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Case Study: SmartLipo For Gynecomastia Reduction in the Older Male

Background:Gynecomastia is a well known condition that largely affects the teenage and younger male. Male breast enlargement is most likely to be affected during the hormonal changes that occur during and after puberty. On the opposite side of puberty, the andropause era of men may cause gynecomastia as testosterone levels drop and numerous drugs for Read More…

Jawline Surgery and Facial Derounding

One recent high profile facial change reported in the media is that of Bristol Palin. At a dinner in Washington in late April, she was reported to be unrecognizeable. Something was very different about her face. She had a distinctly more angled jaw and sharpened chin. It was speculated that she had a facelift, fillers Read More…

Case Study: Smartlipo (Laser Liposuction) of the Neck Wattle in Older Men

Background: One of the most bothersome facial features in late middle-aged and older men is the droopy neck or neck wattle. The skin of the jowls and neck eventually develops some sag due to its weight and loss of underlying attachments. This will be magnified in those men who have fat collections that have developed Read More…

Breast Augmentation With Fat Injections Using Brava Device

Breast augmentation historically and to the present day is an implant-driven operation. What is put in accounts for the way it appears on the outside. Despite its popularity, breast implants due have their problems including a limited lifespan. Contrary to what many patients believe, they are not lifelong devices and they will eventually fail Read More…

Surgical vs. Non-Surgical Treatment Options for the Tear Trough Deformity

One of the very common aging questions that I receive is about undesired changes on the lower eyelid and cheek area. Whether it is dark circles under the eyes, lower eyelid bags, tear troughs or wrinkles, these eyelid problems can make one look tired. Not only do they see it but other people frequently comment Read More…

The Safety of Facelift Surgery in Older Patients

One of the common questions I hear from patients, usually as an internet or e-mail inquiry, is whether they are too old for a particular procedure. This is usually a facial procedure rather than one on the body as the interest of patients over 65 is largely towards appearance concerns above the shoulders. They also Read More…

The Safety of Fat Injections in Breast Reconstruction

The use of injectable fat grafting in breast reconstruction has evolved in the past decade to become an established technique. While many patients envision that the entire breast mound is made out of injected fat, it is largely a complementary technique. It may be used alone in smaller lumpectomy defects but it is a secondary Read More…

Narrowing The Width Of The Chin By Osteotomy

Changes in the chin are traditionally perceived as the need for a horizontal increase or improved anterior projection. While many chin deficient patients need horizontal augmentation, there are other dimensions in which the chin may need to be changed. Vertical lengthening or shortening is the other most recognized alteration that can be done to Read More…

Case Study: Nipple Lifts in Correcting Asymmetry in Breast Augmentation

Background: Breast augmentation remains as one of the most popular and commonly performed of all body contouring procedures. Because breast augmentation involves two breasts, the symmetry of the result is very important. But few women have perfect asymmetry between their breasts and many have quite significant differences. Breast asymmetry involves either the size of shape of Read More…

The Use Of Injectable Fillers In Older Patients

Injectable fillers have helped revolutionize facial rejuvenation, allowing a simple office procedure to create an immediate effect with no recovery. With instantaneous results, small areas of facial volume loss of deficiency can be filled or plumped up. While fillers can be put just about anywhere on the face, the vast majority are placed in Read More…