This patient’s weight loss journey has been going on for just over 10 years. She had an initial bariatric procedure in 2013 that had to have a revision to a Roux-en-Y a few years later. She was able to lose about 80 pounds Additional weight came off with tirzepatide (Monjauro®) Which helped her lose an…
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Rejuvenation in High Risk Patients-Direct Neck lift and Upper Blepharoplasty
This 78-year-old woman had a history of heart problems and required a pacemaker. Otherwise, she was generally healthy just had high blood pressure but had never had a heart attack. She was hopeful to have a full facelift and upper blepharoplasty with concerns primarily related to her neck. To undergo this type of surgery, either…
Isolated Neck Lift-Improves Sagging Neck Line
The sagging neck is one of the first things that start to bother women as they age. In fact, even younger people often “hate their neck”. The advent of videoconferencing and Zoom meetings really led to more and more interest in surgical and non-surgical treatment options for the aging neck. Options run from non-surgical –…
Submental Liposuction – An Effective Procedure for Neck Contouring
Submental liposuction (also called neck liposuction) is an effective tool for the proper patient to achieve slimming and better contour of the neck. It is especially successful for patients with good skin tone, not a lot of loose skin and fat that is distributed above the underlying neck muscles. In many cases, a thick appearing…
Benefits of Upper Blepharoplasty – Eyelid Surgery
Upper blepharoplasty is a relatively straightforward procedure that can have a huge impact on facial appearance. With aging, patients develop some loose skin of the upper eyelids and sometimes the skin rests on the eyelashes. This gives an aged appearance and often makes patients look tired. The procedure, which can be done with local anesthesia…
All Explants Are Not the Same
It is quite common for women to decide upon breast implant removal. Motivation for this varies but includes concerns about breast implant illness, implant related pain, implant malposition, capsular contracture as well as feeling the breast implants are now too big for their body. This often occurs later in life when women have gained some…
My Ellevate : Minimally Invasive Neck lift-Great Technology with Limitations
My Ellevate Is a minimally invasive procedure pioneered by Dr. Gregory Mueller in Beverly Hills. It involves minimal incision to perform liposuction and/or skin tightening of the neck and placement of a percutaneous support suture which helps to define the jaw line with an internal suture. For properly selected patients, it can be quite sufficient…
Breast Asymmetry and Tubular Breast Deformity Treated with Mastopexy
Breast asymmetry is very common, affecting over 50% of women. This can be as subtle as just a slight amount of volume difference or perhaps the nipple position being lower on one side. The condition can also involve marked asymmetry with underdevelopment of one breast compared to the other or significant shape changes. Tuberous breast…
Tummy Tuck and Hernia
Many women with desire for abdominoplasty have an umbilical hernia or other hernia associated with large diastases rectus. Provided that these are not complex hernias, they can be repaired safely during the performance of the diastases repair and generally, do not need any supporting mesh as the umbilical hernia repair is reinforced by the correction…
Chest wall asymmetries and deformities and Breast Augmentation
Preoperative photograph showing pectus excavatum deformity Breast augmentation with symmetric breasts is a fairly routine procedure. The plastic surgeon must take account of asymmetries which are very common. Careful measurements of the sternal notch to nipple distance and breast diameter are part of a thoughtful preoperative plan. These asymmetries must be pointed out to the…
