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

Posted on January 12, 2019 By Douglas Mackenzie in

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

Posted on June 27, 2018 By Douglas Mackenzie in , ,

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

Posted on March 6, 2017 By Douglas Mackenzie in , , ,

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

Posted on February 24, 2017 By Douglas Mackenzie in , , ,

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 surgery or not: “I’m glad folks think I look different! I’m living a different, happy, more fulfilling life, and I’m thrilled that perhaps it...Read More

Posted on October 23, 2014 By Douglas Mackenzie in

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 holes that large gauge earlobe plugs leave behind, there are many reasons to consider earlobe repair surgery. Dr. Douglas J. Mackenzie and his friendly staff at Pacific Plastic Surgery specialize in a wide range of plastic...Read More

Posted on August 22, 2013 By sitemanager in ,

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 it seems like “they” are spewing out this theme daily).  The latest one comes from New Beauty.  Nothing is really answered in their post, but the questions just generate more questions and fodder for more...Read More

Posted on August 15, 2013 By sitemanager in ,

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 getting new friends.  But there are some important issues at play here, with Matthew Perry specifically and male plastic surgery in general.  And the fact that he’s a male...Read More

Posted on July 23, 2013 By sitemanager in ,

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 drastically reduce this risk is to undergo prophylactic bilateral mastectomy, a drastic approach some might argue.  I’m not going to go into the genetics or epigenetics of this marker for breast cancer, or even...Read More

Posted on May 16, 2013 By sitemanager in ,

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 of their friends who have undergone similar undesirable changes.  So how common is this, how can it be avoided, and what can be done to fix it?


For someone who has never...Read More

Posted on August 13, 2012 By sitemanager in , ,

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