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: Patient Safety


En Bloc Capsulectomy: A Skillful Dissection by Investigative Reporter Jolene Edgar for RealSelf

November 26th, 2019 — 10:56am

I do a lot of breast implant removals and the topic of en bloc capsulectomy often comes up.  I am so glad to see this this very well researched and well written article by Jolene Edgar.  She has interviewed me and several other plastic surgeons regarding our approach to the breast implant illness patient.  IfContinue reading…

Breast Implant Illness, Breast Implant Removal, Breast Implants, Patient Beware, Patient Safety

Should you travel for breast explant surgery ?????

August 29th, 2019 — 2:00pm

This post is based on a phone consultation from earlier this week.  I’ve changed a few unimportant details to protect patient privacy. This lady has smooth, saline implants that are about 10 years old.  She is part of the Pacific Northwest Breast Implant Illness (BII) Facebook group and she thinks her implants are making herContinue reading…

Breast Implant Illness, Breast Implant Removal, Breast Implants, My Plastic Surgery Philosophy, Patient Safety, Plastic Surgery

En Bloc Resection of Breast Implants and Capsules

April 2nd, 2019 — 9:20am

I get a lot of requests from breast implant illness patients to do an en bloc resection of their implants and the surrounding implant capsule.  The term en bloc refers to a procedure that removes the structure in question in one piece or all together.  This term is used most commonly in cancer surgery whereContinue reading…

Breast Implant Illness, Breast Implant Removal, Breast Implants, Patient Safety, Plastic Surgery

Brazilian Butt Lift – A Dire Warning.

July 19th, 2018 — 9:29am

This is an email I received last week.  I want to share it here.  Please pass it along to anyone who may be considering a Brazilian Butt Lift: URGENT WARNING TO SURGEONS PERFORMING FAT GRAFTING TO THE BUTTOCKS (Brazilian Butt Lift or “BBL”)This urgent advisory is in response to the alarming number of deaths stillContinue reading…

Body Contouring, Fat Injection, Patient Beware, Patient Safety

Spectators in the OR

June 18th, 2018 — 10:30am

Occasionally I have a request from a patient’s friend or family member to come into the OR to “watch the surgery.”  Many times they tell me that they have seen it on T.V. or on YouTube and just think it will be cool to see it in person.  The answer is always no and hereContinue reading…

My Plastic Surgery Philosophy, Patient Safety, Plastic Surgery

Silicone injections are deadlier than ever.

March 13th, 2018 — 2:34pm

Silicone has quietly become beauty’s own modern-day scourge. Here’s what you need to know about the infamous injectable. From Haper’s Bazaar, January 30, 2018 by Jolene Edgar We often write about—and unapologetically enjoy receiving—popular cosmetic injections, like line-relaxing Botox and hyaluronic acid fillers. Thankfully for our foreheads and lips, the FDA has deemed these injectablesContinue reading…

Body Contouring, General Health, Patient Beware, Patient Safety, Plastic Surgery, This Makes Me Cranky.

Plastic Surgery FAQ: I’m a total wreck. Where should I start?

June 14th, 2017 — 4:16pm

Seattle Plastic Surgeon answers Plastic Surgery FAQ:  I’m a total wreck.  Where should I start? I often see patients who are interested in several different procedures.  They have a laundry list of things they would like to change.  A recent example was a middle aged lady who wanted hip liposuction, a face lift, a tummy tuck,Continue reading…

Mommy Makeover, Patient Safety, Plastic Surgery, Surgical Eductaion

Seattle Plastic Surgeon Saves Resusianne (for the umpteenth time).

March 14th, 2016 — 12:16pm

Resusianne saved once again by Seattle Plastic Surgeon.  Last Saturday I had my biyearly Advanced Cardiac Life Support review and examination.  After an excellent review of heart rhythms, various resuscitation drugs,  much studying and fretting and sweating bullets while taking the written exam, I was taken into a small room by a seasoned and tough-as-nails intensiveContinue reading…

General Health, Patient Safety

A cancelled operation is like an empty airliner taking off.

October 14th, 2015 — 2:58pm

Yesterday I had to cancel a case.  This patient was having a tummy tuck and I do not do tummy tucks on smokers.  She showed up for her surgery and confessed that she indeed had not completely quit smoking but was only smoking about 5 cigarettes a day.  Even that relatively small amount of nicotineContinue reading…

Patient Safety, This Makes Me Cranky., Tummy Tuck

Do I have to cancel my surgery because of a common cold?

October 8th, 2015 — 9:14am

Fall is the time of year when we get a lot of questions about the common cold.  Murphy’s law dictates that about week before surgery, patients wake up with a sore throat and a runny nose and a sinking feeling that we will cancel their upcoming surgery.  Here are the guidelines my anesthesia and nursingContinue reading…

General Health, Patient Safety, Preoperative Care

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