When the mastectomy has been radiated and there is either a tissue expander or implant beneath the radiated pocket, a capsular contracture can develop which displaced the implant to a more superior location. When an implant reconstruction is not possible or favorable secondary to the radiation, then the breast can be reconstructed with a DIEP flap. In a DIEP flap…
One of the more powerful tools for body contouring is the abdominoplasty. During an abdominoplasty an incision is made along the lower abdomen. This incision is often at the location of a previous c-section scar or placed below. The skin is raised to the margins of the ribs. The rectus muscles are brought together in the midline of the abdomen.…
Bilateral upper blepharoplasty is a common procedure performed in our office with a high satisfaction rate. Patients who seek a bilateral upper blepharoplasty typically indicate that they have excess kin on their upper eyelids, and they may have difficulty putting on upper eyelid makeup. Removing the excess upper eyelid skin can have a significant impact to make the patient appear…
Rhinoplasty and airway surgery are some of my favorite procedures to perform. One common reason for patients to choose to undergo rhinoplasty is for nasal deviation. Nasal deviation is often corrected with nasal osteotomies to redirect the nasal bones into a different direction. Another common reason for patients to undergo rhinoplasty is to improve the appearance of the nasal tip.…
Unilateral or a single side mastectomy reconstruction can often be accomplished with a DIEP flap from the abdomen. When a unilateral mastectomy is performed it may be easier to match the non-cancer breast with skin and fat from the abdomen. This may be even more appropriate when the mastectomy has undergone radiation therapy. The radiated breast skin and tissue expander…
It was a great opportunity to present our experience with deep plane face lift procedures and follow-up over the past 10 years. The principles of fibula free flap mandibular reconstruction and skin cancer reconstruction of the face were helpful principles that could be applied to facial aesthetics. Over the 14 years that I have been in practice, I have taken…