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 Reduction


May 14th, 2017 — 7:00pm

Seattle Plastic Surgeon Discusses Mommy Makeover on Mother’s Day Ah, the joys of motherhood! I can wax eloquently about fat little feet, apple cheeks, wet baby kisses and so on but one of the joys I did not expect was a boost in my Plastic Surgery practice, especially my “mommy makeover” patients. Since becoming aContinue reading…

Body Contouring, Breast Contouring, Breast Implants, Breast Lift, Breast Reduction, Mommy Makeover, Plastic Surgery

What breast shape do you like?

June 5th, 2014 — 2:38pm

Seattle Plastic Surgeon explains how different breast implants influence breast shape. Take a look at these different breast shapes.  It is important to know what type of shape a patient prefers when doing a breast augmentation consultation.  The size and shape and projection of breast implants influences the final shape of the breast.  Other factorsContinue reading…

Breast Contouring, Breast Implants, Breast Lift, Breast Reduction, Fat Transfer to the Breast

Marijuana and gynecomastia. Is there a link?

March 6th, 2014 — 1:13pm

Seattle Plastic Surgeon riffs on the possible link between gynecomastia and marijuana use. Okay, full disclosure here.  This is just my theory.  It is based on nothing more than urban myth from my high school days and wishful thinking. The yearly procedural statistics published by the American society of Plastic Surgeons (ASPS) recently came out andContinue reading…

Breast Contouring, Breast Reduction, For Men Only, General Health

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

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

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

Fat Necrosis: it looks and sounds worse that it really is.

August 24th, 2012 — 9:52am

Seattle Plastic Surgeon explains fat necrosis. Fat necrosis often gets much, much better with a little tincture of time and usually does not require reoperation.  It occurs most frequently in overweight patients who have a thick layer of fat.      Recently I re-operated on an abdominoplasty patient of mine for fat necrosis.  The term, fatContinue reading…

Body Contouring, Breast Reduction, Obesity, Postoperative Care, Tummy Tuck

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

Ideal Breast Size?

June 13th, 2012 — 3:51pm

Seattle Plastic Surgeon blogs about the highly variable “ideal” breast size. Yesterday was a great day in the office seeing patients.  It was one of those days where all my post op patients were pleased and all the new patients were good candidates for surgery.  I had two patients, one a post op and oneContinue reading…

Breast Contouring, Breast Implants, Breast Reduction

Can plastic surgery change your brain? You bettcha!

April 12th, 2012 — 4:49pm

Seattle Plastic Surgeon removes one pound of breast and with it, a bucket load of obsessive thoughts. Recently a breast reduction patient told me that she felt like a part of her brain had been removed along with some of her excess breast tissue. As a young woman, she watched in horror as her breastsContinue reading…

Breast Contouring, Breast Reduction, Plastic Surgery, Uncategorized

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