A tummy tuck and liposuction is a commonly performed procedure to improve a patient’s body contour. This woman in her 20’s had loose skin and stubborn weight from a hormone imbalance that was now stable. I offered an abdominoplasty to remove redundant skin, and liposuction of her abdomen and flanks to improve her contour. For women who have had children, … Read More

Yes! I have patients every week asking whether I do breast and body contouring, too, as my website and social media is being updated. Here is a sneak peek at a recent patient 4 weeks after a fleur-de-lis tummy tuck and mastopexy. She was interested in increasing her cup size to go with her lift, without use of an implant. … Read More

A tummy tuck and liposuction together are a powerful way to contour the trunk. This beautiful woman in her 40’s had over 80lbs of weight loss and 5 previous children. She had loose skin after her weight loss. She also had moderate diastasis recti, or widening of the fascia between the six pack muscles. Panniculectomy involves just the removal of … Read More

This mother of 4 had extra skin and a diastasis – or separation – of the rectus muscles that make up the six-pack. Tummy tuck with excision of 2.5 pounds of extra skin, repair of the diastasis, and some targeted liposuction, helped to improve her contour and confidence. She is seen at just 4 weeks, with swelling set to improve … Read More

2 months after fleur-de-lis tummy tuck. Re: Recovery — I keep tummy tuck patients for observation overnight. This helps with pain control, care of drains as needed, early walking, and receiving a blood thinner shot 8 hours after surgery. The biggest risk I worry about is a blood clot (DVT) that can travel from the legs up to the lungs … Read More

An augmentation/mastopexy is offered when goals include both breast lift surgery and breast volume maintenance or augmentation. The further the nipple/areola needs to be raised to reach the goal position, the higher chance of wanting a revision (~30% in some series), or even planning a 2-stage surgery from the outset. Here, a modest 250cc implant placed under the muscle added … Read More

Early post-op results after a cleft rhinoplasty. Bringing the alar base forward is especially challenging if not released and augmented at the time of the primary lip repair. Volume can be added with a rib cartilage graft (self vs MTF), but the lining required release and some recruitment from the surrounding tissue. The asymmetry in the lower lateral cartilages can … Read More

1 month after cleft rhinoplasty and scar revision. Main goals Breathe better Appear more symmetric Refine the tip The septum tends to follow the cleft palate posteriorly, blocking the nasal passage on that side. Anteriorly, the septum is usually pulled to the noncleft side by an imbalance of muscle attachments to the caudal septum. Resetting/resecting the septum helps improve those … Read More

Septorhinoplasty is usually the final surgery for a patient born with a cleft lip. A few things combine to create common complaints 1) Inherently different/less growth potential 2) Asymmetric and/or abnormal attachments of muscles and ligaments 3) Bony asymmetries 4) Scar tissue 5) Abnormal blood and lymphatic flow These inevitably lead to problems breathing, and often thick and scarred nasal … Read More

The timing and techniques used for our patients with clefts are tailored to each patient. Here, the upper jaw required greater than 10mm of advancement to correct his occlusion. Thus, we performed a Le Fort 1 internal distraction: the maxilla was mobilized, and hardware placed to gradually bring the bone and teeth forward 0.5mm at a time. This incremental movement … Read More

“I’m actually breathing on both sides now. It’s incredible to be able to do that. “The amount of symmetry on both sides that you were able to achieve really impressed me. “I’m very, very happy with the results.” Cleft rhinoplasty for adults – one of the tougher surgeries we do, but also one of the most rewarding. Here, a previous … Read More

Being able to breathe through your nose depends on enough room through the nose, into the throat, and down into the lungs. There must also be enough strength to keep the walls from collapsing in. Here, the biggest problems were blockage by a deviated septum, and scar tissue from a lifetime of previous cleft surgeries. The scar tissue can be … Read More