Category Archives: Plastic Surgery General Thoughts

Survival of the Prettiest Part 2: Do Blondes Have More Fun?

As a follow-up to the blog on how we relate to babies, Nancy Etcoff in her book, Survival of the Prettiest, argues that men are more attracted to blonde women than to darker haired women, whereas women are attracted to the polar opposite, i.e., a darker-shaded male.  The reason that she argues that men are […]

Plastic Surgery Stories: Improving One’s Blink Effect

I love stories because in a story I am able to convey a lot and make it memorable for a person.  I remember a couple of stories that involved the Transport Security Authority (TSA) at the airport.  I had one lady in whom I had done many facial fillers to make her face look a […]

Survival of the Prettiest Part 3: The Uncanny Valley

One of the biggest concerns that I have from prospective patients is that they not look weird, the fear stemming from seeing unnatural celebrities that are frightening to them in magazines and on television.  The question I get all the time is “If celebrity X has all the money in the world, how can she […]

Survival of the Prettiest Part 2: Do Blondes Have More Fun?

Survival of the Prettiest Part 2:  Do Blondes Have More Fun? As a follow-up to the blog on how we relate to babies, Nancy Etcoff in her book, Survival of the Prettiest, argues that men are more attracted to blonde women than to darker haired women, whereas women are attracted to the polar opposite, i.e., […]

Knowing Yourself and Your Plastic Surgeon: Clasping Your Hands and Determining If You Are Right-Brained or Left-Brained

Knowing Yourself and Your Plastic Surgeon:  Clasping Your Hands and Determining If You Are Right-Brained or Left-Brained My Allergan business-development representative conducted a wonderful leadership seminar in my office that gave my staff a rousing and thoughtful view on leadership.  A fun exercise that we did was to clasp our fingers together like in prayer […]

Getting Past Revision Plastic Surgery

Getting Past Revision Plastic Surgery One of the toughest things that I have to deal with is a patient who is dissatisfied either with my work or with another surgeon’s work.  I have many individuals who come to me with a sullen demeanor about what another physician created and what could I do to fix […]

Juvederm is My Preferred Choice for Facial Cosmetic Blending

In my effort to find the best filler experience for an individual, I am constantly evolving my injection filler methods and the preferred products that I use to accomplish those goals.  In the past, I was a big advocate of Restylane injectable fillers but of late have found a real passion for Juvederm Ultra Procedures.  Is Juvederm great […]

The Outer Face: Converting Double Concavities into Convexities

The Outer Face:  Converting Double Concavities into Convexities The one thing that I cannot stand is seeing a face that appears disjointed, i.e., part of the face has been over augmented relative to another.  Perhaps the two biggest problem areas that I see are the lips and the cheeks.  In fact, I have come up […]

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 […]

The Happiness Hypothesis and Plastic Surgery

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 […]

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 […]

Why I don’t use Sculptra

Why I don’t use Sculptra First, let me say that I truly do not believe Sculptra is a bad product. In fact, I have many trusted colleagues who use it and use it well.  However, I have used it in the past but I do not anymore for several reasons.  The motivation behind this blog […]

Mastery Is An Asymptote: My Plastic Surgery Journey

Mastery Is An Asymptote:  My Plastic Surgery Journey I am constantly refining my work so that you have a better and better result every time you see me. An example is I started to use microcannulas for facial fillers in November 2010. Since that time I have advanced in my skills with my cannulas to […]

Understanding the Role of Artistry in Cosmetic Surgery and Enhancement

Understanding the Role of Artistry in Cosmetic Surgery and Enhancement Pablo Picasso Studio One of the greatest compliments that I received was from an Italian plastic surgeon who flew from Italy trusting me to work on his wife’s face, which I performed in front of him.  I undertook a fat transfer on her face to […]

The Road to Mastery in Plastic Surgery is an Asymptote

The Road to Mastery in Plastic Surgery is an Asymptote The author Malcolm Gladwell argues that you need 10,000 hours doing something to become a master at it.  An example is to be a world-class chess player who no matter how good he is or could be does not achieve mastery until he has been […]

Forgiveness in Cosmetic Surgery

Forgiveness in Cosmetic Surgery Many times I have individuals who come to me who are very depressed about a previous cosmetic surgery procedure that they elected to have done.  I can see that for me to help them with anything new that I would first have to help them overcome their previous relationship with their […]

Globalization of Beauty: Trends and Concepts

Globalization of Beauty: Trends and Concepts Globalization of Beauty The traditional view on beauty has focused on the standard of the Caucasian, Nordic race.  In the past two decades the trend has been to incorporate many models of mixed heritage.  In fact, with the growing acceptance of marriage between races, racial lines have continued to […]

Flow and Passion in Facial Plastic Surgery

Flow and Passion in Facial Plastic Surgery Mihaly Csikszentmihalyi The Hungarian psychologist Mihaly Csikszentmihalyi came up with the concept of flow, the time when skills and passion intersect and the person gets lost in his work.  Think of a great sports player who is completely in sync with his work.  That flow is what drives […]

When to Say No: Understanding Limits of Plastic Surgery

When to Say No: Understanding Limits of Plastic Surgery I had a longstanding patient in whom I had done 5 rounds of micro silicone injections into her lips.  Her results were stunning, natural, and feminine.  She came back a year afterward wanting more.  I humbly tried to talk her out of it, begged her not […]

Trusting My Expertise in Facial Plastic Surgery

Trusting My Expertise in Facial Plastic Surgery I was giving a lecture a few years ago in Hilton Head when the surgeon before me who is about 30 years older than I am said, “Give a patient what they want not what they need.” I went on stage right after him and said, “I give […]

Avoiding Bad Eyelid Surgery: Preserve the Canthus At All Costs

Avoiding Bad Eyelid Surgery: Preserve the Canthus At All Costs I oftentimes hear a patient come to me to say, “I don’t want to look like celebrity…” who has had too much surgery done or a friend that has been subject to similar bad work.  If the surgery has to do with the eyes, there […]

The Plastic Surgery Trifecta: Education, Experience, and Results

The Plastic Surgery Trifecta:  Education, Experience, and Results Many times my patients say that all they care about are the results.  However, although I agree that results are king, everything else matters too.  First, education is the cornerstone to every consultation and even every postoperative visit that I make with a patient.  If I do […]

How I use Permanent Facial Fillers: Fat, Silicone, Bellafill(Artefill)

How I use Permanent Facial Fillers: Fat Transfer, Silicone, Bellafill(Artefill) In my clinical practice I use both temporary and permanent facial fillers depending on a mixture of budget, desires, and safety. Although permanent fillers carry the risk that they are indeed permanent, I believe that it is important to delineate safety guidelines and also to […]

Differentiating Type 1 from Type 2 Eyes When Considering Fat Transfer to the Upper Eyelid/Brow Complex

Differentiating Type 1 from Type 2 Eyes When Considering Fat Transfer to the Upper Eyelid/Brow Complex A colleague of mine really got it right when he created a new perspective on seeing youthful eyes.  He called them Type 1 and Type 2 eyes.  I cannot recall which one was which, which is not important.  Suffice […]

A Boutique Surgical Plastic Surgery Experience

A Boutique Surgical Plastic Surgery Experience in Dallas, Texas To me, your facial plastic surgery experience is as important as to me as your results. Why? For many reasons. First, safety. My nursing administrator, Dianne Bourque, who is a certified nurse of the operating room (CNOR) in addition to an RN, got a very difficult […]

Exploring The Recovery Period After Plastic Surgery: The Concept of Personal Time

Exploring the Recovery Period after Plastic Surgery:  The Concept of Personal Time Many times during a recovery following plastic surgery we imbue that time with heavily negative connotations.  We reflect on everything that we could otherwise be doing. We think about the lost wages or time away from work.  We contemplate the time that we […]

Depression: The Dirty Word After Plastic Surgery

Depression: The Dirty Word After Plastic Surgery The first week following a plastic surgery procedure can be a difficult one for some people.  I try to help my patients not only through the physical elements of the experience but also the mental and emotional components as well.  When I was editor in chief of a […]

Use of Microcannulas: A Revolution in My Practice Using Fillers

Use of Microcannulas: A Revolution in My Practice Using Fillers Many of my patients who have been with me for many years have witnessed the revolution in techniques that I have developed for injectable fillers.  Early on I started with rudimentary needle injections.  I then progressed to larger cannulas that I adapted from fat grafting […]

Why People Fly in for Botox Almost Every Day

Why People Fly in for Botox Almost Every Day This may sound boastful, but I have people fly in from both Coasts almost every day for my Botox injections.  Why is that?  The simple reason is my passion for doing all that I do the best that I can do.  Many surgeons look at Botox as […]

Depression After Plastic Surgery

Depression After Plastic Surgery The goal of these blog articles is to discuss the good, the bad, and the ugly with regard to facial cosmetic surgery. Depression is an ugly word but it is important to mention it to understand when someone experiences it after plastic surgery. Depression may arise during the first week or […]

Design, Artistry, Technique, Purpose, Passion of my Plastic Surgery Practice

Dallas Facial Plastic Surgeon, Dr. Sam Lam, discusses his ideas on artistry and design in excellent facial cosmetic surgery and how he differs from his colleagues who practice facial enhancement procedures.

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