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Open vs Closed Approach to Rhinoplasty

  By far, the most challenging aspect of rhinoplasty surgery is in the nasal tip. As the nasal tip is probably the greatest variable in appearance amongst individuals and one of the most defining parts of the nose, precision in nasal tip changes during rhinoplasty is of critical importance. Therefore, good access to provide adequate Read More…

The Treatment of Upper Lip Wrinkles

  I read a recent article that reports that drinking directly from water bottles can cause just as many upper lip wrinkles as smoking. I wouldn’t doubt it as any activity that makes your lips pucker, which activates the orbicularis oris muscle which encircles the mouth, can cause wrinkles to appear on the upper lip. Read More…

A Facelift That Is Quick and Fits Your LIfestyle

As we age, our face starts to show jowling and loose neck skin. This happens due to the pull of gravity on our facial tissues whose attachments to the underlying bones and tissues gradually loosens. While there are other signs of facial aging, these are often the most bothersome to many people. Most do not Read More…

Submalar Cheek Implants for Facial Lipoatrophy

  Facial lipoatrophy is a not uncommon facial condition that all of us have seen but didn’t know exactly what to call it. Some people call it ‘gaunt looking’, others may refer to it as ‘hollowing’ of the face. No matter what you call it, it is the result of loss of the buccal (cheek) Read More…

Gas Prices, The Economy and Plastic Surgery

  While the economy partly has been in a recent downturn, partly driven by higher gas prices (amongst many issues), there is no certainty as to how far south it may go. Where it stays as it is today or gets worse in the next 6 months is impossible to predict. What is possible to Read More…

Fat Injections for Calf Augmentation

  Augmentation of the calfs is most consistently done with a synthetic implant. Most patients who seek calf augmentation are typically body builder types, those born with very thin calfs who have been unable to build them up, or sosmeone with significant calf asymmetry. Despite an implant’s predictable improvement in the size and shape of Read More…

Product Review – Prevelle Silk Injectable Filler

The number of commercially-available injectable fillers continues to expand. Most injectable fillers that are available today, and into the near future, are hyaluron or hyaluronic acid-based (HA) due to its human compatability and lack of any significant complications. HA is a sugar molecule well known to the human body being present in much of the Read More…

Fat Injections for Buttock Augmentation

  Buttock augmentation is most consistently done with a gluteal implant. Despite its predictable improvement in the size and shape of the buttocks, buttock implants are not without complications. Intramuscular implant placement makes recovery more uncomfortable and having to sit on the implant predisposes it to positional shifting and the formation of fluid collections and Read More…

Scars, Scarring and Scar Revision

  Scars from most plastic surgery procedures are an inevitable outcome. Most plastic surgery operations require an incision, and when this is necessary as it almost always is, a scar will result. While many incisions (and subsequent scars) can be relatively ‘hidden’ dependent upon the procedure (e.g., facelift, blepharoplasty), many plastic surgery procedures on the Read More…

Plastic Surgery for Real People

  I read a recent article in People magazine this week entitled the same name as this blog. The fundamental premise of the article was that plastic surgery today is done on the ‘average person’, not necessarily the rich and famous. They go on to cite five people who had differing plastic surgery procedures and Read More…

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