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Options in Hand Rejuvenation

  The face ages with a classic set of findings including the development of wrinkles, loose skin, fat atrophy and age or brown spots. The rest of the body ages as well but most of it does not have the amount of sun exposure to which the face is exposed. Therein lies the differences in Read More…

Non-Facelift Options In the Aging Neck

  An improved neck shape is a desire for many aging men and women. With time, loose skin and sagging fat develop that create a full neck with a more obtuse angle. When seeing patients who seek a better neck and jawline, they are usually surprised when the concept of a facelift is presented. They Read More…

Case Study: Rhinoplasty in the African-American Nose

Background:Changing the inherent shape of the African-American nose is one of the earliest forms of ethnic rhinoplasty in the U.S. The rhinoplasty goal is not to make it look like a Caucasian nose as this is both unnatural and often just ends up just creating an abnormal nose shape that does not fit the face. Read More…

Skin Wrinkle Types and Their Treatments

Wrinkles are a part of aging and there is no way to completely prevent many of them from happening. While topical creams and lotions once were the only players for wrinkle prevention and treatment, that has changed significantly over the past decade. Botox, injectable fillers and various energy-based device treatments (e.g., laser) have moved in Read More…

Nasal Tip Projection and the Nasolabial Angle in Rhinoplasty

Concerns about the size and shape of the tip of the nose is one of the most common reasons many patients seek rhinoplasty surgery. Patients want nasal tips that are smaller, more narrow and sometimes even lifted. I have yet to have a patient request a nasal tip that they want to be fuller, wider Read More…

Sientra Breast Implants – Third U.S. Manufacturer Approved

  The number of breast implant manufacturers has now officially increased to three.  Twenty years ago there were as many as six companies that commercially sold breast implants for both cosmetic and reconstructive surgery. But when the silicone gel breast implant moratorium occurred in 1991 and the legal and financial fallout ensued, the number of Read More…

The Reality of Rhinoplasty Recovery

Rhinoplasty can produce some of the most dramatic changes on the appearance of one’s face. Sitting dead center in the face, it is hard to escape what it looks like…and even harder to hide it should it have surgery. Besides the splint and tapes that envelope the nose during the first week after surgery, there Read More…

Case Study: Female Submental Chin Reduction

Background:The chin is the dominant feature of the lower third of the face. When in good balance with the rest of the face it is an asset and a pleasing feature. When it is short or weak, it makes the face profile too convex and suggests a weak nature to the person. When it is Read More…

Temporal Augmentation with Fat Injections

A recent news story out of the UK in London headlined the transfer of fat from a man’s stomach to his head to reshape it. Given that fat injections to the face, breast and buttocks have become so popular over the past decade, such a story is at the very least noteworthy. The patient was Read More…

Case Study: Mini-Blepharoplasties in Younger Patients

Background:The earliest and most recognizeable area of facial aging is around the eyes. Due to the near constant motion of the eyelids and surrounding sphinteric-like orbicuralis muscle action, redundant skin and wrinkles develops on both eyelids. With enough time and aging, the extra skin becomes significant enough to hang down onto the lashes of the Read More…

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