CosmeticSurg blog: Expert insights from Dr. Ricardo L. Rodriguez

Kae posted a very good question, because it helps understand how fat transfer works. The question relates to where you gain weight after a fat transfer: the donor area (where the fat came from, let’s say the belly) or the recipient area (where you put the fat in, let’s say the butt)? The short answer to the question is: YES, after the fat graft takes, you will gain weight in the recipient area. In the case of the Brazilian butt lift, the recipient area is the buttocks. If you took most of the fat cells from the donor area, you would gain very little weight in the belly. If you want to know the technical explanation for this, read on.

Since several patients have called recently inquiring about the “Lifestyle Lift,” I just had to put my thoughts online about the XYZ-lift phenomenon. Patients and surgeons are intensely curious about procedures that promise to deliver great results with minimal discomfort and downtime. After all, what could be better?– great looks, minimal bother! As with everything in life, if it looks to good to be true, it probably is not. But every once in a while, something does come up that is both much better than what was previously available, and true. It’s called innovation.

One question I always clarify: What is the labiaplasty procedure is designed to do? Does it enhance sexual experience, improve the appearance of the vagina, or both? Since the procedure is a type of ‘vaginal rejuvenation,’ there is a lot of confusion from the media as to what exactly the goal of the procedure is. Furthermore, many gynecologists equate vaginal rejuvenation mainly with sexual enhancement. However, for most plastic surgeons, the purpose of the Labiaplasty procedure is to improve appearance only. Let’s review the media sound bites from both gynecologists and plastic surgeons…

Most patients seeking facelifts say that coworkers or family members tell them “they look tired” all the time. They then proceed to pull upward on their neck or lower cheeks mimicking the effect they want from surgery. To make a point, I sometimes cover my face and ask what color my eyes are. They always get it right (my eyes are brown). I then ask whether I have bands in my neck (I have one). Invariably they say they didn’t notice. So, what’s the point I’m trying to make? People make judgments about how old your face looks from your eyes, not your neck or jowls. There is a famous study where the picture of a woman was put on a screen. A subject looks at the picture. Behind the screen there is a camera that tracks the eye movements of the subject looking at the picture of the woman…

Many times during a breast augmentation consult a patient will say to me: “I want to look proportionate.” In other words, the patient wants to make sure that a particular implant size will look right on her. The right proportion is determined by several factors. A good proportion is not only determined by the size…

I have just come back from a two week trip to China. It was organized by the American Society of Plastic Surgeons (ASPS), and a group of us from all across the United States went and met with plastic surgery colleagues from Beijing, Guilin, and Shanghai. We visited military hospitals, public hospitals, private hospitals, as well as surgi-centers. China is in the midst of a great transformation. To give you a sense of how great the transformation is, Shanghai alone has…

Fat injection techniques are now being used in reconstructive breast surgery. Dr. Rodriguez, a Yale trained plastic surgeon explains why Breast reconstruction with fat injections may be a good choice for lumpectomy patients. Read about this new frontier of Plastic Surgery in his Cosmeticsurg Blog.

The size of the cannula used in tumescent Liposuction can make a difference in the surgical result. You are more likely to get a smooth result if your surgeon uses a thin cannula . Read about the types of cannulas from Dr. Ricardo Rodriguez in Baltimore, Maryland.

High profile breast Implants have a smaller base diameter so it preserves the appearance of a narrower chest, and you get more anterior projection from the same 400cc volume. High profile implants have a more up front look.

In practical terms, for a Westerner, a Rhinoplasty usually means taking the bump out of the nose, making it thinner, and making it look straight from the side view. The Asian nose usually does not have a hump, but instead tends to be flat in appearance. Thus Asian patients ask for more projection. Surgeons enhance the nose by augmenting it with a silicon insert to get it to look “straight” from the side view. This enhancement eliminates the flat look. When the nose is remodeled with a silicone insert, it will make the nose look thinner. Surgery of the tip is also different because in the western patient one has to reduce the size of the tip cartilage and put sutures in it to narrow the shape. When using the silicon insert in the dorsum, the tip is usually pulled up and the shape of the nostril is refined as it becomes narrow and taller. In a few cases the tip cartilages may require sutures, but usually the procedure is simpler than in the western nose.

Dr. Rodriguez discusses the difference between fat injections for Breast augmentation and stem cell enhanced fat injections to the breast. He cites the ASPS position paper regarding fat transfer. Read about it in his CosmeticSurg blog.

An emerging alternative for breast reconstruction after lumpectomy with radiation is fat grafting to the breast. Fat grafting has been successfully performed for years, but the full healing powers of your own fat is a new frontier in Plastic Surgery. Read Dr. Rodriguez’s CosmeticSurg blog to find out more.

Yale Plastic Surgery Residency was unique in that they taught via the Socratic Method instead of the Great Master’s Method used by other teaching programs. In the Socratic method you arrive at knowledge through a process of questioning and answering. The process stimulates logical thinking and illuminates ideas.

The primary goal of a Facelift is to achieve a natural, refreshed appearance, not a ‘done’ look. Dr. Ricardo Rodriguez, a Yale trained board certified plastic surgeon, explains more about achieving a great face lift and his unique approach.

In order to get your desired surgical result for a Rhinoplasty (nose surgery), you should explain the nose you want using certain descriptive terms with your plastic surgeon in your initial consultation. Dr. Rodriguez explains how surgeons think about the nose and what terms you should use to describe the things you want to change about your nose.