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: New Technology


Maximizing Follow-Up in Cosmetic Surgery Clinical Trials – Money Helps

July 26th, 2018 — 9:05am

In a previous blog post bemoaning the difficulty of good follow-up in clinical research I sort of place most of the blame on patients who blow off the follow-up  once they have their desired implants.  This was my experience with the implant study I participated in many years ago.  I had an 80% follow-up at 5Continue reading…

Breast Implant Illness, Breast Implants, New Technology, Now That's Cool

14-Point Plan for Breast Implant Placement

June 26th, 2018 — 1:53pm

Surgical techniques are constantly evolving and breast implant technique is no exception.  In the past couple of years recommendations to minimize implant and implant pocket contamination have been developed.  This is in response to overwhelming evidence that bacterial contamination is the main cause of capsular contracture and may also be the cause of breast implantContinue reading…

Breast Implants, New Technology

Anatomical versus Round Implants: The study that could never be done was done.

August 4th, 2017 — 10:57am

I think the anatomic implants vs. round implants smack down may finally be over.  As those who read my blog know, I am not a huge fan of anatomic implants although I have tried really, really hard to learn to love them over many, many years.  Anatomic implants are presented as the best thing sinceContinue reading…

Breast Contouring, Breast Implants, New Technology

I am pleased to offer Ideal Breast Implants

May 3rd, 2017 — 6:05am

Seattle Plastic Surgeon now offering the IDEAL IMPLANT. I am happy to report that I am really, really liking The Ideal Implant.  And so are my patients.  This new type of saline breast implant crossed my radar screen late last year when I read an article in the New York Times about the implant and it’s inventor, Dr.Continue reading…

Breast Contouring, Breast Implants, New Technology

Old Dog Learns a New Trick – Instagram

March 17th, 2015 — 1:52pm

Baby Boomer Plastic Surgeon Dives Head First Into Instagram I just couldn’t take the nagging from my young staff any longer.  “Doctor Sowder, you just have to get onto Instagram.  That’s where everything is happening.” So I finally did and I have to say there is a lot going on out there on Planet Instagram. Continue reading…

New Technology

One Year Later – Dunce No More!

July 21st, 2014 — 2:00pm

Seattle Plastic Surgeon celebrates her one year anniversary with her Electronic Medical Record. It was one year ago that our plastic surgery office “went live” with our Electronic Medical Record (EMR).  I had a fairly bad attitude towards EMR’s in general because the government was trying to push it down our throats, the exorbitant cost, and myContinue reading…

New Technology

The Revolution of Outpatient Surgery

June 20th, 2014 — 10:26am

Seattle Plastic Surgeon blogs about how much surgery has changed in just a few decades. Sometimes it just astounds me how much surgery has changed since my days as a medical student.  There was a time when hernia patients spent  an entire week in the hospital following surgery.  They were admitted the night before, a bazillionContinue reading…

General Health, Government and Politics, New Technology, Postoperative Care, Preoperative Care

Breast Implants vs. Fat Transfer for Breast Enlargement

April 17th, 2014 — 3:41pm

Breast implants vs. fat transfer for breast enlargement.  Seattle Plastic Surgeon compares the two operations. I have been doing fat transfer to the breast for about three years now.   When I started practice in 1991, fat transfer to the breast was dismissed as ineffective.  And indeed it was because the technique did not lend itself toContinue reading…

Breast Contouring, Breast Implants, Fat Transfer to the Breast, New Technology

Breast Implant Capsular Contracture Revisited

March 27th, 2014 — 3:35pm

Sientra Textured Breast Implants may be an advance in the continuing battle against breast implant capsular contracture. The breast implant business is a funny one.  Implants come and go and then come back again and then there’s something new that becomes old that is reconsidered or tweeked and then comes back into use and so it goes. Continue reading…

Breast Contouring, Breast Implants, New Technology

Voluma. I think I’m going to really, really like this new HA filler.

March 11th, 2014 — 1:32pm

Seattle Plastic Surgeon is happy to add Voluma to her toolbox. Those who know me well know that I take a long hard look at new technology, products, procedures, etc.  I think that new is not enough.  It has to be better, safer, easier or less expensive that the technology, product or procedure it is gunning toContinue reading…

Facial Fillers, New Technology, Stuff I love

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