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Case Study: Breast Augmentation with Pre-Existing Nipple Asymmetry

Background:  The satisfaction after breast augmentation depends upon many factors including the size and symmetrical placement of the implants. The location of the nipple on the newly created breast mound, however, plays an equally important role in the final appearance of the breasts. Ideally centered on the midportion of the breast mound as an isolated Read More…

Case Study: SmartLipo For Gynecomastia Reduction in the Older Male

Background:Gynecomastia is a well known condition that largely affects the teenage and younger male. Male breast enlargement is most likely to be affected during the hormonal changes that occur during and after puberty. On the opposite side of puberty, the andropause era of men may cause gynecomastia as testosterone levels drop and numerous drugs for Read More…

Jawline Surgery and Facial Derounding

One recent high profile facial change reported in the media is that of Bristol Palin. At a dinner in Washington in late April, she was reported to be unrecognizeable. Something was very different about her face. She had a distinctly more angled jaw and sharpened chin. It was speculated that she had a facelift, fillers Read More…

Breast Augmentation With Fat Injections Using Brava Device

  Breast augmentation historically and to the present day is an implant-driven operation. What is put in accounts for the way it appears on the outside. Despite its popularity, breast implants due have their problems including a limited lifespan. Contrary to what many patients believe, they are not lifelong devices and they will eventually fail Read More…

The Safety of Facelift Surgery in Older Patients

One of the common questions I hear from patients, usually as an internet or e-mail inquiry, is whether they are too old for a particular procedure. This is usually a facial procedure rather than one on the body as the interest of patients over 65 is largely towards appearance concerns above the shoulders. They also Read More…

The Safety of Fat Injections in Breast Reconstruction

The use of injectable fat grafting in breast reconstruction has evolved in the past decade to become an established technique. While many patients envision that the entire breast mound is made out of injected fat, it is largely a complementary technique. It may be used alone in smaller lumpectomy defects but it is a secondary Read More…

Narrowing The Width Of The Chin By Osteotomy

  Changes in the chin are traditionally perceived as the need for a horizontal increase or improved anterior projection. While many chin deficient patients need horizontal augmentation, there are other dimensions in which the chin may need to be changed. Vertical lengthening or shortening is the other most recognized alteration that can be done to Read More…

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