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Plastic Surgery Blog

Cannulas for Facial Fillers: The Evolution of My Technique

Cannulas for Facial Fillers: The Evolution of My Technique Although I would estimate that only 1% of injectors currently use cannulas rather than standard needles to perform facial fillers, I truly believe that they have become the standard of care in my practice and I would hope the industry soon. I have been using cannulas […]

Cosmetic Facial Enhancement: A Mechanic vs. an Artist

Cosmetic Facial Enhancement:  A Mechanic vs. an Artist I had a lady come to my office a few months ago who said that she went somewhere else for a facial fat transfer because it was a couple of thousand dollars less than what I charged.  She then came to me to touch up the work […]

Cartilage grafts for Nose Jobs/Rhinoplasties: Pros and Cons

Cartilage grafts for Nose Jobs/Rhinoplasties:  Pros and Cons There are three principal supplies for cartilage grafts to build up a nose.  They are the septum (from inside partition of the nose), the ear (conchal bowl cartilage), and rib (either cadaver or one’s own).  Each type of cartilage has its pros and cons for use in […]

Fat Grafting: A Little Everywhere

Fat Grafting:  A Little Everywhere Good taste with clothing means that the items one wears are in harmony, possess style, cut well, and made of good material.  Good cosmetic facial surgery is very similar.  The products (materials) one uses can determine the outcome and certain fillers, e.g., fat, , Restylane, and Juvederm, work better in […]

ARTAS: Robotic No-Incision Hair Restoration

ARTAS:  Robotic No-Incision Hair Restoration Although this website is really dedicated to facial plastic surgery matters, and I have a separate website, www.hairtx.com, for hair matters, every now and then something major comes up that is worth my mentioning even in a facial blog here.  The ARTAS Robotic hair restoration system is one of those subjects. […]

Revision Rhinoplasty: What Are My Standards of Naturalness

Revision Rhinoplasty:  What Are My Standards of Naturalness I had a lady who came to me wanting to perform facial enhancement and I asked if she had any previous surgeries.  She said, “No.”  I asked her, “How about your rhinoplasty?”  She was startled that I could tell.  I reassured her that probably most people could […]

Hollywood’s Pillow Face is a Problem

Hollywood’s Pillow Face is a Problem As many of you know, I love facial volumization in which lost soft tissue of the face from aging is restored using fat grafting and/or injectable fillers.  The word that has dominated the media is a “pillow face” to describe this facial fullness.  I am very adverse to this […]

The Happiness Hypothesis and Plastic Surgery

The Happiness Hypothesis and Plastic Surgery A great book that I read last year was Jonathan Haidt’s The Happiness Hypothesis in which the author outlines many parameters for happiness.  One of his points in the book is that great happiness that can last for years following cosmetic surgery.  Unlike many books on happiness and peace […]

When to Perform a Lip Lift and When Not To

When to Perform a Lip Lift and When Not To Let me just get this out of the way: I hate lip lifts. Well not always. I just think they are too often performed creating lips that look unnatural. There are exceptions to this rule but there are very few, which I shall try to […]

Saving A Friend: When Maybe You Should Tell Someone You Had Plastic Surgery

Saving A Friend:  When Maybe You Should Tell Someone You Had Plastic Surgery I had a patient of mine in whom I had done facial fillers and Botox treatments over a period of two years.  In a word, she looked fabulous.  At 47 years of age she looked like she was in her mid-30s.  One […]