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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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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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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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How Celebrities Age

Even celebrities cannot escape the aging process! They, too, have the same struggles we have when it comes to stopping the hands of time. Some age better than others, of course. Here are a few examples of the aging process as it pertains to the faces we know and love from the big screen, and what …

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My Trip to Regensburg, Germany

Claus Walter and Wayne Larrabee in Regensburg, Germany It has been wonderful to be part of the Regensburg course in Facial Plastic Surgery over the years. Each year it becomes even better. In addition to the energy and ability of Holger Gassner, the support of the entire faculty—including residents and fellows—is impressive. It is difficult …

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Rhinoplasty in Brazil

Dr. Larrabee is the President of the International Scientific Committee for the International Facial Plastic Surgery meeting in Rio Brazil in May. He will lecture on his Rhinoplasty, Facelifts, and his work on the Global Burden of Surgical Disease. This is a test. Read his JAMA article on the GBSD Dr. Larrabee is known for …

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