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This is a common practice that should be avoided. Other misleading practices, whether intentional or not, include different lighting in the before and after images. Lighting from above casts shadows that often makes a condition appear worse compared to full frontal lighting. Facial expression is also important.  Subjects should be shown in repose in both the before and after images. A slight smile in the after images always makes the result look better.  Fortunately, the vast majority of surgeons are faithful in observing these principles as closely as possible. 

#photography #lighting #beforeandafter

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Every new technique in plastic surgery goes through the zealot phase both because it is new and there is FOMO. “Over the muscle” breast augmentation is the latest example. It is heavily marketed by an implant manufacturer whose product is especially suited to this approach. Also, some surgeons looking for a differentiating niche embrace it enthusiastically. It definitely is a valuable addition to our tool box of techniques but more time is needed to appreciate not just its advantages but also its limitations 

#overthemuscle #augmentation #mammograms

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First time facelifts in patients well over 65 can achieve excellent results. However, they are more challenging because the skin is much thinner and less elastic. Also, facial fat content is typically depleted making it difficult to create elegant contours. These cases require much more finesse than the results in 45 year olds commonly touted on social media! 

#facelift #smas #faceliftbeforeandafter

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