Articles / Publications

Nitric oxide is necessary for optimal cellular health. Topical Nitric oxide can be produced without the generation of nitric dioxide. A novel nitric oxide generating serum is examined in this Pilot Study. Nitric oxide is a free radical gas, produced endogenously from arginine by nitric oxide synthetase. Read Article.

Time is showing that when the chief complaint of facial aging includes flattening of the midface, deepening of the nasolabial and mesolabial folds, jowling, and platysmal banding, the “time-tested” traditional rhytidectomy which deals with repositioning of facial musculature and removal of excess skin and fat provides the highest intersection of safety, efficacy, and longevity. As younger patients presented for improvement of facial features, these less-invasive procedures gained some popularity, especially with the false stigmata of the term “facelift.”

The decision to perform a deep plane lift versus a previously traditional superficial musculoaponeurotic system (SMAS) elevation is based upon the patient’s anatomy. This procedure is geared toward the middle-aged patient who is concerned about the relative flattening of the midface, due to decent of the malar fat pad and facial musculature, deepening of the nasolabial folds, decent of the jowl below the oral commissure, and presence of submalar fat in conjunction with loose submalar skin and obvious platysmal banding.

Citing evidence that breast-implant-related capsules resolve uneventfully, some surgeons elect to leave the capsules in place when implants are removed because capsulectomy adds morbidity and expense to the procedure. But clinical and histopathologic evidence suggests that uneventful resolution is not always the case, and several potential problems may arise from retained capsules after removal of the implant. This chapter reviews options for the surgeon faced with explantation and management of the subsequent breast tissue and the remaining capsule. Retained capsules can cause further problems and should be addressed. Read article.

Reduction mammaplasty and mastopexy are common procedures that typify the congruity between reconstruction and aesthetic concepts. When properly planned and executed, these procedures provide patients with viable options for changing the size or the shape of the breast. Lifting the breast and raising the nipple—areola complex also provide for a more youthful appearance. Improper planning or execution can result in several problems. One of the most devastating problems is placement of the nipples in an unnaturally high position. For the patient, this is difficult, and in some cases, impossible to camouflage. This leads to unhappiness and a loss of confidence in the doctor

The results showed better resolution and improvement of scars with Dermatix treatment or the combined use of Dermatix and silicone gel sheeting than with silicone gel sheeting alone. Wound erythema was reduced, and collagen architectural reorientation was demonstrated histologically. Patients rated Dermatix as easier to use than silicone gel sheeting. Both Dermatix and silicone gel sheeting reduced symptoms of itching, irritation, and skin maceration. The results of this study indicate that Dermatix is a useful treatment for the management of abnormal scarring.