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Author page: Brian Dickinson

Liposuction of the Arms and Bra Fat

Liposuction of the Arms and Bra Fat

Frequently women come to the office for consultation and say, “Dr. Dickinson, no matter how hard I exercise, the fat on the back of my upper arm and bra line persists. I become self-conscious of this when I wear a bikini or strapless dress. Can liposuction help?” Liposuction of the upper arm and bra fat can be very rewarding to…

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Abdominoplasty in Male Patients

Abdominoplasty in Male Patients

Abdominoplasty is a common procedure in both male and female patients.  The satisfaction rate is extremely high after an abdominoplasty. We recommend that patients eat a diet that is high in protein for 4-6 weeks prior to surgery and for 4-6 weeks after surgery. This high protein diet can ensure that there are enough protein stores for collagen synthesis and…

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Oncoplastic Reconstruction of Lumpectomy Defects in Elite Athletes

Oncoplastic Reconstruction of Lumpectomy Defects in Elite Athletes

Breast cancer reconstruction is an area of my practice which is rewarding as we are often able to successfully treat a patient’s breast cancer effectively, yet at the same time prevent a deformity of the breast or in some cases enhance the appearance of the breast. Elite athletes who have successfully completed IronMan/IronWoman triathlons are patients who are dear to…

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Rhinoplasty-Deprojection of the Nasal Tip- Early Post-Operative Results

Rhinoplasty-Deprojection of the Nasal Tip- Early Post-Operative Results

Rhinoplasty and facelift operations continue to be my favorite operations. In rhinoplasty one of the more common maneuvers is to reduce the projection of the nasal tip. In this clinical scenario the tip of the nose has excess projection for one of two reasons, either the tip is extrinsically held out too far because of the nasal septum or the…

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Latissimus Dorsi Flap Mastectomy Breast Reconstruction

Latissimus Dorsi Flap Mastectomy Breast Reconstruction

The latissimus dorsi flap is an important and very versatile flap for breast reconstruction. The latissimus flap almost always requires a breast implant to add volume to the breast reconstruction in order to match the contralateral breast. The latissimus dorsi flap can be harvested and transferred with a skin paddle to replace a missing nipple areola complex or it can…

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Bilateral Mastectomy Breast Reconstruction with Tissue Expanders and Implants

Bilateral Mastectomy Breast Reconstruction with Tissue Expanders and Implants

There are many patients who choose to undergo bilateral mastectomy for breast cancer or prophylactically to prevent cancer when patients have a genetic predisposition. In patients who are not going to receive radiation the breast is amenable to reconstruction with tissue expanders and implants. The tissue expander is placed at the time of the mastectomy and only a small amount…

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Bilateral Mastectomy Breast Reconstruction with Inverted-T Skin Pattern

Bilateral Mastectomy Breast Reconstruction with Inverted-T Skin Pattern

Bilateral mastectomy breast reconstruction is common in patients who have BRCA gene positivity. Bilateral mastectomy is also common in patients who choose to undergo mastectomy and contralateral prophylactic mastectomy. When the breast is ptotic, defined by a nipple areola complex that descends below the level of the inframammary fold, the nipple areola complex cannot maintain a blood supply sufficient to…

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Breast Augmentation Silicone Gel Implants-Natural Breast Augmentation

Breast Augmentation Silicone Gel Implants-Natural Breast Augmentation

Breast augmentation is a common aesthetic procedure performed in our practice. The most commonly used implant is a smooth silicone gel implant. There are several options for the incision choice in breast augmentation with silicone gel implants. The three choices are inframammary crease, periareaolar, and transaxillary. There are different benefits to each incision. It is helpful to select an implant…

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