10 Aug 2017

The Face of Evil

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Numerous studies have proven that we do ‘judge a book by its cover’, and if your cover (appearance) is flawed, you can expect to be at a disadvantage everywhere from the school playground to the courtroom. Our reconstructive practice includes many patients who must ultimately live with some form of disfigurement, and we are constantly seeking out better ways to alleviate this physical and psychological burden. Society prides itself in the great strides taken to reduce prejudice associated with race, sexual orientation etc., but is enough effort being made to eliminate ‘scar-shaming’? A recent publication (JAMA Dermatol. 2017; 153(6):559-664) would argue not, as it revealed the disproportionate use of disfigurement…

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18 May 2015

Are You Too Young For a Facelift?

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Many of our patients are very comfortable with fillers, botox and peels to maintain their appearance, but the mood changes when facelift surgery enters the discussion. Properly planned and executed, this procedure is without peer for face and neck rejuvenation, but the ‘facelift’ carries a stigma that is unique.Perhaps a facelift is an acknowledgement of aging, perhaps it seems too ‘desperate’, or perhaps the imagined cost is prohibitive? As a consequence, some pursue alternative treatments which deliver diminishing returns over time, and once they finally decide to have a facelift, their facial ageing is quite advanced and so the results are overly conspicuous.The very people who were trying to avoid…

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20 Jan 2013

Eyelid surgery to feel, look and see better!

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Loose eyelid skin can compromise your vision, cause headaches, and make you look older than your years.  Blepharoplasty (aka eyelid lift) may eliminate your need to raise your brows to keep your lids open. This helps to minimize forehead creases, and eliminate headaches arising from constant contraction of your forehead muscles.  At your consultation, a careful analysis of your forehead function, globe shape and position, eyelid mechanics, and many other factors allow us to make effective recommendations and develop a treatment plan that is right for you.

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25 Dec 2012

Dorsal Hump Reduction : Closed Rhinoplasty

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Our careful analysis of this patient led us to offer a closed technique to reduce the dorsal hump of cartilage and bone, and to use a separate technique (modified Weir excision) to create a more narrow appearance to the nasal base with better nasal tip projection. Not every nose needs to be ‘fixed’, but in this case our patient’s facial  appearance was compromised by the extremes of her nasal shape,  and she had much to gain from rhinoplasty.

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25 Dec 2012

Rhinoplasty: Closed vs. Open

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Rhinoplasty (nose reshaping surgery) is one of the most powerful techniques we have for improving your appearance. We use the ‘open tip’ technique when the nasal tip requires multiple maneuvers to achieve the best result. Healing takes a little longer, but by 10 days most patients have little if any bruising and beautiful results can be had by two to three weeks. No nasal fracture was required for this patient. Our key to good results is a careful analysis of the cosmetic problem, and then choosing the techniques that can reliably achieve the appropriate correction.

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6 May 2012

Cheek and Chin Augmentation

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Cheek and Chin augmentation don’t get enough respect from patients, or sometimes surgeons, but a recent increase in chin augmentation requests reported by the American Society of Plastic Surgeons (and observed anecdotally in our Toronto office) is giving people some cause to reflect. There is speculation that the increased use of Skype and videophones is causing people to take a closer look at themselves, and a closer look at feature enhancement. Chin augmentation is a relatively easy procedure performed with a silicone implant through an incision under the chin. There are variations of the implants intended to mask jowls, or even create a chin dimple. Cheek augmentation with implants carries…

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