Blog

Additional tissue support in breast surgery first became more common when acellular dermis ( cadaver dermis washed of all offending agents ) was introduced for breast cancer reconstruction.  Placing a sheet of tissue in the lower part of the breast post mastectomy allowed more effective immediate breast reconstruction and revolutionized the field.  These sheets, however, …

Web Log – March / April 2024 – Mesh Support in Breast Surgery Read More »

Diet drugs like Wegovy, Mounjaro, and other GLP-1 receptor agonists are leading to great weight loss and patients are presenting for surgeries like abdominoplasty.  These drugs cause the stomach to not empty as well, so anesthetists are advising that daily doses of these medications a withheld the day of surgery and that weekly dosed drugs …

Web Log – February 2024 – Diet Drugs and Surgery Read More »

(This text is from the American Board of Plastic Surgery  web site.  For more information, go to this LINK). The ABPS certification encompasses the entire spectrum of plastic surgery, including cosmetic, reconstructive, craniomaxillofacial, and hand surgery. Examinations cover plastic surgery of the entire body.  That is, cosmetic and reconstructive surgery of the head and neck, …

Web Log – January 2024 – How is the ABPS different from other plastic surgery (or cosmetic surgery) certification boards? Read More »

I look for trends in my Practice as well as Plastic Surgery in general.  Over the last year or two, I have seen a distinct increase in women who choose to have their implants removed and their breasts lifted.  Most of these women are older and have now larger breasts that hang off their implants.  …

Web Log – December 2023 – Breast Implant Removal and Mastopexy Read More »

I do not provide Microneedling, but it is a good non-invasive procedure that I find myself recommending more and more.  Microneedling is just what it sounds like… using small needles to pierce the epidermis and travel into the dermis.  This micro damage causes a scar response in the deeper skin layers that can lead to …

Web Log – November 2023 – Microneedling Read More »

I like anniversaries.  They help me think about how things have changed ( and not changed ) since the beginning of whatever I am counting.  Back in July, I celebrated my 22nd Anniversary of coming to Idaho to start my private practice in 2001.  This month, I find it hard to believe that I opened …

Web Log – October 2023 – Meadow Lake Surgery Center Anniversary Read More »

A recent article in Plastic Surgery’s primary academic journal,  Plastic and Reconstructive Surgery, documented what most of us face lift surgeons have noticed over the past few year… prior minimally invasive treatments can add new challenges to an already challenging surgery.  Thread lifts are not very effective or durable, but they leave behind rope like …

Web Log – September 2023 – Minimally Invasive Treatments Make Face Lifts More Difficult Read More »

As my practice matures, I see more and more patients for facial rejuvenation.  As I review before and after photos, I notice a pattern… patients with a small chin and or short jaw line have impressive improvements when a chin implant is added to their neck or facelift.  Click the link below to my gallery …

Web Log – August 2023 – Chin Implants Read More »

  I have used High Resolution Ultrasound in my office for over five years now and found it to be useful for many applications, but particularly for examining silicone breast implants.  The FDA advises that silicone implants be examined with MRI or ultrasound 6 years post implantation and then every 3 years thereafter.  I always …

Web Log – July 2023 – Ultrasound Accurate for Silicone Breast Implant Rupture Surveillance Read More »

Joint Safety Statement of the International Society of Aesthetic Plastic Surgery (ISAPS), The Aesthetic Society, and The Aesthetic Surgery Education and Research Foundation (ASERF) Patient Safety Advisory – Breast Implant Removal and Capsulectomy May 9, 2023 There has been a worldwide increase in the number of patients requesting implant removal for a variety of systemic …

Web Log – June 2023 – Breast Implant Removal and Capsulectomy Advisory Read More »