There are many times after trauma to the nose or after rhinoplasty procedures when the nasal cartilage framework loses support. When the loss of cartilage support occurs in the lower lateral cartilage, then the external nasal valve does not have adequate support on nasal inspiration. When the patient inspires forcefully or rapidly, the lower lateral cartilage collapses toward the septum…
Secondary breast augmentation procedures are common. A secondary breast augmentation procedure commonly occurs when patients have had there breast implants in place for greater than 10 years. Both saline and silicone gel implants are surrounded by a silicone elastomer shell. Over time, with repeated folding, the shell can break. If a patient has saline implants, a break in the shell…
Breast reconstruction is a common procedure in the United States and more specifically in Newport Beach, California. Often patients may have undergone a bilateral mastectomy with implant reconstruction. At the time of the mastectomy, the nipple areola complex may have been removed and the breast reconstructed with tissue expanders and then subsequently the placement of bilateral mammary prosthesis. When the…
Tissue expander and implant reconstruction can be accomplished at a later stage following mastectomy surgery. When the mastectomy reconstruction is performed at a later time, the term used is a “delayed reconstruction”. During a delayed reconstruction, the mastectomy defect is re-created and often a tissue expander is placed beneath the skin and or pectoralis major muscle. The skin is then…
DIEP flaps are excellent options for breast reconstruction in patients who have undergone radiation therapy. Often the skin above the tumor needs to be resected during a mastectomy and an oncoplastic mastectomy is completed to facilitate clearing an anterior margin. When tissue expanders are placed and then radiated, the tissue expander can be affected by capsular contracture forces around the…
Patients who have breast cancer may be a candidate for lumpectomy and intra-operative radiation therapy. The intra-operative radiation therapy is completed at the time of the lumpectomy and the lumpectomy defect is closed. The aesthetic outcome following this type of oncologic resection and reconstruction can have a great outcome.
Bilateral mastectomy is often reconstructed with tissue expanders and breast implants. The tissue expander is inserted at the time of the mastectomy and the skin is allowed to heal and more oncologic information is gathered. Once the mastectomy skin has healed, saline is placed in the tissue expander to gradually expand the skin. The expanded skin is allowed to settle…
Breast augmentation is a procedure with a high patient satisfaction rate. There are two different implant options for breast augmentation. Patients can either select from silicone or saline mammary prosthesis. Patients can have saline breast reconstruction with excellent results.
Breast augmentation is one of the more common aesthetic procedures performed and patients tend to be very happy with the procedure. The most common implants selected tend to be silicone gel implants. Silicone gel implants tend to be associated with less rippling and tend to be lighter. The recovery for breast augmentation is typically about 4 weeks before patients can…
Facelift surgery is one of my favorite surgeries to perform. In general the lower face and neck-lift operation is a procedure performed under general anesthesia to relax the muscles of the neck that are to be tightened. After the surgery the patient will stay overnight one night in the surgery center to adequately control blood pressure, pain, and nausea. There…
