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Restylane, Juvederm, Perlane, Voluma

With so many facial fillers, how do you figure out which one to use? Back in the dark ages (1995) when I started practicing plastic surgery, we only had one facial filler: collagen.  Collagen injections were clumsy, fairly ineffective, and only lasted a couple months—and you had to have a skin test beforehand just to […]

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MRI Screening for Silicone Gel Breast Implant Rupture

Is It Really Necessary? The first silicone gel breast implants were placed in the United States in 1962. For the next thirty years, they were the only widely accepted breast implants. In 1992, as increasing numbers of women with silicone gel implants reported autoimmune diseases, such as fibromyalgia and lupus, the FDA placed restrictions on the use […]

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Do Breast Implants Interfere With Breast Feeding?

Most women can successfully breastfeed their babies after breast augmentation with saline or silicone gel implants. However, no one can give you a 100% guarantee that you will be able to do so. Why not? 1. Some women have insufficient glandular tissue to provide enough milk production for successful breastfeeding. Since the function of the breast is to […]

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Vertical Scars in Tummy Tuck

A full tummy tuck addresses three problems: excess skin, excess fat, and abdominal wall laxity. I perform the vast majority of full tummy tucks through a curved horizontal lower abdominal incision and an incision around the umbilicus (belly button). Through this incision, I remove a horizontal ellipse that includes all of the skin from the […]

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Saline Breast Implant Deflation: Everything You Need to Know

Following FDA restrictions on silicone gel implants in 1992, saline implants were the only available devices for breast augmentation in the U.S. until the approval of silicone gel in late 2006. Unfortunately, most breast implants do not last as long as the women who possess them. If you have undergone or are considering breast enlargement, […]

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Two-Stage Body Lift After Major Weight Loss: Less Risk, Better Results

If you have experienced a major weight loss due to aggressive dieting and exercise or bariatric surgery, congratulations! You have undoubtedly improved your health and you probably look way better — in clothes. Out of clothes, however, you may notice sagging skin along the abdomen, thighs, buttocks, breasts, and arms. If the excess skin in your midsection is primarily […]

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Preventing Blood Clots After Tummy Tuck and Body Lift

Tummy tucks and body lifts can be life-changing procedures. The removal of skin and fat excess along with tightening of the abdominal wall can reverse many of the problems that occur following childbirth and/or weight loss. But make no mistake: even though tummy tucks and body lifts are cosmetic surgeries, they are still surgery. And every surgery has […]

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How Do I Figure Out The Right Breast Implant Size?

Determining the “right” breast implant size can be a major challenge. Let me explain the most frequent methods and their pitfalls: Going by bra cup size: “I’m an A cup, and I want to be a full C cup.”The problem: There is no standardization of cup size among bra manufacturers. A Playtex B is frequently […]

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Which are better? Smooth Breast Implants or Textured Breast Implants?

All saline and silicone gel breast implants have an outer shell that is made from solid silicone. As the name implies, smooth implants have a smooth, slick surface. Textured implants have a rough, clingy surface. Right after breast augmentation surgery, most implants look too high and too tight. I joke with patients that their implants will look […]

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Minimizing Pain with Injectable Fillers and Botox

Injectables such as Botox and Dysport are great for reducing wrinkles between the eyes (glabella), in the forehead, and along the crows’ feet regions. Injectables such as Restylane, Juvederm, and Perlane are great for filling wrinkles around the mouth and cheeks, restoring facial volume, and improving lip definition and volume. Unfortunately, these procedures can be uncomfortable. Though ice is often sufficient to make Botox […]

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