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Does Sunscreen Cause Cancer?
“Does Sunscreen Cause Cancer?” The answer to this question, which seems rather farfetched, used to be quite simple. “No, it does the opposite and protects you from skin cancer”, the answer used to go. That is, until the recent news that multiple brands of sunscreen...
Facial Fillers and the COVID-19 Vaccine
There have been many news stories about swelling in patients that have had facial fillers and the COVID vaccine, specifically the one released by Moderna. These reports are rare (just reported in a couple of patients total), and the brands of the fillers are unknown,...
Add a Santoku to that Block – Hyaluronic Acid Intensifier
My go to product to improve skin texture is Skin Ceuticals HA Intensifier. For of my patients that have done all of the right things with their skin care, with religious use of Vitamin A (see First Chef’s Knife), Skin Lighteners (see Second Chef’s Knife) and Vitamin...
Knife Block Approach to Skin Care: Vitamin C Serum
The third and last in my Chef’s Knife series is the humble and common Vitamin C Serum. It is an over the counter product, unassuming, and widely available. There are more formulations than letters in the alphabet, and I do not have the time or energy to test every...
Knife Block Approach to Skin Care: Skin Lightener
The go-to skin lightener in my facial plastic surgery practice is the one with the longest track record of success, 4% Hydroquinone. This medication works by suppressing the ability of the melanocytes, the skin cells that make pigment, to produce melanin, the...
Knife Block Approach to Skin Care: Vitamin A Derivatives
If there is a single skin care product to choose, I would choose a Tretinoin, which is my favored derivative of Vitamin A or Retinol. It is prescription strength, so it does require a doctor’s visit (though it is well worth the trip). Think of Tretinoin as Retinol’s...
My Experience Using Therapeutic Swearing in Plastic Surgery
I have long been an advocate for therapeutic swearing in my practice. I am a facial plastic surgeon, and many of the procedures I commonly perform daily include needles, lasers, and light, all of which can be uncomfortable to some people. Multiple modalities of...
My Knife Block Approach to Skin Care
Skin care is a topic that I spend a lot of time discussing with patients of all skin types and ages. My philosophy is what I have named “the knife block approach”, which is to have opinions on the issues that matter and to not have too many opinions about things that...
Dangers of the Botox Bar
There are many news stories about people getting injured or bad outcomes at “Botox Bars” recently. One must keep in mind that these injectables can be administered by physicians or nurses and that most of the time you are paying for the material being injected (which...
When Can I Apply Makeup After….
Not a day passes that we don’t get asked, “When Can I Apply Makeup After Plastic Surgery”. Since we spend an inordinate amount of time talking about this at Nuance Facial Plastics, I decided to make an exhaustive list in this...
The Lip Flip
The lip flip has been a frequent topic of discussion in my office for the past 6 months. I spend more time than I would like explaining what it does, and why I don’t do it. Before I explain the latter part of that sentence,...
Battle of the Neuromodulators, Part IV: Jeuveau vs Botox
Dr. Kundaria introduces Jeuveau, the newest injectable to improve facial wrinkles, and compares it to Botox.
Cannulas vs. Needles
Fillers can be administered in multiple ways, and the question of when and where to use cannulas vs needles is actually a complicated one in my practice, as I do not have a one size fits all approach. Filler Injection with Micro-Cannulas Fillers at Nuance Facial...
Smoker’s Lines, Part II: Improving Lip Lines
Stepwise improvement in lip lines addresses the anatomy of lip lines without trying to relax, or paralyze the orbicularis oris muscle, using Botox. The appearance of lip lines is due to the presence of the muscle inserting into the skin around the mouth (so that the...
Vampire Facials – My Experience with PRP Facials
Vampire facials have been in the news a lot the past day because of a Med Spa in New Mexico. Two patients contracted the same strain of HIV after treatments there, and this is big news because contracting HIV as a result of aesthetic treatment is very serious. Also,...
Smoker’s Lines, Part I: What Not To Do
Improving “smoker’s lines”, or “radial lip lines”, is a common thing that brings people to see me. The fact that so many people have them and want them treated means that there is no single great treatment for everybody, but there are several good options. A problem...
“Obagi? They’ve been around, like, forever…”
“Obagi? They’ve been around, like, forever…” Since it is difficult to understand the tone of the title quote of this blog post, let me give you a little background. Skincare is not a new thing, though the acceleration of technology (and prices!) in this arena has...
Being Family Friendly
Being Family Friendly Though “family-friendly” has several different meanings, in the setting of Nuance Facial Plastics, it means that we welcome your family (and friends!) to join you during consultations as well as treatments, as long as the treatment or safety is...
How can I prevent my skin from aging?
The original post from Dr. Kundaria can be found on Quora by clicking HERE. You can’t stop your skin from aging, but to make it show it's ageless and to lessen the effects of age, there are many good options. In my facial plastic surgery practice, I spend a LOT of...
Jawline Sculpting, Part II: Jawline Slimming
After our previous Blog post, Jawline Sculpting, Part I: Chin and Jawline Augmentation, the natural follow-up would be about jawline slimming. Why reduce the jawline? There are multiple reasons. In my practice, the two reasons that people mention are to make their...
What Happens When A Plastic Surgery Trend Dies? – Fashionista.com
Dr. Kundaria weighs in on several topics for Fashionista, including the effects of social media on his practice as a facial plastic surgeon.
Jawline Sculpting, Part I
In my Facial Plastic Surgery practice, I see complaints about the jawline or neck line daily, and I wanted to share my advice about jawline sculpting. This is a two-part series, with the first part addressing augmentation of the jawline and reduction of the double...
Kybella vs Liposuction for the Double Chin
This post explores the difference between Kybella and neck liposuction to address the “double chin”
Facial Asymmetry: To Treat, or Not To Treat
Initial consultations with patients are a great time to get to know patient motivations. One topic that has come up recurrently (especially within the past month), and has been mentioned by people of every age group that I treat, has been about facial asymmetry. It...
