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Surgical Treatment of Migraine Headaches – Sham vs. Actual Surgery

Migraines are difficult treatment problems that are resistant to many standard drug therapies. Few migraine sufferers have one treatment approach that works consistently. Migraines that have a single or predominant trigger site, while is just a subset of migraine sufferers, have been undergoing novel non-surgical (Botox) and surgical (nerve decompression) treatments in some centers Read More…

Comparing Dysport to Botox Injections

The wrinkle wars are beginning to heat up. After decades of a monopoly, there is finally a competitor to Botox for the treatment of facial wrinkles, Dysport. The introduction of Dysport now allows doctors to offer an alternative neurotoxin for facial cosmetic applications. Although Botox and Dysport are both botulinum toxin type A molecules, Read More…

Maxillary, Premaxillary and Paranasal Implants for Facial Augmentation

Facial implants remain a good and simple way to highlight existing or deficient facial anatomy. While everyone knows the most common facial implants, such as cheeks and chins, there are numerous other areas of the face that can implanted. In the midface, there are the standard implants of the cheeks and nose. These areas Read More…

Rhinoplasty Correction of Nostril Stenosis

The nostril, although often overlooked, plays very important aesthetic and functional roles in the nose. Beside being the obvious and only inlet for airway passage through the nose, its shape and opening help form the tip of the nose in both height and width. While nostril morphologies are as variable as the rest of Read More…

Timing of Liposuction (Smartlipo) and Weight Loss

One of the common questions or concerns in patients considering liposuction (Smartlipo) is the timing of the surgery. Given one’s existing weight, and whatever plans one has for weight loss, at what point should one undergo liposuction? Â Ideally, and the opinion that is most widely espoused, is to wait until one has lost as much Read More…

The Split Chin Implant Technique

Chin augmentation uses an implant to reshape the chin. This is always in the forward direction for increased fullness. While at one time chin implants were only good at bringing the chin forward, today’s numerous implant styles allow for a long more options in altering chin shape. One of the most important chin implant Read More…

The Challenges of Adult Cleft Rhinoplasty

Rhinoplasty persists as one of the most challenging plastic surgery procedures. Through one’s career, it is an ebb and flow of time periods where you think you have it all figured out followed by other periods where you have some complications and disappointing outcomes. When it comes to the congenital nasal deformity, such as Read More…

Wide-Spaced Breasts in Breast Augmentation

Breast augmentation is the relatively simple procedure of placing an implant underneath one’s existing breast mound. By so doing, the existing breast mound is changed by enlargement. What is not obvious to most patients is that although the breast becomes larger, many of its pre-surgical features remain. An implant can change breast size and to Read More…

Perioral Rejuvenation – Combining Nasolabial Fold Injectable Fillers and Corner of the Mouth Lift

As the face ages, so does the mouth area as well. Many perioral changes take place that go beyond the development of wrinkles and vertical lip lines. The upper lip may get longer, the corners of the mouth may droop, and both upper and lower lips get thinner and lose any poutiness. Three distinct Read More…

Shortening the Long Nose with Rhinoplasty

One of the potential complaints of rhinoplasty patients is that their nose is too long. This should be differentiated from someone who feels that their nose is too big. While big may mean long when it comes to the nose, most of the time patients use the term big in reference to the size Read More…