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Case Study: A Mini-Otoplasty for Minor Ear Reshaping

Background: The shape of the ears is primarily influenced by the cartilage between the front and the back skin that surrounds it. In a normal ear, there are classic bends in the cartilage that create well described hills and valleys. It is these cartilage bends that give the ear its recognizeable convoluted shape. The prominences Read More…

Cotinine Test for Smoking Cessation Prior to Plastic Surgery

With over 45 million reported smokers, it is no surprise that many patients who undergo plastic surgery are smokers. The adverse effects of smoking are well known with tobacco smoke containing about 5,000 different chemicals with 250 toxins including nicotine and carbon monoxide. Nicotine causes vasoconstriction and an increase in thrombotic occlusion. Carbon monoxide has Read More…

Case Study: The Direct Necklift for the Older Male Neck Wattle

Background: The neck sags with age due to the development of sagging skin and fat and the separation of the neck muscles which exposes the subplatysmal fat. These neck changes can become really pronounced as one reaches the sixth and seventh decades of life. This is the time that many men take notice of their Read More…

The Columellar Strut Graft in Rhinoplasty

Most rhinoplasty surgeries done today use an open approach. By degloving the nasal tip skin through a columellar skin incision, the exposure to see the underlying cartilage structure offers more consistent and controlleable structural changes. While most of the attention focuses on the incision located at the midportion of the columellar skin, the true tradeoffs Read More…

Case Study: Laser Resurfacing for Facial Brown Spots

Background: Solar lentigines, also called age spots and liver spots, are brown colored skin patches that can appear anywhere on the face and body. They most commonly appear on those skin areas that have a long history of sun exposure. As a result, these brown spots usually do not appear until age 40 and older Read More…

Five Things You Didn’t Know About Male Facelift Surgery

Facelifts, technically known as a rhytidectomy, remains a very popular facial plastic surgery procedure despite the influence of numerous injectable facial therapies. According to statistics from the American Society of Plastic Surgeons (ASPS) in 2012, 126,000 facelift procedures were done in the U.S.. Given that there are now many different types of facelifts from Lifestyle Read More…

Five Things A Plastic Surgery Patient Can Do To Prevent Infection

One of the most common plastic surgery risks, and certainly the one that is most recognized by patients, is that of infection. Fortunately in most elective aesthetic plastic surgery that risk is fairly low as the procedures are clean in largely healthy patients. But in certain aesthetic procedures which involve implants or going through the Read More…

Plastic Surgery Wisdom: 3D Custom Facial Implants

Facial implants are an invaluable aid in aesthetic facial rejuvenation and structural changes as well as less frequently in facial reconstruction. Facial implants are most commonly perceived as preformed implants of various styles and sizes to augment areas like the cheeks, chin, jaw angles and nose. (off-the-shelf implants) Less commonly, blocks or sheets of various Read More…

Case Study: Sagittal Ridge Reduction Skull Reshaping Surgery

Background: While many perceive that the skull is round and smooth, the reality is that is oblong and often irregular in many people. The skull is prone to lumps and bumps that often occur at its sutural interdigitations or crossroads. The cranial sutures are the last areas of the skull that ossify, often well after Read More…

Plastic Surgery Wisdom – The Allure of Non-Surgical Cosmetic Procedures

One of the great evolutions that has occurred in plastic surgery over the past two decades is the emergence and widespread popularity of minimally invasive to non-invasive cosmetic procedures. From Botox and injectable fillers to fractional laser resurfacing and innumerable externally applied body contouring devices, there are a range of options for reducing wrinkles, tightening Read More…