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Lower Eyelid Blepharoplasty to Look Well Rested

Lower Eyelid Blepharoplasty to Look Well Rested

The lower blepharoplasty is a procedure that can help rejuvenate the face and give the face a more well rested appearance. In a lower blepharoplasty procedure, the lower eyelid is everted, and an incision is made in the conjunctiva. The space behind the orbicularis oculi is entered and excess orbital fat is removed from the lower eyelid. The removal of…

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Left Breast DIEP Flap Revision. Correction of Mastectomy Symmastia and Implant Augmentation of DIEP Flap

Left Breast DIEP Flap Revision. Correction of Mastectomy Symmastia and Implant Augmentation of DIEP Flap

Mastectomy surgery and breast reconstruction are challenging. Depending upon the size of a tumor, the location of the tumor, and patient comorbidities the blood supply to the nipple areola complex can be compromised as well as the mastectomy skin. Occasionally, during a mastectomy, the midline of the chest can be inadvertently crossed, and the reconstruction can result in a symmastia. …

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Implant Reconstruction following Bilateral Mastectomy

Implant Reconstruction following Bilateral Mastectomy

Breast reconstruction is a challenging specialty in plastic and reconstructive surgery. Not only does the patient and reconstructive surgeon have to contend with a foreign object of the mammary prosthesis, but also chemotherapy and radiation which can make the reconstructive process more challenging.  The photograph demonstrates before and after implant reconstruction of bilateral mastectomy defects with bilateral mammary prosthesis. The…

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Upper & Lower Blepharoplasty for Facial Rejuvenation

Upper & Lower Blepharoplasty for Facial Rejuvenation

There are many patients who come to the office for consultation regarding their lower face and neck to reverse the signs of facial aging. Many of these patients are also candidates for an upper and/or lower blepharoplasty. In some cases, we perform the upper and lower blepharoplasty prior in a procedure several months to years before we perform the lower…

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Right Breast Reconstruction Following Mastectomy with DIEP Flap, Deep Inferior Epigastric Artery Perforator Flap

Right Breast Reconstruction Following Mastectomy with DIEP Flap, Deep Inferior Epigastric Artery Perforator Flap

In the ptotic patient and when the patient would like to have an autologous reconstruction, it is helpful to reconstruct the breast with an inverted-T skin pattern. The photograph demonstrates before and after breast reconstruction with a Deep Inferior Epigastric Artery Perforator Flap. The left breast underwent mastopexy reduction to set a new goal position to match. The right breast…

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The Upper & Lower Eyelid Blepharoplasty for Facial Rejuvenation

The Upper & Lower Eyelid Blepharoplasty for Facial Rejuvenation

The upper and lower eyelid blepharoplasty are two procedures that are commonly performed together. Often these procedures are performed in combination with a lower face and neck lift to rejuvenate the face. However, the upper and lower eyelid blepharoplasty are great procedures to perform prior to a lower face and neck lift procedure. The upper and lower eyelid blepharoplasty procedures…

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Left Breast Reconstruction with DIEP Flap to Reconstruct the Breasts when Implants are not an Option

Left Breast Reconstruction with DIEP Flap to Reconstruct the Breasts when Implants are not an Option

After mastectomy, the breast can be reconstructed with implants or with the patient’s own tissue. When we reconstruct the breast with the patient’s own tissue, we use the term autologous breast reconstruction. Reconstruction with the patient’s own tissue is helpful in cases where radiation was required after mastectomy or in situations where implants became infected at any time after a…

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