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Counterfeit Botox in the U.S. Alert

  Botox injection therapy is the single greatest pharmacologic agent in use today for non-surgical facial rejuvenation. It has been become so popular and used that patients talk about getting ‘Botoxed’…reminiscent of days when copying was known as ‘Xeroxing’. That is how you know your product has worked its way into the national lexicon when Read More…

Case Study: Sliding Genioplasty for Lower Facial Elongation

Background: A sliding genioplasty is a well known and historic procedure for changing the shape of the chin. It was originally described in the 1940s but has evolved considerably due to the use of rigid fixation using plates and screws. While once clever osteotomy designs and wire fixation methods were used for stabilization of the Read More…

Product Review – Exilis Elite for Cellulite Treatment

Cellulite is a well recognized aesthetic skin condition that occurs most commonly in women and involves the buttocks and thighs. The cottage cheese appearance is recognized today to be the result of compartmentalized fat hypertrophy and the contraction of dermal-fascial bands in the involved regions. New device based treatments continue to emerge for its treatment Read More…

PRP Injections for Periorbital Hyperpigmentation

Darkening of the eyelids, known as periorbital hyperpigmentation, is when excess pigment develops on the eyelids. While it can occur on either the upper and lower eyelids, and often involves both, it is most common and aesthetically troublesome on  the lower eyelids. Its causes is not exactly known and is multifactorial and has been ascribed Read More…

Case Study – Tongue Tie Release in Adults

  Background: Tongue tie or ankyloglossia is a well recognized congenital anomaly of the tongue. It results from a restriction or lack of development of the lingual frenulum which is a membranous attachment from the underside of the tongue to the anterior floor of the mouth. When the frenulum is short the tip of the Read More…

Case Study – Silver (Older Women) Breast Augmentation

Background: Breast augmentation continues to enjoy widespread popularity and literally is a procedure for all ages today. While the majority of women getting breast implants is still largely under the age of fifty (50), the above fifty group who are willing to have the surgery is growing. While once it seemed rare to have women Read More…

Case Study – Otoplasty Reversal Using An Interpositional Metal Spacer

  Background: Otoplasty for protruding ears is primarily done by cartilage reshaping/repositioning. Whether it is the placement of antihelical or concha-mastoid sutures, the ear is ‘pulled back or ‘pinned’ by cartilage manipulation. The use of these suture techniques is primarily an art and how many are used, placed and their degree of tightening is a Read More…

Combining Laser Resurfacing and Facelift Surgery

Facelift surgery addresses sagging and loose tissues that have fallen due to aging. To a large degree facelifts are a tissue resuspension method which uses some tissue excision (skin and fat) to create the effect. However, a facelift in and of itself, does not change many of the more superficial lines and wrinkles on the Read More…

Technical Strategies – Doppler Probe in Temporal Migraine Surgery

The cause of certain migraine headaches is now well known be caused by peripheral compression of cranial sensory nerves usually caused by muscular contraction. This compression causes nerve irritation and serves as the nidus for the initiation of the migraine. In the auriculotemporal nerve migraine trigger area, its close association with the superficial temporal artery Read More…

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