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The most important thing in surgery of the nose is balance

Though the nose is in the most prominent location of the face, it should never take “center stage” to the facial features.  That is, the nose should always should compliment the face, not dominate it.  If the nose is too prominent, it will draw attention away from the beauty of other facial features.  Likewise, if CONTINUE READING

Volume loss and facial aging

Originally the theory on the major cause of facial aging was the looseness of the skin, which led to sagging and wrinkles. Then, it was discovered that the skin is not the primary problem in a mature facial appearance, but instead it was centered around a gradual descent downward of the tissues beneath the skin. CONTINUE READING

Facing your biological age, not your chronological age.

Everyone has a chronological age based on their date of birth. But you also have a biological age based on a combination of up to 130 physiological biomarkers such as blood, urine, cognitive tests, muscle tone, lung capacity, etc., and that age may be ‘younger’ or ‘older’ than your chronological age. A woman who has CONTINUE READING

What I like about Juvéderm

Juvéderm is one of the newest fillers on the market.  It is made of a substance called Hyaluronic Acid, which is the same as the active ingredient in Restylane and they are very similar in their indications and results. In my experience Juvederm is a bit more fluid, which seems to result in less discomfort CONTINUE READING

The ultimate in recycling: Facial Rejuvenation with Fat Grafting

Fat grafting is the process of removing excess fat from one part of a patient’s body by liposuction, processing the fat removed, and then selectively injecting it into other areas of the same patient’s body. Fat grafting has been in use for years for facial reshaping and to replace sunken areas caused by aging, surgery, CONTINUE READING

Streamlining your jawline

Often, in spite of regular exercise and diet, you may find that you have excess fatty deposits under your chin or around your jawline. Even a very small excess of fat can spoil facial features that are otherwise smooth and youthful.  There are two simple procedures which can be used to streamline your jawline – CONTINUE READING

Use of digital imaging can help a patient see goals more clearly

The use of digital imaging in plastic surgery (that is, taking a photo and then changing it with a computer to show a patient what an example of a possible result looks like) is an area of great controversy. Proponents say that it is a useful adjunct to patient education, and opponents declare that it CONTINUE READING

What I love about Plastic Surgery: Seeing it all come together

For me, the most satisfying part of plastic surgery (and life in general) is when things come together smoothly and harmoniously. As a plastic surgeon, sometimes this moment of exhilaration will come in the operating room at the end of challenging procedure, with beautiful and balanced results. Sometimes, the best moment of my efforts is CONTINUE READING