Placement of the implant depends on the anatomy of the individual. I like to place the implant where it will do the most good. If a person has no breast tissue, then the implant is placed under the pectoralis muscle so as to cover the implant with more than just skin. This placement is best because the patient literally has... read more »

Breast augmentation is a wonderful procedure for those that wish to augment their figures. It is a subject that has many urban legends and has been misunderstood. I wish to simplify this area for everybody and thus make everyone aware of the only differences from this procedure compared to other cosmetic endeavors. Breast augmentation requires the use of a mechanical... 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 »

I recently saw a young lady for breast augmentation who at the time of her physical exam admitted to having undergone liposuction of the abdomen and flanks just one week earlier. Asking her why she did not see her surgeon for breast enlargement too, revealed the fact that he did not perform breast surgery. It turns out that he is... read more »

Many people are under the misconception that Botox and facial fillers such as Restylane, Juvaderm, Radiesse have the same action or purpose. This is a short note to set the record straight. Botox is a neuromuscular inhibitor that prevents motor nerves from exerting action on muscle, thus preventing contraction which in turn prevents wrinkling. Fillers, on the other hand, provide... read more »

There are several occasions where surgeries can be combined under one procedure. The opportunity to do this depends on length of the overall OR time, health of the patient and anatomical proximity of the areas to be operated upon. Of equal importance is the infection category of the wounds created since cross contamination of one site to another should always... read more »

Safety is the most important factor in medicine and surgery, especially when elective procedures are involved. When choosing a cosmetic surgeon make sure that he/she is board certified in plastic surgery and has admitting privileges at a local hospital, even though the surgery may be planned in a private operating room suite. The reason for this is that hospitals do... read more »

All invasive cosmetic procedures require preparation even so-called "weekend " surgeries. In order to effect a permanent change invasion of the tissue has to be made which results in a typical inflammatory response along with bleeding. The combination can lead to swelling, bruising and even blood collections (hematomas). As the saying goes " an ounce of prevention is worth a... read more »

I see many people for weight sensitive surgery such as liposuction, body contouring, tummy tuck , and even face lift where the person's size does matter. I stress that the closer one is to their "ideal weight" the better the result. I also stress that this "weight" is different today than it was 15,20,30 years ago. I am the same... read more »