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Lip and Corner Tuckups for the Aging Mouth

One of the telltale and most bothersome signs for women as they age is the development of an aging or “old mouth”. Besides the lines and wrinkles that form in the surrounding skin, other anatomic changes occur that change its overall appearance. The upper lip begins to get longer and thinner. The drooping skin from Read More…

Excisions of Residual Tattoo Pigments after Laser Treatments

The treatment of undesired tattoos is best done with multi-wavelength laser technology. By using different laser wavelengths for the colors of tattoo pigments, many tattoos can be successfully reduced and some even completely cleared. While the process is not quick nor inexpensive, it is the most successful method we have to date to treat Read More…

Three Adverse Effects of Botox and Dysport Injections into the Forehead

Injectable neuromuscular modulators (Botox and Dysport)are the single most effective non-surgical treatment of the face for wrinkle reduction and an overall anti-aging effect. They are fairly simple to inject and the large numbers of patients who are successfully and happily treated, by practitioners of a wide variety of educational backgrounds, is a testament to Read More…

Suture Reactions in Plastic Surgery

There are few, if any, plastic surgery procedures that do not require some form of skin closure with sutures. The methods that plastic surgeons use to close skin are somewhat different from many other surgical specialties. Given that the final appearance of the scar is of paramount importance, supporting the wound edges for a Read More…

Options in Brow Bone and Forehead Augmentation

The forehead has a variety of shapes that do differ based on gender. Men will tend to have flatter fuller foreheads with more prominent brow bones (supraorbital ridges) while women’s foreheads will usually be softer, less full, and with flatter brow bones that tend to angle off into the temporal region. Whether it be Read More…

Nipple Lifts to Correct Asymmetry in Breast Augmentation

Breast augmentation is an operation that is essentially about enlarging the breast mounds. Where and how the implant is placed can affect not only the shape of the breast mounds but their symmetry to each other. The change in the breast mound, however, will not make a difference in the position of one’s nipples. Read More…

Postoperative Drainage after Smartlipo (Laser Liposuction)

Smartlipo, also known as laser liposuction, uses heat to breakdown fat. Through the joint concepts of direct fat destruction by contact with a 1mm probe which emits laser energy to raising the internal temperature of the zone of treatment to above 45 degrees C, fat cells are thermally disrupted. The heat either directly breaks Read More…

The Role of the Plastic Surgeon in New Liposuction Technologies

Liposuction now has a U.S. history of close to 30 years of widespread clinical use. Over the years, many innovations and technologic advancements have come forth for this popular fat removal method. The vast majority of these have been in the past ten to fifteen years and much has centered on the methods of Read More…

Perspectives on Browlift Surgery

One of the manifestations of aging of the forehead is changes in position or shape of the eyebrow. While it is generally believed that one’s brow falls or descends with age, current studies suggest that this is not always true. I have seen numerous patients where the eyebrows are clearly lower than the edge of Read More…

The Unpredictability of Injectable Fat Grafting – An Anatomic Analysis

Autogenous fat grafting continues to have tremendous appeal due to its ease of harvest, ample donor sites (in most patients) and injectability. But no matter how it is done, the fate of the injected graft can be unpredictable. Some may tout that retained volume of the graft is a reflection of the technique used, and while this Read More…