygomatic ridge.

Audrey Hepburn?s face also a lesson in architecture. Audrey herself was was a true blue-blood. Her father was a self important wealthy English banker, and her mother, a Dutch baroness. After her parents divorced, Audrey went to London with her mother and attended private girls school. Later, when her mother moved back to the Netherlands, she attended other private schools as well. While in Holland Hitler's army took over,. It was then she fell on hard times during the occupation suffering depression and malnutrition. But what did Audrey do? She danced for the resistance! After liberation she went to a ballet school in London and came to America to do her break out movie Roman Holiday. Audrey once used a quote which I live by? My own life has been much more than a fairy tale. I've had my share of difficult moments, but whatever difficulties I've gone through, I've always gotten a prize at the end.?

Please note Audrey?s cheeks and and how they contribute to the lateral pull on the side of her eyes My new ?Go with the flow? technique can refine the jawline as well as elevate the brow. It is a series of virtually painless injections which tighten and restructure the face. Please look at the illustration below on how the material flows

Recently a patient I treated sent me a note: I look so much better, of course! There is a big difference! But please ? There is no one on earth like you -- a true master.? No one will notice I had anything done You're the best! A, Beverly Hills.

I think in years to come everyone will be using this injection technique but by then I will invent something better, I always do !

Attached Media


grace Kelly




go with the flow

Plastic surgeon
Beverly Hills, CA
United States
View My Professional Profile
Ulthera Skin Tightening   September 18, 2012 2:27 PM

Depending on the degree of skin laxity and sagging, Ulthera skin tightening might be a great option for you. Ultherapy treatments work best on patients with minimal sagging on the face, neck and brow area.

Ulthera lifts, tightens and tones loose skin to counteract the effects of gravity and time. It uses ultrasound through a magnifine glass to focus the energy and really tighten the DEEP tissue layer. For more information visit http://www.facialplastics.info/ulthera-skin-tightening.html

Additionally, depending on the issues you would like to correct around your eye area, filler injections might be a great compliment to the Ulthera skin tightening treatments. Filler injections can add volume back to your face to diminish hollow or sunken eyes. For more information visit: www.facialplastics.info

  October 5, 2012 5:50 AM

are the effects of non surgical face lifts long lasting or thr procedure has to be repeated again and again.

  October 5, 2012 5:53 AM

"a revolution in the use of fillers" is very informative and has uncovered those realities which were either ignored or not known by people.thanks for sharing.

Plastic surgeon
los angeles, CA
United States
View My Professional Profile
Ulthera and fillers  October 22, 2012 10:27 AM

Its tough to tell without a picture, but I agree with Dr. Azzizadeh. The combination of Ulthera and fillers is very effective for younger patients like yourself in the areas you are mentioning. You should not need anything more invasive than that.

  July 12, 2017 1:37 AM

Yes, you can easily do skin tightening treatment. My friend was also frustrated with Loose and Saggy Skin ?She get treatment from Dr. Suresh Sanghvi in Pune. After skin tightening treatment she succefully tighten her Loose Skin and Restore Youthful Look. You may call them 9822049541. or visit website - http://www.karishmacosmetic.com/skin-tightening/



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