Denver Plastic Surgery Blog

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January 28, 2011

Littleton, CO — January 28, 2011 — On Wednesday, January 26, 2011, the Food and Drug Administration (FDA) communicated to practitioners and the public about the possible association between breast implants and anaplastic large-cell lymphoma (ALCL).

ALCL is very rare affecting approximately 1 in 500,000 people.  ALCL of  the breast is even less common affecting 3 in100 million people.

More recently the FDA  identified 36-60 women out of an estimated 10 million women with breast implants worldwide with either silicone  or saline...

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November 13, 2010

On my last blog on Breast Implants: Looking Real: Part 1, I discussed the importance of the choosing the right size of breast implants, in order to avoid a fake appearance. In this blog, I will discuss how shape plays a big role in creating a “fake look.”

Perhaps the most noticeable characteristic of “the fake look” is a noticeable edge of the upper breast. A natural breast slopes gently from the chest wall, without a distinct demarcation from the curve of the upper chest. This upper part of the breast normally slopes gently, with a...

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November 08, 2010

In previous blogs, I wrote about size, shape and position as all being important elements of an attractive natural appearing result from breast augmentation. In this blog, I’ll talk about the importance of motion of the implant.

For an augmented breast to have a natural appearance, it must move with the woman’s natural breast.  If the implant is in a fixed position, it creates “an obvious augmented look.”

At the time of breast augmentation, I create a space for the implant behind the breast tissue (subglandular or prepectoral...

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October 13, 2010

Breast augmentation is the most frequent procedure I perform, doing well over one hundred augmentations a year. In my practice in Denver, breast augmentation is frequently discussed with women who uniformly express the concern that they do not want results that look “fake.” In this blog, I’ll talk about what goes into avoiding the “fake look.”

The causes of a fake appearance after breast augmentation relate to size, shape, position and motion.

If the implant size is too big for a woman’s frame, she will have a result that will...

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October 13, 2010

In my private practice, the most frequent procedure I perform is breast augmentation; I perform well over one hundred procedures of breast enhancement in Denver every year! Women who consult with me about breast enhancement in my Denver practice, which specializes in breast augmentation, uniformly express the concern that they do not want results that look “fake.” This blog is the third in a series in which I talk about what goes into avoiding the “fake look.”

In my previous blogs, I have written about the importance of size and...

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August 17, 2010

Aug 12:Each day, I meet new children for preop evaluation, brought by smiling family members huddled at bedside in the Pingliang People’s Hospital. In the faces of the parents, I see a combination of fear, concern and hope.

Although I anticipate the answer, speaking with them through an interpreter, I ask what they want me to do for their child. Rather than reply verbally through the interpreter, the answer is almost always made by pointing to the obvious cleft of the lip, or by opening the child’s mouth to point to the gaping...

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August 17, 2010

Aug 8: Some background on Pingliang, (平涼) located in central China: the most famous landmark is Kongtong Mountain (崆峒山), the cradle of Taoism.

Pingliang is almost exactly in the middle of the map of China, right.

I had a chance to visit Kongtong Mountain, which is a short taxi ride from our accommodations in Pinliang. It is interesting to note that traffic regulations are quite different here. It appears that the lines in the road are merely “suggestions.” Cars do not hesitate to drive on the “wrong side” of the road, if it is...

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August 11, 2010

August 6: Dealing almost daily with the unexpected and with schedule changes are the rule on surgical trips to underserved areas. Each trip is unique in the nature of the challenges.

Communication is always a challenge in remote parts of the world with different languages, dialects and cultures. I particularly remember a time in Ziwane, Kenya. We accessed a remote village using 4-wheel drive trucks traversing dried river beds and wash-outs, over 45 minutes from the nearest road of any form. The clinic was set-up in a 2-room structure...

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August 08, 2010

August 3: I just finished the first case of our schedule here in Pingliang, China, reconstructing a cleft lip and nose deformity in a 12 year old girl. The team is relieved that the case went well: there is a tension until we get the first case done and know we work well as a team and with the local hospital staff.

As is typical for these surgical trips, the schedule doesn’t go as planned. Most of the scheduled cases for the morning are delayed for a variety of reasons.  Adapting to the conditions and the unexpected is critical and...

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July 13, 2010

The skin has two very important proteins: collagen and elastin.

Elastin is the protein that gives skin elasticity, its tone or tautness and its resistance to stretching. Unfortunately, we lose elastin with aging, sun exposure, poor diet and exposure to toxins, like cigarette smoking. The loss of elasticity contributes to skin hanging loosely when we bend over and the bunching of skin when we drop our chin or bend at the waist.  It can also be part of the reason for there being extra skin after pregnancy or weight loss.

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