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Advantages of the Hairline (Pretrichial) Browlift

The best, and often only, option for upper facial rejuvenation is the browlift. Some may consider an upper blepharoplasty (eyelid) part of the upper face, and I would not disagree, but we will exclude that procedure for this discussion. The browlift rejuvenates by elevating the position of the brows (sometimes changing the shape of the Read More…

Three Things That Breast Implants Don’t Do

Breast implants remain a very popular plastic surgery option. Despite the recent economic downturn, however, the number of women requesting the procedure has not substantially decreased. The reason undoubtably is that it is a very successful procedure that produces instantaneous results. In my Indianapolis plastic surgery practice, I know of few operations that can make such Read More…

Volumetric Facial Augmentation with Fat Injections

‘I am very lean and have lost volume in my face. I would like to find a permanent solution and have read about fat grafting. Is this done with local anesthesia and how much fat do you need to extract to get enough and where would you extarct the fat from? Also what is Read More…

Zygomatic Osteotomies in Cheek Augmentation and Cheek Reduction

The cheek bone (zygoma) is a very valuable part of one’s appearance as it provides a prominent highlight and a width dimension to the face. It also provides support to the eyeball and serves as an attachment point to the tendons of the upper and lower eyelids. Some people have naturally broad or narrow Read More…

Forehead Contouring and the Coronal Incision

Contouring of the forehead is an uncommon procedure in plastic surgery but the techniques to do it are not. Whether it is to reduce frontal bossing, soften prominent brow bones, or change the slope of the forehead, the forehead can be reshaped in a variety of dimensions. Most reduction changes are more subtle to Read More…

The Role of Midface Lifts in Facial Rejuvenation

As one ages, changes take place in the face from top to bottom. While changes in the neck and jowl are most commonly observed, the middle part of the face is also affected. Sagging cheeks and deepening nasolabial folds are the hallmarks of midfacial aging. Different approaches are taken to address these issues including Read More…

Sculptra Injectable Filler – How Does It Work?

Sculptra is the latest injectable filler to be approved for aesthetic facial treatment. While it enters a milieu of ten other injectable compositions that are commercially available, Sculptra has the unique distinction that it lasts the longest. Duration of action is usually the one injectable filler feature that is most desireable. But before you Read More…

Brain Freeze – An Anatomic Understanding as a Plastic Surgeon

On a side topic that has very little to do with plastic surgery, I read an article the other day on the scientific explanation for the well known phenomenon known as ‘brain freeze’. Almost everyone has experienced this excruciating pain that occurs from eating ice cream or drinking something very cold. The contact of Read More…

Rhinoplasty – The Influence of Anatomy on Nose Shape

Rhinoplasty continues to be a popular facial procedure and is one operation that is almost synonymous with plastic surgery. The central position of the nose on the face makes the need for any rhinoplasty surgery to be very precise. Good results in rhinoplasty are largely dependent upon a detailed understanding of the anatomy of Read More…

Plastic Surgery Product Review: Sculptra Injectable Facial Filler

Sculptra is one of the numerous injectable facial fillers that has an established history of treating the condition known as facial lipoatrophy, most commonly seen in patients with HIV disease as a result of their antiviral therapy. By working as a facial volume restoration method rather than as a wrinkle or lip filler, Sculptra’s mechanism Read More…