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Foreign Body Reactions (Granulomas) from Injectable Fillers

Injectable fillers are one of the most popular in-office aesthetic facial treatments. Used primarily to fill nasolabial and marionette lines as well as lips, they provide an instantaneous result. As of today, there are over a dozen commercially-available injectable fillers of various compositions. Patients frequently ask about what is different between them and which Read More…

Preventing Hairline Changes in Facelift Surgery

Patients considering facelift surgery seek an improved neck and jowl line. Such surgery requires the use of incisions around the ears to accomplish that goal. Patients are understandably concerned about the location of the scars, but once explained where they will lie, are reassured that they will not be noticeable to the general public. Read More…

The Use of Liposuction in Reconstructive Plastic Surgery

Liposuction is one of the most commonly performed of all cosmetic procedures. From the neck down to the ankles, fat can be effectively removed with good outcomes and high patient satisfaction. It is estimated that over 500,000 liposuction procedures are performed in the United States each year. The vast majority of these are done Read More…

Rhinoplasty Correction of the Hook Nose Deformity

A good looking nose is about balance of its many nasal parts, particularly the three thirds of the nose. One of these, the upper third, also known as the bridge is a frequent source of dissatisfaction. When it is overgrown or too high, a hump or bump on the nose results. In rhinoplasty terms this Read More…

Weight Loss Before Liposuction – How Much and When?

One of the common questions from potential liposuction patients is how much weight should they try to lose before surgery. Should they not try to loss any weight, loss some weight, or loss as much weight as they can before liposuction body contouring? The crossing of paths between surgical and non-surgical weight loss is Read More…

The Aging Mouth – Fat Injections for Volume Loss

Like the appearance of the back of one’s hands, the mouth area can be a telltale sign of one’s age. The best facelift ever done will do little for this expressive island of the central face. Focused treatment strategies must be applied to the lips and mouth. As their aging problems do not respond Read More…

Surgery Center vs. Hospital Infection Risks in Elective Plastic Surgery

In the February 26, 2010 issue of the New York Times, an article on hospital-acquired infection and antibiotic-resistant bacteria was published. While a hospital is the place to recover from severe illness or undergo major surgery, there is a flip side to concentration of illnesses… being a depot and breeding ground for bacteria of all Read More…

The Sternal Notch Tuck-Up: A Low Horizontal Neck Lift

As one’s face ages, there is a gradual downward shifting of tissues from the cheek down into the neck area. The combination of time, gravity, and loss of skin’s elasticity and its underlying anchoring ligaments accounts for this inferior movement. Because the jaw (mandible) acts like a ‘fixed fence line’, the falling over of Read More…

Case Study: Reconstruction of the Torn Gauged Earlobe

Background: Earlobe stretching (often incorrectly referred to as ear gauging) is the deliberate expansion of an initially healed piercing into a much larger through and through hole. The purpose of earlobe stretching is for the ultimate purpose of wearing jewelry in the hole. Stretching is usually done in small amounts over time to avoid Read More…

Rhinoplasty for the Boxy Nose (Wide Tip)

“ My nose is too wide…My nose is big and troll-like nose… My nose is thick and bulbous…I have a nose with a boxy tip” Many patients seeking rhinoplasty have what they commonly describe as a wide, boxy, or bulbous tip of the nose. What they really want is to have it look more refined Read More…