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The Art and Science of Fat Grafting – Part 1. Graft Harvest

It has been shown in numerous experimental studies that fat graft survival and the volume retention that results is from the number of fat cells (adipocytes) surviving the transplantation process. While accompanying stem cells and other companion cells may have a contributing role in creating some of the augmentative effect (preadipocyte conversion), this cellular event Read More…

Plastic Surgery Humor – Facelift

Almost everyone’s concept of a facelift is one that is pulled too tight. This misconception undoubtably comes from celebrities who have made somewhat of a career and perpetual jokes about their own facelifts. Such notables include Phyllis Diller and Joan Rivers. They made a good living poking fun at themselves and their own taut Read More…

Occipital Nerve Excision in Migraine Surgery

The most common surgical treatment today for migraine headaches that are due to peripheral occipital nerve impingement is decompression as the nerve courses through the neck muscles and fascia. While this operation has a significant rate of symptom improvement, not all patients get better and some who get better relapse back after a period of Read More…

Case Study: Rhinoplasty for the Crooked Nose

Background: Combination internal nasal surgery to improve breathing and external nasal reshaping is commonly done. Technically this is known as a septorhinoplasty procedure. While the two nasal surgeries can be done separately and frequently are, one can always influence the other adversely. An overly done rhinoplasty can collapse the middle vault and narrow the internal Read More…

Strategies for Successful Liposuction Outcomes

Liposuction is the fourth most commonly performed aesthetic plastic surgery procedure in the U.S. as determined by the American Society of Plastic Surgeon’s annual Statistics in 2013. At over 200,000 procedures performed (this estimate is undoubtably low), there is a lot of fat being removed from the face to the ankles. What is unique about Read More…

2013 Plastic Surgery Annual Statistics for Cosmetic Procedures

Every year at this time, the American Society of Plastic Surgeons releases the annual procedural statistics from the previous year. This is always a good snap shot of the state of the specialty. From a cosmetic standpoint, there were over 15 million procedures performed in 2013. This includes both invasive surgery, minimally invasive and Read More…

Case Study: Submuscular Breast Augmentation in Body Builders

Background: Body builders and figure enthusiasts create chest and arm muscular volume and definition by cutting fat and inducing muscular hypertrophy. But what differentiates male and female bodybuilders from a chest standpoint is that females should have a breast mound while men are flat. But due to the regimented stripping of fat as part of Read More…

Case Study: Older Male Gynecomastia Reduction with Nipple Transposition

Background: Gynecomastia, the development of breasts in men, is often thought of as a young man’s problem. While hormonal changes certainly set the stage for the emergence of breasts in some teenagers and young men, similar problems of a slightly different nature occur at the opposite end of the age spectrum. When older men develop Read More…

Strategies for Successful Buttock Implant Augmentation

While implants are used all over the body from the breasts to the calfs very successfully, their use for buttock augmentation is associated with a more checkered experience. Not that implants anywhere can’t be associated with complications, but buttock implants carry a disproportionate amount of criticism. This is partially due to the availability of fat Read More…

Tracheal Shave Neck Contouring

The reduction of a prominent Adam’s Apple through a procedure known as a tracheal or laryngeal shave has been in the news lately. Former Olympic Gold Medalist Bruce Jenner has recently made headlines for purportedly undergoing the procedure and the tabloids have suggested that he may be in a transitional state to becoming a women. Read More…