There are several occasions where patients come to our practice and they have previously undergone a mastectomy reconstruction, but would like to improve the appearance of their reconstruction. Common reasons for wanting to improve the appearance of their reconstruction is thin skin, with waviness and rippling of the implant, asymmetry of the reconstructed breast volume or position, and capsular contracture.…
When patients choose to undergo lumpectomy and when the cancer resides outside of the standard Wise mastopexy pattern, the pattern is sometimes adjusted to remove the skin above the tumor. This will help the oncologic surgeon remove the skin above the tumor and help to clear the anterior margin. When the incisions are sutured closed the final suture placed is…
Nasal airway obstruction is a common problem affecting many people including many athletes. When inspired air rates are maximal during sports airway obstruction can become a challenging and cumbersome problem for the patient. The nasal septum when it is deviated inferiorly can cause obstruction of the external nasal valve. Often on rapid inspiration the decreased airway causes collapse of the…
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…
