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 […]
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 […]
Malar Bags and Festoons
The sometimes baggy area beneath the eyelids overlying the cheek bones are called “festoons”. They represent a difficult problem, which is not solved by standard facelift techniques or a “classical” blepharoplasty. The former pulls and tightens in the wrong direction to have an effect in this area of the midface, the latter usually overresects fat […]