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Massive weight loss patients with no pregnancy history and older postmenopausal patients can benefit from an abdominoplasty (tummy-tuck) without underlying muscle repair. The recovery is quick when it’s just surface surgery to remove loose skin. 

#abdomen #skin #surgery

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Our patient is seen here 6 months after rhinoplasty. The AI transition video shows the elegant nasal contour on the oblique view. One of the many challenges in rhinoplasty is that the nose has to look good on both the front and side views.  Surgical maneuvers that affect one view will also impact the other.  In this case it’s not just removing the bump but also making the nose wider on the front view than it was before, refining the tip, and raising it slightly. There is just a bit of tip swelling at 6 months. This can take another 6 months to resolve completely.  So far she is thrilled and so are we! 

#nose #rhinoplasty #surgery

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Breast augmentation can be accomplished in many ways based on four variables: incision location, implant position above or below muscle, implant type (saline or silicone), and implant size.  The method should be individualized based on anatomy and patient preferences.  While many surgeons prefer one main formula, versatility is important to achieve best results because each patient scenario is unique. Our patient here had one of the most common approaches which is described in the still images at the end of the video. 

#breast #implant #surgery

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Of course it’s never as simple as “just the bump” from a technical point of view. The nose still has to be completely taken apart in these cases.  All of the structural elements within have to be modified so that optimal aesthetics are established on both the front and side views. There were no breathing issues to address in this case, but they commonly co-exist. 

For the surgeons:  A narrow midvault required thin spreader grafts and an SEG was needed to preserve tip position. Subtle lateral crura modification with conservative  cephalic excision and transdomal sutures was performed as well. 

#nose #bump #surgery

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