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Not all big bellies are equal!

By: drtim on August 30, 2010

I saw a patient in the office who wanted a tummy tuck. She was 35 years old and never had children. Although she was overweight and had a rather large belly, she was NOT a good candidate for abdominoplasty (tummy tuck), there was not infraumbilical bulge (pudge below the belly button). These bulges often (not [...]

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Laugh lines, anyone?

By: drtim on August 27, 2010

Many women complain about their ‘laugh lines’, also known in the medical literature as nasolabial folds. These are the creases between the cheek and the nose. While many women dread their appearances and contribute them to aging, it is important to realize that even babies have these dreaded ‘imperfections’. It is true, however, that they [...]

Another exciting day in the world of plastic surgery!

By: drtim on August 26, 2010

It’s 8 am, and why is it so exciting this early in the morning? Because plastic surgeons cover the entire body, head to toe. And I take a lot of emergency room call for complex face and hand injuries. So, you just never know what to expect. That in itself, makes the field exciting!

The real gift of medicine

By: drtim on August 25, 2010

Today, I walked in the office and saw a flower delivery for “Dr. Tim”. And attached was a note that read, “Not a day passes that I am not grateful for the excellent work you did. I am so thankful to have my hand back! This experience has changed my life and inspired me to [...]

Breast Implant Capsular Contracture

By: drtim on

I saw a woman in the office with a capsular contracture from breast augmentation in Beverly Hills by a fellow plastic surgery colleague many years ago. The right breast had ‘hardened’ with the fold rising about 2 centimeters.  She also reported pain with palpation.  She clearly had a ‘capsular contracture’, which is the medical term [...]

Breast Augmentation Incisions

By: drtim on June 5, 2010

A woman asked me to offer the advantages and disadvantages of breast augmentation with an incision at the ‘fold’. First of all, at the ‘fold’ is somewhat inaccurate.  You never want the incision at the fold.  You want it just *above* the fold.  Why?  Because many bathing suits don’t cover this area, particularly if the arms are elevated above [...]

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Beautiful Breasts

By: drtim on May 22, 2010

What makes a beautiful breast? In Los Angeles, a city know for fashion, flash, and entertainment, bigger isn’t always better.  At least that’s the case when it comes to breasts.  The most attractive breasts are youthful, not necessarily big, in shape.  What defines a youthful breast?  Well, volume is a factor.  But we can all recognize young beautiful SMALL breasts just [...]

Saline or Silicone Breast Implants?

By: drtim on May 10, 2010

Saline or silicone? Potato or Tomato? I saw a woman in the Beverly Hills office today who desired larger breasts. We discussed breast augmentation at length, and she raised a couple of questions about the difference between saline and silicone breast implants. There are advantages and disadvantages of both. Some of these are obvious. But [...]

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Breast Augmentation With Minimal Scarring

By: drtim on May 2, 2010

I did a breast augmentation on a 35 year old woman the other day using large silicone implants. Generally, an incision for a 500 cc silicone implant would need to be larger than 4 to 4.5 centimeters to accommodate the insertion of the implant. Often, plastic surgeons will cut their incision short, but doing so [...]

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Breast Implant Rippling

By: drtim on April 30, 2010

In Beverly Hills, breasts are a staring point. From billboards to the streets of Rodeo Drive, the Hollywood and West Hollywood clubs, cleavage is abounding. I was reminded of the cleavage priority last week when a patient came to see me for implant ‘rippling’ in the midline. Rippling can occur from a number of things. [...]

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