Welcome to the “Maloney Minute” Facial Plastic Learning Center

November 2017 | Botox 2
Maloney Minute Episode 24

“Where do we use Botox? Botox can be used in many areas throughout the body. In the face typically four headlines can be addressed, we can soften the frown lines between the eye brows, smile lines at the outer part, a little lip lines, little bunny lines along the side of the nose, the down turning corner of the mouth for patients to clench and grind their teeth a lot we can inject at the back of the jaw. For some of the horizontal lines in the neck or some of the vertical lines in the décolletage, Botox can be a great treatment to soften that.”


November 2017 | Botox 1
Maloney Minute Episode 23

“Botox is the number one cosmetic procedure across the United States and it’s probably one of the most exciting treatments out there. When you understand how Botox works then you really discover the magic of the treatment. Our skin has several layers to it, the outer protective layer then the collagen fibers underneath and in some areas we have muscles that insert right into that collagen.”

October 2017 | Thermi RF Skin Tightening
Maloney Minute Episode 22


“When it comes to skin rejuvenation often names of laser, chemical peeling, things like that pop up but if we want the most dramatic skin tightening procedure we need to look at Thermi RF (Thermi Radio Frequency). We are limited by the outer layer of the skin, how much energy we can deliver to the skin without burning it. With the Thermi RF we are actually passing a small probe underneath the skin. This is something we do in the office just under a local anesthetic.”


October 2017 | Facial Liposuction & Thermi RF
Maloney Minute Episode 21


“For the younger patient who has fullness in the face or maybe for the gentleman who is kind of bothered by fullness in the neck area, facial liposuction can be a neat procedure to help redefine and sculpt the chin an the neck area.”


August 17, 2017 | My Favorite Part of Being A Facial Plastic Surgeon
Maloney Minute Episode 19


Dr. Maloney reflects on his favorite aspect of coming to work every day as a Facial Plastic Surgeon.

“My favorite part about coming to work has to deal with that ‘wow’ phrase. There’s nothing more exciting to me than completing an injection, and giving the patient a mirror, or lifting the splint off after a Rhinoplasty procedure, or unwrapping a Face-lift dressing, and giving the patient a mirror, and then there’s that couple, dot dot dot, and then the ‘wow, oh my gosh, I love that.’ So that is probably the most exciting part about my job, being able to match up the patient’s outside with their true inner self.”


 July 27, 2017 | Upper Lip Surgery & Improving the Cupid’s Bow

Dr. Maloney talks about a procedure that enhances the aging lips and can also repair or recreate the Cupid’s Bow.

“As we begin to mature, for many people the upper lip begins to lengthen. They begin losing the ability to see the upper teeth, and that makes the mouth look very old. So, we have a couple ways that we can help to rejuvenate that upper lip. One, we can make an incision right at the base of the nose, almost like a little gullwing, and that helps to lift the upper lip up and restore a more normal balance. It’s nice because the incision is hidden right along the base of the nose. If someone has a nice Cupid’s Bow or definition to the lip, that can be a great procedure. If the upper lip is flat and they don’t have much definition down there, we can do a little vermillion advancement where we actually remove some of the skin next to the lip, actually create a whole new Cupid’s Bow for that patient, and then roll that lip out to give them a much more beautiful, defined lip. One of the exciting things about these lip procedures are that they can be done in the office, just under local anesthetic. If someone desires a little bit more to make them comfortable, then that’s certainly available as well.”

Read more about procedures to enhance the lips….


July 1, 2017 | Double Board Certification & Giving Back


Dr. Maloney describes the training that led to his Double Board Certification in Facial Plastic Surgery, as well as how he now gives back to next generation of doctors.

“A Facial Plastic Surgeon is someone who has completed a 5 year Ear, Nose and Throat Residency. I completed mine in Syracuse, where we did all of the facial reconstruction, whether it was following accidents, or any type of injury, rebuilding faces from scratch. I decided to pursue the highest level of training which was a fellowship, and during my year-long fellowship, focused exclusively on Cosmetic Surgery. That fellowship allowed me to become Double Board Certified. The training of a physician is a very special journey, and a lot of good men and women have put time and energy into my education. That’s why I feel a very strong commitment to giving back. I’ve written over 80 book chapters and articles. I’ve taught and lectured on the latest advances in facial cosmetic procedures, and currently I’m a national trainer for Allergan, the makers of Botox and Juvederm, so I train doctors and nurses around the world how to use these amazing treatments. I’m also a clinical professor with the AU/ UGA Medical School, and have an opportunity to work with these young doctors, to piece down the specialness of our field. And I think that’s the whole thing about life is really passing it on, let’s help the next generation.”


June 20, 2017 | How Long Does A Facelift Last?

Dr. Maloney discusses how long a facelift can typically last depending on age and other factors.

“Often times patients will ask me, “well how long does your facelift last?” And I’ll chuckle and I’ll tell them, “well, my facelift is permanent, the skin I take away is permanently gone.” The more appropriate question is, “how long will I see the benefits of this?” And that’s going to depend on patient to patient. We don’t age on a daily basis, we age on a 7-9 year cycle. So as we go along, we may look the same, we may look the same then boom, over a very short period of time, we’ll notice some big changes. For that reason, patients will notice the effects of the lift lasting a little bit differently. Most of the younger patients will tend to get longer, maybe 10-15 years. As we begin to mature and someone likes to have the procedure a little later, often times they may consider combining it with the chemical peel or laser to help restore some of the collagen to the skin.”


June 8, 2017 | Why I Became A Facial Plastic Surgeon

Dr. Maloney talks about why he decided to exclusively specialize in Facial Plastic Surgery.

“Having grown up in rural Ohio, I knew the importance and the significance of the relationship between doctor and patient at a very young age. As I went to medical school, initially I wanted to be a family practice doctor because they treated the whole patient. But as I went through medical school at the rise of the specialist, I realized that that specialty changed a lot. The field of ear, nose and throat; head and neck surgery attracted my attention because of the diversity of procedures, microsurgical skull-based surgery and inner-ear. And as part of our training we did all of the facial plastic surgery- rebuilding faces from scratch and putting things back together. So, after my residency I decided to pursue a one year facial plastic fellowship, where I completed over 2200 cases just in the head and neck, and so now my practice today consists exclusively of facial procedures.”

 


May 25, 2017 | About The Rhinoplasty Procedure


Dr. Maloney talks about what patients can expect during and after the Rhinoplasty procedure.

“When it comes to how we do the nose surgery, it is something that we do in the operating room and that’s very important. All of our incisions are generally on the inside of the nose, so I will generally do a closed Rhinoplasty. The advantage to the patient is that they’ll tend to have less swelling around the nose, and heal much faster. If someone has a very wide nose, sometimes we’ll have some incisions along the outside of the nose to help bring that in.

The nose surgery takes maybe about 45 minutes to an hour to do. You wear a little splint for a week. Most patients these days have minimal bruising, as I don’t use any nasal packing on the inside. That’s been a tremendous advance. We use little dissolvable sutures, so everything melts away over the course of the week. So most patients find they’re back to work within a week or sometimes less.”

 


April 27, 2017 | Liquid Facelift

Dr. Maloney talks about Liquid Facelift, or the use of injectables and fillers in the face to quickly achieve the results of a facelift without having surgery.
“That big event is around the corner and you don’t have time for that Facelift or for that Eyelift to help give you that bright smile before all those pictures are going to be taken. Think about the Liquid Lift. With the Liquid Lift, instead of coming into the office and maybe doing one syringe of filler, patients will consider anywhere from maybe 4 up to 12 syringes of filler. Why this is so neat is that there are many areas of the face as we begin to age that impart a mature look.
When we look at the mouth area, chins begin to weaken. We can actually bring the whole chin forward with some of the Juvederm Voluma, and actually give someone the appearance of a Chin Implant, strengthening that area.
Over time the corners of the mouth begin to turn down, giving us a frown, and with the Juvederm Ultra Plus, we can turn that frown upside down, helping to smooth out the sides of the jawline, as well as lifting up the corner of the mouth.
As we begin to mature, the cheeks begin to drop, so we can build up the cheeks with some of the Juvederm Voluma, to help reframe the eye and put that sparkle back.
And then in the frame of the face, we develop some hollowness in the temple and the back of the jawline. In those areas we can help to add a little filler, either the Sculptra or some of the Juvederm Ultra Plus.
So with the Liquid Lift, it has allowed patients to have those photos taken with an even bigger smile on their face.”

April 25, 2017 | What is the Best Age For a Facelift?

Dr. Maloney discusses common ages that patients decide to have a Facelift.
“One of the most common questions I get asked is, when is the right time to consider having a Facelift? There is no ideal time. I see two groups of people. The first group is generally late 30’s, early 40’s, where their genetics have set them up for loose skin in the neck and the cheek area. The other group is more the restoration group where, boy, things really go and then it becomes a very big change for them. But it is probably  one of the most exciting procedures that I do, and from the aesthetic perspective, the bang for the buck is huge, because we’re restoring the proportion and balance back to the face. Often times we may combine it with a chin implant. If someone’s had a weak jawline to start with, as we age those bones begin to shrink and, so strengthening the profile with a little implant can help give them a little extra as well.”

April 25, 2017 | Chin Implants

Dr. Maloney talks about Chin Implants, a simple procedure that can redefine the lower jaw.
“Beauty and handsomeness are defined by facial proportion. The jaw is the boundary for the lower part of the face, and therefore plays a huge aesthetic role. Well, if someone is born with a weak chin, we can bring that forward in the office with an injection of Voluma™, to allow them to try out a chin implant. But if they want a more permanent solution, then, they should investigate a chin implant.
Chin implants come in a variety of shapes and sizes. We have square chin implants for men to help give them more of that Superman jawline. Women, we have softer implants. Even some of the design of the implants now are designed to help keep the soft tissue of the chin pointing forward as we age.
The other group of patients who often times will consider a chin implant are Rhinoplasty patients. About 25% of patients who consider Rhinoplasty would benefit by having a chin implant, since our whole goal is proportion and balance for the face.
If we’re doing just an implant, they can be placed through a small incision on the inside of the lip. A couple of little dissolvable sutures and the patient’s on their way. The procedure takes maybe 20 minutes to do. If we’re going to combine it with facial liposuction, which is a very common combination to help sculpt underneath the chin and along the sides, then we usually would make the incision right underneath the chin and place the implant.
Once the implant is there it’s nothing that has to be replaced. It’s something that most patient’s even forget that they have had placed because it feels like their own chin. “

March 29, 2017 | Mini Facelift


Dr. Maloney talks about the Mini Facelift, a procedure that redefines the neck and lower region of the face.

“The most common procedure that we use to help redefine the neck, is the Facelift. This is also the procedure that is commonly referred to as the “”Mini LIft,” because all we’re doing is focusing on the lower part of the face.

But the procedure begins by making a little incision right underneath the chin. In the chin area we have several layers: skin, some superficial fat, the muscles that create the 2 little bands in the neck. These muscles don’t really do anything; they’re more of an evolutionary remnant. And underneath that muscle layer is some deep fat. So we sculpt those different layers, and then we lift, and permanently remove the tissue.

It’s important that we snug up any of the loose tissues underneath. We don’t want to just pull on skin because skin is very elastic. Pregnancy is a great example of how much skin can stretch.

The other exciting part of the Facelift surgery is something called Liposuction. It allows us to help sculpt the jawline, to soften the jowels, to help restore more of that youthful jawline back, and the exciting thing about liposuction is, that’s the permanent removal of fat.”


March 27, 2017 | Lower Eyelid Blepharoplasty


Dr. Maloney talks about Lower Eyelid Blepharoplasty, a surgical procedure that remove excess skin and bring youthful contour back to the area underneath the eye.

“The eye is a very interesting area. It’s surrounded by fat, and as we mature, the membranes that hold that fat begin to relax and the fat comes forward, giving us the puffiness. At the same time for most people though, the cheek begins to drop creating a little hollow or groove underneath the eye. So when we perform eyelid procedures, often times we’ll sculpt that extra puffiness that has come forward by making 3 little incisions on the inside of the eyelid.

If someone has a lot of loose skin we can take a little pinch of skin on the outside. But then, typically, we’ll want to fill up that hollow. If it’s a man, sometimes we can roll that fat into the hollow from all on the inside of the eyelid. If they don’t have enough puffiness to justify that, we can fill that little hollow in either with the patient’s own fat, or we can use a little filler like the Juvederm Voluma or the Juvederm Ultra to help restore and lift that cheek to give that more youthful looking eye.

Recovery from lower eyelid is very easy, usually minimal pain associated with it. Most patients find that they’re back into action in just a week, and back to strenuous activities usually with 2 weeks.”


February 28, 2017 | Liquid Rhinoplasty


Dr. Maloney talks about Liquid Rhinoplasty, an option for patients who are not ready for a surgical Rhinoplasty procedure.

“If you’re thinking about changing the shape of your nose, but you’re not quite ready to take that step to go to the operating room and have a Rhinoplasty, a liquid Rhinoplasty may be for you. Because the fillers have improved so much over the years, now with some simple injections, we’re able to smooth out the bridge of the nose, maybe help lift the tip of the nose, give it a little bit of a more refined look, balance out some of the assymetries.

And the exciting thing is that, that whole procedure takes generally less than 30 seconds to do, and I’ve seen the results from the Liquid Rhinoplasty last up to a year for most patients, always some individual variation. But it’s a nice, very simple way to kind of test things out if you will. So, remember Liquid Rhinoplasty at the Maloney Center.”


February 23, 2017 | Rhinoplasty- Crafting Your New Nose

Dr. Maloney describes the process of designing your new nose before Rhinoplasty, and talks about why people decide to have Rhinoplasty.

“The nose is the most prominent central feature in our face. And what’s really fascinating about it is, our whole face forms from 2 separate halves that come together, so the nose actually gets half from one side and half from the other, so most noses have a fair amount of difference, or assymetry between the two sides.

When it comes to nose surgery, I don’t have 3 or 4 and you get to pick one, but usually what we’re trying to do is make recommendations for a new shape that flows with all the other features on your face. The computer imager is a wonderful aid that we use on that journey, to help see which nose you like the best.

Patients select to have nose surgery for a variety of reasons. Maybe they have a hump on the nose. Maybe the tip is a little rounder than they would like, or maybe the bottom of the nose is really wide, or maybe the tip has drooped either because of injury or just because of time. No matter what the reason, the Rhinoplasty can be a great option.

One of the other important things when we do Rhinoplasty, we always look on the inside of the nose, if someone has trouble breathing, maybe some sinus issues, sometimes even snoring can be helped by straightening the inside of the nose at the same time that we refine the outside.”


February 1, 2017 | Dr. Brian Maloney Celebrates 25 Years In Practice

“Hi, I’m Dr. Brian Maloney here at the Maloney Center in Atlanta, GA. Welcome. This is my 25th year in practice, and wow what an exciting journey. Over the past 25 years we’ve seen incredible advances in facial aesthetics. It wasn’t that long ago that Botox and Juvederm hit the market. All of a sudden now we have tools that people who just want to kind of put their toe in the water, explore possibilities of rejuvenation, can experience with a simple little office treatment. As far as surgical options, tremendous advances in anesthesia. In the old days we avoided general anesthesia at all times. Nowadays we have fantastic opportunities from local anesthesia, possibly doing an Upper Eyelid Blepharoplasty, where we remove the excess tissue of the upper eyelid here in the office, to larger procedures that are done very comfortably with the latest and greatest anesthetic agents. So, welcome to the Maloney Center. It’s been a great 25 years. Thank you so much.”


February 1, 2017 | Dr. Brian Maloney Discusses Juvederm® Volbella and Juvederm® for Natural Lip Augmentation

“Full lips imply youth, fertility. Thin lips imply sickness, aging. So, lip augmentations are a very popular procedure. Nothing like those huge fleshly lips that we’re all kind of afraid of, but I would venture to say that a lot of people out there, both men and women, have had lip augmentations, and you haven’t even noticed. That’s the sign of a good lip augmentation. Whenever we begin thinking about putting something into the lip, that something should keep the lips nice and soft. We never want to put something that’s going to harden the lips, and the number one type of filler we use is hyaluronic acid.

HA is natural to the body. We’re loaded with it; it’s the glue between all of our cells. And so, Juvederm Volbella is the latest filler which has been approved for the lips, for most patients lasting up to a year. Nice, soft, smooth, it’s great for that patient that during adolescence had really full lips, but as the aging process has proceeded the lips have begun to lose volume. It can give them a very nice enhancement. If someone has never had full lips and they really are looking to try to achieve a little bit more fullness, the Juvederm® Ultra’s probably a little bit bigger. And this is where it’s important to understand some of the physical differences. The Juvederm® Ultra tends to expand and has a little bit more lift than the Volbella. So if someone wants to enhance the little white roll around the edge of the lip, or stretch that lip that they’ve never really had, that can be a great option.

So, when you get ready to pucker up, there are some great options out there.”


November 7, 2016 | Dr. Brian Maloney Discusses Kybella® for Facial Fat Removal

Hi, I am Dr. Brian Maloney. Welcome to this weeks “Maloney Minute”. Today we are going to talk about Gobble, gobble, gone! Two thirds of all people are concerned with having a double chin – this could be a reflection of a person’s weight but for many people it is a hereditary condition and they are born with it. Exciting news! Kybella® is the latest FDA approved treatment to permanently dissolve the fat associated with a double chin. Imagine coming into the office and having an injection (with minor swelling) and in about two weeks you will begin to see an improvement in the neckline. Younger patients with a little bit of fullness under the child will only need one or two treatments to take care of it. People that have a bit more fullness will need four to six treatments. This is one of the most exciting treatments that we have seen recently. Thanks for tuning in and we hope you enjoyed this “Maloney Minute”. To learn more about Kybella® click here.


October 5, 2016 | Dr. Brian Maloney Discusses Volbella® for Lips

In this weeks “Maloney Minute” we will talk about lip lines. When we are young, we have a white “roll” that goes around the lip line, that reservoir of collagen helps to support the lips. As we mature this line begins to disappear and lines shoot out around the lips. Often, we associate that with smoking or using straws a lot; however, for some patients its just the way they are put together. Our number one way to treat these lines is with injectable fillers. A new filler called Volbella® has arrived and for most patients the results last up to a year. Volbella® contains a numbing medication and the skin is prepared using a numbing cream for added comfort. After the injections, patients see softening of the lines that will continue to improved over a few days. To see if you are a candidate for this new exciting treatment give us a call at 770.804.0007. To learn more about Volbella® click here.


September 21, 2016 | Dr. Brian Maloney Introduces the New “Maloney Minute” Tutorials


Hello. I am Dr. Brian Maloney and for the past twenty five years I have been involved in physician education of all levels. I have written over eighty book chapters and articles and participated in many FDA studies. I see patients everyday and am always surprised by the misinformation that patients have been exposed to. For this reason I am introducing the “Maloney Minutes” which is a one minute educational experience on various topics concerning aesthetic surgery. To earn your degree in aesthetics, I would encourage you to sign up for our Instagram, YouTube, Twitter and Facebook accounts to follow future “Maloney Minutes”. If you have a particular topic that you have always been curious about, reach out and contact us and we will feature that in one of our “Maloney Minutes”.