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: Now That’s a Little Weird


A craaaaazy breast implant complication.

September 25th, 2019 — 3:19pm

I use my blog to share some of the interesting stuff I see in medical journals and this is one of weirdest case reports I have ever seen.  This is from PRS Global Open (from about a year ago) which is the International Open Access Journal of the American Society of Plastic Surgeons. See theContinue reading…

Breast Implant Removal, Breast Implants, Now That's a Little Weird

Did you know that I am “Woman of Year in Medicine and Healthcare” and that “Seattle’s #1 Ranked Plastic Surgeon” is not a plastic surgeon?

May 17th, 2018 — 12:20pm

Seattle Plastic Surgeon ponders the meaning of all of these awards than just seem to arrive in the mail along with a place for credit card information.   I was dejunking my office this week and came across a bunch of letters and a few emails informing me how fabulous I am and inviting me toContinue reading…

My Plastic Surgery Philosophy, Now That's a Little Weird, This Makes Me Cranky.

Driver’s side skin damage. Check this out!

June 8th, 2017 — 8:12am

Got sunscreen in your glove box?  You should!  This is an ABC news report written by Serena Marsh and edited for length by me.  This was originally posted in 2012. Sunny Side Old: Pic Reveals Sun’s Aging Effects William (Bill) Edward McElligott is two different ages, 66 and 86 yeaars old.  If you look atContinue reading…

Aging Issues, General Health, Now That's a Little Weird, Skin Care, sun damage

Placebo and Nocebo Effect : The Power of Positive and Negative Thinking

February 6th, 2017 — 12:18pm

I’ve been doing some interesting reading lately on the mind/body connection in preparation for a presentation I am giving at the annual meeting of the Northwest Society of Plastic Surgeons this month.  I have been reading up on the “Nocebo Effect” which is the evil twin of the much studied and celebrated “Placebo Effect.”  Any oneContinue reading…

Breast Implant Illness, General Health, Now That's a Little Weird, Postoperative Care

Dude, when you get off the bike, put on your fig leaf.

June 21st, 2015 — 11:23am

Seattle Plastic Surgeon and mother of a 14 year old daughter implores the naked cyclist at the Fremont Summer Solstice Fair to put a fig leaf on it.  I have been attending the Fremont Summer Solstice Fair for many years.  I live just a few  blocks away from Fremont, the self designated “Center of the Universe”.  TheContinue reading…

Now That's a Little Weird, Wardrobe Observations

Are the planets aligned for your surgery?

January 16th, 2015 — 1:12pm

Is there an astrologer in the house? Today I saw a lovely lady who is a great candidate for tummy tuck and fat transfer to the breasts.   She’s done with babies, her youngest is out of diapers and she is ready to reclaim a little bit of her babehood.  She’s also got some help linedContinue reading…

Mommy Makeover, Now That's a Little Weird

Archaeology and Plastic Surgery

August 1st, 2014 — 12:39pm

Seattle Plastic Surgeon feels like an archaeologist while removing 42 year old silicone gel implants.  Recently I saw a lovely woman in my office who wanted removal of her breast implants and replacement with new ones.  This is a common procedure in my practice.  What made this case really memorable was the age of herContinue reading…

Breast Implant Removal, Breast Implants, Now That's a Little Weird

The IKEA Effect

February 7th, 2013 — 10:59am

Seattle Plastic Surgeon discusses the IKEA Effect. The IKEA effect refers to the phenomenon of how we are apt to like or even love something that required a lot of work on our part even if that something is flawed. Take this crooked chair.  You would never buy this at a store but if youContinue reading…

My Plastic Surgery Philosophy, Now That's a Little Weird, Surgical Eductaion, Uncategorized

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

Botox for Bunny Lines

September 21st, 2012 — 12:32pm

 Seattle Plastic Surgeon discusses “Bunny Lines” I saw a patient today who wanted treatment for those funny little horizontal wrinkles on the nose that we plastic surgeons refer to as bunny lines.  She was surprised that I recommended Botox instead of a filler. Botox works very well for bunny lines because these creases are causedContinue reading…

Botox, Now That's a Little Weird

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