Blog

I am excited to be using a new product designed to provide up to 72 hours of pain relief after surgery called EXPAREL. EXPAREL, which is Bupivacaine, is a local anesthesia which has been around for many years. What’s different is the way the product is delivered to the surgical site. I inject the medication directly into the surgical site while my patient is still asleep in the OR. The medication is packaged into little soap bubbles, allowing extended distribution ... Continue Reading

Macromastia is the medical term for excessively large breasts, and I have performed hundreds of breast reductions on women who could no longer suffer with the symptoms, which include severe neck pain, shoulder pain, deep shoulder grooves, and painful skin rashes. I continue to see many patients with large painful breasts –- in fact, breast reduction is one of my most requested surgical procedures. I generally use the inferior pedicle technique, called the Wise Pattern. This places an incision around ... Continue Reading

At a recent plastic surgery conference I saw a new, highly effective technique for smoothing out small, fine wrinkles around the face, and especially around the lips, using a mixture of Juvederm and the numbing agent Lidocaine. Using a very small needle, I fill in the small wrinkles, leaving a fine sheet of product under the skin, which stimulates the collagen to rebuild itself. There is minimal bruising, minimal pain, and it’s done in the office in about 20-30 minutes. ... Continue Reading

Why am I blogging about a peel when I am a surgeon? Because my patients want rejuvenized skin and a great treatment at a reasonable price. I have had great success with a facial treatment called VI PEEL. While lasers usually require multiple sessions to achieve the desired results, one VI PEEL offers excellent results with less discomfort and expense. For most patients, peels are done three to four times a year, but if you have extremely damaged skin, the ... Continue Reading

I am asked all the time, “What is the best incision for a breast augmentation?” I use all the incisions available… armpit, breast, and nipple… but have recently found my patients want a hidden incision under the armpit. This is called the transaxillary incision. Very few surgeons are trained in this technique. I was trained to do this technique by the best. My patients find it advantageous to have a minimal incision in the armpit, and after several weeks it ... Continue Reading

Medications, genetics, and weight gain all contribute to a condition in men called Gynecomastia, meaning excess male breast tissue. I see many young boys as well as adult men with male breast tissue. This is a common complaint in my practice. The best option for removing the excess tissue is liposculpture with direct excision of the breast tissue. Many surgeons who don’t practice plastic surgery don’t understand the techniques necessary to get the best result. It is necessary to do ... Continue Reading