Blog

Adam’s Apple Reduction (Tracheal Shave) in Men

Recent internet postings report that Bruce Jenner is purportedly planning on reducing the size of his Adam’s Apple, an operation known as as tracheal shave. These reports also state that this neck operation is typically performed on patients in the initial stages of gender reassignment surgery. While I have no idea whether Bruce Jenner has Read More…

The Double Bubble Deformity After Breast Augmentation

The double bubble phenomenon after breast augmentation is not a rare occurrence. Appearing as a result of a crease in the middle of the lower pole of the breast, it is both a visual and palpable breast surface contour deformity. It is often stated that it is the result of disruption of the natural inframammary Read More…

Plastic Surgery Wisdom – Understanding the Differences between Trade-offs and Complications

While plastic surgery can offer great improvements in innumerable aesthetic and reconstructive concerns, all do so with certain after surgery issues. In some operations these after surgery issues are so slight by comparison to the initial problem that they may be of little consequence. In other operations, their consideration may be of such significance that Read More…

Case Study: Breast Augmentation In A 60 Year-Old Woman

Background: Breast augmentation continues to be a very popular body contouring procedure with around 300,000 women in the U.S. having it every year. While the number of women getting breast implants has remained fairly steady over the past few years, the age range of women getting them appears to have changed to some degree. While Read More…

Options in Contemporary Surgical Neck Rejuvenation

The neck, like the face, ages although it does so in a more simplistic fashion. With the neck it is only a matter of loss of the neck angle due to loose skin, fat accumulations and midline muscle separation. But with different degrees of neck aging at different times in life, the type of Read More…

Plastic Surgery’s Did You Know? The Roman Nose and Rhinoplasty

A Roman nose, also called a hook nose or aquiline nose, is one with a prominent bridge which gives it the appearance of being curved or slightly bent. The very word, aquiline, comes from the latin word aquilinus which means eagle-like in reference to the curved beak of an eagle. It is characterized by an Read More…

Case Study: A Mini-Otoplasty for Minor Ear Reshaping

Background: The shape of the ears is primarily influenced by the cartilage between the front and the back skin that surrounds it. In a normal ear, there are classic bends in the cartilage that create well described hills and valleys. It is these cartilage bends that give the ear its recognizeable convoluted shape. The prominences Read More…

Cotinine Test for Smoking Cessation Prior to Plastic Surgery

With over 45 million reported smokers, it is no surprise that many patients who undergo plastic surgery are smokers. The adverse effects of smoking are well known with tobacco smoke containing about 5,000 different chemicals with 250 toxins including nicotine and carbon monoxide. Nicotine causes vasoconstriction and an increase in thrombotic occlusion. Carbon monoxide has Read More…

Case Study: The Direct Necklift for the Older Male Neck Wattle

Background: The neck sags with age due to the development of sagging skin and fat and the separation of the neck muscles which exposes the subplatysmal fat. These neck changes can become really pronounced as one reaches the sixth and seventh decades of life. This is the time that many men take notice of their Read More…

The Columellar Strut Graft in Rhinoplasty

Most rhinoplasty surgeries done today use an open approach. By degloving the nasal tip skin through a columellar skin incision, the exposure to see the underlying cartilage structure offers more consistent and controlleable structural changes. While most of the attention focuses on the incision located at the midportion of the columellar skin, the true tradeoffs Read More…