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Product Reviews – Evolence Injectable Filler

As of June 30 2008, a new soft tissue filler has been approved by the FDA for cosmetic facial application. With the name, EVOLENCE, it is an advanced collagen-based dermal filler that provides long-lasting treatment of moderate to deep facial wrinkles and folds, such as nasolabial folds. The results of treatment with EVOLENCE are Read More…

Different and Unusual Procedures in Plastic Surgery

As plastic surgery has worked its way into the mainstream of American society, it is no surprise that procedures are being done today that were not imaginable a mere ten years ago. And I am not referring here to surgery wonders of technology and scientific advancement (although that exists also), I am talking about what Read More…

Open vs. Endoscopic Browlift Surgery

As we age not only does extra skin and fat weight down our eyelids, but the overlying brows can often contribute to the problem. As the eyebrows fall below the bony rim of the forehead, ‘extra’ skin is created and the upper eyelids get heavier. Both the eyelids and the brow areas narrow the Read More…

Breast Reduction: Take The Weight Off Those Shoulders

Large breasts, medically known as macromastia, is associated with a range of musculoskeletal symptoms involving back, shoulder, and neck pain. The weight of the breasts eventually causes grooving of the skin across the shoulder from the straps of a bra which is weighted down. While insurance companies often insist on conservative treatment measures such as Read More…

Botox, Surgical Decompression and Migraine Headache Relief

The treatment of migraine headache patients by Botox injections has been shown to be effective in specific patients who have identifiable triggers of the supraorbital and supratrochlear, zygomaticotemporal, greater occipital, and septal trigeminal nerves. The temporary relief from Botox has led to the concept that relieving pressure on the nerves by muscle resection (surgical Read More…

Chin Reduction/Narrowing in Females

While chin enhancement in both increased projection and width is desireable in men, the exact opposite is true in women. A narrower more refined chin helps contribute to a more oval facial form. When one looks at a woman’s face and it is more square, the question is whether this is due to a Read More…

LactoSorb Grafting for Cartilage Preservation in Rhinoplasty

Cartilage grafting in rhinoplasty today is often an essential component of the procedure. Improving structural support of the nasal tip and internal nasal valves may require mechanical support through the use of cartilage grafts. In some patients, particularly revisional rhinoplasty patients, cartilage donor sites may have been previously used and the patient is now Read More…

The Realities of Scar Revision in Plastic Surgery

Scar revision is a common request and a frequently performed procedure in plastic surgery. Whether it is scars from an accident from a surgical encounter, many patients have concerns about their scars. As a result, there is much interest in scar improvement whether it is immediately after the scar event has occurred or even Read More…

Plastic Surgery Repair of the Split or Pierced Earlobe

The earlobes, often an after thought when thinking about the ear, is the only part of the ear that does not contain cartilage. As a result, it is much more delicate than the rest of the ear (which is supported by cartilage) and is prone to be easily torn and deformed. Ear rings, either Read More…

Botox and Injectable Fillers – Clearing Up The Confusion

A week does not go by that I do not find several patients that have confused Botox with injectable fillers in terms of what it can do for in-office facial wrinkle and line reduction. I have heard many patients say “Can you fill up my lips with Botox’ or ‘I need a filler between my eyes Read More…