DOCTOR'S NOTES

Rejuran!? A plastic surgeon's take on separating hype from promise. The latest buzz word in plastic surgery is a multisyllabic mystery term that promises skin rejuvenation and repair: polynucleotides. What are they, and what do they do? What is hype and what is real? And most importantly, are polynucleotides going to change your skin... Read more on Substack

The psychology of a beautiful plastic surgery outcome, and why beauty is in the details The concept of the uncanny valley, first introduced by roboticist Masahiro Mori in 1970, describes the eerie sensation people experience when a humanoid robot or synthetic figure appears almost, but not quite, human. Weird human-ish figures are creepy— they remind us of people, but we can tell instinctively that they are not like us. The familiar features we know so well as human are slightly off, and it gives us a feeling of revulsion... Read more on Substack

A closer look at Topilase-- the hyaluronidase cream being marketed for unwanted filler in the under eye area With the rise of plastic surgery and the ensuing rise of injectables, we have seen an ensuing a spike in filler complications: puffy eyes, bumps on lips, and generally dysmorphic features. To me, this represents a waning of aesthetic judgement, a failure to stay true to anatomy, and a misunderstanding about both the the benefits and the limitations of what injectable fillers can do... Read more on Substack  

Any surgeon worth her salt loves being in the OR more than anything else, but is surgery the best thing for all patients? Shouldn’t surgeons be trying to create a world without surgery— or at the very least, less surgery, and only when needed, and in the most beautiful and delicate ways? I recently ran into a patient in the wild— walking down the street on Madison Avenue on a beautiful New York afternoon. She jostled her iced coffee, and we exchanged pleasantries. But our conversation notwithstanding, what struck me was how amazing she looked. I hadn’t seen her in...