Presently there is overwhelming concern over the "epidemic" of opioid use. In conjunction, there are now restrictions on physicians as to how much  pain med at any one time can be prescribed (even for appropriate post-op management). In our present day culture few are held responsible for their actions, the blame is on someone else. Let's be honest and understand that this "epidemic" is not... read more »

I admit that I sometimes answer questions on a well known web site concerning plastic surgery issues. What is disconcerting is the number of questions asked by people who have just undergone their procedure within the last 3-5 days! I understand that there is a normal level of anxiety but the first source of answers to their questions should be... read more »

The general public knows pulmonary emboli as "blood clots to the lungs". This rare occurrence starts with venous blood clotting in the legs or pelvic region. The clotted blood then can travel to the lungs where it can affect a significant portion of the lungs ability to oxygenate the body. There are multiple causes for this condition and one of them is the... read more »

As a follow up to the  recent tummy tuck post, another procedure that is not limited to women is the neck lift. The discussion is about the various methods to improve the neck other than the traditional surgical method associated with a face lift. The clean, well-defined, almost chiseled, neck/chin profile is sought after in the boardroom setting as an expression of vigor, youth, and leadership qualities.... read more »

As we continue to try and improve our physical appearance with exercise and diet, we sometimes need a little bit of help from aesthetic surgery. Men are beginning to notice and appreciate what a tummy tuck can do for women and realize that the surgery can help them a great deal too. Weight loss with concomitant excess skin requires not only excision... read more »

We are a country of fads fueled by our bipolar swings from one extreme to the other. I remember entering the field of medicine and the pervading attitude about pain meds was to limit their use as much as possible and be judicious with quantities and dosage. Then the culture changed fueled by many external influences and doctors were chided for not being... read more »

As people age breast droop occurs to a varying degree. Whether implants are present or not this phenomena occurs. Over the years I have noticed a trend where younger women prefer implants while the breasts are still "perky" and then over time the need for lift of the original breast is needed. Many times people opt for implant removal, being... read more »

Most in-depth surgical procedures require some form of anesthetic for comfort and patient relaxation so that the surgeon can concentrate on the work at hand. The recent interest in "natural" processes has given the public a false sense that "sedation" anesthesia is more conducive to the normal state of being and that breathing for one's own is safer than general anesthesia.... read more »

One of the most important and effective adjuvant treatments available for enhancing facial aesthetic surgery has over the past several years received a "bum rap"! Ablative facial resurfacing has fallen out of favor despite its obvious success in smoothing out the skin because of its initial applications. The procedure would laser the skin very very deep which would cause a very... read more »

In my years of providing aesthetic facial improvements the one procedure that everyone wonders about but knows little is "eyelid surgery". Many legends of misunderstanding have existed and I decided that a quick overview may give more insight. Obviously a personal consultation with a board certified plastic surgeon is needed to address individual anatomy. Five important aspects to consider: Blepharoplasty... read more »