Tag Archives: Peter B Fodor MD

Twins

Although the birth rate for twins has risen dramatically since 2009 to about 1 in every 38 births, the birth rate for identical twins is significantly more rare: about 1 in every 285 births. The result of a single egg that splits in two, identical twins share more than just their DNA. Emotionally and physically, identical twins can be so alike that people can’t tell them apart. Which can make the job of a plastic surgeon operating on identical twins extremely challenging. Dr. Peter Fodor, an international leader in the field of aesthetic plastic surgery who has operated on a number of identical twins in his Los Angeles, CA practice, shares some of these challenges.

by Katherine Stuart
and Peter Fodor, MD

Almost a No-Win Situation

While all twins gestate together in the same womb, often speaking without words, identical twins go one step further. They share DNA, making them physically the same. This can create a very interesting, but challenging situation for a plastic surgeon. Emotionally, most identical twins adore each other, in Dr. Fodor’s experience, and want to be the same in every respect from voice to dress to what they eat. There’s even a set of twins in Australia who share the same boyfriend. For twins such as this, if a plastic surgeon doesn’t make them exactly the same then he or she has failed. However, there’s also a smaller sub group of identical twins who are extremely competitive and don’t really like each other at all. But they, too, want to look exactly the same post surgery or else their competitiveness will escalate. This can create a bit of a no-win situation. As Dr. Fodor puts it: “Identical twins whether they love each other or don’t like each other quite as much, you better make them look identical after surgery.”

Two Twins at Once

In order to ensure the most successful outcome possible, Dr. Fodor likes to work on both twins. Ideally, assuming the procedures aren’t too long, on the same day. For example, if he’s performing a rhinoplasty, he will do the first twin’s nose, followed by the second twin’s nose, making sure to go through exactly the same steps in exactly the same order. But some procedures have more predictable results than others. A breast augmentation performed with the same size implant will deliver similar results while a nose job can be more difficult partly due to facial asymmetry.

Twins-Rhinoplasty
Rhinoplasty-Twins

Facial Asymmetry is the Norm

Everyone’s face is asymmetrical. If you take a photo of a patient and split it down the middle, the right and left side won’t match up. In fact, Dr. Fodor has a trick mirror in his office that he uses with patients where one side is a regular mirror, and the other is a prism mirror that reverses the right and left sides of the face. Most patients don’t recognize themselves in the prism mirror. “The two sides of the face oftentimes though they look very similar, they’re not identical” says Dr. Fodor. This is true for twins as well.
Twins-and-Rhinoplasty

One Set of Twins. Two Different Surgeons

Another challenge of working on twins is when you only get to work on one because a different surgeon has already worked on the other. It’s allows for the kind of direct comparison that’s hard to capture elsewhere and can be “kind of an ego builder when the twin that you did looks better” or more natural.

Twins and Facial Aging

Aging identical twins are also fascinating since they often don’t age at the same rate due to lifestyle choices. In fact, a 2009 study used identical twins to determine which outside factors contribute most to facial aging. The main culprits were smoking and sun exposure. This definitely comes into play for Dr. Fodor when he’s performing a facelift on identical twins. For him, the most fascinating thing is following up with these patients years down the road and seeing whether or not changes such as stopping smoking will cause them to age at the same rate again.

Needless to say, working on identical twins may be technically challenging, but it’s also a fascinating learning experience for any plastic surgeon.

Peter B Fodor MD, FACS
2080 Century Park East
Suite 1511
Los Angeles, 90067
(310) 203-9818

2 for 1: Remove the Fat and Sculpt the Body

Full beautiful bottoms are a sign of youth and vitality, and enlargement procedures are becoming increasingly popular. Statistically, The American Society for Aesthetic Plastic Surgery (ASAPS) notes that buttock augmentation took one of the top spots recently for the most significant increases in the number of procedures performed, by a whopping 58 percent!

This comes as no surprise to board certified plastic surgeon, Dr. Peter Fodor. “We’ve seen a significant increase in buttock augmentation in the U.S. It was slow catching on, but that’s no longer the case.”

Celebrities Jennifer Lopez, along with Kim Kardashian’s voluptuous body could be attributed to some of the buttock enlargement frenzy!
Sculpting the Entire Body

“Not only do we harvest fat to create a full beautiful bottom, we also sculpt the body,” says Fodor. “It’s a 2 for 1 procedure.”

“Buttock augmentation gives you curves you never had and makes you feel sexier and more confident in clothing that you were never able to quite fill out.”

Finding the right balance, and ensuring your body is in proportion requires a lot of artistic sense, judgment and finesse.

“When considering the procedure, the best results are from board certified plastic surgeons who are willing to devote ample time to assessing the appropriate hip to waist ratio.”

buttock-augmentation

How Buttock Augmentation is Performed

Buttock augmentation reshapes and enhances your gluteal area, for an uplifted and shapelier buttock profile. Fat grafting with your own natural fatty tissue is frequently used.

“We can perform augmentation with an implant. However the preferable method in my practice is to use a patient’s own tissues (fat) and occasionally combine it with an implant,” says Dr. Fodor. “First, we evaluate where there is sufficient donor fat. Those areas are then suctioned, leaving a more aesthetically pleasing contour. The fat is appropriately processed and reinjected into the buttock area creating a beautiful overall figure.”

Buttock with fat grafting

Candidates for the procedure

If your buttocks are too small for your body frame
If your buttock shape is too flat or square and you would like more curves and a more youthful appearance
If weight loss or the aging process has left your buttocks loose, sagging, and/or flat
If clothes and swimwear do not fit properly

Fat is a good thing … like money in the bank!

“When people think about fat, it’s often viewed as an ugly reminder to lose weight,” says Fodor. “It doesn’t need to be perceived that way. The way we are able to harvest fat and successfully attach to stem cells our success rate is phenomenal.”

“Appropriate fat harvesting and the addition of stem cells, also isolated and derived from fat, has led to a phenomenal success rate.”

“As it turns out in my practice, at least 80 percent of the fat transferred survives. What you see at three months is a permanent result. This is quite exciting!”

Dr. Fodor perfected his technique of implant augmentation during dozens of teaching trips to Rio de Janeiro and other areas of Brazil. Using your own fat remains the preferred method at his practice.
Recovery

There is initial swelling and some pain associated with buttock augmentation. More with the implants however, than with transferring fat. When compared to buttock implants, recovery time for fat transfer patients is more rapid.

Most normal activities can be resumed within the first week and on average most people are back to work within a week or 10 days.

Consulting with a board certified plastic surgeon is the way to evaluate what works best for YOU!

Peter B Fodor MD, FACS
2080 Century Park East
Suite 1511
Los Angeles, 90067
(310) 203-9818

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