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The Evolution of Over The Counter Topical Skin Care

Topical skin care has come a long way since the days of my mother’s Ivory soap and Noxzema. Beyond the explosion in available products from drug stores, retailers and doctor’s offices, the potential capability and claims of contemporary skin products at times seem extraordinary if not unbelieveable in many cases. But the hope that Read More…

Fibrin Glue In Facelift Surgery

Today’s plastic surgeon is awash, no pun intended, in a variety of topical and wound healing liquid and semi-liquid agents. Many of these are patient-derived and are extracts of either blood or fat. Stem cells are the most noteworthy of present but they are far from the first. One of the ‘oldest’ is that Read More…

Botox for the Gummy Smile

While a smile is a critical human expression that exposes one’s pearly whites, too much tooth and gum show is deemed undesireable. Known as a gummy smile, it is technically defined as any gum show that exceeds more than 2mms above the tooth line when smiling. While that is a good quantitative measurement of Read More…

The Use of Synthetic Implants In Rhinoplasty

The need for augmentation and support in rhinoplasty is common. Whether it is building up the dorsum, adding supporting to the columella or reconstructing the middle vault with spreader grafts, adding volume is a common cosmetic and reconstructive need. The need for volume is most magnified in many ethnic rhinoplasties where an entire dorso-columellar Read More…

Case Study: Octogenarian Facelift

Background: Aging of the face is inevitable and is always dramatically seen in the lower face and neck. Sagging of the jowls and neck occurs as the ligaments weaken and the skin stretches. While initially seen as a little bit of jowling and loose neck skin it can eventually progress to a full blown Read More…

Fat Injection Grafting to the Breasts

The presence of excess fat in most patients and its easy availability by liposuction extraction has led to the widespread use of fat injections for soft tissue augmentation. One of the most interesting and exciting areas of the use of fat injections is for breast enhancement. (FIBE) While most commonly perceived as a potential Read More…

Plastic Surgery Wisdom – Good vs Perfect Results

One of the most storied bits of wisdom amongst plastic surgeons is the phrase ‘the enemy of good is perfection’. This undoubtably applies to many fields of endeavor throughout life and basically refers to the idea that striving for a perfect result can sometimes lead to the opposite effect. Trying too hard, trying to Read More…

Case Study: Breast Rejuvenation in Older Women with Implants

Background: The popularity of breast augmentation surgery has much to do with its immediate effect at creating a larger and fuller breast mound. As the number of breast augmentation surgeries have continued to increase over the past decade, ‘older’ women are more frequently having the procedure. While once thought of as just a cosmetic Read More…

Auriculotemporal Nerve Decompression for the Treatment of Temporal Migraines

The trigger point mechanism for migraine headaches has been revolutionary in helping some patients achieve partial or complete relief of their headaches. It is based on identifying one or more of the four peripheral triggers points, frontal (supraorbital/supratrochlear nerves), occipital (greater occipital nerves), temporal (zygomaticotemporal nerve) and nasal (septum/turbinates), for injectable Botox or surgical Read More…

Liposuction and the Theory of Fat Re-Accumulation and Redistribution

Liposuction remains the most effective method of instantaneous fat reduction. Studies and surveys have repeatedly shown that its initial effects are very visible and, as a result, has a high patient satisfaction rating. But well done long-term studies are lacking that evaluate what happens to the contours of the treated areas as well as other Read More…