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…
Secondary mastopexy, or mastopexy in previously augmented breasts presents unique challenges due to compromised blood supply to the nipple areola complex. Magnetic Resonance imaging (MRI) with contrast can be used to facilitate pre-operative planning in both cosmetic cases and breast cancer patients. We had the opportunity to describe our experience using breast MRI in complicated aesthetic and reconstructive cases at…
Abdominoplasty is a common aesthetic procedure, and it has a high satisfaction rate among patients. There are many different body shapes, types, and body mass index categories that undergo abdominoplasty. There are patients who are elite athletes and there are patients who rarely go to the gym. The most common reason for undergoing abdominoplasty is excess skin of the lower…
Aesthetic surgery procedures of the face are my favorite procedures to perform. Rhinoplasty is the most enjoyable procedure for me. Rhinoplasty involves changing the shape or appearance of the nose. Rhinoplasty typically involves removing or reshaping some component of the cartilage or bone of the nose. One of the more common reasons for patients to come to the office requesting…
Liposuction is a procedure that is relatively quick to heal from, but the final results continue to come to improve over two years. I used to tell patients that it takes a year to heal from surgery. There are many procedures in plastic surgery that we inform patients take a year or more to heal-such as rhinoplasty and facelift surgery.…
