WHAT'S NEW

The patient is a man in his forties who was dissatisfied with his profile.  He was treated with a closed rhinoplasty (no open incisions so quicker recovery time) as he liked his nasal tip.  The nose was then balanced with a Porex (bone like) chin implant placed via an incision hidden in the chin cleft. 

Anterior before

Anterior after

Lateral before

Lateral after

Oblique before

Oblique after

The patient is a young woman who is dissatisfied with her submental (under the chin / neck) fullness.  She has good skin elasticity with underlying moderate fat pockets and mild platysma laxity (sheet like muscle in the neck which contributes to neck shape).  We elected to do submental fat removal with traditional liposuction.  To avoid open surgery, the platysma was not tightened (neck lift), but she may need this as she ages.  Recovery was 1-2 weeks.  Skin tightening was assisted with Refirme infrared and radiofrequency treatments at 1-3 months later. 

Pre op lateral view

Post op lateral view

Pre op oblique view

Post op oblique view

The patient had a left mastectomy for cancer.  She neither desired nor required any treatment to the right breast.  On the right, she had a moderate sized breast with mild ptosis (droop).  She had some abdominal fat without being obese, had no abdominal scars, and was otherwise healthy.  She was therefore a good candidate for a unilateral TRAM flap for breast reconstruction.  The flap was transferred without any perioperative problems and then allowed to mature for 3 months.  At that time, she returned to the operating room to have the volume and fullness tailored with liposuction to better match the right side, and to have a nipple reconstructed.

Pre Op

Post TRAM

Post tailoring and nipple reconstruction

The patient is a post partum woman who desired a moderately large augmentation.  She had an inframammary incision to place a midrange Allergan silicone gel implant.  She maintains good upper pole fullness with no drop out of the implant.

Pre op anterior

Post op anterior

Pre op oblique

Post op oblique

Post op lateral

Post op lateral