Dr. Pacella releases the definitive textbook on treatment of skin cancer: AESTHETIC RECONSTRUCTION AFTER MOHS SURGERY
After years of caring for patients diagnosed with skin cancer, I have heard this story too many times:
A patient sits in my exam room with a large bandage over their nose. What started as a small spot biopsied by their dermatologist has progressed into a large open defect requiring major plastic surgery. The patient sits anxiously, waiting for the final procedure to make them whole again. The patient’s emotions fluctuate rapidly: they may experience guilt about spending too much time in the sun, disbelief in the deformity that they have suffered, and fear of the possibility of permanent scarring. They are in shock…How I can possibly restore their cosmetic appearance to a time before they were diagnosed with skin cancer?
This past weekend, I was invited to speak at the 8th Annual Oculoplastic and 31st Annual Breast Symposia in Atlanta, GA. The dual symposium is a special event hosted by the The Southeastern Society of Plastic and Reconstructive Surgeons (SESPRS
). Founded in 1958, the SESPRS is composed of many talented board-certified plastic surgeons from around the Southeastern United States. Their annual scientific meetings create an unparalleled opportunity for intellectual exchange of ideas and are a model for professional surgical education across the country. Their motto of “Beauty and Function” was exemplified during a fantastic four day program!
As we round out the summer, those barbeques and beach beers can really bombard our busting bellies. We devote this month’s blog to the unsung heroes of economic vitality: The Suburban Dad.
Most of us live fairly busy lives: education, chiseling away at our career and devoting the needed time for wives and families. But somehow between the trips to soccer practice and the scattered dinner or Monday Night Football game, we (myself included) have missed a few opportunities to keep in shape and try to hold on to the youthful physique that we once had.
Here in San Diego, a common question I get as a Plastic Surgeon is: “What do I do about these wrinkles around my eyes?” The first thing I say is: “Those aren’t wrinkles. They are called ‘smile lines'”. The lesson I learned here is that the word “wrinkle” evokes quite an emotional response and is usually synonymous with “are you saying I look old?!!”. But its important to understand that those wrinkles are not just about aging… they are about expression! We wouldn’t be human if we could not express ourselves. For this reason, many performers or actresses that I have encountered over the years in my practice shun the idea of any treatment or injection that will impede their ability to express themselves.
But fear not! There is a way to reap the benefits of neuromodulator injections (i.e. Botox Cosmetic or Dysport) without looking like a porcelain doll or appearing “paralyzed”. The key lies in having your plastic surgeon inject strategically!
I have a soft spot for the 1980’s. This decade defined my childhood. Tunes such as this Billy Idol song really take me back to a great place. Let’s face it, which other time in history could mix peg-leg pants, neon pink tee-shirts and super-mullet haircuts? Ahh…those were the days.
Over the last several years, I have seen many patients who share my same age. A common request they have is rejuvenation of the eyes and face. Many patients have said: “I look so tired all of the time…and I can’t stand these bags under my eyes.” As a plastic surgeon in San Diego (and a guy in his 40s), I share similar concerns. I woke up the other day (after a not so restful night with my infant daughter) and looked in the mirror. I didn’t quite recognize the guy staring back at me: puffy lower eyelids, dark circles and a scruffy beard (ok…maybe the beard isn’t so bad?)
It has long been a question that many patients ask during consultation: “It’s too bad you can’t just take this fat from my hips or tummy and bring it up to my breast?”. Ten years ago, I may have answered this question with a whimsical laugh and an “I wish we could!” Today, that answer is a resounding “Yes!”
Fat transfer or fat grafting is one of the fastest growing procedures in cosmetic and plastic surgery. A recent survey by the American Society of Plastic Surgeons*show that over 70% of plastic surgeons are performing this procedure in their practices. While fat transfer has been around for many years, recent advances in surgical technique and technological advances in industry are making the procedure more efficient, more reliable and longer lasting. The procedure is one of the fastest growing procedures that I perform here in San Diego.