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How to Make Optimal Aesthetic Decisions

Aesthetic Decisions In the world of aesthetic medicine and surgery there are many options and often contradictory recommendations concerning technologies for facial rejuvenation.  How do we help our patients make optimal decisions in this environment?  We just return to basics-  make a precise anatomical diagnosis and recommend the minimal targeted intervention to address the problem. …

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Profound RF

Aging is a continuum and to counter it, we may start off with botox or fillers, but eventually work up the ladder to the pinnacle- a facelift. As a surgeon, I can tell you from firsthand experience what a facelift is and how it is done. You actually tighten the deeper layer of the face, …

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Submental Rejuvenation

A common concern of patients is the contour of the submental area. Patients desire a strong jaw line and angle between the neck and chin that is about 105-120 degrees. Poor contour of the submental area can be due to any number of anatomical variations including submental fat, recessive chin, lax skin, dehiscent platysma muscle …

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Ethiopia Trip Update

This Fall I returned to Addis Ababa, Ethiopia for my second trip to help kids with facial deformities. The Black Lion Hospital is the only Head & Neck Surgery resident training program in Ethiopia. The residency program is still in its infancy and will graduate it first class of chief residents in January of 2014. …

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The Beauty of Experience

The procedures we perform in facial plastic surgery require both art and craft. Experience benefits our patients and helps us improve both our technical skill and artistic judgment. Extensive science is behind the “10,000 hour rule” that it takes that amount of practice to become expert in a given skill. This practice, however, must be …

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Balanced Blepharoplasty

Eyelid surgery or blepharoplasty is our most commonly performed procedure.  A well done operation can immeasurably enhance appearance in general and simultaneously make the entire face appear more youthful. Dr. Larrabee performed the reconstructive as well as cosmetic eyelid procedures at Virginia Mason Clinic and did special training in these procedures at the Moorfield’s Eye …

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The Northwest Rhinoplasty is Green

The Northwest Rhinoplasty is “Green.” The Northwest has a unique style in many areas including Rhinoplasty or cosmetic nose surgery. For many decades, the predominant techniques of rhinoplasty involved removing bone and cartilage to make it smaller. In many situations this led over time to pinched, unattractive noses that didn’t breathe well. Surgeons started removing …

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