Blog

The Science of Liposuction – Part 1. Tumescent Infiltration

Liposuction, introduced into the U.S. 32 years ago in 1981, is one of the most popular plastic surgery procedures performed. It is so commonly done it has worked its way into American culture as an instantly recognizeable term for what it does. Despite the recognizability of liposuction, how it actually works is not generally well Read More…

Case Study: Breast Lift with a Little Reduction

Background: Breast reshaping surgery includes three basic manuevers, making the breast smaller (reduction), uprighting a saggy breast (lift) or adding volume.(implant vs. fat injections) They can be done alone or in almost any combination depending upon the patient’s aesthetic breast desires. Breast reduction surgery is very common and extremely effective at not only reshaping the Read More…

Case Study – Upper and Lower Blepharoplasties with Endoscopic Browlift

Background: Changes around the eyes is the first part of the face that shows signs of aging. The development of excess skin on the eyelids and protruding eyelid fat makes the eyelids heavy and tired looking. But the eyes do not age in isolation, above them sits the eyebrows which are not immune to the Read More…

Plastic Surgery Humor – Non-Invasive Abdominal Etching

This is is the fastest way that I know that the ‘six-pack’ abdominal look can be achieved…even if it is not permanent. But what creates those stomach lines that many of us envy and would like to have and the fence wires have created? Those are known as the abdominal inscriptions. These are tendinous Read More…

Case Study: Sliding Genioplasty with Implant Overlay for Chin Implant Replacement

Background: Chin augmentation is the most common implant enhancement procedure of the face. It is usually highly successful as long as the chin is not horizontally too short. Once horizontal chin deficiences approach 10mms or more, it will also have other dimensional issues as well being also vertically short.Trying to make a chin implant Read More…

Plastic Surgery’s Did You Know? Fat Atrophy after Trauma

A common observation in blunt traumatic injuries of the face and body that have resulted in large bruises or hematomas (blood collections) is that soft tissue or contour depressions may appear many months later. This is confusing to patients as they do not know why it occurs since they did not have a laceration or Read More…

Blepharoplasty with Fat Injections

The most common procedure for rejuvenation of the periorbital area is surgical blepharoplasty. Removing skin from the upper and lower eyelids as well as fat mainly from the lower eyelid can make the eyes appear refreshed and more open. But tissue excess is not the exclusive problem that occurs around the eyes as they age. Read More…

Case Study: Two-Stage Approach for Large Onlay Skull Augmentations

Background: While there are many different cosmetic skull shape deformities, one of the most common is that of a flat back of the head. The slope of the back of head can be flat either in a completely vertical plane (lack of posterior projection) but most commonly is more of an exaggerated slope from the Read More…

Plastic Surgery’s Did You Know? Pectoralis Muscle Atrophy after Breast Augmentation

The most common location for placing the implants in breast augmentation is under the muscle. What this means is that a pocket is made between the thicker outer pectoralis major muscle and the thinner underlying pectoralis minor muscle. When it comes to nerves in breast augmentation the most common concern is about nipple sensation and Read More…

The Need for Revisional Surgery in Combined Breast Lifts with Implants

It has been a repeated mantra of mine that the ultimate cosmetic breast reshaping operation, a combined breast lift with implants, has a high rate of ‘complications’ or need for revision. It is something that I repeatedly counsel women on before surgery. My stated rate of revisional surgery in augmentation mastopexy patients is potentially Read More…