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Botox Injections Using Ultra Small Needles

Botox injections into various areas of the face are tremendously effective at reducing specific wrinkle areas, particularly around the eyes and forehead. While effective they are not necessarily pain-free. Despite using a very small 30 gauge size needle, some discomfort still exists with Botox injections. This has led to a variety of pain management Read More…

Technical Strategies – Funnel Insertion for Shaped Silicone Breast Implants

One of the newer types of silicone gel breast implants is that of the shaped implant style. Often called the tear drop or anatomic breast implant, it is designed to distribute the gel volume differentially with about 2/3s of the volume in the lower half of the implant. This is done by having an implant Read More…

Techniques in Forehead Feminization Surgery

One of the many important areas to change in facial feminization surgery (FFS) is that of the forehead. The typical male forehead has a prominent brow bone, a visible brow bone break into the upper forehead and a central forehead area that is often flat or even slopes backward to some degree. This is Read More…

Botox for Glabellar Lines

The glabellar frown lines (between the eyebrows) are a top target for Botox injections. They are what the initial studies for FDA approval was based on and continue to be the number one wrinkle area treated by injection. Other than an occasional bruise or temporary soreness in the injected area there are few other Read More…

Plastic Surgery Case Study – Male Custom Jawline Implant for Improved Lower Facial Definition

Background: A strong jawline is always viewed as a favorable facial feature in a man. This desirable male facial feature dates back thousands of years and is of no less significance today. Once can debate as to why the development of the lower jaw and its attached musculature is so appealing for men, but jawline Read More…

Plastic Surgery Case Study – Custom Skull Implant for Occipital Dents

Background: The normal rounder shape of the skull can be altered for a wide variety of reasons. One of the most common reasons for skull deformation is congenital or genetic. Usually this affects one or several of the cranial sutures creating a variety of fairly classic skull shape deformations. But there are a whole host Read More…

What is the Maximum Amount of Fat That Can Be Safely Removed by Liposuction?

Liposuction is one of the most common and successful body contouring procedures. Having now been around for almost 35 years in the U.S., it has undergone many evolutions and refinements in treatment strategies and in the equipment to do it. With widespread use of liposuction by many different practitioners and methods, complications from liposuction surgery Read More…

The Effects on Fat Cells of Vanquish Radiofrequency Treatments

Selective radiofrequency (RF) is the energy basis for how the fat reduction device, Vanquish, works. Through the use of an external applicator, RF-based energy is delivered to the subcutaneous fat. This is purported to cause fat cell death and it does so without discomfort or recovery. But with so many other energy-based devices that Read More…

Plastic Surgery Case Study: Female Custom Chin Implant

Background: Chin augmentation is the most commonly performed jawline enhancement procedure. It is also along with rhinoplasty the most common facial bone reshaping operation. Placing an implant over the end of the chin bone is conceptually simple. But the wide variety of chin implant styles and sizes demonstrates that the aesthetics of chin augmentation is Read More…

Vanquish Radiofrequency Fat Treatments

Energy-based devices have achieved a viable status in the non-surgical elimination of fat. With numerous devices available, the question is what is the right energy-based technology that can achieve the best results. Options include ultrasound, radiofrequency and electromagnetic waves as well as laser and thermal energies. The use of selective radiofrequency (RF) is an FDA-approved Read More…