Mini abdominoplasty – tummy tuck, full abdominoplasty – tummy tuck, panniculectomy – excision of fat and skin only – and liposuction and liposculpture each have a specific set of indications, deformities addressed and possible improvements. The main determinants influencing the optimal choice of procedure are skin elasticity, excess of fat and laxity of the musculofascial […]
Electrical Injuries – The “Great Masquerader” in Burn Surgery
Electrical injuries comprise only a small fraction of burn injuries admitted to specialized centers. High voltage injuries may not be survivable. The flow of current through the body interferes with tissues conducting electricity on their own (nerves, heart) and expends its energy on tissues with highest resistance, the bones, causing high temperature damage from the […]
Abdominoplasty Surgery – Structure is Beauty
The most powerful effect on the waistline can in my opinion however be achieved during abdominoplasty surgery by a technique of repositioning the muscles from the side more towards the center, which creates a permanent internal binder around the waist. After redraping the skin a much more hourglass like shape is achieved.
Correcting Crooked Noses and Faces
The correlation between structure and appearance is most straightforward when the skeleton is involved. Today’s case involved a young women after a motor vehicle accident more than a decade ago. The forehead was uneven, the brows in unequal position, old hardware palpable over the roof of the eye socket and the nose was crooked and […]
What is cosmetic surgery, what is reconstructive surgery, what is everything in between ?
All too often a difference is made between reconstructive and cosmetic surgery, most often to elevate the status of reconstructive surgery and lower the one of cosmetic surgery. I am a cosmetic surgeon and I do complex reconstrucive surgery. So I never could understand how someone could come up with something so artificial, neither based […]
Six Packs and the Male Abdominal Wall
A not infrequent request by male clients is the “six pack” stomach and if there is a cosmetic procedure to enhance/produce it. The look of a “six pack” stomach is created by a very well trained midline muscle group – two about 10cm wide muscles on each side of the midline running from the chest […]
Options in Breast Reconstruction
Breast cancer affects one out of eight women over their life time in the US. All current treatment strategies have a surgical component, which ranges from a lumpectomy to a modified radical mastectomy. As a consequence, different degrees of deformity arise, from mild asymmetry to complete absence of both breasts. The physical deformity has a […]
The Culture of Aesthetic Surgery
It is entirely personal. The motivation to seek enhancement of physical appearance (e. g. shape) or rejuvenation (e. g. the reconstruction of a youthful shape) should come from within the individual person. The individual perceives some aspect of his/her shape, which in their totality makes up his or her appearance, as a problem in a […]
Plastic Surgery – A Plastic Surgeon’s Perspective
Despite its overwhelming media presence plastic surgery continues to be the most misunderstood surgical specialty. It is my contention that this is the case because plastic surgery does not claim any specific disease (e. g. coronary artery disease in case of cardiac surgery) as its own nor does it focus on any single organ system […]
Short Scar Breast Reduction in Trinidad
Short scar breast reduction in Trinidad provides a vertical scar and a vertical concept – the entire movement of the breast is in an upward direction. Projection of the breast is also increased and the shape becomes more conical, closer to a youthful ideal. Shorter scars mean improved appearance and shorter recovery.