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Blog Archive

Even in COVID world, you can get skin cancer May 8th, 2020

SPRING is HERE! Lets grab our towels, a cold beverage, and head to the beach... six feet apart! We all have those stories of our first beach outing of the season, usually all ending with a sunburn and a smile, but this year I am asking people to take their...

Corona Virus Preparedness Mar 10th, 2020

  Hello Patients, In light of the corona virus (COVID-19), we want to assure our community and clients that we are monitoring the COVID-19 situation and we will take action based on our safety and any current or future recommendations from the CDC. Our goal currently is to protect the...

Five Reasons Why You Need to Monitor Your Breast Implants Jan 15th, 2020

Breast implants don't last forever. Know the issues, get surveillance imaging for silicone gel breast implants, and keep up with evolving discussions regarding Breast Implant Illness and Breast Implant Associated - Anaplastic Large Cell Lymphoma. #1    Breast Implants Do Not Last Forever I have heard countless times from older...

HydraFacial, the All-Inclusive Facial Treatment Dec 19th, 2019

Hi everyone, it’s Sara here! As an esthetician with over 15 year of experience, I am always keeping an eye out for the very best and effective treatments. When evaluating a new service, I consider 2 things: Would I want this treatment for myself and is it beneficial for all...

SkinCeuticals Custom DOSE Oct 28th, 2019

We are proud to announce that we are now one of the few practices in California who can offer quality customizable skincare with SkinCeutical’s Custom DOSE. Good skin health should never be about treating all skin types with one formula, it should be about celebrating our skin’s uniqueness, and supporting...

Allergan Breast Implant Recall and Update Aug 2nd, 2019

In respone to rising numbers of Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) patients throughout the world, the FDA issued a press release on July 24, 2019 requesting that Allergan recall their BIOCELL© textured saline and silicone breast implants in the United States.  The FDA press release has current...

How Many Sessions to Get Rid of a Tattoo? Jul 18th, 2019

A recurring question in the tattoo removal world is, “How many sessions do I need to get rid of my tattoo?” Albeit a simple question, it comes with a much more complicated answer. Location Tattoo removal is strongly influenced by placement on the body. A design located on the torso...

Heavy Eyelids May Be More Than Meets the Eye Jun 16th, 2019

The aging upper eyelid is a common concern, and blepharoplasty surgery is often the answer to correct the heavy or overhanging excess eyelid skin.  An upper blepharoplasty removes the excess skin and the discreet scar hides nicely within the natural upper eyelid fold.  Sounds simple, right? The upper blepharoplasty usually...

FDA Review: Breast Implant Risks and Benefits Apr 27th, 2019

Last month the FDA held a two day Public Advisory Committee meeting to discuss risks and benefits of breast implants for breast augmentation and reconstruction.  Topics included Breast Implant Associated Anaplastic Large Cell Lymphoma (see my page on BIA-ALCL here), Breast Implant Illness (BII), MRI screening (see my blog post...

Incarceration: Good for Criminals, Bad for Umbilical Hernias Mar 26th, 2019

Did you always have an innie until you got pregnant?  And then maybe that outie never went away?  That's an umbilical (belly button) hernia.  Sometimes its barely noticeable, but somewhere short of marble-sized, everyone on the beach is going to start to notice.   Hernias are defects (holes) in the abdominal...

What Almost Every Breast Implant Patient Forgets - Part 2 Mar 12th, 2019

I posted a blog recently entitled "What Every Breast Implant Patient Forgets" about routine recommended MRI surveillance following silicone breast augmentation.  If you have silicone breast implants and that makes you say "Huh?", check it out.  But there is another common issue I see that deserves the same title, hence......

Botox vs. Dysport, Coke vs. Pepsi Feb 19th, 2019

I previously wrote on this blog about Dysport, and it’s debut on the market as a competitor for Botox. I wasn’t too thrilled that although it seemed to be very similar to Botox, there was essentially little or no cost difference, and speculated that there were maybe some issues of...

What Almost Every Breast Augmentation Patient Forgets Jan 11th, 2019

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...

New Sientra Breast Implant Warranty is the Best Jun 26th, 2018

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...

BIA-ALCL Nov 9th, 2017

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...

I Just Can’t Get Rid of This Aug 6th, 2017

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”,...

The Other Breast Enhancements Apr 13th, 2017

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...

3-2-1 Hand Rejuvenation Package Mar 6th, 2017

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...

Removing Your Mole – What Are You Waiting For? Feb 24th, 2017

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...

Abdominoplasty by Design: Good Aesthetic Planning Avoids an Unfixable Problem Jan 10th, 2016

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...

Ditch Your Double Chin With Kybella Oct 5th, 2015

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...

Botox Myths Busted Jul 20th, 2015

There are quite a few myths, misconceptions and scary stories floating around about BOTOX™ and I felt that it was time to clear some of that up. Is it dangerous? Will it give me Botulism? Will other people be able to tell if I’ve had BOTOX™ or even worse, will I...

What is a Mommy Makeover? May 19th, 2015

Motherhood brings an unimaginable amount of joy, the experience of unconditional love and is by far one of the most rewarding experiences a woman can have. Unfortunately, most women don’t love the toll that pregnancy and breastfeeding has on their bodies. While a healthy lifestyle is essential, many women find...

Intraceuticals Oxygen Facials Apr 9th, 2015

We are excited to announce that we will now be offering oxygen facials along with the exclusive Intraceutical product line which will help maximize the results of these treatments.  Oxygen facials can be used to revitalize the skin prior to an important event, leaving you with an instant glow and...

Treat BOTH Types of Facial Aging Feb 7th, 2015

There are many ways to classify the effects of aging, particularly on the face, but in practice it helps to divide the effects of aging into two types:  the type helped by surgical methods, and the type helped by non-surgical methods.  Although there is a lot of overlap, think of...

Replace Your 2nd Generation Breast Implants! Dec 13th, 2014

Stop putting it off, make it your New Year’s resolution… If you (or someones you know) have breast implants from the early 90’s, 80’s, or (yikes!) the 70’s, you need to get them replaced. It seems like lately I have had a run of patients with those old second generation...

Lumps and Bumps: Lipomas Dec 7th, 2014

What are lipomas? Lipomas are very common benign growths of fat.  They usually present as a palpable lump just below the skin, and are somewhat soft or rubbery to the touch.  They are easy to move around and generally non-tender.  However, depending on their location (such as the forearm or...

Renee Zellweger’s plastic surgery Oct 23rd, 2014

A lot of people have asked me about Renee Zellweger and her recent unrecognizable “transformation”.  Did she have plastic surgery?  Yes.  She’s obviously had an upper blepharoplasty.  It seems she hasn’t exactly admitted it, but this quote of hers from People is more relevant than whether she chooses to admit her...

The Side Effects of Tummy Tuck Surgery Sep 4th, 2014

When you visit our Santa Barbara office for a tummy tuck, you can expect aesthetically superior results that greatly complement your body’s curves and proportions. Furthermore, you benefit from Dr. Mackenzie’s years of expertise and state-of-the-art practices that maximize your comfort. Before you can see the results of treatment, however, you must...

The Lollipop Breast Lift Technique Aug 19th, 2014

A breast lift, or mastopexy, is a popular way for women to regain a firm, youthful appearance for their breasts. By readjusting the lower pole of the breast into a higher and/or tighter position, this procedure allows women to reduce sagging and achieve better defined curves of the upper body....

Why Wear a Compression Garment after Body Contouring Surgery? Aug 19th, 2014

By definition, body contouring surgery aims to improve a patient’s overall curvature by enhancing the skin and subcutaneous tissues of the body. Some procedures, like a tummy tuck, concentrate primarily on removing excess skin, whereas procedures like liposuction focus on removing excess fat. All body contouring shares one common factor, though:...

What Are Your Financing Options for Plastic Surgery? Aug 4th, 2014

For patients in and around the Santa Barbara area, our plastic surgery services have produced stunning results with the highest quality of precision and care. Popular techniques such as facelift, breast augmentation, and tummy tuck surgery have helped patients achieve greater confidence and satisfaction in their bodies. It can therefore be...

Treating Hyperhidrosis, i.e. Sweaty Armpits Aug 1st, 2014

Yesterday the American Academy of Dermatology posted to their Facebook page this article from their website about the diagnosis and treatment of hyperhidrosis.  The article is a pretty straight forward run-through of hyperhidrosis, or excessive sweating, and discusses some more complicated issues of palmar (hand) and foot hyperhidrosis in addition to the...

Are You a Good Candidate for Breast Reduction? Jul 3rd, 2014

A popular sentiment in the United States is that larger breasts are more desirable, and while this may be true for some, breast size should be evaluated on an individual basis. Women with smaller frames, for example, may feel that their breasts are too large for their body. In many...

Large Breast Implants: Pros and Cons for Patients to Consider Jun 18th, 2014

Getting breast implants can have a major impact on your overall appearance. By meeting with a plastic surgeon, you can find out if breast augmentation surgery is right for you and discuss all of the variables and options that are connected with it. By getting all of this information, you can make...

Should You Opt for Small Breast Implants? Jun 3rd, 2014

Breast augmentation is a popular and effective procedure for women who want to improve the size and shape of their bust, but how big is too big? For some women, a substantial increase in breast size is desirable and, due to their body type, poses little risk. For other women, a...

The Endotine Midface Lift Technique May 18th, 2014

Loose skin and sagging cheeks are common signs of aging, creating a gaunt or tired expression over time. These changes are natural, but they can also occur well before someone is prepared for them. As a result, cosmetic procedures such as a facelift are popular ways of achieving a younger, more vivacious...

Scar Tension: Problem and Solutions Apr 14th, 2014

Wound healing is a complex process that takes time.  A surgical scar is the visible part of the scar tissue that results after the skin incision (wound) heals.   This is the type of healing that is of most concern to patients – the visible scar.  As I have discussed in a previous...

How to Choose Your Breast Implant Profile and Shape Mar 12th, 2014

When seeking a breast augmentation, it can be difficult to navigate all the nuances of the procedure at first. Patients must not only consider the size of their potential implants, but also a number of other variables, each of which can significantly impact the results of their surgery. At our...

Scars and Scar Revision After Plastic Surgery Mar 6th, 2014

For many plastic surgery procedures, it helps if the patient can get an idea of what they will look like after the procedure, as opposed to looking at photos of what other people look like after a similar procedure.  (See a recent story in Business Insider about plastic surgery photo...

Tummy Tuck Recovery Timeline Mar 5th, 2014

Before undergoing tummy tuck surgery, it is important to understand what to expect after treatment, including the timeline for recovery. Though each abdominoplasty procedure is unique and each patient’s recovery experience will vary, understanding the general recovery timeline can help you avoid complications after surgery. For your personalized recovery timeline,...

The Risk of Skin Irregularities from Liposuction Feb 24th, 2014

Excess body fat is a common complaint among our Santa Barbara patients. After all, many people could name at least one part of their body that seems resistant to diet or exercise, making plastic surgery an attractive option for better contours. Liposuction, in particular, is an extremely popular way for patients to smoothen...

Breast Reduction and Insurance Coverage Jan 31st, 2014

Though breast reduction can be done for cosmetic reasons, in most cases women seek breast reductions for relief from health issues caused by excessively large breasts, such as shoulder and back pain. If you are considering breast reduction, you should understand that your insurance may not cover the surgery. In...

About Endoscopic Browlift Surgery Jan 7th, 2014

There are many different ways that you can enhance your overall appearance and look years and years younger in the process. One of the sure ways is turning to plastic surgery. By undergoing a facial plastic surgery of some kind, wrinkles and lines can be eliminated, drooping or sagging skin can...

MACS Facelift Dec 6th, 2013

As much as we’d like to turn back the clock at times, age invariably catches up with us. Those who are middle-aged or older may begin to notice more apparent signs of aging, such as wrinkles or creases in the face. Such changes may not accurately represent the youth that...

Cellulaze versus other cellulite treatments Dec 3rd, 2013

Now is the time to treat your cellulite!  Yes, there is a treatment that can improve cellulite, usually with only one treatment, and with long lasting effects.  It’s called CellulazeTM and we have been treating cellulite with it in Santa Barbara since 2012.  This is a minimally invasive treatment which means...

Should You Consider a Breast Augmentation After Pregnancy? Nov 20th, 2013

Should You Consider a Breast Augmentation After Pregnancy? Although pregnancy comes with certain expectations, every woman’s body will react differently to the process. The weight gain and subsequent loss can leave lasting changes to the body, many of which are undesirable. For women whose breasts have been negatively affected by...

Mini Tummy Tuck Oct 29th, 2013

Do you look in the mirror and see a toned figure everywhere besides your belly? The abdomen can be one of the most stubborn areas of the body to define. If you have excess skin around your lower abdomen due to aging, pregnancy, or weight gain and are searching for...

Breast Reduction Surgery to Relieve and Health Problems Oct 28th, 2013

Almost everyone who has a passing familiarity with plastic surgery knows about breast augmentation. It’s one of the most popular cosmetic procedures in the world, and it can enhance a woman’s bustline and the overall curves of her body. Yet there is another procedure out there called breast reduction surgery...

An Effective Laser Treatment for Axillary Hyperhidrosis (Excess Underarm Sweating) Oct 17th, 2013

Up to 3% of the population has hyperhidrosis.  Seems like a lot for something most people have never heard of.  Better known as excessive sweating, hyperhidrosis is typically just a more extreme form of underarm sweating.  There are other forms, such as palmar (hand) hyperhidrosis, and in extreme cases these...

What Is an Extended Tummy Tuck? Oct 14th, 2013

Not all bodies are created equally, and surgical treatments should reflect that. There is no “one size fits all” method for plastic surgery, as all patients must be treated according to their physical needs and goals. To this end, tummy tuck procedures can be tailored according to the extent and location of a...

A Guide to Earlobe Repair Surgery Sep 22nd, 2013

The earlobes tend to take a lot of abuse – the fleshy underside of the ear is frequently subject to piercings, heavy earrings, stretching and gauging. But even the earlobe has its breaking point. Whether it’s a tear from a traumatic injury or the simple desire to close up the...

Good Things Come to Those Who Wait… Sep 11th, 2013

I am often asked, “What can you do to make me look years younger, less tired, less droopy, and less stressed?”  “Oh… and make sure it looks totally natural and subtle so that no one knows I did ANYTHING!”  “Oh… and I can’t bruise because I have my high school...

Does Hillary Clinton Need Plastic Surgery? Aug 15th, 2013

With more and more speculation about a Hillary Clinton bid for the White House in 2016, the churn of Hillary stories coming out of the media is only going to accelerate.  “Should Hillary Clinton Get Plastic Surgery?” is one of the trendy stories now.  (Actually, we’ve seen it before, but...

Is Plastic Surgery What Matthew Perry Needs? Jul 22nd, 2013

Apparently the tabloids are reporting that actor Matthew Perry of Friends fame is considering plastic surgery.  This article from makemeheal.com says that his friends back home made fun of his fat neck and “double chin”, which prompted him to consider liposuction of his neck.  Not sure whether it prompted him to consider...

Breast Augmentation Incision Methods Jun 24th, 2013

Breast augmentation is one of the most popular plastic surgery procedures performed because it can enhance a woman’s bust line to produce a more feminine physique,, boost self-confidence, and improve the fit of many popular styles of clothing. While this is a procedure that is frequently performed, many patients who choose...

Dermal Filler Overview: Radiesse, Juvederm, and Restylane May 20th, 2013

While facial plastic surgery can greatly enhance your looks, there is another option out there that is extremely effective and involves no incisions whatsoever. That option is the use of cosmetic injections, which can really make a world of difference. The team at our Santa Barbara plastic surgery center knows that you...

Angelina Jolie’s Breast Surgery May 16th, 2013

Since Angelina Jolie’s disclosure of her bilateral mastectomy and breast reconstruction this week in the New York Times, I’ve been asked a lot of questions about it.  As you probably already know, she carried the BRCA1 gene which gave her a much higher risk for breast cancer.  One way to...

Cellulaze FAQS May 6th, 2013

We get a lot of questions about Cellulaze and I thought that answering some frequently asked questions might be helpful.  This technology is fundamentally different than previous methods of cellulite treatment, but many people assume it’s similar to some of the familiar technologies already out there. 1)Is Cellulaze a non-invasive...

What’s the difference between liposuction and Smartlipo? Feb 1st, 2013

There are many techniques of contouring used in aesthetic plastic surgery, and the most recognized one is liposuction.  As most people know, liposuction involves suctioning fat from under the skin using small tubes called canulas inserted into the fat layer.  Areas commonly treated with liposuction include the thighs, abdomen, waist,...

Dr. Mackenzie Featured in 805 Living Magazine Jan 14th, 2013

Check out the January/February 2013 issue of 805 Living magazine to read an interview about Cellulaze with Dr. Mackenzie.  It’s on page 49.

Plastic Surgery After Weight Loss Jan 8th, 2013

Making the commitment to lose weight after becoming very obese sometimes involves only diet and exercise, but more often requires bariatric surgery to lose the weight which can often be a hundred pounds or more.  Bariatric surgery includes a wide range of surgical procedures designed to limit food intake to...

Skin Tightening Surgery After Weight Loss Dec 20th, 2012

Losing weight can be quite difficult, especially for those suffering from obesity. The hard earned accomplishment of losing a substantial amount of weight should not be overshadowed by the loose, hanging skin that often results. After losing a substantial amount of weight you do not want to feel insecure or...

Sentra Breast Implants and My Capsular Contracture Guarantee Oct 31st, 2012

I just returned from New Orleans where the American Society of Plastic Surgeons held their annual meeting.  It was unseasonably cold but at least we didn’t have to worry about the hurricane like many of my East Coast colleagues did.  The conference was informative as always, and it’s tough to...

Popular Mommy Makeover Procedures Oct 20th, 2012

Pregnancy takes a toll on a woman’s body and causes a lot of changes to take place. The changes that result from pregnancy and breast feeding cannot always be corrected through diet and exercise alone. Many women find it difficult to gain back their pre-pregnancy body. Dr. Douglas J. Mackenzie,...

Lip Enhancement: More Is Not Always Better! Sep 24th, 2012

Cosmetic surgical and nonsurgical procedures to improve the lips are quite common.  The nonsurgical procedures include filler injections with Juvederm or Restylane, and superficial procedures like dermabrasion or laser resurfacing.  Neuromodulator (i.e., Botox) injections can sometimes be used sparingly in the lips, usually along with a filler.  But what I really want...

Tapered Fingers – A 19th Century Aesthetic Ideal Sep 7th, 2012

What constitutes beauty in the human form changes over time and between cultures.  A recent article in the Journal of Hand Surgery described belief that tapered fingertips on a woman was an aesthetic ideal.  This trend began in the early 19th century and seems to have disappeared by the middle...

Avoiding and Correcting the Over-Operated Facelift Aug 13th, 2012

The most predictable comment I get from patients inquiring about facial rejuvenation surgery is one that expresses their fear of looking over-operated, weird, or like any number of celebrities that have had either bad surgery or just too much of it (Joan Rivers, Kenny Rogers, etc.).  They’ll often recount stories...

CHEEK ENHANCEMENT Mar 20th, 2012

Sometimes patients are surprised how a slight adjustment to one facial feature can really bring out the beauty of the rest of their face. That’s certainly true when it comes to the cheekbones. Many people don’t realize it, but having sculpted, attractive cheekbones is a great way for people to...

Dr. Mackenzie and Pacific Plastic Surgery featured on Living Local Santa Barbara Feb 27th, 2012

See the recent segment of Living Local Santa Barbara featuring Dr. Mackenzie and Pacific Plastic Surgery here: http://www.youtube.com/watch?v=zNB0PqUDUwE  

Rhinoplasty – Surgical vs. Nonsurgical Feb 7th, 2012

Let’s face it, surgery always some degree of pain, swelling, restriction of activities, and delay before seeing the final result.  Not to mention the cost, and the anxiety of having to undergo anesthesia.  So nonsurgical alternatives have an understandable appeal.  These alternatives are not the equivalent of surgery, however, and...

Do You Have PIP Implants? Jan 14th, 2012

Do you have PIP Implants?  Probably not, as PIP breast implants were only widely available outside the US. However if you do have, or suspect you might have, PIP breast implants, you will want to remove these implants. Poly Implant Prostheses (PIP) was a French company that made silicone breast...

Breast Implant Exchange – Part 2 Oct 2nd, 2011

In Part 1, I discussed how breast implants aren’t forever, and it’s best to be proactive about exchanging implants. But what if there is an unanticipated problem such as a capsular contracture that requires surgery? I’ll discuss two topics – capsular contracture and implant “leakage”, both of which require implant exchange....

Breast Implant Exchange – Part 1 Sep 3rd, 2011

What ultimately happens to the breast implants that we implant? Some patients don’t really consider that question, or think that once the implants are put in, they are there for life. Not so. When I tell patients that their chance of having additional surgery on their breasts is essentially 100%,...

Ten Things You Can Do To Get Ready For Summer – Number 9 – IPL Jul 18th, 2011

Intense Pulsed Light, or IPL (also called photofacial and other names) is a popular treatment for undoing some of the effects of the sun. So okay, this is more a topic of getting rid of the effects of summer, rather than getting ready for summer, but since we’re already in...

Rhinoplasty Recovery Jul 15th, 2011

All surgeries carry a certain degree of risk. This goes for medically necessary ones as well as surgeries that are elective or cosmetic in nature. Yeah though that is the case, Santa Barbara plastic surgeon Dr. Douglas Mackenzie always strives to ensure optimal care to each of his patients, minimizing...

Surgical Drains After Plastic Surgery Jun 28th, 2011

Many surgeries include the placement of surgical drains. Why? Why do some procedures need drains and others don’t? Let’s look at what drains are designed to do, and just as importantly, what they are not designed to do. The whole concept of drains, and draining a surgical wound is confusing...

Ten Things You Can Do To Get Ready For Summer – Number 8 Jun 1st, 2011

The recovery after Body Jet Water Assisted Liposuction is easier than with most liposuction techniques. Transferring some of this fat to the buttocks doesn’t really prolong the recovery, and can really help enhance your “assets”. Did you miss your chance to get this done before summer? Well, maybe not. Here...

Ten Things You Can Do To Get Ready For Summer – Number 7 May 18th, 2011

OK, there’s not much time left to be ready for summer if you’re considering breast augmentation. After all, unlike most of the things we have discussed in this series, it is surgery, and surgery does involve recovery. However, with the pain pump that we routinely use on our breast augmentation...

Ten Things You Can Do To Get Ready For Summer – Number 5 Apr 28th, 2011

Does underarm sweating interfere with your daily activities? Are you worried about raising your arms in public because of underarm sweat stains? Do you hesitate to buy new clothes because they might be ruined by underarm sweat? Do you worry someone will notice your sweat stains? Well, don’t sweat it...

Liposuction Body Jet Liposuction Liposculpture Apr 26th, 2011

Liposuction takes some time to recover from, so if that’s what you need to get ready for this summer, you had better get on it!  In this post, Lisa discusses Body Jet Liposuction, the technique I prefer… Have you pulled your bikini out of the closet in anticipation for the...

Ten Things You Can Do To Get Ready For Summer – Number 2 Mar 27th, 2011

If you are tired of shaving, waxing or tweezing, it is time to turn to a more advanced method of removing unwanted hair. Laser hair removal using the LightSheer Laser is a more effective solution. The LightSheer diode laser is the gold standard that is specially designed to remove unwanted...

Muffin Top is Now Officially a Word! Mar 25th, 2011

Put this into the “End of the Empire” category….  The Oxford English Dictionary just added “OMG”, “LOL”, and “Muffin Top” into its lexicon.  Actually, its just the online version of the OED.  But who woulda thunk that Muffin Top, that bane of women-who-wear-hip-huggers (and liposuction target for us plastic surgeons),...

Dr. Mackenzie joins the Board of the Breast Cancer Resource Center Mar 16th, 2011

The Santa Barbara NewsPress had this announcement in yesterday’s paper about my joining the Board of the Breast Cancer Resource Center of Santa Barbara. I’ve supported the BCRC for years, and am honored to now be on their Board! The BCRC is a great resource for women diagnosed with breast...

Ten Things You Can Do To Get Ready For Summer – Number 1 Mar 15th, 2011

An easily treatable condition that we see frequently in our office in Santa Barbara is telangiectasias of the legs, commonly known as spider veins. They are most common in women, and although pregnancy and aging are the frequently causative, spider veins often just randomly occur. They can occur around areas...

Ten Things You Can Do To Get Ready For Summer – Introduction Mar 10th, 2011

Check out this blog over the next few weeks to discover ten things that will help you look and feel better so that you will be ready for summer and the beach! In addition to some simple and relatively inexpensive treatments you can do at our Santa Barbara office (like...

The Differences Between Saline and Silicone Implants Feb 20th, 2011

Breast augmentation surgery is an excellent way for you to improve your appearance and enhance the curves and contours of your body. Not only can breast augmentation surgery increase the size of your breasts, it can also improve the firmness of the breasts and provide a much needed lift of...

Home Remedies for Wrinkles Jan 17th, 2011

We all know that certain wrinkles will confer a little bit of character and distinction. Some may even make you appear sophisticated and worldly. That’s not the case with all wrinkles, though. When people come to our Santa Barbara plastic surgeon, they tend to ask how they can most effectively fight...

Body-Jet Liposuction Coming to Santa Barbara Nov 19th, 2010

There have been several improvements in liposuction over the last several years, and the latest offers some distinct advantages. It is Body-Jet liposuction, a water-assisted liposuction (WAL) platform that pulses a gentle stream of water to wash away the fat droplets which are then sucked away. Actually the “water” is...

Plastic Surgery and the Extreme Athlete Aug 25th, 2010

The upcoming Santa Barbara Triathlon this weekend has prompted me to blog on the topic of performing plastic surgery, specifically aesthetic plastic surgery, on athletes that push their bodies a lot further than most. This may seem like a group of people that really has no use for the services a...

Who Needs a Lift? Jun 2nd, 2010

One of the most commonly misunderstood topics of breast enhancement surgery is the issue of sag, and the assumption that breast implants help the problem. Many women have sagging breasts that they want improved, and not all of them have it as a result of pregnancy, breast feeding, or weight...

Al Qaeda Now Resorting to Exploding Breast Implants Mar 24th, 2010

The Sun is reporting that Britain’s MI5 believes women have had the plastic explosive PETN implanted into their breasts “under techniques similar to breast enhancing surgery”. Too bad those crazy Al Qaeda can’t channel that ingenuity into something more productive. But to make it even more outrageous, MI5 also reports...

Lip Augmentation – Passing the Kiss Test Feb 11th, 2010

Not only should a lip augmentation pass the “Kiss” Test, it should also pass the “K.I.S.S.” Test… I responded to a patient question on the website realself.com wondering what injectable lip options passed the Kiss Test, meaning a smooth natural result without lumps. I responded along with some of the...

Lady Gaga’s Nose Feb 2nd, 2010

Yesterday I was contacted by E! News as one of their writers thought Lady Gaga looked different at the Grammy Awards, and thought that maybe she had had a nose job (rhinoplasty) recently.  So I looked at a lot of photos and videos of Lady Gaga going back to 2005, including an amazing video of...

Water Assisted Liposuction in Santa Barbara Jan 30th, 2010

We are doing Water Assisted Liposuction now with the Body-Jet device, a first for Santa Barbara and the Central Coast. I’m excited about this technology because it allows for a gentle removal of fat with the assistance of a spray of water at the end of what at first glance...

Pop Star Lyrics and Plastic Surgery Dec 24th, 2009

Another pop culture comment…What’s up with Lady Gaga’s “Dance in the Dark” and the intro line of “Silicon, saline, poison inject me…”? Thinking I might have a whole song to comment about, she then digresses, mentioning Jon Benet Ramsey and Stanley Kubrick. And Jesus and Liberace. So forget all that...

Senate Bill Includes New “Botox Tax” Nov 19th, 2009

You know the government is desperate for solutions to pay for it’s health care program when they propose a tax on cosmetic medical services and surgery (see the legislation below).  This has been attempted by the legislatures in several states, and was enacted for a time in New Jersey before...

Before and After Photos Can Be Deceiving Nov 10th, 2009

This weekend I was channel surfing and saw an ad pitching a plastic surgery procedure that was being promoted by a national marketing agency. You’ve probably seen the ads, but if not, you’ve probably seen similar ones touting a procedure or some new skin cream with fantastic claims like “better...

Breast Augmentation Using Injected Fat Oct 27th, 2009

This is not exactly a new technique, but it is gaining steam abroad, and there are centers in the US which are studying it, while some surgeons are begining to incorporate it into their suite of techniques.  Fat injection, also known as fat grafting, or fat transfer, is a tool...

October Update for Pacific Plastic Surgery Sep 29th, 2009

Dr. Mackenzie will be using Body-Jet liposuction soon which is a better technology for allowing liposuction to be done under local anesthesia.  The recovery and bruising is less, and the fat that is removed is much better for re-injection than with traditional, laser, or ultrasound liposuction techniques.  Look for this at the...

Scars and Scar Revision After Plastic Surgery Sep 16th, 2009

In the last two weeks, I have encountered three of my own patients in Santa Barbara with scar results after surgery that illustrate the capriciousness of the healing process. The first was a patient who had a facelift by me a couple years ago.  She diligentlly followed our post-op instructions regarding her facelift scars.  Behind...

Stem Cell Facelift Now in Santa Barbara! Sep 6th, 2009

I was reading a throw-away plastic surgery journal the other day (the kind that is mostly an advertising forum, with some soft articles written by and for surgeons) and a well known, well respected plastic surgeon from Los Angeles was raving about this Stem Cell Facelift. He wrote about how...

Botox vs. Dysport in Santa Barbara Aug 5th, 2009

Until recently, Botox has been the only game in town for softening the muscle action of facial muscle muscles to effect an improvement in facial lines and wrinkles. This of course, is the primary cosmetic use of Botox, and there are many non-cosmetic uses of the Botox as well. Dysport...

Breast Reconstruction Outcome Also Depends on Mastectomy Technique Jun 25th, 2009

Last night I was talking to Dr. Kim Grafton, one of the general surgeons that I sometimes work with in Santa Barbara on breast reconstruction cases, and we were discussing nipple-sparing mastectomy. This has been a somewhat controversial procedure, as many surgeons and oncologists have been hesitant to leave behind...

Where Did the Pregnant Glow Go? May 19th, 2009

Ahhh… the joys of pregnancy… flawless glowing skin, cute "baby bump" and best of all a darn good excuse to eat that extra chocolate chip cookie. Welcoming your new bundle of joy is definitely the most wonderful and rewarding experience. But you have to admit they have taken a toll...

Getting the Employment Edge Apr 23rd, 2009

This is the title of a recent Santa Barbara Newspress article which featured me and discussed how the economy has impacted the job market. It featured several Santa Barbara clothing experts and wardrobe consultants discussing how to dress for success. I was quoted as to the effect that both surgical and non-surgical...

Mother’s Day Makeover Event in Santa Maria Apr 22nd, 2009

On May 5th I’ll be at Dr. Pierre Lebrecque’s Derma Spa Med in Santa Maria for an event promoting aesthetic dermatology and plastic surgery in Santa Maria. He has a beautiful facility where I see patients two days a month, as well as a state of the art surgery center...

3-D Morphing for Breast Augmentation in Santa Barbara Mar 30th, 2009

I just got the latest software update installed for my AxisThree breast augmentation simulation system which I have had about a year now and used on over 100 patients. If you’ve never heard of this before, it is a 3-D camera system that takes your photo and allows me to...

Lip Enhancement Jan 15th, 2009

Today the FoxNews website had an article speculating whether Paris Hilton got her lips enhanced recently while in Australia. As is typical with these stories, a couple New York and Beverly Hills plastic surgeons were quoted, and based on the recent photos, opined in the affirmative. So that prompted me to write...

For a Happy New Year, Invest in Yourself Jan 2nd, 2009

OK, this starts out glum but there is a silver lining at the end”¦ I am really trying to wean myself off of television news and especially business news. It’s so distorted and inaccurate! The collapse of the markets in real estate, stocks, and commodities was forecast by some, but...

The Financial Crisis Hits Plastic Surgery Nov 21st, 2008

Let’s face it, pretty much every business is getting hit by this recession, and plastic surgery practices are no exception. I was at the recent annual meeting of the American Society of Plastic Surgeons (ASPS –www.plasticsurgery.org) in Chicago and there was much talk about the impact of the financial crisis on the...

The Lumenis One: Advanced Laser Technology Oct 24th, 2008

Our office is pleased to announce the arrival of our brand new laser system, Lumenis One Multi-technology Platform. The Lumenis One is able to treat unwanted hair, leg veins, sun spots and broken capillaries. One feature of the Lumenis One is a fourth generation Intense Pulse Light System which provides...

A Good Book for the Beach Jul 21st, 2008

I just finished reading a new book about skin care that anyone should read who wants to learn more about their skin and sort through the confusion about skin care. That’s pretty much everyone, so go out and get this book! … “The New Science of Perfect Skin” by Daniel...

Plastic Surgery – Sorting Through Misinformation: 10 Common Myths Revealed Jun 9th, 2008

Welcome to our new blog! My first post is a recent article I wrote for Health & Beauty Santa Barbara Directory about plastic surgery myths and misinformation… Plastic Surgery – Sorting through Misinformation: 10 Common Myths Revealed The field of plastic surgery has seen significant changes in aesthetic surgical procedures over the last...