March 28, 2014
- (Tummy tuck patient from 2013)
In North Texas, when your children are young it's almost impossible to avoid the pool in the summer. And for many women, therein lies the conundrum. They love their kids and the whole pool scene, yet they're uncomfortable with how they look in their bathing suits. Looking around, seeing so many tan, fit bodies, wondering what happened to them. Why all the stretch marks, the pooch that falls over the top of the bikini bottom, the loose skin just above the thigh crease? Where has the belly button gone? WHAT HAPPENED?
Here's a little secret: all those fit bodies? Well, a lot of them look so good because they've had a little help. Tummy tucks, for instance, can make a huge difference. I often refer to this operation as, "the return of the belly button". Look in the photo gallery section of the website in the Abdominoplasty section. Women frequently choose us because they have seen a lot of pictures and think we create some of the best belly buttons. All of those nagging issues described above can be addressed with a tummy tuck ("abdominoplasty"). It is common for a woman who undergoes a tummy tuck to end up with a "Wow!" type of result. It's a difference-maker.
Come see us. Spring is a great time for an abdominoplasty!
February 11, 2014
This unusually cold North Texas winter will soon be a memory. Spring is just around the corner! Temperatures warm, heavy coats are put away, and warm weather clothing makes its way to the display racks. It's a perfect time for breast augmentation! Contrary to what a lot of people think, most women who come to see me for breast augmentation surgery don't want really big breasts; they just want to wear great tops. Most of these women have never felt comfortable in cute tops or bathing suits and they want to feel confident wearing sleeveless and strapless clothing.
One of the best things about breast augmentation is that there are so many shapes and sizes of breast implants available. We can help you choose an implant that enhances your figure without making you look disproportionate. In our office the Vectra 3-dimensional imaging system is used as part of the consultation to help you find the look you want. The Vectra system takes photographs of your torso with 6 cameras, and the computer blends these photographs into one three-dimensional image. We can choose any implants available in the US today, click a mouse, and like magic the software creates a simulated image of your breasts with those exact implants in place. Rather than seeing before-and-after pictures of other women who have undergone breast augmentation, this system lets you see what you may look like after an augmentation. The software even includes bikini tops and sleeveless tops that may be superimposed on the image to show you how you might look in those.
Spring is a fantastic time for breast augmentation. Be ready for the summer! Come visit with us and see what you might look like after an augmentation. The Vectra technology is way cool. Check it out!
November 7, 2013
I love doing facelifts. There's some real art and finesse involved. Every millimeter counts. Usually a person considering facelift surgery notices loose facial skin, jowls, and a loss of the youthful neck contour. During the procedure tissues under the skin are lifted and tightened, then excess skin is trimmed away. The incisions are placed in inconspicuous areas, with the result being a refreshed, rejuvenated appearance. As with most cosmetic procedures several different techniques have been created, each technique trying to address particular anatomical areas differently. If you watch much television you've probably even seen infomercials about one of these techniques. However, no matter which technique is used, the concepts are similar: the tissues under the skin are tightened first, then the excess overlying skin is removed. This allows the fatty tissues in the jowls to be re-positioned and trimmed, neck muscles tightened, and tissues in the cheek elevated. It sounds kind of scary, but really most people have minimal pain and are very happy with their results.
If you're thinking about this type of surgery, come visit. We use Vectra 3-dimensional imaging to help identify what areas are of most concern to you. The image on the right is an example: while we can easily see the jowls and loose skin, areas of sun damage, pigment changes, and subtle contour irregularities may also be more readily assessed. You'll love the staff in the office, and we can help visually restore that beautiful inner you!
October 27, 2013
I just returned from an educational event in Miami. About 200 plastic surgeons were invited by Allergan (a large company producing many aesthetics products including breast implants) to learn about a new product they will be launching in January 2014. The product is a sophisticated silk mesh that may be used for, among other things, revising certain types of reconstructive and cosmetic breast problems. We were taken to a lab, the Miami Anatomical Research Center, and provided with a "hands-on" learning experience in a very high-tech environment. The product, called SERI, looks like it may be very helpful for women whose breast implants have "bottomed out" or end up too far apart or too close together. This was a great experience and an opportunity to remain at the forefront of providing innovative products and services in breast surgery. All of us in the office are dedicated to providing our patients with current, comprehensive, and compassionate care. Come check us out!
September 11, 2013
Board certification in plastic surgery is not easy. To become Board certified a surgeon initially has to pass a written examination. If he (she) passes the written examination he is then asked to take an oral exam. Each of these exams typically has a failure rate of about 20%. Put another way, for each 100 surgeons going through the process, only 64 are successful the first time around. This failure rate is the highest among all the surgical specialties' certification processes, indicating that certification in plastic surgery may be the most difficult of all Boards.
After becoming certified, the plastic surgeon then has to submit information to the American Board of Plastic Surgery every two or three years indicating what scientific meetings he (or she) has attended, what types of cases he has performed, and even examples of the advertising he does. This year (2013), for instance, I had to submit a list of every case I performed from January 1st through June 30th to the Board (names of patients were removed). The information included how long each case took to perform, what hospital or surgery center was used, what complications (if any) took place, and the number codes used for each diagnosis and each procedure. That's pretty detailed information that other Boards often do not require.
It's a lot of work to obtain all the information requested by our Board. I'm proud of our Board, however, because they really do have our patients' best interests in mind. The American Board of Plastic Surgery wants to make sure that its members are practicing safe surgery, obtaining excellent outcomes, and are doing this in an ethical way. I have been Board Certified since 1996 and have never failed a Board exam. Maintaining certification in plastic surgery indicates a high level of commitment to our specialty, and ultimately to our patients. Make sure you visit with a surgeon certified by the American Board of Plastic Surgery. Certification matters.
September 5, 2013
We are the first medical practice in Tarrant County offering the Vectra XT imaging system. This is truly a "Wow" device! Six cameras take pictures of you, then a computer takes those six pictures and reconstructs one 3-dimensional image. We can then do some amazing things with this 3-D image. The image can be rotated and twisted, allowing us to show you parts of you that are hard to see in a mirror. As part of the educational process, we can draw on the image to show you, for instance, where incisions may be required or to point out specific findings to make sure that we are talking about the things that are most important to you. For our breast augmentation patients it's even better. Information about every breast implant currently available in the US is stored on the computer. We can take the 3-dimensional image of the woman's chest and pick a specific size, shape, and volume implant. Click a button and voila! The computer creates an image of what the result of those specific implants might look like in that specific person. Want to see what a different set of implants might look like? Click, done. We have also found this to be very useful in our breast cancer patients. In those women it helps us tailor the final result to more closely match the size and look of the reconstructed breast to the breast without cancer. While this imaging system does not tell us exactly what someone's final result will be, we have found it to be a wonderful tool in helping our patients understand possibilities. Vectra has been, for our practice, an incredible enhancement to the entire educational process for our patients. Come see it for yourself! We're the first in the area to have it!
February 4, 2012
We are going to have another of our Girls' Night Out events this Wednesday, February 8th, from 6 to 8 pm at our 8th Avenue office. Each of our events, taking place three or four times a year, has a unique theme. The theme for this event is "Beauty with Friends". Our aesthetician, Lori Roby, will talk one-on-one with guests about some of the great products and services she offers. Our clinical nurse injector, Krista Barrington, will demonstrate Botox injections on one of our current clients. And of course, I will speak a little about surgical options over any number of topics, tailoring the discussion to the women present that evening.
These events also raise money for local organizations that provide special care and services that blend with the needs of many of our patients. Previously we have donated portions of the proceeds from these evenings to the Joan Katz Breast Center (link: http://www.wfaa.com/good-morning-texas/Celebrating-the-Opening-of-Joan-Katz-Breast-Center-92340909.html), and the local Komen Foundation ( link: http://ww5.komen.org/). For the February 2012 event, the recipient is Cuisine for Healing (link: http://www.cuisineforhealing.org/). We are excited to partner with these groups. Sue Austin from Cuisine for Healing will be present Wednesday evening and you can learn all about it from her.
Another terrific local organization that also offers special services to our breast cancer patients is Indigo Yoga (link: http://www.indigoyoga.net/). Brooke Hamblet Hinkle, Founder and Director, will also be present Wednesday. Come visit with her to learn about yoga may be of benefit to you or someone you know!
These are not just boring little wine-and-cheese events. The office staff kind of goes 'over the top' in putting these evenings together. Come join us and see for yourself. Bring a friend! Call the office and make a reservation because, darn the luck, the fire marshal only allows so many people in the building at one time!
January 6, 2012
Award: a prize or other mark of recognition given in honor of an achievement.
Reward: something given or received in return or recompense for service, merit, hardship, etc.
I am fortunate to have been awarded listing in Fort Worth, Texas magazine's Top Docs list numerous times and Texas Monthly magazine's Texas Super Doctors list for five consecutive years. These lists are created by physicians voting for doctors they think represent the best in their respective fields of medicine. To me these awards recognize not just the surgical outcomes achieved but also the complete patient experience accomplished in our office. This includes the level of care patients receive by the entire office staff, from how they are handled when they call the office to the caring attitudes they encounter during their postoperative visits. Being voted to these lists is an honor that recognizes complete team involvement, and I am grateful to be part of a great team in the office.
Perhaps more rewarding, however, are the relationships we develop with our patients. Having just completed another holiday season, I am humbled every year by the number of patients who bring candy, tamales, popcorn tins and other thoughtful items to the office. This illustrates, in a way, the relationships developed over time not just with our cosmetic clients but with our breast and skin cancer patients as well. Awards like being named to Top Docs and Super Doctors lists are gratifying, but the rewards of developing unique relationships with our patients are truly meaningful and drive us in our practice. Thank you to the doctors who have nominated me to these lists and to the patients who make this practice so remarkable.
(Here is a video of the Top Docs recognition event for 2011; I am briefly shown at the 2:05 mark: Top Docs video )
September 28, 2011
One of my passions is breast reconstruction surgery. In the Fort Worth area we have many talented surgeons performing mastectomies for breast cancer patients, and I have worked with 13 of those surgeons this year. Fort Worth surgeons are knowledgable about breast reconstruction and frequently present it as an option to their patients who are planning to undergo mastectomies. Nationwide, however, that is not always the case. Studies from the University of Michigan found that minorities had previously not been offered reconstruction in a disproporionately high percentage of cases. Because of this, the state of New York last year made it mandatory that women undergoing treatment for breast cancer be offered the option of breast reconstruction. This article is a nice summary of that: http://www.psnextra.org/articles/breast-recon-law.html .
I am involved with a team of physicians who treat breast cancer patients. We have conferences on Wednesdays where individual cases are presented. The team includes medical oncologists, radiation oncologists, surgical oncologists, pathologists, breast-imaging specialists, clinical breast nurse navigators, genetics specialists, and plastic surgeons. All aspects of the cases are discussed, from the specifics of the tumor cells to the living situation of the patient. This provides a balanced, well-thought-out plan of treatment uniquely suited to the patients. Because of my dedication to treat these cancer patients in a timely manner, we sometimes have to alter my clinic schedule so I can work with the mastectomy surgeon to eradicate the cancer and provide immediate breast reconstruction. My office staff does amazing work in managing all of this. We find that this team-oriented approach makes the entire process a little less scary, a bit more comforting, and a lot more thorough in providing optimal treatment for our breast cancer patients.