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Helping transferred fat cells live: New discoveries, especially for diabetic...

Journal time! October 2012 issue of Plastic and Reconstructive Surgery Journal has an article on new ways to help fat survive when grafting.  Hold onto your hat, this title is a doozy. “Treating Fat...

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Differentiating Fat Necrosis from Malignancy in fat grafted breasts. A new...

Journal time.  October 2012 issue of Plastic and Reconstructive Surgery Journal was full of interesting studies as always.  This one really drew my attention.  “Differentiating Fat Necrosis from...

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fat grafting study: fat transfer to breast does not increase breast cancer risk

Journal time!  The November 2012 issue of Plastic and Reconstructive Surgery Journal had an article on “Long Term Outcomes following Fat Grafting in Prosthetic Breast Reconstruction: A Comparative...

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Journal time. Are you a closet or social smoker?

This month’s issue of Plastic and Reconstructive Surgery Journal February 2013 had an article out of Hopkins on “Plastic Surgery and Smoking; A Prospective Analysis of Incidence, Compliance, and...

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Biofilm. Infected or chronic wounds and new treatments on the horizon.

Brave new world. For those who follow my blog, you know about biofilm.  Biofilm is a thin, invisible layer on wounds which keep them from healing.  They are resistant to treatment; they communicate...

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herbals which may give you high blood pressure?

As I have talked about before, you need to think of herbal medications as medication.  Many people think herbals do not have power because they are not prescribed by doctors or they are “natural.”...

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Herbals and medicines which cause dry eyes?

The recent January 2013 issue of Plastic and Reconstructive Surgery Journal was filled with interesting articles.  This one out of Cleveland “Pharmaceutical and Herbal Products That May Contribute to...

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Breast cancer- can you do a nipple sparing mastectomy in patients with a...

Journal time! The latest May 2013  issue of Plastic and Reconstructive Surgery Journal was chock full of good studies on breast cancer reconstruction- tissue free flaps, tissue expander reconstruction,...

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Angelina Jolie just had a double mastectomy. Why?

Yes, the world is all a twitter about Angelina again.  This time it is because she has gone public with her prophylactic mastectomy.  Yes, she electively decided to remove both of her breasts.  Why?!?...

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does your surgeon’s specialty cause more complications for a panniculectomy...

In the recent May 2013 Plastic and Reconstructive Surgery Journal there were abstracts from a recent research meeting.  One jumped out at me: “Resident involvement affects plastic surgery outcomes: an...

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Breast implants and Breast Cancer. Do implants affect survival?

This is a study published in the British Journal of Medicine April 2013. “Breast cancer detection and survival among women with cosmetic breast implants: systematic review and meta analysis of...

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Journal time: Pulmonary Embolism risk for abdominal flap breast reconstruction

quick blog. If you do breast cancer reconstruction using an abdominal flap (TRAM or DIEP), are there risk factors which increase your risk of pulmonary embolus? All surgeries have the risk of PE.  The...

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Journal Time: Can you save an infected implant?

Journal time: June 2013 Plastic & Reconstructive Surgery Journal had an article on “Infection Following Implant based Reconstruction in 1952 Consecutive Breast Reconstructions: Salvage Rates and...

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Surgery care improvements. Shaving? Cold? What improves your outcome?

We doctors are always trying to make things better.  I was reading in the June 2013 issue of Plastic and Reconstructive Surgery Journal an article on “Core Measures: Implications for Plastic Surgery.”...

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Do breast implants impair the ability to do an echocardiograph on your heart?

Another journal article August 2013 from Plastic & Reconstructive Surgery Journal, ” Effects of Silicone Expanders and Implants on Echocardiographic Image Quality After Breast Reconstruction.”...

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When can I travel after plastic surgery?

I clearly have an active patient population.  Many people travel to come have surgery.  For others, work or vacation, my patients like to get out of town a lot.  So when can you travel after plastic...

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Obesity and Smoking increase Risk of Serious Complications after Immediate...

Journal time! This may seem like common sense, but science is good to evaluate these things.  This is a study published in the Journal of the American College of Surgeons.  It was by Dr. Fischer out of...

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journal time: Scar management in asian patients.

The latest issue of the Plastic and Reconstructive Surgery Journal December 2013 had an article, “Update on Scar Management: Guidelines for Treating Asian Patients.”  The study was out of Seoul, Korea,...

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Is it better to have surgery in an outpatient center or big hospital? Five...

I get asked this question a lot.  I have privileges at Stanford, Sequoia, Menlo Park, and the Plastic Surgery Center in Palo Alto.  The experience for you as a patient is different at each of these...

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are you a candidate for fat transfer breast augmentation? 3 big checklists to...

I am a plastic surgeon who does fat transfer for breast enlargement.  I started because I like the idea of using your body’s own natural tissue; there are issues with breast implants whether they are...

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