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Artefill (Bellafill) and Skin Testing

The newest more permanent injectable filler, ArteFill, for facial lines and folds is taking a throwback from history. Its use requires a pre-injection skin test due to its bovine (cow) collagen content. This is what the original collagen injections, Zyderm and Zyplast, required when they were the only injectable filler available from 1981 to 2000. Read More…

The Concept of Value in Plastic Surgery

Cosmetic plastic surgery is very unique from traditional medicine in one significant way….it is elective. The ‘problems’ treated do not absolutely need to be treated, operating on them is elective. Therefore, one of the contributing factors used in deciding whether to go with one treatment or another is the concept of value. What result Read More…

Chest Correction (Gynecomastia Reduction) in the Male Bariatric Surgery Patient

In the male bariatric surgery patient who has undergone massive weight loss, the resultant chest wall (breast) deformity is often of major concern. The appearance of the male chest, like the female breast, is of understandable significance. This male chest deformity is often called gynecomastia but this is inaccurate and actually signifies a different pathology. Read More…

The Wrap-Around Jawline Implant for Men

The use of facial implants for male face enhancement is common and the traditional areas include the chin, cheeks, and jaw angle areas. Every now and then, I get a request or see a patient who really enhancement in a different area of the jaw….the vertical dimension. Making the jawline longer in the vertical dimension Read More…

The Thigh Lift in the Bariatric Surgery Patient

For many massive weight loss patients (> 100 lbs), the thigh is often the last stage of body contouring that is done. It is always a good idea to see how much result you can get in the thighs after the abdominoplasty/panniculectomy/circumferential body is completed first. While these procedures won’t make a dramatic difference Read More…

The Limited Facelift: A Jawline Tuck-Up

The sagging jawline is one of the first signs of sigificant facial aging. Occurring somewhere in the early to late 40s, the development of jowling begins which may be accompanied by looser skin in the neck and loss of the once-sharp neck angle. In seeing a lot of these early aging patients, they often are Read More…

Arm Lifts in the Bariatric Surgery Patient

Of the many bariatric surgery patients that I have seen over the years who have lost 100 or more pounds, the concern over their saggy arms is often a top concern. I would have to say that the arm concern combined with the stomach or waistline are almost always the top two priorties of the Read More…

Circumferential Body Lift in the Bariatric Surgery Patient

With the tremendous increase in the number of bariatric surgeries performed in the past five years, to no surprise there has been a near equal increase in the number of post-bariatric body contouring procedures performed to deal with the resultant excessive hanging skin. These bariatric plastic surgery procedures include arm lifts, breast lifts, abdominoplasties, Read More…

Plastic Surgery Wisdom – Less Is Rarely More

I have noticed over the years an occasional relationship between the economics of a patient, affordability if you will, and the potential satisfaction from a procedure.The less likely a patient can really afford the procedure, the less likely they may be completely satisfied with it. To give a good example, I had a lady last Read More…

The Meaning of Before and After Pictures in Plastic Surgery

One of the most frequently asked questions to me by patients, and undoubtably looked for on websites and the internet, are photographic results of plastic surgery. Specifically, plastic surgery pictures from the specific plastic surgeon that they are evaluating. Given that everything we do in plastic surgery is visible and capable of being photographed, most Read More…