When silicone breast implants became available again to cosmetic patients in 2006, the FDA recommended that implants be monitored periodically with a non-contrast MRI. The recommendation has been for patients with silicone gel implants to get a non-contrast (meaning no intravenous contrast dye is necessary) MRI scan three years after surgery and every two years thereafter. The purpose is to look at the integrity of the implant shell: Any evidence of a rupture or tear is an indication for implant removal...Read More
I’ve used Sientra breast implants almost exclusively for the past several years because I’ve felt they were better than the competition. (I’ve used Mentor or Allergan when I needed saline implants as Sientra doesn’t make saline breast implants, or when I needed sizes larger than what Sientra makes). There is now data that supports my opinion, and shows that Sientra’s breast implant rupture and capsular contracture rates are the lowest in the industry. As testament to...Read More
One day, about ten years ago I got a call from a style writer for a weekly news magazine asking whether I could comment on the trend of women getting plastic surgery for their belly buttons. “Huh?” pretty much summed up my response. Worried I had just brushed off a potential free advertising opportunity (I did), the next day I called some plastic surgery colleagues in New York and Los Angeles and asked them if they were noticing such a trend in the places where the trends tend to start. Nope. My plastic...Read More
Maybe you’ve heard of Breast Implant Associated Anaplastic Large Cell Lymphoma. It’s getting more attention, and was even on the front page of the New York Times in May. I was at the annual meeting of the American Society of Plastic Surgeons last month and got the latest on this rare cancer associated with certain textured breast implants. I put a page on my website which highlights what is currently known about BIA-ALCL. Should you be concerned? Check out the page (with links to...Read More
This plays out in my office all the time when I evaluate patients for body contouring procedures (I left out the beginning of the quote)… Here is the complete quote: “I go to the gym all the time and I just can’t get rid of this!”. As the patient says “this”, she is grabbing a hunk of skin, typically on the lower abdomen. Most commonly, she’s a mom or has lost a bunch of weight. Or both. But now she’s reasonably fit (or maybe super fit!) and is frustrated that the rolls...Read More
Breast “enhancement” is a vague term that plastic surgeons use, but you see it everywhere when researching breast surgery. It usually refers to augmentation, mastopexy (breast lift), or both. Breast reduction could be considered breast enhancement also. But there are other procedures that don’t get enough credit that should definitely be considered under the umbrella of breast “enhancement”. I’ve listed four. Can you think of others?
#1 Inverted Nipple
A nipple that comes out only...Read More
In the words of Joan Rivers. “Believe me, you can hide a lot of things, but the hands always give it away,” I didn’t really get the meaning of this quote until recently when my 3-year niece looked at my hands, pointed and said “old” with all the sweet innocence of a child. You can always rely on them for their honesty- for better for worse. It got me thinking and glancing down at my hands. On occasion, I catch a view and think “do those things really belong to me?” They...Read More
From Austin Powers Goldmember
I was on a plane last week sitting next to a young guy who had a nevus (mole) on the back of his hand between his thumb and index finger. It was not small. It looked completely benign, not pigmented, and slightly pedunculated (kind of mushroom shaped). I wondered how often he snagged it on his pocket, or when putting on a glove. It had likely been there for years, maybe his whole life. I wondered what probably everyone else wondered: “Dude, why don’t...Read More
Writing this post was prompted by two recent patients I saw that had the same problem with their abdominoplasty scars that they got elsewhere, by different surgeons. They actually came to me for other reasons, but the subject of their abdominoplasty scars came up. They already knew that not much could be done about their situation.
Sometimes surgical outcomes are not what we want or expect. Usually these unexpected outcomes arise from minor complications, rarely from major complications, and often...Read More
Recently, you may have heard quite a bit about Kybella, which is the first FDA-approved non-surgical injectable treatment that reduces submental fat, AKA “the double chin”. Prior to Kybella, the only option to get rid of this fat was with surgery. Now, there is a safe and effective alternative that only involves a series of small injections. Find out all about how Kybella works with these frequently asked questions…
Is Kybella right for me?
If you are bothered by submental...Read More