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Adam G. Tattlebaum M.D.

Cosmetic Surgery

How many drains? One, Two or none?

Drains are tubes that are left under the skin during an operation. They are used to remove pockets of fluid that can accumulate. After any surgery, the tissues ooze fluid to a certain degree as they heal. Fluid collections during healing can sometimes lead to infection. Despite this some areas are more prone to collections than others and not all surgeries need drains. Usually drains are removed within a week or so when there is little fluid coming out. The fluid enters a small clear bulb that looks like a grenade. The idea of removing a drain scares patients, but it is more… Read More

Voluma so far…

Allergan, the company that makes Botox, breast implants and Juviderm products is now heavily pushing its latest filler Voluma. I see it marketed on TV all the time before the evening news. From the commercials it really is not clear to me that their beautiful models have had treatment with Voluma, but boy they sure are very attractive. For those of you who know me, and I hope if your reading this by now you at least feel like you know me, I am skeptical of new things. I don’t jump on bandwagons easily, but so far I really like… Read More

Ultrasonolaserliposuction with Power Boost!

Ok, I made up this name. There is no such thing as “Ultrasonolaserliposuction with Power Boost”, but I wouldn’t be surprised if I saw it advertised somewhere. I really just wanted to capture your attention. I have found that anything associated with the word laser, ultra or the like tends to attract attention. So why am I talking about this? Because a cool device name doesn’t always translate into the right tool for the job. Laser liposuction, Ultrasonic liposuction, Power Assisted liposuction and even good old regular liposuction are all excellent tools. They all remove fat well, but they all shrink up skin poorly, despite… Read More

Hair Thickness- Just when you think you’ve heard it all!

I’ve been in practice now for almost 20 years. Over that time I have fielded thousands of questions, to the point that I get surprised when I come across a question I have not already answered or pondered before. I met with a gentleman yesterday considering hair transplant for male pattern baldness. He had seen other doctors and had done a good deal of research. I like it when patients have done their own research, it makes going over details and our own approach easier. We spoke about strip graft versus follicular unit extraction and the robot. We discussed a day of the… Read More

Men and plastic surgery

Check out the headline for this recent study: Dallas — Certain types of wound complications are more frequent in men than in women who undergo body contouring procedures after weight loss surgeries, according to new research results. The researchers go on to explain that men have about a four-fold risk of hematoma (blood collection under the skin) and about a twofold risk of seroma formation (fluid trapped under the skin). The authors conclude that they will need more study to understand why men have these increased risks. Now, I wasn’t a part of the study, but after 18 years in… Read More

Herbal supplements and bleeding in Plastic Surgery

If you’ve ever had a cosmetic surgery consult with me, and I hope you have or will, you will see that I walk my patients through what I call “a pretend day of surgery.” Each of my procedure-related talks starts out with telling patients to be sure to avoid aspirin, Ibuprofen and herbal supplements at least 2-3 weeks before their surgery. Well, the aspirin and the Ibuprofen (Motrin, Advil) are pretty easy to remember, but many people forget about the herbal supplements, some of which are regular food products. Many are sold in health food stores and many are potent… Read More

Spring sprang early

As some of you have undoubtedly noticed I haven’t written a blog in a while. Please accept my apologies. Sometimes work just gets in the way. I like to write my blogs about personal things and real things and I like to do them (as I think they should be done) on my own. It’s just been crazy busy in our office since before the New Year. Usually there’s a period of time in the winter when people see if they succeed or fail at their New Year’s resolutions, but Spring sprang early this year and people started coming in… Read More

Sorry I Kept You Waiting ….

I find myself running behind in the office and sometimes doing what I hate the most… keeping someone waiting for their cosmetic surgery consultation. I am on your side here. I don’t like waiting in the doctor’s office either. So first and foremost if you are reading this and I have kept you waiting, or will keep you waiting, I offer you my sincere apologies. There is more to this blog however. I thought you might find it interesting to know how and why we can get backed up. —–The cascading arrival time: While we have a good scheduling program… Read More

PIP and safety of Breast implants

Recently a French manufacturer of silicone breast implants, Poly Implant Prothèse or PIP, came under Investigation by the French government for using low grade silicone in their silicone gel breast implants. The French have recommended that patients with these implants have them removed and replaced as a preventive, but not urgent matter. These breast implants are not approved for use in the United States and I have never used them in my practice. The concern is only relevant for patients who have had breast augmentation outside the United States. The only gel breast implants approved for use in the United… Read More

What goes together? More Than One Procedure of Plastic Surgery

When a patient comes in for a consult I never want that patient to feel as though I am trying to add additional plastic surgery, but it is my job is to point out where certain combinations are more powerful than just the one surgery alone. In plastic surgery there are certain procedures that must at least be considered together. Some classic examples: Rhinoplasty: Rhinoplasty really needs to be considered with the chin. The reshaping of the nose has a dramatic effect on the profile. If the chin is receding only half the battle is won. Chin implant may be… Read More

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