Despite its overwhelming media presence plastic surgery continues to be the most misunderstood surgical specialty. It is my contention that this is the case because plastic surgery does not claim any specific disease (e. g. coronary artery disease in case of cardiac surgery) as its own nor does it focus on any single organ system […]
Facelift in Real Life – Lifting the Neck and Jowls
Facelift is probably the most misunderstood procedure in cosmetic surgery. In our Caribbean cosmetic plastic surgery clinic at Trinidad Institute of Plastic Surgery we see clients desiring facial rejuvenation on an almost daily basis. A lot of time is spent during consultation to dissipate the myths and misunderstanding about facelift surgery, a pivotal procedure in […]
Six Packs and the Male Abdominal Wall
A not infrequent request by male clients is the “six pack” stomach and if there is a cosmetic procedure to enhance/produce it. The look of a “six pack” stomach is created by a very well trained midline muscle group – two about 10cm wide muscles on each side of the midline running from the chest […]
Correcting Crooked Noses and Faces
The correlation between structure and appearance is most straightforward when the skeleton is involved. Today’s case involved a young women after a motor vehicle accident more than a decade ago. The forehead was uneven, the brows in unequal position, old hardware palpable over the roof of the eye socket and the nose was crooked and […]
What is cosmetic surgery, what is reconstructive surgery, what is everything in between ?
All too often a difference is made between reconstructive and cosmetic surgery, most often to elevate the status of reconstructive surgery and lower the one of cosmetic surgery. I am a cosmetic surgeon and I do complex reconstrucive surgery. So I never could understand how someone could come up with something so artificial, neither based […]
Facelift – Rhytidectomy – Rhytidoplasty
Apart from maybe breast augmentation there is hardly a procedure in the minds of people they think of sooner when “cosmetic surgery” is mentioned other than facelift. No other procedure than facelift better reflects all the good and bad about cosmetic surgery, its errors and evolutions and the whole gamuth of misconceptions in the eye […]
The Culture of Aesthetic Surgery
It is entirely personal. The motivation to seek enhancement of physical appearance (e. g. shape) or rejuvenation (e. g. the reconstruction of a youthful shape) should come from within the individual person. The individual perceives some aspect of his/her shape, which in their totality makes up his or her appearance, as a problem in a […]
Electrical Injuries – The “Great Masquerader” in Burn Surgery
Electrical injuries comprise only a small fraction of burn injuries admitted to specialized centers. High voltage injuries may not be survivable. The flow of current through the body interferes with tissues conducting electricity on their own (nerves, heart) and expends its energy on tissues with highest resistance, the bones, causing high temperature damage from the […]
Trinidad Institute of Plastic Surgery Featured in World of Plastic Surgery
Plastic surgery in Caribbean – breast augmentation, breast reduction, tummy tuck, liposuction, ethnic rhinoplasty, brazilian butt lift, facelift, blepharoplasty, acne scar treatments in Trinidad and Caribbean
Malar Bags and Festoons
The sometimes baggy area beneath the eyelids overlying the cheek bones are called “festoons”. They represent a difficult problem, which is not solved by standard facelift techniques or a “classical” blepharoplasty. The former pulls and tightens in the wrong direction to have an effect in this area of the midface, the latter usually overresects fat […]