January 14th, 2012
The patient is a slender woman with minimal redundant chest skin and poor skeletal and inframammary fold support for a breast implant. She requests a high profile silicone gel implant for maximal size on her narrow diameter chest. A textured implant is chosen to minimize device movement and the inframammary fold is reinforced at surgery with deeply placed, long lasting absorbable sutures. Post operatively, she has appropriate stretch of the nipple to fold distance and maintains a well defined inframammary fold for an aesthetic result.

Pre op anterior view

Post op anterior view

Pre op oblique view

Post op oblique view
Posted in Case of the month
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January 12th, 2012
Posted in Specials
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December 4th, 2011

After listening to news radio on the daily commute, the world can seem like a pretty depressing place. I only have to think for a moment, however, to remember how much I have to be thankful for. Below is my partial list. Many I know have had a tough year, but I hope all of you have something to be thankful for as well.
I am thankful for my wife who manages both home and office allows me to practice surgery without guilt.
I am thankful for children so that my errors may be their wisdom.
I am thankful for my parents who gave me every opportunity.
I am thankful for my patients who have given me their confidence and understanding.
I am thankful for my fellow Boise Plastic Surgeons who are collegial professionals.
I am thankful for my referring physicians who have trusted me to care for their patients.
I am thankful for the best office staff that I have ever had.
I am thankful for hospital administration and staff who have facilitated my practice.
I am thankful to practice in a field where patients actually want to go to the doctor.
I am thankful that I get to do arts and crafts everyday and call it work.
I am thankful for my patients’ reminder that we cannot take our health for granted and should appreciate every day.
Best wishes for a happy and healthy New Year.
Posted in Web Log
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December 4th, 2011
The patient is a woman with a mastectomy on the left and ptotic (droopy) breast on the right who presents for a Trans Rectus Abdominus Muscle Flap and Mastopexy (breast lift). The ultimate goal is symmetry in the setting of a native breast on one side and mastectomy flaps on the other. The TRAM, while a large operation, supplies natural feeling fat from the abdomen to the breast location and gives a permanent result without the potential downsides of an implant. Not all patients are candidates, nor do all want the additional risks associated with a TRAM.


Posted in Case of the month
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December 4th, 2011
Posted in Specials
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