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The Anatomy of the Buccal Lipectomy

I frequently get asked by patients in consultation or online what they can do to make their face look thinner. Besides the obvious answer of weight loss for some patients, they are specifically asking about facial fat removal either through liposuction or removal of the buccal fat pads. While liposuction can make a great Read More…

The Use of Infra-Orbital Rim and Cheek Implants

Deficiencies of the lower rim of the eye socket and cheek create a hollowed-out appearance. Some call this a tear-trough deformity although this is not really accurate. A tear trough deformity is a depression between the eye and nose, technically known as the nasojugal fold. Underdevelopment or underprojection of the lower orbital rim and cheek Read More…

Treating The Sagging Male Chest after Massive Weight Loss

Currently, men make up a minority of patients presenting for body contouring surgery after weight loss. However, their numbers are increasing and they have several different body concerns that women. One of these is that of the chest area. The skin sag and the presence of excess fat under the nipple creates a relatively new Read More…

The Upper Body Lift in Bariatric Plastic Surgery

The excess skin and fat from extreme weight loss often creates a circumferential hanging effect at many levels of the body. While many think of the body lift as only one contouring procedure, they are only thinking of the lower body lift or circumferential body lift procedure. There is another body lift procedure for the Read More…

Rebuilding the Bridge of the Nose in Revisional Rhinoplasty

Removal or smoothing out a hump or bump on a nose is one of the most common techniques used in rhinoplasty. Many patients have a prominent hump that they want reduced. Hump reduction is a combination of bone and cartilage removal. Small or minor humps are usually filed done which is a very controlled Read More…

The Circumferential Body Lift Procedure For the Surgery Patient

In some weight loss patients, enough loose skin results that it feels like a suit is hanging off your body. The excess skin exists in a 360 degree fashion from the chest down to the knees. You could call this the ‘sharpee’ syndrome or one that looks like ‘wax melting off a candle’ but Read More…

The Balanced and Proportionate Rhinoplasty

Elective rhinoplasty, often called a nosejob, is a term used to describe surgical reshaping of the outside the nose. It is usually done because someone simply wants their nose to look different. In the past, rhinoplasty was something that only the wealthy or upper class pursued. It was not usually affordable for most people. Read More…

The Abdominal Panniculectomy vs Tummy Tuck in the Extreme Weight Loss Patient

A panniculectomy is a very close cousin to a tummy tuck or abdominoplasty. The term pannus refers to a large apron of skin and fat that hangs over the waistline. The abdominal panniculectomy, surgical removal of a pannus, is a somewhat historic term now as it really refers to the pre-bariatric surgery era when Read More…

Asymmetry after Breast Augmentation – Why Does It Happen?

The single most common complication in breast augmentation is asymmetry of the breasts after surgery. I don’t know what the national average rate of revisional surgery is to correct breast asymmetry after implant placement, but in my practice it is about 5%. Clearly, one can see that this risk is not rare. Breast asymmetry Read More…

Tummy Tuck Variations in the Extreme Weight Loss Patient

The abdominal skin excess that is created from extreme weight loss requires a different approach than that used in the traditional tummy tuck in many cases. The skin overhang is more extensive horizontally and often wraps around the hips into the back area. Often skin excess is evident in the vertical dimension as well due Read More…