Symmastia is a condition whereby the two independent breasts communicate in the midline. It can be a condition from birth – which is very rare, or it can be surgically created during augmentation. Each breast must sit in its own surgically created pocket, and if those pockets communicate in the midline Then there is no cleavage, but a uni-breast. This is …

The issue of elf ears comes up occasionally. Elf ears can occur at birth, in which case the infant ear can be molded into a normal non-pointed configuration. Elf ears are essentially pointed. Molding can improve the pointedness of an infant’s ear. If this molding process doesn’t work, then surgery can be indicated. In the noncongenital world, the pointed or …

I am not a fan of medical tourism, especially as it pertains to plastic surgery. In my opinion, American plastic surgeons are the best trained in the world. That’s not to say there are no good plastic surgeons around the world, including Turkey. There are many qualified plastic surgeons in Turkey who attend our conferences and are often American-trained. However, …

The short answer is yes, but not in our practice. Nose surgery or RHINOPLASTY especially if It requires septal or functional work should be performed under general anesthesia. The complexity of RHINOPLASTY, with or without functional components can be uncomfortable under local anesthesia. Therefore, all our procedures are performed under general anesthesia by a Board-certified Anesthesiologist. Also, the facility that …

This is a very interesting question. It comes up very often. The answer is you’re never too old to look your best. Over the years, in our practice, we have seen men and women of all ages and well into the 80s seeking to look their best. If you’re seeking a revision rhinoplasty of your nose, then it means you’re not …

This is a very interesting question. The overall appearance of the nose must be considered. And, there are many factors to take into consideration. We begin with the overall structure of the patient including height, weight in skin thickness. Then we must discuss very thoroughly with a patient their goals. Once we have a clear vision of the patient’s goals …

The short answer is yes. However, there are major considerations that must be evaluated before a patient decides to have fat transfer to the breasts. The history of fat transfer goes back to the 1800s. Regarding the breasts, a lipoma was transferred to the breasts in the mid-19th century but quickly died. It took decades before any fat transfer to …

The short answer to this question is yes. However, it merits a very significant qualification. The overall architecture of the nose has particular relationships, although they exist within a range. Those relationships are measured in millimeters during the preoperative consultation. For the nose to look best, there must be a clear understanding of the significance of these relationships.  The alar …

The answer to this question is very complex. Many factors must be considered. The overall health of the patient and their emotional status is the first area of evaluation. If the patient’s health is unstable, then any further, COSMETIC SURGERY, including RHINOPLASTY, may be precluded. If the quality of the skin overlying, the nose has been compromised by too many surgeries, this …

This is a fascinating question that we often hear from the revision patient.  The answer is complex because it requires fully understanding all the elements that go into the result in RHINOPLASTY. An understanding of the remaining structure of the bone and cartilage, as well as the overlying skin, and the mucosal lining that remains after the RHINOPLASTY is essential. …