Photo Credit: beautyinthebag.com
Double board certified facial plastic surgeon Michael Someone, M.D is known as a compassionate surgeon with an artistic mind. After receiving his undergraduate degree in microbiology at the University of Miami and a medical degree at Rush University Medical Center in Chicago, he continued his postgraduate training for five more years in otolaryngology, the study of the head and neck.
His love for the field steered him to complete an intensive fellowship in facial plastic and reconstructive surgery under the guidance of world-renowned facial plastic surgeons Dr. J. Regan Thomas and Dr. Dean Toriumi at the University of Illinois in Chicago.
Today, Dr. Somenek’s practice in Washington, D.C. offers specialized cosmetic and reconstructive services. In addition to his high levels of experience and talent, he’s written multiple peer-reviewed journal articles, textbook chapters, and presentations for national meetings and is known to many as an extensive contributor in his field.
Dr. Somenek spoke with BITB about his passion for his career, popular procedures and how he envisions facial plastic surgery evolving in the next decade.
1. Can you tell us about your passion for your career and who/what inspired you to become a facial plastic surgeon?
I have always had an artistic mind. I can remember as a child asking my parents to get me a large sketch pad where I would draw and pretend I was a famous artist. I think it was a natural progression for me to choose a path that allowed me to continue that artistic talent. When I was in residency for Otolaryngology-Head and Neck Surgery in Chicago, I gravitated to the reconstructive and cosmetic facial plastic procedures over the other subspecialties. I was fortunate enough to be accepted into a fellowship where I worked with not one, but two incredible mentors: Drs. Regan Thomas and Dean Toriumi. They provided me with the guidance and support that have made me into the facial plastic surgeon I am today.
Facial plastic surgery is full of so much variety that I am always learning something new. Every patient is different with regards to their facial anatomy and aesthetic desires that it is nearly impossible to have a boring day! My passion and drive continue because of my desire to consistently do better for myself and my patients. They are a constant source of happiness and inspiration for me and I am so thankful to have such an amazing support system.
2. What are the most popular procedures (surgical and non-surgical) that your patients are asking for right now?
My most popular surgical procedure is rhinoplasty. This is one of the most complicated procedures performed on the face that requires an extraordinary amount of expertise. I think more and more people are doing their own research and educating themselves on this procedure, understanding that it requires a true specialist. Because of that, they are seeking someone that works exclusively on the face and also one that has a special interest in rhinoplasty like myself. I also make sure to do 3D VECTRA imaging by Canfield for all my patients. I find this to be an essential component of the consultation process because it allows me to establish expectations and visual goals for the patient.
As we all know, nonsurgical procedures are increasing exponentially every year. I have seen a similar demand within my practice. Over the past year, I’ve expanded my menu of nonsurgical services to accommodate this demand. The most in-demand procedure right now is FaceTite by InMode. This is a nonsurgical skin tightening device that uses radiofrequency technology. It is able to provide about 40-50% of a surgical facelift result in most patients which is a reasonable expectation for many that aren’t quite ready for a surgical skin tightening procedure.
Microneedling has been an extremely popular procedure to treat a variety of skin changes including fine lines and wrinkles, texture changes, as well as acne scars. I have incorporated devices that combine microneedling with radiofrequency, namely the Intracel and Fractora devices. In my opinion, the addition of radiofrequency takes microneedling to the next level and produces a superior result.
Platelet Rich Plasma(PRP) injections using the Eclipse system have vastly expanded in terms of what we are using them for. It was originally used as a topical application after laser and resurfacing procedures to help expedite recovery. I have started injecting PRP as well as topically applying it to the tissues with the various growth factors to maximize results.
3. How do you envision facial plastic surgery changing in the next 10-15 years?
As a facial plastic surgeon, we pride ourselves on being experts in surgeries and procedures of the head and neck. While this will remain the same, I think many facial plastic surgeons, especially those in private practice, will start incorporating a larger menu of nonsurgical services for their patients. The quest for less downtime to obtain the same results of some of the more aggressive treatments is only becoming stronger. We are in such an exciting time of technological advances where every year brings on new devices that in many cases can optimize results. The future looks very promising for facial plastic surgery!