"It's a scalpel, not a magic wand"

"It's a scalpel, not a magic wand"

Posted on August 29, 2009

People are funny. Sometimes, no matter how carefully I think I’ve explained the hows and whys of the operations that we can do, and the options that could work for a given situation, some patients wish for what I call “plastic surgery magic”, as opposed to plastic surgery reality.The most common example of “magic” would be […]

Scars: Part one – Keloids and Hypertrophic scars

Posted on August 27, 2009

Many people have heard the word “keloid”, and think it means “any bad looking scar”. This is a common misconception. Scars fall into a couple of categories. Since different types of scars and scar problems are treated differently, it’s important to diagnose the scar situation accurately. A keloidal scar is a scar that continues to enlarge and spreads […]

Anchor / fleur-de-lys abdominoplasty

Posted on August 24, 2009

One variation of the usual abdominoplasty (tummy-tuck) is known variously as the “anchor”, the “vertical” or “Fleur-de-lys” abdominoplasty. This involves removing not only the lower abdominal skin and fat, but also adding a vertically-oriented segment shaped like an inverted “V” in the upper midline. When the surgery is completed, this leaves a T-shaped or “anchor” […]

“Sisters, not identical twins”: breast asymmetry

Posted on August 17, 2009

As one of the busiest breast surgery practices in Central Florida, I see many patients who would like a breast augmentation performed. As part of our routine, we carefully examine the patient, and during our examination, it’s very common to find several differences or asymmetries between the two sides. Most patients have no idea about […]

President Obama and the price of surgery

Posted on August 13, 2009

During a recent “townhall” meeting in New Hampshire, President Obama stated, “If a diabetic gets their leg amputated – that’s $30,000, $40,000, $50,000 immediately to the surgeon….” (link) Fact-check: Medicare reimburses a surgeon between $740 and $1140 for a leg amputation surgery. This fee includes the pre-operative evaluation, the surgery, and 90 days of post-operative care. In […]

A new device to improve mastopexy results?

Posted on August 12, 2009

One of the frustrating problems of breast surgery, particularly breast lift surgery, is the nature of the skin. It stretches out – frequently more quickly than either the patient or the surgeon would like, leading to a loss of the uplift or shaping effect of the mastopexy (breast lift). Surgeons have been trying various methods […]

Recent bulletin on Carboxytherapy and Mesotherapy

Posted on August 11, 2009

Here is a recent press release from the Physicians Coalition for Injectable Safety – a group of 7 American, Canadian and International Surgery groups, including plastic surgeons, facial plastic surgeons and ophthalmic surgeons – who review & study the latest and best methods regarding injectable cosmetic products. For the record, I agree with this bulletin, […]

New service: Same Day Botox

Posted on August 6, 2009

We’re pleased to announce a new service for our patients. We call it “Same Day Botox” – and just like the name implies, we’re opening up a limited number of appointments each day for people that want to have their treatment with Botox or any of the injectable fillers that same day. Just call early in the […]

Career & Lifestyle Satisfaction among Surgeons

Posted on August 5, 2009

I came across an interesting survey in the latest issue of the Journal of the American College of Surgeons. A total of 895 board-certified surgeons were surveyed about their practice, their work hours and the levels of personal satisfaction about their practice, lifestyle and factors that might influence these perceptions. Here are some of the findings: […]

Sculptra receives its cosmetic indication from the FDA

Posted on July 31, 2009

Sculptra, the injectible PLA filler, received official FDA approval today for cosmetic use. It had initially approved several years ago for the treatment of lipo-atrophy, (most commonly seen in HIV patients) and was used on an “off-label” basis for cosmetic purposes. It’s a very useful product.Sculptra can be very helpful to restore volume loss in […]

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