David O. Smith MD, F.A.C.S  |  6545 France Ave. S, #505  |  Edina, MN 55435  |   Call Today: 952.922.0895

What Makes People Look Older?

Dr. Smith knows that many of his Minnesota clients have heard of a facelift before, and some come into his office hoping that it can make them look years younger. However, not many people realize that a mini facelift might be a better fit for them. If you have no idea how a facelift could be “mini”, you certainly are not alone. Today we are going to give you a closer look at the mini facelift and how it differs from a traditional, full facelift.    Continue reading “What Is A Mini Facelift?” » If you have considered a breast augmentation procedure, you may have a cup size in mind that you believe is the “perfect size.” We hate to burst your bubble, but there is much more to consider for breast augmentation than bra size. We also need to take many other factors into consideration. Dr. Smith knows that the process of breast augmentation can be intimidating to some, which is why he has provided some tips today on how you can help your plastic surgeon envision your desired results. Continue reading “Breast Augmentation: It’s Not About The “C” Cup” » The secret is out! Men have discovered what women have known for years, plastic surgery can help them achieve the body that they want. According to the American Society of Plastic Surgery, the number of men seeking plastic surgery is on the rise. Last year, well over 1.3 million men sought out the help of plastic surgeons across the country to refine and enhance their looks. Continue reading “Men Love Plastic Surgery Too” »Smith,_Mommy_Makeover You may have heard about the elusive “Mommy Makeover” procedure before. At the time you may have assumed it is time consuming, intimidating, and perhaps too expensive. Dr. David Smith knows that misconceptions about Mommy Makeovers are floating around and he’s here to set the records straight. Mommy Makeovers not only are personalized to your needs and schedule, and can be surprisingly affordable, but they can also help give a woman’s self-confidence back.  Continue reading “A Closer Look at Mommy Makeovers” »

Year after year it ranks at the top of the ASPS’s list of the most popular cosmetic plastic surgery procedures in the country, yet when women come in for their breast augmentation consultations at Edina’s Smith Plastic Surgery, we notice that many have the same misconceptions. The idea of breast implants being only for the women of Hollywood is long outdated and breast enhancement surgery has quickly become a procedure for every woman. With that in mind, it’s time to clear up some of the facts and fiction about breast augmentation surgery.

Here are three of the most common questions women have about breast augmentation, and the real answers you should know if you’re considering surgery.

Continue reading “What Do You Know About Breast Augmentation?” »Smith, Cost - Image You have no doubt spent a lot of time contemplating your decision to undergo plastic surgery. While plastic surgery is a worthwhile investment into yourself and your well-being, it is nevertheless a major financial undertaking. A common and valid question, Dr. Smith is often asked about the cost of plastic surgery. Continue reading “Investing in You” »how-long-does-fat-grafting-last

Using fat from the patient’s own body, in a procedure called fat grafting, can have long lasting benefits on the undereye area.(*)

A recently published study published in the Archives of Facial Plastic Surgery asked, “How long does fat grafting last?” when injected near the eyes. The results were largely positive for many patients.

The effects of the treatment are generally known to last longer than injectable fillers, which are cheaper, but must be redone yearly. Fat grafting involves using liposuction to remove fat from a donor site, like the thighs, purifying the fat and reinjecting it into depressions in the face.

So, How Long Does Fat Grafting Last?

According to the results of the study, the majority of patients who received fat grafting in the lower eyelids saw the results lasting up to three years. Over the course of four years, the study tracked nearly one hundred patients aged 35 to 71 who had chosen the treatment. Comparing photos taken every few months, the team rated the improvement seen in the photos as the patients aged.

Though the results were about in line with with the study team says they expected, they did not compare the fat grafting results with those of injectable fillers like Restylane. Still, as a more long term option for filling facial depressions and wrinkles, fat grafting is common and growing in popularity.

Patients who are elderly, who smoke, or those who exercise heavily may not see the effects of fat grafting quite a long as others. Additionally, for any inconsistencies in the appearance of the injected fat, some patients may choose to undergo touch-up procedures to fine-tune the effect or to make it last longer.

It’s true that as we age, the years we’ve lived become obvious on our faces in the form of lines, wrinkles and general sagginess. The cause of these signs of aging can be quite varied and time can have different effects for different people. So, the question remains, what makes people look older?


A recent New York Times article delved into this question and distilled how people of differing skin types and colors show age in different ways.

For plastic surgeons, what makes people look older can be grouped into a “holy trinity” of changes. These include wrinkles and age spots, a general loss of volume and an overall sagginess of the skin.

Generally speaking, those with darker skin tones aged more slowly. As dark skin has more pigment in it, it is better protected against the aging effects of the sun. Dark skin also tends to be oilier and thicker, making it more resistant to the signs of aging. Additionally, round faces, as many people with dark skin may have, show the signs of aging more slowly that those with thinner faces as more youthful volume is preserved.

Another cause of what makes people look older is how, over time, the skin has lost volume and begins to droop. This leads to bagginess around the eyes and the appearance of jowls, among other issues. To correct loose skin around the eyes, eyelid surgery can be performed, while a facelift can diminish jowls in the lower face. If the skin has begun to slide down from the cheeks, facial contouring or augmentation can restore it.

Excessive frowning and other extreme facial expressions can add to what makes people look older, as well. These actions can cause lines to form in areas of the face like the brows and nasolabial folds, but both can be easily corrected. For forehead lines, Botox limits the movement of the muscle, causing the wrinkle to smooth out. In the case of laugh lines, injectable fillers can diminish their appearance, restoring a more youthful smoothness.

learn more about combating the common signs of aging, we encourage you to contact Minnesota plastic surgeon Dr. Smith.

Choose your Procedure

Study Asks, How Long Does Fat Grafting Last?

Investing in You

What Do You Know About Breast Augmentation?

A Closer Look at Mommy Makeovers

Men Love Plastic Surgery Too

Breast Augmentation: It’s Not About The “C” Cup

What Is A Mini Facelift?