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Plastic Surgery Case Study – Large Cankle Liposuction

Background: Undesirable fat collections around the body, medically known as lipodystrophy, are usually caused by excess calories and results from their storage. But in some people and in certain locations of the body, fatty collections are more congenital in origin and are aggravated by weight gain. Even at a patient’s ideal weight these fat collections Read More…

Plastic Surgery Case Study – Breast Augmentation in the Asymmetric Breast Patient

Background: While few women have symmetric breasts, it is not rare that many breast augmentation patients expect symmetric looking breasts after surgery. This common expectation has led to the plastic surgery phrase ‘breasts are sisters and not twins’, which is usually provided as part of the preoperative counseling. While most breast asymmetries are caused by Read More…

Plastic Surgery Case Study – Otoplasty in the Asian Female

Background: The most common congenital malformation of the external ears is that of excessive protrusion. Technically defined as the auriculo-cephalic angle, how open this angle is defines creates the appearance of ears that stick out too far. While the normal angle is up to 30 degrees, what really counts is the patient perception of their Read More…

Product Review – Restylane ReFyne and Restylane DeFyne

With over 25 synthetic injectable fillers on the US market it can be argued that how may more do we really need. But each new injectable filler offers some advantage and thus there is room for more. These growing number of injectable fillers has led to the concept of a toolkit of injectable treatments that Read More…

Clinic Snapshots – The Effects of Rib Removal on Waistline Narrowing

Rib removal surgery can be an effective procedure for anatomic waistline reduction in properly selected patients. Such patients typically include the already thin female who is seeking an ‘extreme’ waistline reduction as well as the male to female transgender patient who is trying to achieve a more feminine waistline shape. Rib removal is effective in Read More…

Plastic Surgery Case Study – Combining Custom Jaw Angle Implants with Sliding Genioplasty

Background: Jaw angle implants are enjoying a surge in popularity as patients are seeking improved shapes to their jawlines. Filling in the back part of the jaw offers a good complement to well established chin implants to create a more complete jawline augmentation effect. Like just about every other facial implant, no one size or Read More…

OR Snapshots – Scalp Tissue Expansion in Aesthetic Skull Augmentation

Expansion of the scalp through inflatable devices (‘balloons’) is a well established reconstructive technique. Originally developed to treat lost or missing soft tissues (skin), increasing the size of the surrounding tissues to stretch out and cover what has been lost is the fundamental concept of tissue expansion surgery. Such a concept works best in the Read More…

Plastic Surgery Case Study – Liposuction as a Necklift Procedure

Background: Aging of the neck is associated with numerous well known changes. The neck droops down as excess skin and fat develop in the center and sides of the neck. The underlying platysma muscle separates and allow the deeper neck tissues to come spilling out. All together a neck wattle or turkey neck is the Read More…

OR Snapshots – Abdominal and Flank Liposuction

Liposuction is one of the most recognizable plastic surgery procedures and is the most commonly done body contouring operation. While there have been many innovations in liposuction devices and techniques over the past forty years since its U.S. introduction in the early 1980s, all such variations can produce effective fat reduction results when performed technically Read More…

Plastic Surgery Case Study – Older Male Direct Necklift

Background: The turkey neck is an urban term used to describe a hanging of neck tissue that most commonly occurs as a result of aging. It may occur in younger patients but it would be due exclusively to the loose neck tissue that results from large amounts of weight loss. Regardless of the cause, the Read More…