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Web Log – October 2017 – Breast Cancer Awareness Month

October is Breast Cancer Awareness Month.  Breast Cancer will strike 1 of every 8 women (12.4%) and is the second leading cause of death in women (the first is lung cancer). The death rate, however, has declined by almost 40% in the last 25 years.  That reduction may be attributed to improved chemotherapy regimens and… Read More »






  • Posted on: Oct 6 2017
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Case of the Month – October 2017 – Upper Lid Blepharoplasty

The patient is a woman in her early 40’s who had extra upper eyelid skin with mild lateral brow droop or ptosis.  She had an isolated upper lid blepharoplasty (lift).  Upper blepharoplasty may be performed under moderate sedation with a typically rapid recovery.  As she ages, she may have further improvement with a brow lift.… Read More »

  • Posted on: Oct 6 2017
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Web Log – September 2017 – Opioids and Surgery

As defined by Wikipedia, Opioids are substances that act on opioid receptors to produce morphine-like effects. Medically they are primarily used for pain relief, including anesthesia.  Commonly used legal ones are morophine and variations like oxycodone.  An illegal one is heroin.  Opioid addiction is now considered a national health emergency and opioid use is closely… Read More »






  • Posted on: Sep 7 2017
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Case of the Month – September 2017 – Lip laceration repair

The patient is a woman who sustained a full thickness / full height lip laceration.  This is a multi-layered repair, but was appropriately completed with the patient awake under a local anesthetic in the emergency department.  Key points are to repair the muscle layer that circles the mouth so that the lip functions well (you… Read More »

  • Posted on: Sep 7 2017
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Web Log – August 2017 – Teenagers and Plastic Surgery

Below is a briefing paper from the American Society of Plastic Surgeons web page on teenage plastic surgery.  This may be a little long, but it is an excellent summary and nicely outlines the additional care we surgeons take with this special population.  The most common operations I see for elective teen surgery are breast… Read More »






  • Posted on: Aug 9 2017
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Case of the Month – August 2017 – Facelift with Chin Implant

The patient is a woman in her early 50’s who has facial aging made more apparent by large weight loss and a small chin.  She had a facelift  with chin augmentation.  Patients with large weight loss suffer from particularly poor skin elasticity.  Patients more frequently seek treatment for breast and body, but for face as… Read More »

  • Posted on: Aug 9 2017
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