Facelift and Liposuction Q & A

January 14, 2018

Questions and Answers   January 12, 2018   Question-  The next question is often asked by patients seeking a face lift:  What is the difference between a mini lift and a full lift?   Answer-  Mini-lifts, S-lifts and a full facelift are all gradations of the same operation.  In the S-lift and the mini-lift (which […]


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Plastic Surgery Q & A

January 3, 2018

I receive requests on a daily basis from social media sites, professional organizations, etc. to answer questions that they have received regarding plastic surgery procedures.  I am usually somewhat hesitant to answer many of these questions as I feel that they would best be answered in the context of a face-to-face consultation.  Some of the […]


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Stem Cells and Epidermolysis Bullosae

December 6, 2017

For many years, I was affiliated with the Epidermolysis Bullosae Center at the Rockefeller University Hospital. Epidermolysis bullosae (EB) is a devastating skin blistering disease. Patients with the severe forms have chronic problems with open and potentially life-threatening wounds, scarring, and other deformities.   As the plastic surgeon at the EB center, I took care of […]


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Low Incidence of Hematoma and Infection Reported for Aesthetic Surgery

June 26, 2017

Two of the most common complications after any surgical procedure are hematoma and infection.  Two articles (1, 2) from the Aesthetic Surgery Journal looked at the incidence of both hematoma and infection in a very large series of greater than 129,000 patients.  What is unique about these reports is that the come from the practices […]


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UPDATE ON NECK REJUVENATION

June 14, 2017

  Rejuvenation of the neck is one of the most common reasons I see patients in consultation in my office.  Although the surgical facelift and neck lift remain the gold standard for neck rejuvenation, many patients cannot find the time out of their busy schedules to commit to a surgical procedure.  For other patients, the […]


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Fat Grafting and Breast Cancer

June 6, 2017

Autologous fat grafting (using the patient’s own fat) is one technique that plastic surgeons use to  help contour a reconstructed breast after mastectomy or to fill in defects after a patient has had a lumpectomy alone.  I must admit that I have been concerned about injecting fat into the breast as there exist theoretical concerns […]


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Voluma

December 5, 2016

The Aesthetic Surgery Journal ( 35:589-599, 2015) recently published an article by Few, J, et. al. on the long-term effects of Voluma (Allergan)  for midface enhancement.  This article coincidentally appeared just two months before another HA (hyaluronic) gel, Lyft (Galderma) received FDA approval for mid-face enhancement as well.  Both products are “thicker” variants of hyaluronic […]


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The Breast and Lipofilling

August 28, 2016

Fat injections or lipofilling is a new and promising technique for both breast reconstruction and breast augmentation.  One of the serious concerns is that the presence of stem cells in the transferred fat would stimulate the growth of abnormal cells resulting in a higher incidence of both recurrent and new breast cancers.  This fear does […]


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Opioids

May 9, 2016

In light of growing concerns regarding opioid abuse and concomitant government action on both the state and local level, a recent abstract by B. Kelly, MD, et.al. (http://bit.ly/1UV9V8e ) is quite timely.  As a result, it has received significant mention in the lay press.  The authors did a meta-analysis comparing the use of NSAID’s (e.g., […]


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Intensif

March 22, 2016

I was recently a participant in an international multi-center study on the  efficacy of microneedle-based radiofrequency (RF) treatments for treatments of the lower face.  The other physicians who participated in the study were Drs. Michael Gold of Nashville, Dr. Mark Taylor of  Salt Lake City and Dr.  Yohei Tanaka of Nagano, Japan.The results of the […]


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Ulthera

January 4, 2016

There has been a lot of PR and articles (Vogue p 224 April 2011;   Harper’s Bazaar  p 294 March 2011) on Ulthera recently.  Ulthera is a device that uses highly focused ultrasound in an effort to tighten the skin.  I was very intrigued by it when it was first introduced as conceptually it is very […]


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Coffee Consumption And Type 2 Diabetes

November 15, 2015

On World Diabetes Day (Friday November 14th), a recent meta-analysis was distributed by the Institute for Scientific Information on Coffee.  The study which was published in the European Journal of Nutrition, 53(1):25-38 suggested that consumption of both caffeinated and decaffeinated coffee is associated with a lower risk of type 2 diabetes.  Consumption of 3 – 4 cups […]


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Hispanics and Health Insurance – The Gap

August 3, 2015

The Wall Street Journal reported this week that 1/4 of the Hispanics in the United States did not have health insurance (view article).  Furthermore, the percentage of Hispanics without health insurance that enrolled for coverage under the Affordable Care Act lagged behind the enrollment statistics for other ethnic groups. Reasons for these numbers included problems with […]


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How To Get A Little Lift For Your Facial Volume

June 15, 2015

The Aesthetic Surgery Journal ( 35:589-599, 2015) recently published an article by Few, J, et. al. on the long-term effects of Voluma (Allergan) for midface enhancement. Coincidentally, another HA (hyaluronic) gel, Lyft (Galderma) just received FDA approval for mid-face enhancement as well. Both products are “thicker” variants of hyaluronic gels which are intended to give […]


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When Do You Need Antibiotics Before Surgery?

June 2, 2015

One of the most common questions patient ask before surgery is whether or not they will require antibiotics. Antibiotics are important when indicated, but it is commonly aware that the overuse of antibiotics will leads to the development of resistant organisms. An article in the current issue of Plastic and Reconstructive Surgery addresses this question for the […]


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