Glass of Water Emptying: The Way I Explain the Aging of the Face

Glass of Water Emptying:  The Way I Explain the Aging of the Face When people ask me whether fat grafting is permanent, I say yes and no.  Yes, it is permanent because if done well by an expert injector (which I consider myself one) then once the graft gains formal blood supply over a period […]

In my effort to find the best filler experience for an individual, I am constantly evolving my injection filler methods and the preferred products that I use to accomplish those goals.  In the past, I was a big advocate of Restylane injectable fillers but of late have found a real passion for Juvederm Ultra Procedures.  Is Juvederm great […]

Downturned Corners of the Mouth:  How To Fix Them One of the banes of women’s existence is the downturned corners of the mouth. Whether they are mildly present or severe, almost every woman regardless of age is overly focused on them to their own detriment. I often think that the reason for this is that […]

Why I don’t use Sculptra First, let me say that I truly do not believe Sculptra is a bad product. In fact, I have many trusted colleagues who use it and use it well.  However, I have used it in the past but I do not anymore for several reasons.  The motivation behind this blog […]

The Road to Mastery in Plastic Surgery is an Asymptote The author Malcolm Gladwell argues that you need 10,000 hours doing something to become a master at it.  An example is to be a world-class chess player who no matter how good he is or could be does not achieve mastery until he has been […]

Notched Noses: How To Fix Them Without Rhinoplasty For me one of the biggest telltale signs a nose underwent previous rhinoplasty is the nostril is notched like an upside V-shape rather than a gentle upside U-shape. This notching that occurs after previous aggressive rhinoplasty may remain unaware to the individual that it is unnatural but not […]

Use of Microcannulas: A Revolution in My Practice Using Fillers Many of my patients who have been with me for many years have witnessed the revolution in techniques that I have developed for injectable fillers.  Early on I started with rudimentary needle injections.  I then progressed to larger cannulas that I adapted from fat grafting […]

Injectable Rhinoplasty: When, Why and Why Not With the desire for non-invasive techniques today, many patients are turning to injectable rhinoplasty to make themselves feel better about their nose shape without undergoing surgical rhinoplasty. However, is this a good thing?  Who is a good candidate? First, let’s define what injectable rhinoplasty is.  It involves injecting […]