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Case Study: Breast Augmentation without a Lift in Sagging Breasts

Background: One often under appreciated aspect of breast augmentation with implants in some patients is that what will occur is that the existing shape of the breast merely gets bigger. Breast implants do not possess magical properties and they can not cure all ills of one’s breast shape issues. This is why it is critical Read More…

Management of the Step-Off in a Sliding Genioplasty

A sliding genioplasty is a well known method of chin augmentation. It is often compared to a chin implant when considering aesthetic changes to the chin as a more natural alternative. But the reality is that its indications for use are somewhat different than an onlay bony augmentation. It is often only used when the Read More…

Plastic Surgery Children’s Book – Ellie Hears An Elephant

Children and teenagers can be afflicted by numerous types of physical birth defects, some of which cause medical problems and others which are more about looking different and being less than ‘perfect’.  With a developing and sometimes fragile self-image, prominent appearance differences can be a potential source of embarrassment. Plastic surgeons see children and young teens Read More…

Forehead Injectable Fillers and the Risk of Vision Loss

Injectable fillers, along with Botox, have revolutionized the treatment of the aging face particularly one early in the process. The number of such injectable facial treatments around the world must surely number in the billions at this point in time over the past twenty years. The typical complications from injections are largely aesthetic and are Read More…

Diced Cartilage Graft Rhinoplasty Wrappings

Cartilage grafting to the nose for significant dorsal augmentation almost always requires a rib graft for the volume needed. A rib graft provides ample amounts of graft material to augment the nose to just about any degree but it does have a well known tendency for warping. Even a well carved and positioned rib graft Read More…

Plastic Surgery Humor: Age and the ‘Need’ for Plastic Surgery

  One’s perception of the ‘need’ for plastic surgery of the aging face is a matter of perspective as this word cartoon illustrates. I have heard many patients who are having some form of a facelift that their children are mortified that they are having the procedure. These younger children are not infrequently firmly against Read More…

Case Study: Male Tummy Tuck after Weight Loss

Background: Tummy tuck surgery is most frequently thought of as a female procedure. Changes due to pregnancy and weight are the source of the need for improvements in a female’s abdominal and waistline shape. But men do occasionally undergo tummy tuck surgery but pregnancy is obviously not the reason. Weight loss is the exclusive reason  Read More…

Illicit Injections for Breast Augmentation and Pulmonary Embolism

The past few years have seen an increase in the number of cosmetic injectable catastrophes. They are easy to find since every one these injection problems appear quickly on the internet. All of these have been done by amateur non-medical people and, in some cases, the patients themselves who have suffered the severe complications including Read More…

The Use of Drains in Gynecomastia Reduction Surgery

  Gynecomastia reduction surgery is very common for either young or middle-aged males who have various amounts of breast tissue development. While some forms of gynecomastia are treated by liposuction alone, more than half of them require an open approach through an inferior areolar incision. When doing an open gynecomastia reduction, it is common practice Read More…

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