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The Psychological Aspects of Facial Structural Surgery

There are many reasons that patients request surgical changes to their face. With over twenty different facial regions that can be altered, there are seemingly endless options and combinations. But when you break it down, there are two main reasons for making cosmetic changes to the face. I divide these into either facial anti-aging surgery Read More…

Botox Browlift vs Browlift Surgery for Forehead Rejuvenation

One of the classic signs of early facial aging are lines and wrinkles that form in the forehead and between the eyebrows. As a reflection of the numerous muscles that make our facial expressions, wrinkles inevitably form in linear arrangements that are perpendicular to how the underlying muscles are oriented and move. This is Read More…

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…