A ^Retired Plastic Surgeon's Notebook

Welcome to my blog. I am a retired plastic surgeon in Seattle and was in private practice since 1991. I've seen more than a few interesting faces and cases through my years spent in the exam room, the operating room and the emergency room. And I have an opinion on just about everything relating to plastic surgery (and a lot of unrelated stuff). If you like my blog, let me know. Thanks for reading! Lisa

Category: Breast Contouring


Recent breast reduction article makes me wanna holler.

September 4th, 2013 — 1:24pm

Seattle Plastic Surgeon takes umbrage at recent article in the Journal of Aesthetic Surgery. I came across this article in the August 2013 Aesthetic Surgery Journal.   I must share this article with my readership because I think it presents some astonishing flawed logic about prodedure selection. Let me walk you through it: Prospective patients were given illustrations of  3 breastContinue reading…

Breast Contouring, Breast Reduction

Why fat transfer to the breast takes a lot of time and a lot of patience.

May 7th, 2013 — 11:32am

Fat transfer to the breast by Seattle Plastic Surgeon takes time and patience. Fat transfer to the breast doesn’t seem like it would be a time consuming procedure but it is if done properly.    Here is what’s important and why fat transfer takes time and patience:  The fat must be harvested very gently at a lowContinue reading…

Breast Contouring, Fat Transfer to the Breast

More on Gummy Bear Implants

March 18th, 2013 — 5:42pm

Seattle Plastic Surgeon reports just published information about patient satisfaction with “Gummy Bear” implants used for reconstruction. The most recent issue of Plastic and Reconstructive Surgery has an article that asks women who have had breast reconstruction with breast implants what they think about their result.  This study involved 65 ladies with round silicone gelContinue reading…

Breast Contouring, Breast Implants, My Plastic Surgery Philosophy

Gummy Bear Breast Implants and Gertrude Stein

March 1st, 2013 — 1:39pm

Seattle Plastic Surgeon riffs on Gummy Bear Breast Implants and Gertrude Stein. So, you ask, what does Gertrude Stein, that feisty feminist writer of the last century, have to do with the latest breast implants on the market??? I’ll start with a quote from Gertrude that rattles around in my head a lot: “A difference, to be aContinue reading…

Breast Contouring, Breast Implants

The Keller Funnel – I love it, I use it, I wish I had invented it.

January 11th, 2013 — 12:37pm

Seattle Plastic Surgeon blogs about a surgical device that she really, really, really loves.  I was first introduced to the Keller Funnel in 2009 and have been using it with my silicone gel breast augmentations ever since.  It is a device that is elegantly simple, very easy to use and even, well, fun.   It looksContinue reading…

Breast Contouring, Breast Implants, Plastic Surgery, Stuff I love, Uncategorized

Woman inherits her mother’s plastic surgery fund.

November 8th, 2012 — 12:31pm

Seattle Plastic Surgeon discusses a very thoughtful mother’s last wishes. One question I always ask when a patient is thinking about having a plastic surgery procedure is “why now?”    The answer can be very interesting and often very relavent.  Here are some answers I have received over the years: I’ve always wanted to do this butContinue reading…

Body Contouring, Breast Contouring, Financial Issues, Mommy Makeover

The rolling pin test for breast sagging.

November 1st, 2012 — 4:43pm

Seattle Plastic Surgeon shares a great patient story about sagging breasts. One thing I just love about being a plastic surgeon is all of the great stories I hear from my patients.  Some of the stuff they tell me is better than anything I could make up.  Here’s one: Last week I had a patientContinue reading…

Breast Contouring, Breast Lift, Breast Reduction, Now That's a Little Weird

Nice result with fat transfer in an older patient.

October 5th, 2012 — 3:21pm

Fat transfer to the breast is looking like a great operation to this Seattle Pastic Surgeon. Here is yet another satisfied fat transfer to the breast patient.  I slimmed down her muffin top and added some fat to her breasts.  She went up one cup size and also got a bit of a lift, notContinue reading…

Breast Contouring, Fat Transfer to the Breast, New Technology

Sports bra recommendation by an athlete patient.

September 28th, 2012 — 3:56pm

Seattle plastic surgeon’s patient shares her BREST BRA EVER. Yesterday I saw one of my patients who had undergone a breast augmentation and was now training for the Seattle Marathon which (what were they thinking?) is held the Saturday after Thanksgiving.   She was in the process of ramping up her mileage but was being careful notContinue reading…

Breast Contouring, Breast Implants, Breast Lift, Breast Reduction, Wardrobe Observations

Introducing the Nipple Areolar Complex

August 22nd, 2012 — 10:29am

Seattle Plastic Surgeon reviews nipple anatomy and nomenclature. The NAC a.k.a the nipple areolar complex.  I recently saw a patient who wanted a breast lift and also  a “nipple reduction.”  Her actual nipples were quite small and what she really wanted was an “areola reduction” which is often part of a breast lift or breastContinue reading…

Breast Contouring, Breast Lift, Breast Reduction, Nipples

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