The lower face and neck lift can be combined with a chin implant. The chin implant can provide projection to the lower third of the face and also help to contour the neck like. Often subtle changes to the laxity of the skin of the neck can have a significant impact on the jawline. In some patients only skin and…
The lower face and neck lift is a common procedure for facial rejuvenation. There are three areas to address in the aging neck: the skin, fat, and muscle. Some patients develop excess neck skin which is excised via incisions behind the ear and into the hairline. Excess fat of the neck is removed with liposuction or with direct excision. Muscle…
The lower face and neck lift is one of my favorite procedures to perform. As many of us age we develop laxity in the neck. This can occur from changes in weight during adulthood, sun exposure, level of physical fitness, as well as hereditary factors. In many women and men, the neck appears older as a result of excess neck…
One of the most common questions that we receive from patients in consultation, is “Can I have my breast reconstructed after a lumpectomy and radiation therapy?”. The answer to this question is “yes”. However, the degree to which breast tissue can be rearranged might be limited, but there are definitely options. Radiation tends to cause capsular contracture when an implant…
Breast reconstruction is an extremely challenging aspect of plastic and reconstructive surgery. Not only does the cancer need to be appropriately addressed, but implants are also placed in less than optimal environments. During a mastectomy, the breast tissue is removed and the only soft tissue that remains is a skin envelope. Tissue expanders and implants are placed beneath the pectoralis…
Rhinoplasty is a common procedure to change the shape of the nose. Common reasons for a patient to want rhinoplasty is to remove a dorsal hump. Many patients who have a prominent dorsal hump also have underlying nasal septal deviations or turbinate hypertrophy. In the same procedure as the rhinoplasty to change the shape of the nose, patients can undergo…
There are many different ways to successfully treat or prevent breast cancer in genetically susceptible individuals. In some patients, one of the first steps is to create the best possible shape of the breast for a future mastectomy. In some patients, implants are removed and a mastopexy is performed to place the nipple areola complex in a higher and more…
Breast cancer reconstruction and aesthetic breast surgery share many similar principles. Removing breast implants and performing a breast lift (mastopexy) is a common procedure and may be a component of breast cancer treatment. In a patient with significant breast ptosis who undergoes a mastectomy for breast cancer, the nipple areola complex cannot often remain viable nor can it reliably be…
