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Fat Injections for Tear Troughs

The tear trough deformity is one of the more recently recognized aesthetic facial concerns for many patients. Hollowing under the eyes usually appears with age but some people have it as part of their natural anatomy. It is essentially lost or missing volume underneath the eyelid skin that is most manifest in the inner half Read More…

Plastic Surgery Product Review – Selphyl PRP Injectable Gel

Injectable fillers have achieved tremendous popularity and can be used for a wide variety of facial aesthetic needs. But most injectable fillers are merely temporary fillers that add volume and then disappears as the material absorbs. But a few contemporary fillers take a different approach, using natural materials whose intent is to stimulate local Read More…

Plastic Surgery’s Did You Know? The Daddy Makeover

Body contouring has been on the rise for years and almost always consists of combining multiple procedures for an overall improved body look. The most well known body contouring combo has been the Mommy Makeover, reversing the effects of pregnancy through breast implants with or without lifts and some form of a tummy tuck. But Read More…

Basic Concepts About Facelift Surgery

Facelift surgery has undergone many evolutions in technique over the past thirty years. Most of these innovations have been largely based on anatomic revelations and efforts to maximize the degree of improvement and the longevity of the procedure. This has led to a wide variety of technique proponents and even marketing names to differentiate Read More…

Skeletal Augmentation of the Aging Face

Aging of the face has been historically perceived as being a soft tissue problem. This has led to how the vast majority of anti-aging facial surgery has been done, employing lifting and redraping of the soft tissues back up from whence they came. There is a reason the term ‘facelift’ has persevered for nearly Read More…

Plastic Surgery Product Review – Asclera Sclerotherapy Solution

The cosmetic treatment of spiders vein by injection (sclerotherapy) dates back for over fifty years. The traditional sclerotherapy agents include hypertonic saline and sodium tetradecyl sulfate. (STS) While effective, they are associated with pain on extravasation, tissue necrosis with extravasation, and a moderate risk of hyperpigmentation. A ‘new’ sclerotherapy agent, Asclera (polidocanol), was approved Read More…

Plastic Surgery Wisdom: The Chance of Success of Aesthetic Correction

Patients present with a wide variety of aesthetic problems from the top of the head down to the lower leg. Within each aesthetic problem, there is a range of magnitude of the anatomic problem and the patient’s concern about it. While the problems may range from small to large, the degree of success in correction Read More…

The Rise in Illegal Cosmetic Procedures

There are numerous trends in plastic surgery that are on the rise but one in particular is extremely disturbing. The increasing number of injuries and horrific outcomes from so-called ‘illegal plastic surgery’. This term is a bit offensive to real board-certified plastic surgeons because they are not at all behind these illegal activities. Rather Read More…

Case Study: Forehead Reconstruction with Hydroxyapatite Cement

Background: Loss of the frontal or forehead bone can occur for a variety of reasons, usually from depressed fractures or loss of a craniotomy flap from infection. With removal of the protective bone cover, the brain and its dural covering sit directly up against the skin not only creating an obvious depression but pulsating Read More…

The Increasing Popularity of Buttock Augmentation

While the overall number of plastic surgery procedures continue to slowly rise each year, some procedures have increased more than others. One such procedure is buttock augmentation, up nearly 40% last year. Plumping procedures have always been popular in plastic surgery and the buttocks represents the biggest body part to plump of them all. Read More…