Dr. Stephen Mulholland's Plastic Surgery Blog

Did Kylie Jenner Have Lip Augmentation?

September 17th, 2014

Did Kylie Jenner have lip augmentation?

Did she do it or not? Kylie Jenner, the 17-year-old reality TV star, has been making headlines due to her noticeably fuller lips that have been captured in photographs. The online universe is debating whether or not Kylie has enhanced her lips through lip augmentation.  Unfortunately, it’s not uncommon for people to be criticized for getting cosmetic enhancements, but for those who are in the spotlight, the scrutiny is harsher and happens much more often.

Kylie is also facing a lot of backlash for possibly injecting soft tissue fillers to her lips because of her age—but to be fair, if a parent allows and provides consent for their teenager to receive injections, then physicians can proceed. We also have to consider she’s living in the world of fame and riches, so having connections to get what you want shouldn’t be so hard if it involves getting a little cosmetic work done.

While plenty of people are freaking out and accusing her of getting plastic surgery, others are chiming in and saying that Kylie’s clever makeup skills is creating the illusion of full, plumpy lips. They say the combination of lip liner, lip plumper and lipstick gives her this new look. There are even online makeup tutorials on how to mimic her lips.

We don’t know for sure if she had lip augmentation or not. But we do know that it’s an incredibly common treatment among women in North America. That’s because full lips are well-loved and envied in North American culture.  It’s a quick procedure that instantly adds volume to the lips (and it also fills fine lines).

Lip augmentation includes soft tissue fillers such as Juvederm, Voluma, Perlane and Restylane. These fillers consist of a smooth gel made of hyaluronic acid, which is a naturally occurring sugar substance in the skin that adds volume and hydration. Depending on which filler is used, the results can last from 4-9 months.

So, do you think Kylie Jenner received lip augmentation or is it just some really good makeup application? Let us know what you think. Fill out our consultation form if you want to learn more about lip augmentation.

Rhinoplasty: What You Should Know Before Doing It

September 16th, 2014

What you should expect before doing

It’s no secret that people pick at perceived flaws on their faces and bodies. A lot.

Noses tend to be a problematic feature for a lot of people, and it’s probably because it’s a focal point on the face. The social norm of selfies doesn’t help for those who hate their noses, either. The nose can be captured at all angles and views—some people dislike their nose so much that they avoid taking pictures in angles they think that makes their features look unflattering.

That’s only pictures, though. People who feel their noses are too long, wide or has too big of a bump battle with lack of confidence on a daily basis in real life. As we all know, noses can’t be changed simply by losing weight or taking magic pills. When someone is serious and ready to alter the look of their nose, they look into rhinoplasty which is a procedure that alters the shape, structure and form of the nose. Rhinoplasty is a very commonly performed procedure; millions of people get it done and it was ranked the 5th most performed cosmetic procedure in the world according to 2013 statistics.

What To Expect In Rhinoplasty Procedures

We’re here to talk about what happens before, during and after the procedure so you don’t have to do the guessing work.

With modern and advanced technology today, patients can see how their new nose could look like before the surgery through 3D computer imaging and simulation. This is the same case with breast augmentation too. This gives patients a great opportunity to gain a sense of how their results could look like and how their overall face and proportions may change. This 3D computer imaging of the nose happens during the consultation.

During the procedure itself, it usually takes 90 minutes to perform. Plastic surgeons operate on a range of noses—they could be could be reducing nose bridge humps, bulbous tips, wide nostrils or straightening crooked noses. When it’s done, patients require some post-operative care for a few hours before they can go home.  Rhinoplasty is a complex procedure but the results can be fantastic when it’s performed by the right surgeon.

As the old saying goes, all good things come to those who wait. Patients go home with internal packing in their nose, which reduces risks of bruising in the first few days. A cast is also placed on the outside of the nose. On the third day after surgery, patients go back to the clinic to have small sutures under their nose and sutures removed. These first three days require patients to breathe through their mouths since the nasal packing makes it impossible to breathe through the nose. Once the packing is removed, they can breathe through the nose again.

Nasal tip improvements won’t be fully seen until a year after the procedure as the aesthetic nasal improvements occur gradually over time. Immediately after surgery, patients need a full week off from work and social activities since bruising and swelling around the eyes is typical after surgery. After six weeks, most patients’ results look good and they should look their best at this point.

Rhinoplasty results can last a lifetime as long as the nose isn’t damaged or broken. If you’re interested in learning more about rhinoplasty, leave a comment or get in touch with us by filling out our consultation form.

Eyebags Suck: How To Ditch Them For Good

September 11th, 2014

Get rid of your eyebags by a few different treatments

In the fast-paced lifestyle we live in today, a full and good night of sleep is a dream for far too many people. There’s long hours at work and chores and children to tend to at home, so resting and sleeping well is not always possible. Besides feeling tired and agitated, what else results from lack of sleep?


Nobody likes to be told they look tired or older than their age (unless you’re a teenager, of course). Even if the comment comes from a place of concern, it usually sounds like an insult.

For some people, though, having eyebags seems to be a permanent problem. It doesn’t matter how much rest they get, they still look tired and aged because of the bags sitting under their eyes. Genetics and ageing are some of the main factors of developing eye bags, even if a person leads a healthy lifestyle. This is because as you age, the supporting structures of your face, such as the bone and fat, lose volume which makes you look older. The lower eyelid bags are actually fat, but they don’t shrink or get bigger when you age. They become more apparent when there’s a loss of supporting structures and tissue volume.

Other reasons why someone has eyebags

  • Dehydration
  • Stress
  • Poor diet with high sodium intake
  • Lack of sleep

A few ways to reduce or get rid of eyebags involve soft tissue fillers or surgery. Restylane, a soft tissue filler, adds volume to facial tissue to correct wrinkles and the loss of volume. So if you see your face looks sunken or deflated, Restylane is a great treatment to restore the volume around the lower lid area to make the look of eyebags diminish. This non-surgical procedure is quick—it takes only 15 to 45 minutes, depending on where the product is injected and how much is needed. The results last from 6 to 9 months.

As for surgery, blepharoplasty provides permanent results. When this procedure is performed on the lower lids, incisions are made below the lash line and excess fat and skin are removed. After the healing process is finished after a week or so, the final results of the procedure settle in over the course of a few weeks. After that, the appearance of eyebags will no longer be a problem and people will definitely stop asking if you had enough sleep the night before.

Breast Augmentation: Dr. Mulholland Answers Your Questions

September 9th, 2014

Breast Augmentation: Dr. Mulholland Answers Your Questions

Breast augmentation has the ability to skyrocket a woman’s self-esteem, confidence and overall physical appearance. Women choose to get breast implants for all sorts of reasons; it could be because a mother has decided she wants to regain her shape and volume of breasts since her body has changed after giving birth. Or, it could simply be because a woman wants her body to appear more proportionate by having larger breasts. Dr. Mulholland, a Toronto cosmetic surgeon, answers some questions from women who recently got breast augmentation.

I had breast augmentation 5 days ago. I noticed my left breast looks much higher and more swollen than my right breast. There’s also faint bruising. Is this normal?

Dr. Mulholland: Breast augmentation involves the insertion of a breast implant, either under the breast gland or under the breast muscle. Oftentimes, there is a tremendous amount of swelling in the tissues that have been surgically manipulated. It is extremely common to have asymmetric swelling with one breast being more swollen than the other. This can be related to surgical trauma or positioning in sleeping following the surgery. A distended, swollen breast that is slightly higher than the other side will generally resolve with time; however, the best advice is to see your certified breast surgeon, as they will be in the best position to advise and treat and guide you through the post-op healing phase.

Occasionally, a breast ultrasound may be indicated to determine if there is more than a normal amount of fluid around the implant. This fluid could be a serum which is called a seroma. It could be small amounts of blood which is called a hematoma. Small collections of fluid are common and generally the body is in a good position to drain and resolve these naturally. Only rarely and on occasion is surgical drainage warranted. The advice and care of your certified breast surgeon will be the best course of action.

It has been 4 days since my breast implant surgery. My implants are 400cc each. Before I left home for the procedure, I weighed 155lbs. When I returned home today, I weighed myself and I had gained about 9 pounds. I have had trouble being regular since the operation, despite taking stool softeners and laxatives. I still feel bloated, but have been consuming fluids regularly. My food intake has decreased significantly and I have a lack of appetite. Is this normal, or should I contact a physician?

Dr. Mulholland: Weight gain after any kind of cosmetic plastic surgery is quite common. First, breast implants bring more weight themselves. 400cc implants on each side will add two or three pounds to your weight. In addition, the stress of anaesthesia and any surgery results in water retention can add several pounds. The gain of nine pounds, although seemingly excessive, likely represents 75% to 80% water retention due to the stress of the surgery. Over 7 to 21 days, with ongoing recovery, ambulation, walking and drinking plenty of water, generally your weight should return to your pre-operative status with the addition of the implants.

If you continue to have weight gain and are concerned, there may be some other causes to the weight gain, such as reduced renal function, reduced cardiac capacity or liver insufficiency. Seeing your operative physician would be paramount to ensure that there is no complication.

Liposuction: The Answers You Should Know

September 5th, 2014

Dr. Mulholland answers questions about liposuction

There are always lots of questions and concerns when it comes to liposuction, and why not? It’s one of the top performed procedures worldwide year after year. Liposuction techniques and technologies have improved greatly in the last few years. Not only do patients see less fat on their bodies and a more balanced figure, their skin is also tightened to avoid loose skin. This is all possible after doing procedures like SmartLipo or BodyTite. Dr. Mulholland answers a few questions from people who have had liposuction or are considering it below.

Is there a specific liposuction procedure like SmartLipo or Tickle Lipo that could give me better results for my stomach bulge?

Dr. Mulholland: There are certain devices and procedures that will work better on different areas of the body and for certain conditions.  Often, during a procedure, I will use several systems on different areas to achieve the best result for the patient. Some will leave you with less downtime, which may be advantageous for you.  You must have a full consultation first with a plastic surgeon to decide what devices and procedures are right for you. Also remember that it is the plastic surgeon that’s performing the procedure and not the devices. Choosing a well-trained expert to perform your liposuction procedure should be priority.

If I recently had liposuction a few weeks ago, what should my diet be like if I want to have the best results? Is it possible to gain fat in the treated areas before I see the final results?

Dr Mulholland: A balanced and healthy diet after any surgery, including liposuction, helps the body heal quickly and usually without complication. A well-balanced diet should not be calorically-restricted, especially in the postoperative phase. However, gradual weight loss of less than 20 pounds usually will enhance the results of your liposuction and the new contours will shrink proportionately. If you gain weight after liposuction surgery, it can ruin the results. More fat will go back to the area that has undergone liposuction and fat will also travel and collect in areas where you normally didn’t gain weight.

Weight maintenance following cosmetic plastic surgery, including liposuction, is a very important part of protecting your overall investment.

I would recommend you visit your liposuction surgeon to discuss the kind of diet that would be recommended if you’re planning to lose weight gradually your liposuction procedure.

I am thinking of getting liposuction on my lower abs for a horrible little pouch I have, no matter how skinny I am (99 lbs at the moment). It is still there. I want to have kids in 2-3 years so should I wait to get abdominal liposuction? I also want to get breast implants in a few months or should I wait for that as well?

Dr. Mulholland: In the ideal world, all our female patients would wait until after child bearing is done and the “dust has settled” on the breast and abdominal tissue to undergo aesthetic breast and abdominal contouring surgery. However, many women do prefer to enjoy attractive breast and body contours before their child bearing years. After that, they decide if they want to undergo breast and body enhancements after childbirth.

If a patient is very close to having children, then it does make more sense to hold off on procedures until after pregnancies and breast feeding; these processes often lead to significant soft tissue distortion and laxity. This usually compromises the results you have achieved with your plastic surgery. There’s also a small risk that you may not be able to breast feed successfully after breast augmentation. Aesthetic plastic surgery is a lifestyle and cosmetic choice, so the decision is really up to you. Of course, a consultation with a board-certified expert is essential before deciding upon a course of action.


Get Your Pre-Baby Body Back With a Mommy Makeover

September 3rd, 2014

Get Your Pre-Baby Body Back With a Mommy Makeover

Having children is the best thing in life for countless people. Babies bring boundless amounts of joy, but let’s be honest—giving birth can change a woman’s body dramatically, and not all women are happy about that fact. Women may notice hair loss, smaller and droopier breasts and plain old stubborn fat that won’t disappear even after hardcore dieting and exercising.

Then there are moms who are just too busy taking care and cleaning up after their kids to look after themselves. For new and busy mothers, making time to exercise to get back to their “old body” can be tricky. Some mothers receive negative comments from family members and even strangers on their post-baby bodies. They feel the pressure to lose weight quickly and unfortunately, their body image worsens after giving birth. So, how does a woman’s body change after becoming a mother and what are her surgical options to get back her pre-baby body?

Breasts Change

While some women’s breasts get bigger, other women find that they have lost the volume, perkiness and shape they had before giving birth. They see that their breasts have deflated. Deflation happens when the breasts lose their elasticity after they go through the process of engorgement and deflation several times.

For women who breastfeed, Pstosis (drooping) can occur in the breasts after a woman breastfeeds one or two babies. The breasts sit lower on the chest than they did before and the nipples might point downward.  Mommy makeover procedures normally include surgery of the breasts, whether they’re breast implants or a breast lift. These procedures are meant to restore the shape and volume that a woman loses after giving birth.

Tummy tucks are performed in mommy makeovers

Belly Pooches

When women get pregnant, fat tends to accumulate around the tummy for a few reasons. It allows the skin to stretch to accommodate the baby and it also helps to keep the baby protected and cushioned. With that said, carrying a baby for nine months doesn’t exactly leave you with the flat stomach you once had. Some very lucky women can bounce back to their pre-baby body within months while others just can’t seem to get rid of the fat they’ve gained during their pregnancy.

The fat can extend from the abdomen area around to the back where love handles rest. This fat can hang or sag, creating unwanted contours underneath clothing. When doing crunches and cardio don’t seem to give the results women want, they consider mommy makeovers—tummy tucks are usually performed during these procedures. Tummy tucks reduce fat and tightens the skin all at once around the abdomen. These results are permanent, as long as the patient maintains their weight. Breast augmentation, liposuction and a tummy tuck are all carefully performed during this procedure in four hours or less.

Mommy makeovers can provide fantastic results that can help restore a woman’s confidence and self-esteem. This is especially true for women who have had a few kids and are ready to get back their fit, tight bodies.

FotoFacials Get Your Skin Camera-Ready

September 2nd, 2014

Liza Fromer visits SpaMedica four times a year for FotoFacials.

Being in front of bright lights and cameras every morning requires TV hosts to look their best, even if they’re super tired. For Liza Fromer, a co-host of Global’s The Morning Show, she says she wakes up at 4 a.m. every morning and leaves her home by 4:40 a.m. Alongside living an active and healthy lifestyle, Liza strives to take good care of her skin by getting skin treatments and using Dermatologica products. She also says she’s been visiting SpaMedica to get FotoFacials four times a year for the past decade. “The treatment gets rid of sunspots and age spots, and evens out my skin tone,” Liza says in a recent article in Best Health Magazine.

How FotoFacials Work

The FotoFacial involves the use of intense pulsed light, infrared, laser or radiofrequency all in one pulse. The treatment targets a lot of things such as skin irregularities, sun spots, wrinkles and fine lines on the face and neck. During FotoFacials, pulses of high energy reach below the skin surface to stimulate the skin’s collagen production. It also targets and destroys melanin which causes age spots. After a series of five treatments, patients will see a noticeable change in their skin; it will look smoother and younger.

Celebrities Love FotoFacials

The original FotoFacial procedure was co-developed by Dr. Mulholland. He and his colleague, Dr. Patrick Bitter Jr., wanted to bring the best of dermatologic skin care and cosmetic plastic surgery into one non-invasive procedure. The procedure became very popular and today it’s now one of the most performed cosmetic procedures in North America. In fact, media professionals like Liza Fromer aren’t the only ones who swear by FotoFacials to keep their skin looking great—Hollywood celebrities rave about them too. For many news anchors and hosts in Toronto, they visit Dr. Mulholland’s at SpaMedica regularly to keep their skin looking camera-ready.

As well as FotoFacials, SpaMedica offers many non-surgical treatments that correct skin issues. Blue light therapy is one of the popular treatments which address freckles, acne, spider veins and rosacea. During this procedure, a series of intense blue lights target the problem area. Whatever is being treated is then evaporated or absorbed by the heating light. The blue light penetrates all layers of the skin unlike laser treatment.

Read more on how Liza leads a healthy life in this article.

Bushy Eyebrows: Why They’re In & How To Get Them

August 28th, 2014

Cara Delevingne is known for her strong, bushy eyebrows

Bushy eyebrows are in. Celebrities and models, such as Lily Collins and Cara Delevingne, are known and adored for their dark, thick brows. Bushy brows are sought out now because they do a great job in framing a person’s face and opening up their eyes. A pair of thick eyebrows actually makes a person look younger, too. Meanwhile, over-plucked and pencil-thin brows can age a person’s face. But to be fair, lots of women who have over-plucked their eyebrows for years can have troubles for growing and filling in their hair. It can take months to properly regain a full brow, and even then, there could be gaps of missing hair. It takes a lot of work.

Eyebrow transplants

The coveted brow trend and the difficulties of naturally getting the look have sparked popularity in eyebrow transplants. Women are flocking to clinics to get eyebrow transplants for a fuller, bushier brow. In these procedures, surgeons would carefully pluck hair from the back of a patient’s neck or their scalp with the NeoGraft machine. Typically, 150-250 grafts are needed for each brow. Once the hair follicles are implanted, the hair starts growing three to four months after the procedure—but remember to groom them, because they will grow out like the hair on your scalp (that would be a little too bushy).


Not quite ready to get eyebrow transplants? Makeup is the answer to creating a thick brow. Makeup artists say that brow gel, a pencil or powder are the best tools to create a strong brow.  It’s suggested to use an angled brush to apply the brow powder on and around the brows. Don’t go overboard by going too far from your natural hair line. For patches of missing hair, use an eyebrow pencil and apply thin strokes to fill them in.

Natural growth

If you’re simply trying to grow out your eyebrows, put down the tweezers. The hairs can take up to six to eight weeks to grow back, so you don’t want to thwart your efforts by making the easy mistake of over-plucking your hair. Common products that could be found in your home like olive oil and petroleum jelly can help in the growth of thicker eyebrows. Apply the oil or jelly once in the morning and again at night to enhance growth. Castor oil is also another good alternative.

There’s lots of natural ways to get strong brows. It just takes some research and a lot of patience. That’s why makeup helps a great deal in creating the illusion of eye-popping brows, and for those willing to go all the way, eyebrow transplants provide long-term results.

6 Tips to Treat and Prevent Spider Veins

August 27th, 2014

Spider veins are very commonly seen in women.

Spider veins aren’t only a problem for older adults. Those tiny tangled, blue or red veins are increasingly seen in people in their late twenties or early thirties. We answer frequently asked questions about this common condition below.

Why do I have spider veins on my legs?

Spider veins are caused by increased pressure in the veins. For people who tend to stand for long periods of times, they’re more prone to developing spider veins because of the increased pressure in their veins. Genes also play a big role in spider veins; they’re usually hereditary. Pregnancy, weight gain and weight loss are also other factors. While spider veins are very commonly seen in adults over age 50, younger people can still have them.

How do I avoid getting spider veins?

Spider veins aren’t always preventable, but there are several things you can do to lessen the chances of having them form.

  • Exercising and taking breaks to go for walks is a good way to relieve pressure on your legs. It’s ideal for people who work jobs that require them to sit for long periods of time to walk around the office or outdoors on their breaks.
  • Go for runs or walks regularly to ensure the blood keeps flowing in your legs.
  • Reduce your sodium intake and make sure to get lots of fibre in your diet. Salt causes water retention which increases pressure on veins.
  • Try not to cross your legs. When you cross legs for long periods of time, this interrupts the blood flow from your heart to legs. Spider veins can eventually appear because the vein walls have been weakened.
  • For people with fair skin, be sure to wear sunscreen to minimize any damage from the sun. Sun exposure can cause spider veins.
  • Get laser treatment to minimize or eliminate the spider veins. Treatments are short and patients can return to regular activities immediately after their appointment.

What happens during a laser treatment?

A physician will use a laser to target the spider veins and treat it until it disappears. At SpaMedica, sclerotherapy injections and multiple wavelength lasers are used to fade away the spider veins. For some lucky people, they need only one session to see complete removal of spider veins. Other people might need two or three treatments in six week intervals to see good results. A treatment usually takes 15 to 30 minutes to complete, depending on how many spider veins there are.

Spider veins aren’t dangerous or life-threatening. But if you are fed up with the appearance of them, thankfully there are a few methods to lessen the chances of getting them and to remove them altogether.

Always Choose a Board-Certified Plastic Surgeon

August 25th, 2014

Doctor ties on mask before surgeryThere has been an unfortunately high amount of cases where people have gotten botched surgeries by so-called surgeons around the states. Most recently, the media has reported people getting butt injections consisting of botched or crude material like super glue and cement by unlicensed and untrained individuals. Some people may see results they’re happy with for a few months or even years before experiencing the aftermath of having poisonous material injected in their bodies. Some people have even died within hours of their injections.

That’s why choosing a board-certified plastic surgeon is the first step a person must consider when looking into their cosmetic surgery options. It ensures that the surgeon has had extensive years of training and education. It also means that the surgeon must follow guidelines set by the College of Physicians and Surgeons of Ontario. The College monitors and maintains their practice and investigates complaints about doctors on the public’s behalf.

In Canada, The Royal College of Physicians and Surgeons of Canada sets national standards for medical education and professional development. The Royal College is an authority that ensures the training and evaluation of those practicing medicine. To become certified, physicians have to pass Royal College examinations. To take these examinations, a person would have to complete a Royal College-accredited residency program at a Canadian university.

After choosing a board-certified surgeon, a wise idea would be to ask the surgeon to see the before and after photos of patients. It gives you a sense of what kind of results the surgeon is capable of. You can also see if you can speak to their past patients to ask about their experiences with the doctor. Another option is to check if there are any patient reviews of the surgeon on RealSelf, an online plastic surgery community.

Plastic surgeons have to meet strict education and training requirements. On top of that, they are expected to follow ethical codes and standards. Choosing a board-certified plastic surgeon would certainly be more expensive than a non-doctor performing surgeries at a cheaper price. But is paying less money for surgery really worth it when it could put your safety and life at risk?