This young man has a history of a cleft lip and palate, with septal deviation and nasal collapse. I performed an open rhinoplasty, with straightening of his septum and use of the septal cartilage along with ear cartilage to straighten and support his nose. His breathing and symmetry is already much improved at 1 week after removal of his splints. … Read More

This gentleman has a history of a cleft lip and nasal deviation, with severe difficulty breathing through his nostrils. I performed a rhinoplasty to straighten a deviated septum, and used the removed cartilage from the septum to make grafts that helped to straighten and support the nasal passages. We also chose to perform a genioplasty, moving the chin forward to … Read More

This beautiful woman loves her boost of confidence after a cleft rhinoplasty and revision of her lip scar. She is seen here early in her recovery, and can already breathe much more easily. She also said we “gave her back her smile!” after revising the notch in her cleft lip. For more, visit our Rhinoplasty page or call us at … Read More

This woman had a history of a cleft palate, with severe nasal obstruction and a pharyngeal flap contributing to sleep apnea. A septorhinoplasty and revision of her pharyngeal flap improved her breathing and refined her nasal tip, with no negative effects on her speech. There’s nothing like being able to get a good night’s sleep! For more, visit our Rhinoplasty … Read More

Cleft lip repair is traditionally done at about 3 months of age. Some centers have moved this up to 2-4 weeks, once the child is doing well and gaining weight. There may be some benefits to feeding and weight gain doing this on the earlier side. On the other hand, some other surgeons are pushing the cleft lip repair back … Read More

The best part of our week is seeing our patients back, thriving and healthy! Some of the initial tightness of the on-table repair relaxes as the premaxilla falls back into place if needed, and as the absorbable sutures give way. I have been happy with the results of 1) minimizing/eliminating incisions at the alar sill and base (especially for patients … Read More

How do I decide on when to add the vertical incision to the usual horizontal incision for a tummy tuck? With the patient in clinic, we look at how much additional skin and laxity can be removed with some gentle pinches in each direction. For our patients who have lost 100+ pounds, there is often enough laxity side-to-side to go … Read More

After extreme amounts of weight loss (50, 100, even 200+ pounds), the skin becomes stretched out. Unfortunately, no amount of exercise will make that skin bounce back into place.⁠ ⁠ Some people have so much laxity in the side-to-side direction, that the usual horizontal incision is unable to improve that in a satisfying way.⁠ ⁠ Here, adding the vertical incision … Read More

A pannus (or panniculus) is an area of overhanging tissue.⁠ ⁠ Here, a roll of skin and fat hangs over a normal crease where skin is attached to the fascia beneath.⁠ ⁠ This overhang can cause problems like rashes and infections, pain, and difficulty with daily work and exercise.⁠ ⁠ A panniculectomy is simply the excision of this overhanging skin … Read More

⁠An “incomplete” cleft lip, meaning there is still a skin bridge, still requires full separation and dissection of the lip to fully repair the anatomy and minimize long-term asymmetries. A few things I think about during this repair: Pic 2 – The white roll (at the border between the skin and dry mucosa) draws attention if there is a break … Read More

This lovely patient had a frustrating lump above her belly button that she had named Fred. She also had a mild diastasis recti and some skin laxity after previous pregnancy. We decided together to take care of Fred and the diastasis at the same time, and also remove some of her skin laxity, too. She turned out to have a … Read More

A pannus (or panniculus) is an area of overhanging tissue.⁠ ⁠ Here, a roll of skin and fat hangs over a normal crease where skin is attached to the fascia beneath.⁠ ⁠ This overhang can cause problems like rashes and infections, pain, and difficulty with daily work and exercise.⁠ ⁠ A panniculectomy is simply the excision of this overhanging skin … Read More