COMBINING PROCEDURES IN PLASTIC/COSMETIC SURGERY-WHEN DOES IT MAKE SENSE?

Multiple Plastic Surgery Procedures, In One Surgery Sometimes patients come to me for a plastic surgery/cosmetic procedure, not realizing to obtain the best result, an additional procedure or procedures may be recommended.  This is not “selling” or “car salesman ship” for a lack of a better word. The classic example of combining procedures is the…

CAN PLASTIC SURGERY/COSMETIC SURGERY BE PERFORMED UNDER LOCAL ANESTHESIA (WITHOUT GENERAL ANESTHESIA)?

Plastic/Cosmetic Surgery Performed Under Local Anesthesia When I finished my plastic surgery residency in 1999, my impression was most cosmetic and reconstructive plastic surgery had to be performed under general anesthesia.  May be my attendings chose this method of anesthesia for convenience, or simply lack of information at the time. However, many cosmetic and reconstructive…

IN CASE OF A LEAK, DO NOT PANIC!

Breast Implant Leak I occasionally receive frantic phone calls from patients, usually after hours, where the patient is in stress because she feels her breast implant has deflated. Stay calm!  An implant leak, whether saline or silicone, is not dangerous to your health.  In case of a saline implant deflation, the body will absorb the…

MIXTO LASER RESURFACING

Orange County Laser Resurfacing I am sure many of you have heard of CO2 lasers for treating wrinkles of the face. The traditional CO2 laser causes thermal (heat) damage to the entire area of skin treated. This is a controlled damage and the depth of thermal injury is controlled by the machine and the operator.…

IT’S A GIRL!

My daughter, Lena, was born on April 15th at 3:04 AM. We wish her health, happiness, and a refund check from the I.R.S. on her birthdays! But seriously, yesterday, as I was going on my usual walk with our dog, I started thinking about what can I do to be a good parent. I came…

VALENTINE’S DAY- A special time to love

VALENTINE’S DAY AND A SERENADE BY PHILIP ROSHEGER On the 14th of every February, we celebrate Valentine’s Day…the day of love and loving. I thought it fitting to post “Serenade “by Philip Rosheger on such a day.  Philip Rosheger is an American classical guitarist and composer.  In my opinion, he is not as well-known as…

BREAST IMPLANTS AND ANAPLASTIC LARGE CELL LYMPHOMA

The FDA has issued a communication to inform health care practitioners and the public about a possible association between breast implants and anaplastic large cell lymphoma (ALCL). Is this cause for panic and concern, especially if you already have breast implants?  In my opinion, absolutely not! The American Society of Plastic Surgeons (ASPS) has actively…