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Fundamental Concepts About Facial Photoaging Treatments

  Wrinkles, tiny blood vessels and brown spots are very typical signs of aging and can add years to your facial appearance. While many feel that these are just the effects of aging, in reality they are the long-term effects of unseen sun damage from years ago.What may have been a love affair with the Read More…

Case Study: Revision of Extensive Facial Scars

Background:  Scars are a common patient concern, whether they be slight or significantly disfiguring. While scar treatments and therapies abound, significant scarring requires some form of surgical scar revision. Lacerations and traumatic wounds are particularly prone to hypertrophic scar formation, the most common type of raised and disfiguring scars. While less commonly seen on the Read More…

Case Study: Lengthening of the Nose with a Rib Graft Rhinoplasty

Background: The evolution of rhinoplasty surgery over the past twenty years has leaned heavily towards a cartilage preservation approach. Focus has been more on cartilage reshaping and less on cartilage removal. As a result, the once common over-reduced or ‘ski-slope’ nose is now a rare finding rather than a common one. When an over-reduced nose Read More…

The Jawline Lift – A 3/4 Facelift

A facelift is a well recognized plastic surgery procedure. Despite the recognition of its name, it is still a largely misunderstood operation. I have found very few patients who actually know what a true facelift is or how it is done. The name implies that it is a lifting procedure of the entire face, from Read More…

Botox Injections for Scars

  Scars remain a common patient concern for which numerous treatments are available. One frequently used approach is that of injection therapy. This historically has been done through the use of steroids and, more recently, with a chemotherapy agent such as 5-fluorouracil. These injectional approaches are designed to disrupt how collagen bundles are formed or Read More…

The Effect of Botox on the Masseter Muscles

  The masseter muscle is a very large and thick muscle that occupies the outside of the  mandible back by the angle of the jaw. It is one of the major muscles responsible for moving the jaw. Because of where it is located, it can contribute significantly to fullness of the lower face. When it Read More…

Xiaflex Injections for Duputryen’s Finger Contractures

Dupuytren’s contracture is a hand deformity that is most peculiar. No one knows what causes it or why it develops exactly. Dupuytren’s contracture affects the connective tissue under the skin of the palm of your hand, forming knots of tissue under the skin. It develops slowly and insidiously over years, eventually forming a thick cord Read More…

Dual Laser and Sclerotherapy for Spider Veins of the Leg

  One of the most common cosmetic leg concerns is that of spider veins. The use of the term ‘spider veins’ is a bit contradictory as the vessel size one refers to with this term is the size of spider legs. But a true vein, in vessel terms, would be much larger. Medically speaking, spider Read More…

Ask My Cosmetic Surgeon iPhone App

Since the release of the iphone in 2007, over 50 million units have been commercially sold. One of its many features has been the availability of third-party applications which were launched in mid-2008 and now has well over 200,000 approved by Apple. These apps have diverse functionalities, one of the most common is that of Read More…

Shortening the Growing Nose in Older Patients

It is a common perception that our noses get bigger as we get older. I have been asked that very question many times in my Indianapolis plastic surgery practice. This perception is based on the belief that cartilage continues to grow even though our bones have long stopped growing. (in fact, our facial bones are Read More…

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