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Case of the Month – August 2018 – Breast Augmentation Revision

The patient is 38 year old woman who had breast augmentation 15 years prior to presentation that was complicated by poor initial implant position then contracture (build up of scar tissue around the implant). She has revision with capsulectomy and Allergan SCM 405 cc silicone implants.  The cohesive (more firm) implant hold the breast shape… Read More »

  • Posted on: Aug 22 2018
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Web Log – July 2018 – Declining to Operate

I completed a full five year General Surgery Residency and became Board Certified in General Surgery.  I do not take out colons or thyroid glands as a Plastic Surgeon, of course, but I and all surgeons learn valuable concepts in General Surgery.  These concepts include taking personal responsibility for your patient, providing your best care… Read More »






  • Posted on: Jul 22 2018
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Case of the Month – July 2018 – Breast Reconstruction and Abdominoplasty with Liposuction

The patient is a woman in her early 60’s who had bilateral mastectomies with immediate reconstruction with expanders. Post expansion, she then had exchange for silicone implants with grafts for nipple areola reconstruction taken from her abdomen.  During the same operation the graft harvest site was removed as part of an abdominoplasty with flank liposuction. … Read More »

  • Posted on: Jul 22 2018
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Case of the Month – June 2018 – Nipple Sparing Breast Reconstruction

The patient is a 40 year old woman who had indications for bilateral mastectomies.  Her surgical oncologist determined that she did not require nipple removal as part of her mastectomy.  As she had a B cup breast with little ptosis (droop), nipple sparing mastectomy with immediate expander placement was an appropriate risk.  The patient is… Read More »

  • Posted on: Jun 17 2018
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Web Log – May 2018 – Return of Downtime

Lunch time cosmetic treatments like fillers, low level lasers, and Botox are great additions to our war on the ravages of aging, weight changes, and pregnancy.  These treatments are so wide spread that it does not make sense for a Plastic Surgeon to perform them him or herself.  That is why I refer patients seeking… Read More »






  • Posted on: May 21 2018
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