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New silicone breast implant size options now available

The Mentor corporation has announced more options in their already excellent selection of memory gel silicone implants. Smooth round memory gel implants by Mentor are my current preferred choice for silicone implants.  I received a fax from the company yesterday that they have manufactured eight new size options.  Two of these are in high profile …

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How long do plastic surgery procedures last?

I am often asked how long the results of plastic surgery and cosmetic surgery last.  This is very procedure specific with some procedures only lasting a couple of months while others last a lifetime.  Some procedures give a patient a significant benefit for the rest of their life although the results may be diminished over …

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Was Diprivan (Propofol) involved in Michael Jackson’s death?

The circumstances of Michael Jackson’s death are not entirely known.  One of the possible causes has been speculated as Diprivan overdose.  Diprivan (Propofol) is a powerful anesthetic that is used by anesthesiologists for anesthesia during operative procedures.  It is referred to as “milk of amnesia”.  With proper monitoring and administration by an anesthesiologist, this is …

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Is there such a thing as “scarless” cosmetic surgery

There is a lot of hype about “scar-less surgery” and unfortunately a lot of misinformation as well.  I will try to clarify scarless surgery a little. Scarless surgery can be classified as: Fetus surgery – interestingly, fetal surgery does not heal with scarring.  There are a lot of theories about why this is true and …

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Laser liposuction

Laser liposuction is the hot new thing in liposuction, body contouring and fat removal.  It may even be the hottest thing we have ever seen in liposuction.  This only seems to be gaining popularity.  Add a laser to anything in medicine and the average consumer instantly assumes it must be better.  I don’t know how …

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Dysport may prove to be no cheaper than Botox

With the announcement that Dysport received FDA approval a few weeks ago, I have been hoping that the price point would be significantly less.  Botox is around $450 for a 100 Unit vial.  Dysport is around the same price for a 300 Unit vial.  Dysport is around 1/3 the price per unit.  However, Dysport is …

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Common sense would be a good first step towards health care reform

I was watching president Obama talking about the health care “crisis” today and couldn’t help but think of the patient I saw today about breast reduction. She is hoping that her insurance, PEHP, would pay for it.  She is a deserving patient with significant problems with back and shoulder pain associated with the weight of …

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Breast augmentation scars

Accuracy is the key There is a lot of discussion at the time of breast augmentation consultation regarding the scar.  In my opinion “where is the best place to hide the scar?” is an important question but an even more important questions is “through which incision is breast augmentation most accurate?” There are three main incisions for breast …

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Breast implant sizing. How to get it right.

Unhappiness with breast size is one of the most common reasons for revision surgery after breast augmentation.  There is a best breast implant size for each patient and there is an art to getting it right.  The breast implant should fit the body type. Large implants on a short patient just make them look heavy.  Conservative sizing is …

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How to prevent complications in breast augmentation

Breast augmentation is a fairly routine procedure in most plastic surgeons offices.  There are risks associated with every procedure.  There are a number of steps that can be taken with breast augmentation to help to minimize these risks. 1) Unhappiness with size.  This one is largely the responsibility of the patient.  Although your plastic surgeon can …

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