Blog

If You Shop at Lane Bryant, Is Coolsculpting for You?

Patients who have excess adipose tissue are candidates for Coolsculpting. The challenge is that with multiple treatments to reduce the thickness of layers of fat with the coolsculpting, the stretched out skin may pose another problem. This excess skin is optimally removed with a tummy tuck procedure. This does not preclude a patient from having […]


Galtox. Minimize bruising with filler

GALTOX Education…. Techniques for minimizing bruising includes using blunt needles. Icing the area before and after the treatment may also decrease bruising. With bruising becoming evidenced greater than 24 hours after the treatment you are more likely past the period where icing will alter your symptoms. In this case consider using arnica which you can […]


Above or Under the Muscle. Which Is Better for Breast Implants?

There is much debate over the optimal location for the implants in regard to the pectoralis muscle. Most plastic surgeons recommend placing the implants UNDER the muscle for the following reasons 1) Less incidence of capsular contracture 2) More natural look with a better transition from upper chest to breast. Less “fake” augmented look. Many […]


Breast implant size

Breast size is a very personal and intimate decision. First it is important to have a good understanding about what size you “truly” are. Many bra companies confuse women with the non-standard bra sizing system. Getting sized by your plastic surgeon gives you a better idea of what cup size you are starting with. It […]


Drainless Tummy Tuck

Tummy tuck surgery removes the loose skin and excess fat from the abdominal wall. Maneuvers to minimize post operative fluid drainage include but are not limited to minimizing cautery, use of quilting sutures and preservation of the scarpa fascia level which has abundant lymphatic drainage to the groin. Concomitant liposuction can be safely combined with […]


Drainless Tummy Tuck

Drainless tummy tuck is not just a traditional tummy tuck performed without the use of drains. Specific techniques with either quilting sutures or sparing the scarpas fascia which has the most lymphatic drainage tissue in the abdominal wall deep to the skin. By preserving the scarpas fascia the bodies own internal drainage system can absorb […]


Coolsculpting Inner Thighs to Treat “Pear Shape”

Coolsculpting induces cryolipoylsis of the fat cells treated and induces apoptosis of the cells which leads to cell death of 20% of the cells treated. This may remove the fat cells but does not tighten the skin. Complete evaluation of the area to be treated may consider other non surgical treatments as well such as […]



PAH!! What to do?

Paradoxical Adipose Hyperplasia is a vexing and unusual sequela following Coolsculpting. While the incidence of this is very rare, with the treatments of Coolsculpting getting into the millions it is understandable why more cases are being reported. I have heard of cases from other physicians and even had a patient myself who was well documented […]


Perky breasts

Breast augmentation surgery is optimal for patients who would like to have larger volume. The nipple position is often carried slightly lower with an implant due to the extra weight on the breast and thus some patients would like to consider a mastopexy at the same time. While a peri-areolar mastopexy have huge advantages to minimize […]