In a Q&A chat room, I was asked the question, “How do I avoid a refund gap?”. I had never heard this term before so I Googled it. I learned that a refund gap is a situation in which the breast implants have migrated so far apart that there is a large gap between the implants – so the patients request a refund. After 18 years in practice, I thought I should post a blog and tell you how I avoid this. The Best Breast Implant Placement As you may know, I prefer to place breast implants under the pectoral… Read More
Many of you know that I perform frontal flank liposuction on most of my tummy tucks. For those that need liposuction in this area it gives more curve and contour to the hips, and in my opinion, makes the tummy tuck look more streamlined and sexy. The Frontal and Posterior Flank The frontal flank is the love handle or the area you can grab if you pinch the roll just above your hips. In some people, this roll is mainly on the side of the body, but in some it extends all the way around above the buttocks. When it goes around… Read More
A number of people have seen us over the past few years asking about the liquid or temporary rhinoplasty. Popularized by a dermatologist in California, it is essentially a technique of using injectable fillers to alter the shape of the nose. If a patient has a bump on top of the nose the bump can be camouflaged by adding filler just above it. In some cases mild asymmetry can be improved. Eventually, fillers will reabsorb and the procedure will have to be repeated. I think it is a good option for people who are not ready to or healthy enough… Read More
Every month, I’ll see a woman with very large breasts who wants gravity defying breasts instead. Is it possible?
When I started performing Labiaplasty a number of years ago I had no idea how popular it would become. A patient once told me that she regretted not having had it done when she had her breast augmentation; she just didn’t know that I did it. Because of her I added a “while you’re at it” section to my D.C. breast webpage to point out surgeries that are commonly combined. Labial tissue comes in all shapes and sizes. Some have more, others less. Common concerns patients share with me include self-consciousness during sexual activity, difficulty wearing certain clothing or swimwear… Read More
The internet says your breast is droopy if you can hold a pencil underneath it. As an experienced plastic surgeon, I disagree.
Congenital inverted nipples are more common than people realize. However, this problem can easily be corrected.
On January 26, 2011, the FDA released an advisory notice regarding the association of Anaplastic Large Cell Lymphoma (ALCL) in women with breast implants. While ALCL is technically a type of lymphoma, it appears to have a very benign course, and the condition has been completely resolved by simply removing the breast implant and capsule. It is not breast cancer. In the past 25 years, only 34 cases have been reported worldwide among an estimated 10 million+ implanted devices. The American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery is working with the FDA to follow… Read More
I would have to say that that the largest group of patients I see in my daily office life are post partum moms. It is a very consistent group of people with similar requests. The post partum moms usually have very realistic goals. They want to restore the breasts that fell or flattened after child bearing and tighten the tummy that now jiggles, bulges or droops. For purposes of this article I will focus on the tummy. The group of people described above is usually well read, well researched and in good physical shape. So into my office walk a… Read More
We have noticed for years that patients of ours with a history of migraines have seen subjective improvements in their migraine symptoms when using Botox even for cosmetic purposes. As of last week, the food and drug administration approved the use of a Botox procedure to treat patients with chronic migraines. Migraine Symptoms Chronic Migraines are defined as migraines more than 14 days each month each lasting more than four hours. Common symptoms of migraines include: For many who suffer from migraines, relief – no matter how fleeting – is the ultimate goal, but many yearn for a long-lasting remedy that can… Read More
Each day in my Maryland and Baltimore Maryland offices I see people in consultation for Liposuction. While liposuction is one of the most popular procedures that I perform I find that often it is the most misunderstood. Liposuction is not only about removing the fat – it’s also about the overlying skin and how it sits on the body. Assessment Before the Liposuction Procedure Liposuction can be used to remove fat from just about any area of the body, but the key to a nice-looking result is having good skin tone, which has as much to do with what happens before as… Read More
The best time for cosmetic surgery is when you have the time and support to recover. Each operation that I perform has different timing in terms of average recovery. Things that require pulling or stretching of muscles like tummy tucks, for example, will need a longer recovery than skin tightening procedures such as breast lift. In addition, certain patients may require more time to recover than others, even if they have both had the same procedure. The Rules of Thumb While each patient is different, I offer some general rules of thumb: Plan Ahead If you want to enjoy your figure in the… Read More
The names of procedures that are marketed today for facial rejuvenation can sound like alphabet soup and can be very confusing for patients. Terms like rhytidectomy may be clear to doctors or surgeons, but often mean very little to patients. Let’s simplify it a bit. Facelifts fall into one of two categories: mini or full. You may have heard of the ones with the cute names like S-lift, Thread lift, or Lifestyle lift. These are often marketed in the popular magazines, but in reality, they are merely variations on the mini-facelift. So which one do I recommend? The answer is… Read More
The “bigger disease” usually sets in about anywhere within the first six months after breast surgery. Here’s how to prevent it.