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Archive for June, 2009



Any experienced plastic surgeon knows that a healthy patient – with a stable weight, who doesn’t smoke – is far more likely to have a successful surgery outcome. That’s why surgeons often decline to operate on a patient who engages in unhealthy habits. Along with the general health issues associated with smoking and [...]

In these tough economic times we all need to “cut the fat.”  Okay, everyone in real businesses – clearly not the government.
But instead I propose moving the fat, and transferring it to the face.  Remember, fat is youth. The economy might be bad but at least we’ll look younger and more rejuvenated.  After all it’s [...]

In part I, I discussed the various procedures that need to be performed when there’s too much skin, fat etc.  But what needs to be done when too much fat was taken in the first procedure or the aging process has resulted in loss of fat, which is very common?  Let’s use the example to [...]

Considering our position here, as writers of a blog that pertains to a specific surgical practice, we are certainly poised to take part in the discussion started by Dr. Pauline Chen in the New York Times.  She writes, “I blog, I tweet and I use Facebook,” claiming that the networking tools are “enormously useful” for [...]

For years when patients went to a plastic surgeon with complaints of tired, aging eyes the standard was to recommend an upper lid blepharoplasty and maybe a brow lift if the surgeon thought the brows were “too low”.  The standard upper lid surgery would involve removal of skin, muscle and fat and that was about [...]

High Riding Breast Implants

First of all this is not my patient;  I grabbed her from RealSelf.com.   But she illustrates an issue that is common yet can be quite complicated – high riding breast implants.  This occurs for several reasons and I’ll try to cover them all.
Following primary subpectoral breast augmentation there is a tremendous amount of pressure on [...]

Sometimes drugs make their way to the market inadvertently, becoming hugely popular for uses that were never intended; such is the case with the hot new eyelash enhancer, Latisse.  It was born from a group of popular medications called topical prostaglandins, drugs frequently used to decrease intra-ocular pressure in glaucoma patients.
What optometrists labeled a ‘complication’ [...]

When I told my wife that I was going to write this as my blog I got the wife stare then the squint.  “Are you sure?” she said.  “Sure, why not?” I said.  “Because you run the risk of angering [not the word she used] a whole lot of women.”  “Come on I wouldn’t do [...]

Me and My Two Wives

Sometimes as I sit here I wonder how great life as a plastic surgeon must have been 20 or more years ago; wake up early go to the office, see lots of patients and go home at the end of the day.  You had competition, but if you worked hard in the ER and maybe [...]

As a the owner of a plastic surgery practice, which is highly dependent on disposable income, I am more than well aware of how bad the economy is.  Every week we worry about making payroll and paying our bills – no, doctors aren’t rich, despite what the government and the media would have you believe.
But [...]



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