FINE
[ BEAUTY ]
THE 411 ON
PLASTIC
Q+A With Dr. Roy A. David of
SURGERY
The La Jolla Center for Facial
article and interview by Machel Penn Shull
Plastic Surgery
Q. How long have you been at La Jolla Center for to this new injectable product?
Facial Plastic Surgery?
A. I really have nothing bad to say about Scultpra- it
A. Five years at our current location, and previously in
is on par with fat grafting as a solution to the “hollow
group practice in La Mesa.
face.” We all lose facial volume as we get older, and
Q. What would you say is your most popular
these days, many if not most patients – even if getting
procedure? a traditional facelift- will benefit from adding volume
A. Facelift and Rhinoplasty or nose reshaping are my to the face. It is quick, no downtime, and relatively
two most requested procedures. As a face specialist, I painless. If doing a very large area of the face it can
perform over 100 facelifts and rhinoplasties per year. still get a little pricey, but the price has gone down
I enjoy the artistry in both of these procedures, which almost 50% since last year and it is becoming very
have evolved tremendously over the years. popular. While fat can be permanent, Sculptra typically
Q. During the recession, what did you find your
lasts over 2 years, which is still very good.
patients still couldn’t live without, when cutting back
Q. What is a mini-facelift?
on their needs?
A. That is the question of the moment, and it is a
A. Minimally Invasive Procedures such as Fat Grafting,
question every patient should ask their surgeon to
Botox, Injectable Fillers and Fractional Skin Resurfacing
explain, because interpretations differ. I personally do
remain very popular. Our patients are drawn to these
not believe in “watered down” facelifts: performing
services because they see quick results and don’t need
a shorter incision or less of a lift may speed healing
to take a lot of time off.
but the results will not last for most patients. In my
Q. Do you think Botox is safe? What are the long-term
practice what we call a “mini facelift” simply means
effects of it on a patient? the patient is not including their brows or ancillary
A. I believe Botox is safe, and long term results have procedures such as facial implants or a midface lift. It
shown improvement or delay in wrinkle formation is basically the same procedure I perform on the lower
(we know this from research on twins). face as in a traditional “full facelift” and is a “deep
Q. Sculptra is becoming a popular alternative to some
plane” lift. Because it only focuses on the lower face
plastic surgery procedures. What are the pros and cons
and because I perform so many of these procedures,
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