Louisville Rhinoplasty Part 3-  Mountain Climbing and Noses

Published on September 28, 2014

What in the world does Rhinoplasty have to do with mountain climbing (besides frequent frostbite on the nose)?  Well, the different types of mountain climbing can illustrate the differences between types of rhinoplasty procedures.  Just follow me a bit… “Alpine”

Louisville Rhinoplasty Part 2- History of Rhinoplasty

Published on September 19, 2014

One of the earliest recorded surgical procedures, of any kind, was that of nasal reconstruction in India in approximately 800 BC.  During that time, removal of the nose was performed as punishment. Doctors then used the forehead skin to re-create

Louisville Rhinoplasty Part 1- Me and the Nose

Published on September 12, 2014

The nose is why I am in Louisville.  The nose is what makes years of surgical training worthwhile.  The nose is what gets me out of bed in the morning.  I decided to pursue Plastic Surgery training in Louisville, KY

Louisville Forehead Lift/ Brow Lift Part 2- Treatments

Published on September 7, 2014

There are various options for treatment of the forehead and brow. The decision regarding the treatment depends on the exact problem.  A long forehead can be shortened (coronal brow lift), but a short forehead cannot be lengthened.  Eyebrows that are

Louisville Forehead Lift/ Brow Lift Part 1- Goals

Published on August 31, 2014

The optimal (youthful) appearing forehead and brow are difficult to quantify.  In fact, the ideals have changed over time.  Years ago, the ideal was based solely on brow position, as there was no good treatment of forehead wrinkles.  In that

Scar Prevention Part 6- To Sum It Up

Published on August 24, 2014

As we have seen, there are many options for scar treatment and prevention.  Many of which are untested or unproven.  The choices are:  spend hundreds to thousands of dollars on unproven therapies, or, reasonable, cost-effective treatments which can provide excellent

Scar Prevention Part 5- Snake Oils and The Placebo Effect

Published on August 20, 2014

Scar treatment and prevention has been subject to countless untested and unproven therapies.  Patients often swear by treatments that are known to have little to no effect.  Indeed, good studies have demonstrated both subjective and objective improvement in various diseases,

Scar Prevention Part 4- Sun Protection

Published on August 16, 2014

A hyperpigmented or red scar is much more noticable than a hypertrophic (raised) or widened scar. Many things can lead to a reddened scar, including infection, wound tension, inflammation, and UV-exposure.  Of these things, UV-exposure is one of the only

Scar Prevention Part 3- Taping

Published on August 12, 2014

Semi-occlusive dressings have been shown in multiple studies to be associated with improved scar appearance.  This can be acheived in a variety of ways, most notably, the practice of taping over incisions.  The reason taping improves scar appearance is not

Scar Prevention Part 2- Vitamin E

Published on August 11, 2014

Immediately after I explain the role and alternatives to silicone-based scar preparations, many patients ask about the use of topical Vitamin E.  Afterall, most grandmothers swear by it (atleast mine does).  Vitamin E is a tocopherol with antioxidant properties.  It