Cosmetic Dermatology

In this video plastic surgeon Dr. Bryce Cowan explains the ideal candidate for a fat grafting procedure. Every procedure has its strengths and weaknesses, and it’s important that patients understand these factors as well as the cost and risks that they are willing to tolerate. An important video for those considering fat grafting.

The upper, mid, and lower face all age as we go through the decades. Dr. Bryce Cowan explains how symptoms of aging typically manifest over time.

We ask plastic surgeon Dr. Bryce Cowan about what patients should expect on the day of the surgical procedure.

Plastic surgeon Dr. Bryce Cowan explains the two primary processes that affect facial aging simultaneously - volume loss, and malposition.

Dermatologic surgeons are often faced with the repair of complex facial defects following Mohs micrographic surgery. While the size or absence of critical tissue layers may be daunting, the reconstruction of these complex defects follow similar principles to those for the closure of smaller, simpler defects.

Never before have so many people sought our assistance to help get get rid of their wrinkles. Until recently, most biological materials presented shortcomings – resorption within months, allergic reaction, and on occasion, foreign body or granuloma formation at the site of injection.

Typically grafted fats are long lasting. In this video Dr. Bryce Cowan explains how long fat grafts last in typical scenarios. The longevity of the grafted cells are one of the key selling points of this procedure.

Mandibular implantation is an outpatient procedure that can be used in combination with other minimally invasive cosmetic interventions. Specifically, silastic chin implants can help create a strong chin and smooth the jawline in carefully selected patients.

Plasma skin regeneration technology uses energy delivered from plasma rather than light or radiofrequency. Plasma skin regeneration technology can be used at varying energies for different depths of effect, from superficial epidermal sloughing to deeper dermal heating.

The choice of facial cleanser is important for people with normal skin, as well as for those people with sensitive skin and skin diseases such as atopic dermatitis and acne. Read this overview of all cleanser types for helpful recommendations.

As the range of soft tissue augmentation products proliferates, most will be used (with varying degrees of success) to shape and augment the lip. This review will discuss some of the factors that should be considered prior to injecting a lip with soft tissue augmentation products.

Men are a fast growing segment of the aesthetic industry. This article discusses important gender differences in facial anatomy and behavior that are relevant, as well as the requirement for different injection techniques when using dermal fillers and Botulinum toxins.

Poly-L-lactic acid is a filler recently approved by the US FDA for the correction of facial lipoatrophy in patients infected with the human immunodeficiency virus (HIV). Currently, poly-L-lactic acid, sold under the brand name Sculptra™ (Dermik), is the only product approved by the FDA specifically for this indication.

The latest techniques for endovenous occlusion, i.e., radiofrequency ablation catheters or endoluminal laser targeting water are our preferred methods for the treatment of saphenous-related varicose veins. Clinical experience with endovenous techniques in more than 1,000 patients shows a high degree of success.

Plastic surgery is a serious undertaking, and requires a lot of trust in the performing surgeon. In this video we asked plastic surgeon Dr. Bryce Cowan what patients should be looking for when choosing a plastic surgeon or a clinic.

What cosmetic procedures might be useful for a given patient? The two key principles of aging of the face are volume loss and tissue malposition. There are many elements changing simultaneously, so it's very rare that there is an effective singular procedure that can act as a fix all solution.

Moisturizers are widely used in various dermatologic and cosmetic skin therapies. Different classes of moisturizers are based on their mechanism of action, including occlusives, humectants, emollients and protein rejuvenators.

Grafted fat is transferred as whole cells which are believed to contain stem cells that release cytokines and growth factors. This promotes a rejuvenative process in the surrounding skin.

Aesthetic volume rejuvenation with dermal fillers continues to be a popular procedure that is sought by a growing number of patients who seek the rounder softer contours attributable to a more youthful appearance. This article will focus on the most popular, time tested, and innovative fillers available today.