Blog

Botox – Upcoming Competitive Botulinum Analogues

Botox is a now a household name and one of the most popular and commonly performed cosmetic procedures in the world. Botox represents one form of botulinum A toxin of which there are at least eight forms. Currently, there are three additional forms of botulinum under some level of clinical development. The ones we are Read More…

The Growing Demand for Male Breast Reduction

I have been seeing more and more older male patients for ‘gynecomastia’ in the past several years. In the past, most of the males I saw with ‘chest problems’ were usually teenage boys who had the very typical adolescent form of gynecomastia. Some of these were quite small, isolated to the nipple-areola area, and Read More…

Facial Laser Resurfacing – Deep or Superficial ?

When facial laser resurfacing was first introduced over 10 years, the carbon dioxide lasers emitted precise levels of high energy for skin ablation. This resulted in a bloodless form of skin retexturing that had advantages over traditional demabrasion and chemical peels. Due to long recoveries with deep laser resurfacing, however, the current trend is Read More…

Secondary Revisions of Liposuction Surgery

The single most common aesthetic complication in liposuction surgery is irregularities or contour depressions. These aesthetic issues are not rare and are often present in very minor manifestations that are acceptable to most patients. They are most common on non-flat contour areas such as the thighs due to the use of a straight cannula Read More…

Silicone Breast Implants and Risk of Platinum Toxicity

Just when I thought I had reviewed all of the known issues relating to silicone breast implants, from the risk of autoimmune disorders to breast feeding, one appears that I not yet heard of…..the risk of platinum toxicity. The metal, platinum, is used as a catalyst in the cross-linking reaction of the silicone gel Read More…

The Health of Children Born to Women with Silicone Breast Implants

An exhaustive amount of investigations have been done relating to the health of women who have had silicone breast implants. Little work has been published on a more obscure, often not thought about, but very relevant issue…..do silicone breast implants have an any adverse effects on children born to mothers who have had breast implants? Read More…

Silicone Breast Implants and AutoImmune Disorders

Since silicone breast implants have been re-introduced into the commercial marketplace in the United States in late 2006, most of the women seeking breast augmentation are not aware of the tremendous controversy with their predecessors fifteen years ago due to their age. Generally, only patients over the age of 40 would likely remember the Read More…

The Effect of Silicone Breast Implants on Breast Cancer Detection

While not commonly asked, one of the first questions a potential breast augmentation should ask is…does the breast implant interfere with being able to detect breast cancer? Since breast cancer in the United States affects one in 11 women during their lifetime, this is a fairly important question. As breast augmentation procedures continue to Read More…

The Safety of Breast Feeding with Silicone Breast Implants

Now that silicone breast implants are back for breast augmentation, they are rapidly becoming the preferred implant over saline for primary breast augmentation. Due to their more natural feel, lack of implant rippling, and lower risk of detectable implant failure, they now represent 90% of implants that I put in for breast augmentation. One Read More…

A Plastic Surgeon’s Observations on Fat and Obesity

As a plastic surgeon, I get the ‘opportunity’ to see lots of fat-related concerns and, in the new world of bariatric plastic surgery, get to see patients who either still are or were obese prior to their bariatric bypass surgery. Looking at fat excesses, and I have to assume that the average U.S. citizen Read More…