Shamoun Aesthetics

12/05/2025

06/01/2025

Beautiful young lady —One Week Result — One Hour Procedure , minimal recovery
Chin implant + neck/jowl liposuction.
No facelift. No neck lift. No Kybella. No threads. No radiofrequency. No biostimulators. No filler injections .
Simple. Targeted. Effective.

Facial harmony begins with structure.
When the jaw is underdeveloped, early neck aging is inevitable.
And no facelift—deep plane or otherwise—can restore what was never there.

The real art lies in recognizing the problem before rushing into aggressive surgery.

Many patients resist facial implants because their self-image is deeply ingrained in the subconscious.
They fear looking like someone else.

But the right enhancement doesn’t distort identity—
It restores balance.
It brings the face into harmony so that aging doesn’t outpace the structure.

The art is recognizing the problem . Addressing it without aggressive surgery in a safe reliable direction .

There are hundreds of different facial implants all different sizes and shapes . Key is using the appropriate one without distortion .

05/24/2025

Food for thought 😎

05/24/2025

Just some food for thought for the young Surgeons . 😎

05/19/2025

A true journey through time—from the red clay of Oxford, Mississippi, to the white limestone of Abu Dhabi and Dubai. From the Deep South to the deep end of mastery. Many steps forward. A full circle back.

When you’re passionate about the pursuit, decades feel like days.
9 years of subspecialty training after medical school.
3 years apprenticing under the world’s finest.
6 American boards. 7 state licenses. 3 international licenses
25 years of practice. 20,000+ procedures. 100 countries. No major complications.

Work is play. Do it right.
Be elite. Evolve endlessly.
Never blend into the surgical crowd.
Preserve identity. Pursue elegance and Command sophistication.

As my late father said:
“We get old quick and smart late.”
That young boy in these photos is long gone .
What remains is a wiser man—tempered, tested, and unrelenting in his standards.

Experience is earned. Wisdom, paid for.
But what a privilege it’s been—to use both in service of others.

To the Godfathers and giants who came before—thank you.
The grind from average to good to excellent to elite is narrow, steep, and sacred.

Refinement is built slowly. A masterpiece is the sum of years, not days.

I have always said “I Just want to outlive my dreams.”
Not quite there just yet .

I’ve seen the good, the bad, and the absurd.
The ivory towers and the dogma.
The influencers in scrubs.
The algorithms masquerading as judgment.

We live in strange times:
Where comfort outweighs sacrifice, style trumps substance, and fakery masquerades as mastery.

The fake has become real. The truth, inconvenient.

A smart man knows what he wants.
A wise man knows what to walk away from.

Godspeed
J. M. SHAMOUN

05/14/2025

our years after tip refinement after unfavorable result from a destructive previous rhinoplasty .

This young lady wanted to look similar without much change other than a more normal looking tip .

She requested cropping out her eyes and we appreciate her trust and confidence over the years and have enjoyed helping her look her best.

These type cases are challenging to achieve symmetry and proportions as the soft tissues are scarred and frequently collapsed necessitating
rebuilding the lost structure .

The distorted, overzealous rhinoplasty with a pinched tip isn’t beauty—it’s collapse. When the nose is over-resected, structure fails, identity blurs, and breathing suffers. Chasing a “tiny” tip often leads to long-term damage, not refinement. A nose should fit the face, not fight it. Restraint is the real art.

05/12/2025

“Only two weeks post-op.
This 67-year-old Asian female posted this photo herself—along with a kind and authentic Google review (eyes blurred here for privacy).

She is just two weeks out from a deep plane face and neck lift. Note the refined lower face contour and virtually no bruising. She cropped out her eyes but still one can see the lower face improvement .

For those contemplating a facelift:
I do not believe in ‘preventative facelifts’—a concept irresponsibly promoted across social media. Facelifts are not meant for prevention; they are designed for correction.

The first real sign that you may benefit from a facelift? Jowling.
That’s when structure—not just skin—needs support.

Recovery, when done correctly, can be smooth. And the results—like hers—can appear early and continue to improve.

05/11/2025

Many plastic surgeons are being solicited with congratulatory emails or calls informing them they’ve been named a “Top Doctor,” “Best Surgeon,” or “Super Physician.” These titles, however, are not based on skill, outcomes, or peer-reviewed merit—they’re sold by for-profit companies that offer plaques, paid listings, magazine ads, and social media packages in exchange for a fee. There’s little to no vetting, and in one high-profile case recently even a non-physician journalist was awarded the title of Top Surgeon simply by paying for it. Experts in medical ethics have called these schemes “meaningless,” “misleading,” and “unethical,” warning that no competent surgeon should ever need to buy validation. Yet many plastic surgeons display these awards in their offices and websites, misleading patients into believing the titles represent actual excellence. The danger lies in the illusion: patients think they’re choosing a trusted expert, when in reality, they’re responding to a paid marketing tactic. In plastic surgery—where irreversible outcomes and patient safety are at stake—this kind of vanity marketing is not only deceptive, it’s dangerous. If your reputation can be bought, it’s not real. Plastic surgeons must earn trust through outcomes, ethics, and accountability—not a credit card transaction.

05/04/2025

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PERIORBITAL RESTORATION IN THE MIDDLE-AGED 61 years young MALE
Individualized, multi-layered approach

Note Preoperative findings:
• Periorbital hollowing and fat descent
• Eyelid skin , muscle and lid laxity
• Low-set brows with frontal balding
• Skeletonized upper sulcus
• Deep lid–cheek junction with poor support
. Skin with actinic sun damage

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Surgical procedure
• Midface lift through lower lids
with ligament release and superficial fat pad suspension
• Septal reset and fat repositioning to SOOF for contour and blending lid cheek junction
• Upper and lower blepharoplasty with conservative 8 mm skin excision
• Direct brow lift tailored to male hairline and anatomy
• Targeted fat grafting to upper sulcus, midface and glabella
• Fractional CO₂ resurfacing for skin texture and fine lines

Result at one week and One Month:
• Improved lower lid support and contour
• Elevated midface volume and structure
• Restored brow position without feminization
• Better orbital harmony—without distortion
Still with inflammation and redness within incisions which will subside over next few weeks .

This procedure can simulate a facelift with vertical elevation of the midface all performed through the lower eyelids . Absolutely no need for bolster sutures or canthopexy in most of these type surgeries which in my opinion only creates lymphatic obstruction and chemosis .

Also it is my opinion after discussion and collaboration with Dr N Fakih elevation of the superficial malar fat pad together with transposition of the septal fat to the SOOF is what is responsible for this improvement .
There is no need for a deep plane facelift for malar fat pad elevation when this approach is used for the cheek, furthermore it can be performed isolation without a facelift .

05/03/2025

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PERIORBITAL RESTORATION IN MIDDLE-AGED MALE
Individualized, multi-layered. Not one-size-fits-all.

Preoperative findings:
• Periorbital hollowing and fat descent
• Eyelid skin and muscle laxity
• Low-set brows with frontal balding
• Skeletonized upper sulcus
• Deep lid–cheek junction with poor support

⸻

Surgical procedure
• Midface lift through lower lids
with ligament release and superficial fat pad suspension
• Septal reset and fat repositioning to SOOF for contour and blending lid cheek junction
• Upper and lower blepharoplasty with conservative skin excision
• Direct brow lift tailored to male hairline and anatomy
• Targeted fat grafting to upper sulcus and midface
• Fractional CO₂ resurfacing for skin texture and fine lines

Result at One week and One Month:
• Improved lower lid support and contour
• Elevated midface volume and structure
• Restored brow position without feminization
• Better orbital harmony—without distortion
Still with inflammation and redness within incisions which will subside over next few weeks .

This procedure can simulate a facelift with vertical elevation of the midface all performed through the lower eyelids . Rejuvenation of Lower eyelids are complex and require meticulous surgery with attention to detail .
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LOWER EYELID SURGERY FAILS
WHEN YOU IGNORE THE FOUNDATION.

It’s not just skin.
Not just fat.
Not just the muscle.

The entire anatomic unit must be addressed:
• Skin — conservative redraping, not blind excision
• Muscle — preserve, support, or suspend
• Fat — reposition or contour, not overremove
• Bone — the bony platform defines support and projection

05/02/2025

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ShamounAesthetics felt the need to repost this from an old post years ago .
These unique drawings by Leonardo da Vinci give credence to the face as the soul of the body.
Our attitude toward another human being is, in truth, an attitude toward a soul.

What is involved in judging a face to be grotesque (disturbing), as opposed to ugly, strange, gruesome, comic, horrific, bizarre, or disgusting?

Grotesque has no true opposite—because beauty is the opposite of ugliness.
A structural facial deformity may be grotesque without being ugly.
And a face may be beautiful, yet disturbing in its context.

Grotesque has no simple opposite, as beauty is not merely the absence of ugliness. A structural facial deformity, such as a cleft lip and nose, can be an obvious source of facial grotesqueness.

As plastic surgeons, we must carefully analyze the disproportions of each patient’s face when approached for aesthetic surgery. It’s the overall assemble of parts that give us a look . Changing an adult’s face must be done with caution, as patients often experience “image dislocation”—a psychological disorientation caused by altering a face they’ve lived with for so long.

Coaching patients toward additional procedures must always be ethical. It demands a surgeon who is honest, caring, and deeply knowledgeable. Unfortunately, today’s landscape—saturated with social media, brokers , influencers, and reality TV—has created a marketplace of cosmetic promises driven more by commission-based sales and ego than by patient care. These people actually believe they know what’s best for each and every patient .

A true plastic surgeon (a rare find these days )rises above this noise. Their goal is to detach from personal ego and salesmanship, entering instead the objective space of observation and service.

Plastic surgery is a philosophy—a way of seeing the patient, of imagining not just what is normal, natural, and desirable, but also what uniquely serves that individual’s quality of life.
That quality is never universal. It differs from person to person, and it is this truth that every ethical plastic surgeon must hold sacred.

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05/01/2025

Some unknown concepts and truths I have learned over the two decades .