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16 May 2010

Hymenoplasty without Hypocrisy

Fewer consultations in our practice are as emotionally charged as the patient seeking hymenoplasty.  Patients seek this procedure for many reasons, but most commonly it is to physically reverse an unwanted sexual encounter, or to enable a marriage which requires virginity as a precondition. Our patients are often surprised to find themselves in a Plastic Surgeon’s office, not associating plastic surgery with a gynecologic procedure.  It so happens that reconstruction of female genitalia, either following cancer surgery (vulvectomy) or in transgender surgery is a common part of plastic surgery training, and repair of a torn hymen is extremely simple relative to these other reconstructive procedures.  An office like ours is…

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17 Nov 2009

Liposuction for Breast Reduction

Liposuction is a very attractive option for breast reduction, primarily because it spares the breast from conspicuous scars. It is most successful when the breasts have a good shape with little ptosis (the areola is not too far below the inframammary fold), the breast tissue is not dense (gland can’t be reduced by liposuction), and the amount of reduction required is not more than one or two cup sizes. Be sure to discuss this option with your plastic surgeon if you are considering breast reduction.

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4 Nov 2009

Costs for Botox injections- Why do some practices charge more?

The effectiveness of Botox depends on many factors, and you should consider more than the cost of the Botox in choosing a clinician.  Cost per unit of Botox is a good starting point in comparing prices.  $12 per unit may prove cheaper than $8 if the same effect can be produced with a lower dose of units.  A practice that uses Botox frequently will have a fresher stock that may be more effective.  Syringes that are designed to minimize loss can make a big difference, especially in small volume injections.  A GP or dermatologist may never have actually seen the muscle they are trying to inject, whereas a Plastic Surgeon will…

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21 Oct 2009

Drains and Abdominoplasty/Tummy Tuck

Patients often express surprise that they will not require drains after their abdominoplasty/tummy tuck. Although some surgeons continue to use drains, our experience over the past 10 years matches published reports in which drains can be eliminated if certain steps are taken during surgery. Most importantly, we place ‘progressive tension sutures’ to attach the skin back to the muscle layer. Not only does this close the space that would otherwise accumulate blood/fluid, but it allows the final wound edge closure to occur without tension. This helps to prevent the scar from riding up (above the bikini line)after surgery, and may prevent scar problems that arise from excessive tension.

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28 Sep 2008

Are all facelifts the same?

There are few procedures in plastic surgery with more variations than the facelift.  Understanding something about this operation may help you to understand the controversies, and may help you to ask the right questions when you meet with a prospective surgeon. (more…)

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27 Sep 2008

New techniques get low approval ratings

Non-surgical techniques are so appealing in concept, but results continue to disappoint patients. Patient surveys posted on Realself.com have revealed unfavourable results for Thermage, Mesotherapy/Liposdissolve, and especially Velasmooth. Surgical procedures that are often performed by doctors with minimal training (e.g. Lifestyle lift, and liposuction), also get predictably low ratings.  If it seems too good to be true……….

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