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Hand Rejuvenation by Fat Injections

Aging affects every structure of the body and the hands are no exception. Age-related changes to the hands have been well described and includes thinning of the skin, brown spots and wrinkles and visible skeletonization with prominent veins, tendon and bone structures. Loss of fat volume is one of the key features in hand aging Read More…

The Preperiosteal Cheeklift

Rejuvenation of the aging lower face is done well by classic facelift techniques.  And rejuvenation of the upper face is also done well by traditional browlift and blepharoplasty surgery. But the intervening middle of the face, the cheek area, is far more difficult to treat with surgical rejuvenation methods due to surgical access and the Read More…

Plastic Surgery Case Study – Female Subnasal Lip Lift

Background: There are a variety of upper lip enhancement procedures from injectable fillers to lifts. By far lip lifts represent just a minority of cosmetic lip procedures done and, as a result, is a frequently misunderstood operation. A subnasal lip lift can be confused with a lower lip advancement because they are both excisional procedures. Read More…

Plastic Surgery Humor – The Redistribution Effect

Part of many procedures in plastic surgery create a redistribution effect. For example a facelift relocates sagging tissues from the jowls and neck and moves them back up into a better place. Rhinoplasty takes down a hump and lifts up a low tip. A Mommy Makeover makes the breasts bigger and perkier with tightening and Read More…

Options in Male Facelift Incisions

Facelift surgery is the most effective method for reshaping the aging neck and jawline. While many variations of facelifts exist, each with their own advocates, it is clear that there is no single one best way to perform the surgery. The extent of skin undermining, how the underlying SMAS layer is manipulated and what other Read More…

Kybella Injections for Jowl Reduction

The search to non-surgically reduce fat for aesthetic purposes has been ongoing for years and many methods exist today to do so. Numerous energy-based devices are available (e.g., Vanquish) for body contouring which induce fat cell atrophy through an apoptosis process. But such devices have limited use in the face due to the smaller fat Read More…

Plastic Surgery Case Study – Macrotia Ear Reduction

Background: The embryology and development of the human ear is a marvel in not only its complexity but how well it works most of the time. It is created by the merging of six separate tissue segments (hillocks) in utero that create the recognizable ear that is a collection of various ridges and valleys. But Read More…

Plastic Surgery Case Study – Nipple Lift with Breast Augmentation

Background: Many women who are to undergo breast augmentation surgery have asymmetric breasts. These asymmetries may be in breast mound size, breast mound shape, amounts of sagging and the nipple position. Preoperative education about how breast implants will impact these asymmetries is of critical importance as breast implants alone will not correct many breast asymmetries. Read More…

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