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Case Study: Direct Necklift Wattle Removal in Men

  Background: The most troubling facial feature in many older males is that of the neck. The development of a neck wattle is bothersome in many ways. It interferes and looks worse in buttoned shirts as it hangs over the collar. It moves and swings unflatteringly as one moves the head from side to side. Read More…

Managing Nasal Congestion After Rhinoplasty Surgery

  The changes that rhinoplasty surgery does to the outside of the nose can be both significant and appearance-changing. One of the very common postoperative hurdles that patients must get over besides swelling and bruising is nasal congestion. Even when the rhinoplasty is done only to cosmetic structures of the nose, some temporary nasal congestion Read More…

Breast Augmentation in the Sagging Breast

  Breast augmentation involves two factors, one which is variable and another which is not. The insertion of a breast implant is a fixed factor. While the size of the implant may change, it will exert a push on the overlying tissues which is consistent. The spherical geometry of the implant puts an even force Read More…

Case Study: Male Subnasal Lip Lift

  Background:  The lips in women are a major focus of aesthetic attention as demonstrated by the infathomable number of lipsticks, glosses and other topical enhancement products. Injectable fillers serve as a major means of temporary increase in lip size in women. Injectable lip fillers in men, by comparison, is very rare. While men can Read More…

Oral Supplements and Botox

  Every cosmetic Botox (also Dysport, Xeomin) patient would love to have it last longer. Whether it would be a new molecular form of Botox  or some additive method of drug prolongation, there is considerable interest in that effect. The offshoot of lasting longer is most manifest for patients in that they would be exposed Read More…

Jowl Correction in Facelift Surgery

Sagging of the jowls is considered to be among the top facial features that contributes to an aging look. This is clearly more true for women than in men in my experience. Woman notice the appearance of jowls much quicker than men and are generally more bothered by them. As the jowls droop, that once Read More…

Body Dysmorphic Disorder and Extreme Plastic Surgery

  Body Dysmorphic Disorder (BDD) is a well recognized psychological classification that is not a rare sighting in a plastic surgeon’s office or surgery center. Most of the time BDD patients are ‘discovered’ after a surgical encounter due to either good camouflage by the patient or lack or recognition during the presurgical discussion(s). While outsiders Read More…

Botox Smoothes Out A Really Big Wrinkle

  It looks like Botox just smoothed the largest wrinkle it has ever seen. Calling it a wrinkle might be an understatement, a better description would be a very deep furrow. News from today reports that Allergan, the manufacturer of Botox the world’s number one wrinkle reducer, has agreed to pay $600 million to settle Read More…

The Scar from the Direct Necklift

The aging neck is one of the most bothersome features of facial aging, whether it be a man or a woman. This is very evident as patients get older (greater than 55 or 60) and often is the sole focus regardless how the rest of the face is aging. For many men, the sagging neck Read More…

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