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Earlobe Repair and Reduction: Everything You Always Wanted to Know

Repair of torn earlobes

Before torn earlobe repair

Before

after torn earlobe repair

After (2 weeks)

Dangling or heavy earrings, babies and toddlers pulling on earrings, piercing that are too low; these are among the many causes of torn earlobes.  Sometimes the earring just droops in a stretched-out piercing site (incomplete earlobe tear).  Sometimes after years of stretching, the earlobe just splits in half (complete earlobe tear).

Regardless of the cause and severity of the tear, torn earlobes can be repaired under local anesthesia in the West Plano Plastic Surgery Center.  The cost is quite reasonable at $425 for one ear or $725 for both (assuming single, uncomplicated tears in each ear).  We have laughing gas available at no additional charge.

The skin lining of the tear is removed, and the earlobe is repaired with two to three layers of stitches (inner ear skin, outer ear skin, and soft tissue between the skin each receive a layer of stitches).  The earlobes may be re-pierced at the same time (no additional charge).  You may bring small studs with you or pick them up at the Presbyterian Hospital of Plano gift shop one floor below our office.

Beautiful earrings look much better in beautiful ears.

Earlobe reduction for large earlobes

Some people have large earlobes.  They may have simply developed that way, or they may have stretched due to heavy earrings or aging.  Regardless of the cause, the result is a dangling, distractingly large earlobe.

Earlobe reduction may be performed under local anesthesia (with laughing gas, if desired, at no additional charge).  If the earlobe also happens to be torn, this can be repaired at the same time (also at no additional charge).  In fact, sometimes the torn part of the earlobe can be removed as part of the earlobe reduction.

before earlobe reduction

Before

after earlobe reduction

After (2 months)

Most commonly I perform removal of redundant earlobe tissue through an incision along the edge of the earlobe (Patient 2, above).  Essentially, you and I agree upon the new size and curvature of the earlobe, and this is drawn onto your ear.  Then the excess skin and soft tissue is removed—staying exactly on that line.  The intervening earlobe edge’s soft tissues are thinned, and the earlobe is repaired.  This technique primarily shortens earlobes that are too long.

before earlobe reduction wedge

Before

after earlobe reduction wedge

After (2 weeks)                                              

An alternative method is to perform a wedge-shaped excision of redundant earlobe tissue (Patient 3, above).  This creates a vertical scar (instead of a curved horizontal one) and enables narrowing of earlobes that are too wide, as well as some shortening of length.

Either procedure works well, and we can decide together which one will best suit your anatomy and preferences.

Repair and reduction for gauged earlobes 

Gauging the ears is popular with many teens and twenty-somethings.  Unfortunately, it leaves the earlobes severely stretched and deformed.  Many patients choose to repair gauged earlobes due to the eventual cosmetic appearance or due to lack of acceptance by workplaces and the military.  Repair of gauged earlobes entails a combination of torn earlobe repair and earlobe reduction.  The thinned rim of tissue along the lower part of the earlobe is removed as a wedge excision, creating a vertical incision in much the same way as a wedge earlobe reduction procedure (see above).  The more stretched the earlobe is prior to repair, the smaller the earlobe will be after repair. For more information about gauged earlobe repair including pricing please call our office at 469-467-0100.

before gauge repair

Before

after gauge repair

After (2 weeks)                                                      

For more information, including before and after photos of earlobe repairs and reductions, please visit www.plasticsurgerydallas.com or call us at 469-467-0100.

Ronald M. Friedman, M.D.

Director, West Plano Plastic Surgery Center

Former Chief of Plastic Surgery, Parkland Memorial Hospital, Dallas

Dr. Friedman is the Founder and Director of the West Plano Plastic Surgery Center on the campus of Texas Health Presbyterian Hospital of Plano. He has been named Best Plastic Surgeon by D Magazine for 6 consecutive years and is the 2012 plastic surgery winner of the Best of Plano and the Best of Denton.  He has an office in Plano and serves the Frisco, Allen, McKinney, Colleyville, Grapevine, and Southlake communities.

Before and After Breast Augmentation Photos

The average plastic surgeon performs about 30 to 35 breast augmentations annually.  I performed 135 breast enlargements in 2011.  The best way to evaluate a surgeon is to look at his surgical results.  As a specialist in breast and body contouring, I strive to achieve natural and proportionate breast enlargement results.

Remember that the single greatest factor determining the appearance of your breasts after augmentation is the appearance of your breasts before augmentation.  As you view the photos below, notice that a woman’s breast shape changes very little with augmentation.  The primary changes are increased breast size and increased fullness of the upper breasts.

1. Breast Augmentation with Saline Implants:

Implant size: 330 cc implants; Incision: Inframammary fold

Estimated size change: 34B to 34C;  Height and Weight: 5’7″, 119 lbs

                          Before                                        After                               Before               After

      

                                            Front view                                                             Side view

2.   Breast Augmentation with Saline Implants:

Implants: 420 cc implants ; Incision: Inframammary fold

Estimated size change: 36B to 36D  Height and Weight: 5’9″, 140 lbs

                        Before                                        After                                       Before                   After

     

                                           Front view                                                                         Side view

3. Breast Augmentation with Saline Implants:

Implant size: 330 cc implants; Incision: Inframammary fold

Estimated size change: 34c to 34D;  Height and Weight: 5’4″, 122 lbs

                     Before                                  After                                      Before                   After

      

                                          Front view                                                                Side view

4. Breast Augmentation with Saline Implants

Implant size: 360 cc implants; Incision: Inframammary fold

Estimated size change: 34 small B to Full C;  Height and Weight: 5’4″, 130 lbs

                          Before                                        After                                   Before               After

      

                                          Front view                                                                         Side view

5. Breast Augmentation with Saline Implants

Implant size: 360 cc implants; Incision: Inframammary fold

Estimated size change: 34B to 34 Full C;  Height and Weight: 5’0″, 95 lbs

                    Before                                         After                                  Before                  After

      

                                        Front view                                                                   Side view

6. Breast Augmentation with Silicone gel implants

Implant size: 421 cc implants; Incision: Inframammary fold

Estimated size change: 32B to 32C;  Height and Weight: 5’5″, 120 lbs

                    Before                                        After                                 Before                   After

      

                                       Front view                                                                   Side view

 

Our breast augmentation patients come from all over Texas (Dallas, Fort Worth, Lubbock, Denton, Wichita Falls, Austin), Oklahoma, Arkansas, and Louisiana.

For blogs that I have written on specific breast enlargement topics, please see:

  1. Determining breast implant size
  2. Saline vs. silicone gel
  3. Safety of silicone gel
  4. Low, moderate, and high profile implants
  5. Smooth vs. textured implants
  6. Implant placement above vs. below muscle
  7. Capsular contracture

 

For articles that I have written on specific breast enlargement topics, please see:

  1. Cost of breast augmentation
  2. Breast augmentation with vs. without breast lift

 

Check out our website for more before and after photos.

Ronald M. Friedman, M.D.

Director, West Plano Plastic Surgery Center

Former Chief of Plastic Surgery, Parkland Memorial Hospital, Dallas

www.plasticsurgerydallas.com

 

 

Performing Facial Injections

I am fully aware that Botox and facial fillers are available on practically every street corner. Doctors’ and dentists’ offices, medical spas, and even beauty parlors offer injectables. Patients are routinely injected by gynecologists, dentists, nurses, aestheticians, medical assistants, and occasionally personnel with no formal medical education.  The results of the injections are variable: some are pretty good, and some are awful.

In contrast to the other injectors, plastic surgeons make their living by operating on people, not by injecting them.  I am no exception.  So why do I personally perform every injection?

Botox to glabella

botox injection plano tx

Before

botox injection plano tx

After

Restylane to the nasiolabial folds

restylane injection plano tx

Before

After

Because I’m good at it.  With an artistic background as a wood and marble sculptor and a medical background as a plastic surgeon, I feel better qualified to perform Botox and Restylane injections than the nurses and medical assistants in my office.  I understand the anatomy of the facial muscles better than your dermatologist—because I perform surgery on those very same muscles.  I can mark the muscles for injection based on your unique anatomy, rather than using a standardized diagram provided by the medical manufacturers.  I know that Restylane and Juvederm are not interchangeable products, and I understand when to use each.  I did not develop my knowledge through a weekend course at a hotel; instead, I developed it over 17 years as a board-certified plastic surgeon.

If I am the most qualified person in my office to perform injectables, I cannot delegate this duty to anyone else.  I really do care about doing my best for my patients, and I am compulsive about providing consistent, quality results.  Although I could hire an aesthetician or train a nurse injector, I still believe that if you want something done right, you have to do it yourself.

Ronald M. Friedman

Director, West Plano Plastic Surgery Center

Former Chief of Plastic Surgery, Parkland Memorial Hospital, Dallas

www.plasticsurgerydallas.com

Dr. Friedman prides himself on personally performing every Botox, Dysport, Restylane, and Juvederm injection.  Although ice is suitable for many patients, he believes that it is unfair to charge extra for patient comfort.  So he provides effective topical anesthetics and/or 70% nitrous oxide (laughing gas) at no additional charge.  Our practice serves the Plano, Frisco, Allen, and McKinney communities.

Please visit our website for more before and after Botox and Dysport photos and before and after Restylane and Juvederm photos of patients who have been injected by Dr. Friedman.

Restylane for Saddle Noses

A saddle nose entails a concave or “collapsed” look on nasal profile, resembling the shape of a saddle.  Some people’s noses just happen to look that way.  Other people may develop saddle noses following nasal trauma, infection, or rhinoplasty. Typical treatment for saddle noses is complex.  It generally involves a rhinoplasty (“nose job”) with placement of cartilage grafts taken from the nasal septum, ear, or even a rib. I have found Restylane to be a safe, convenient, and relatively inexpensive alternative to major nasal surgery and grafting in patients with saddle noses.  Restylane is a clear gel that is injected into facial wrinkles and folds to provide better contour and volume.  While it is usually used for the lips and cheeks, it is also beneficial in improving the concave or sunken profile associated with saddle noses.  Restylane involves no surgery, no surgical incisions, and no surgical recovery.  It generally lasts about six months, so there is also no commitment. This means that you can always do a rhinoplasty once the Restylane reabsorbs–but I doubt that you will.

                  Before                                                                        After

                  Before Restylane        After Restylane

                  Before                                                                        After

                  Before Restylane         After Restylane

Saddle nose injection with Restylane

Ronald M. Friedman Director, West Plano Plastic Surgery Center Former Chief of Plastic Surgery, Parkland Memorial Hospital, Dallas www.plasticsurgerydallas.com Dr. Friedman is the Founder and Director of the West Plano Plastic Surgery Center on the campus of Presbyterian Hospital of Plano.  He also serves the Frisco, Fairview, Lucas, and Wylie communities.

Tummy tuck after a 137 lb weight loss: One of Dr. Ronald Friedman’s patients describes her experience on realself.com

I have a complaint.  When demonstrating before/after results for tummy tucks, most plastic surgeons carefully select women who are 5’4” and weight 120 lbs and then show an amazingly flat tummy after surgery.  For some reason, many of the patients I see for tummy tuck have less-than-ideal proportions before surgery.  In my experience, these patients are more challenging, but the results are frequently even more gratifying.

Unbeknowst to me, one of our patients has been describing  her experience, both before and after surgery, on a major website, realself.com.  She is a 35 year-old woman who is 5’6” in height and weighs 203 lbs.  She previously weighed 339 lbs but lost 137 lbs following gastric bypass surgery.  She complained of extreme dissatisfaction with the appearance of her abdomen after massive weight loss.

She underwent full abdominoplasty (tummy tuck) in our West Plano Plastic Surgery Center on March 2, 2012.  Her before and two month postoperative results are below.  Final results are anticipated at approximately one year.

Full tummy tuck

Full tummy tuck

 

Click here for a complete description of her experience—in her own words.

For more information about tummy tucks, including more before/after photos, please click here.

Dr. Friedman is a board-certified plastic surgeon who specializes in breast and body contouring in Plano, Texas.  In practice for 17 years, his office at Presbyterian Hospital of Plano serves the Frisco, Allen, and McKinney, Texas areas. 

For more information about Dr. Friedman, please visit www.plasticsurgerydallas.com.

© 2018 Ronald M. Friedman, M.D., P.A.

Contact Us At 469-467-0100

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