Once again another example of bad and unsafe cosmetic surgery presented itself in my office. We, as real plastic surgeons, are asked to "fix" other people's mistakes and, as is the usual case, the patient and plastic surgeon are "behind the eight ball". Results and life would be better if people were educated to seek consultation with a BOARD CERTIFIED... read more »

Time for resolutions that we would like to fulfill but down deep in our hearts we know we will not. One of the main reasons for this is that we have unreasonable expectations and the first hint of slow or no progress sends us scurrying for a distraction that will make us push aside or, better yet, forget our initial... read more »

I knew as soon as the media explosion of Dr. Jan Adams and Kanye West's mother took place that I would be inundated with phone calls from worried prospective patients. It is very difficult for the lay public to decipher the truth about professionals' credentials especially when the media itself does not care enough to find out important details such... read more »

Once again I have recently run into patients seeking more cosmetic and/or corrective cosmetic surgery after having these procedures performed by ENT, Dermatology, Oral Surgery and Ophthamology physicians. Every patient was surprised to learn that their surgeon was not a board certified plastic surgeon. They were board certified alright! Certified in their own field of endeavor. When physicians advertise themselves... read more »

I have already discussed the importance of real certification for judging competence and safety. Sadly I have come to the realization that physicians are not ethically able to control themselves when it comes to self promotion for financial gains. I am in private practice precisely because I fiercely believe in being independent, but over the years incident after incident has... read more »

As a plastic surgeon my duty to my patient is to advise on the concern that this person has; and not diverge on tangential or unrelated areas that I may see as needing improvement. I think it is unethical, for example, to mention rhinoplasty (nose job) when the person is being seen for liposuction, unless the person brings up the... read more »

The primary goal of plastic surgery is to achieve a specific improvement with safety in mind. In cosmetic surgery that objective does not change. Plastic surgeons assess the patients' goals in regard to realistic expectations. In a consultation the next step is to give patients an honest, open understanding of the risks and post operative consequences of the procedures needed... read more »

Why do free consultations? Many people do not believe in a free consultation because it may attract the idle and the curious who are not "serious". Besides there is a group who feel that a free service is not worth much. While the above may all come into play, it is not so all the time. I feel that the... read more »

No matter how important good looking results may be, the most important aspect of that procedure has to be safety. Sometimes medical conditions show up just prior to surgery or they are not apparent until the last minute. If these findings can possibly compromise the results or the safety of the patient then surgery has to be postponed until the... read more »

I have had numerous queries as to why I do not have "before and after" photos on my web site. I believe that my patient's records are confidential and require treatment with great respect. I have consent from many of my patients to show their pictures to potentially serious candidates who visit my office. The consultations are complimentary with no... read more »