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Recent Answers

What Do You Know About The Semielastic Scarless Serdev Suture Breast Lift?

I have been considering a breast lift, but am concerned about scarring and loss of sensation in the nipple. Today I found a procedure called the "Semielastic Scarless Serdev Suture Breast Lift". It appears that Dr. Serdev uses sutures to raise and secure the breast. I can't find any doctors who do this in the US. Couple of questions: 1. Does this really work, and is it practiced in the US? 2. How long do the results last? 3. Is the cost on par with traditional breast lift methods??

A: "Designer Procedures" are Deceptive Marketing

The flood of "Designer Procedures" self-named by self-promoting surgeons to create a misleading aura of uniqueness, exclusivity, differentiation and innovation is very rarely more than deceptive marketing hype. Unfortunately, the list of such cleverly named procedures is getting longer every day.

It is understandable that this unfortunate and disingenuous advertising leads to confusion for people seeking reliable information on the internet.

  • Many of these "Designer Procedures" are actually well established procedures used by many of us and most often not developed by the person who has just attached a clever name to it.
    • Be very skeptical of any procedure that has the surgeon's name attached to it and is advertised only by that surgeon.
    • A good surgeon stands out on the basis of his/her reputation; not a catchy procedure name.
  • Many of these "Designer Procedures" may be more hype than substance: many of us don't use them, because they don't work particularly well, or may not be suitable for a particular patient.
  • Be cautious, skeptical and trust your instincts; do more research and question the validity of such procedures with second opinion(s) from Board-Certified Plastic Surgeons. 
    • If the procedure has merit, most of us will be familiar with it and many of us will have adopted it. 
    • At the very least, we can help determine if you are a good candidate for the procedure.
Paul C. Zwiebel, MD
Denver Plastic Surgeon

Will Fillers Improve my Rhinoplasty Result?

I am a 21 year old female who is 4 weeks post-op primary rhinoplasty. I had my bump shaved down and deviated septum corrected. I have been left with an up-turned very swollen bulbous tip and seriously short nose - (I actually liked my nose length better before) and it is very ski-sloped which I hate! How long should I wait before considering injectable fillers and will they fix this? Are there any side-effects? How long do they last? Is it better to wait and have a revision? Thank you

A: fillers following rhinoplasty I would advise consulting with your surgeon as they know exactly what was done and what your outcome should be. That being said 3-6 months following surgery is the soonest I would inject following surgery as risks of complications of fillers in the nose is greatly increased after rhinoplasty.
Shawn Allen, MD
Boulder Dermatologist

What Happens to a BCC Left Unremoved?

I'm sure that there are a lot of people out there with basal and squamos cell cancers out there. What really happens if they never get them removed?

A: untreated basal cell carcinoma In general, basal cell carcinomas are not life threatening skin cancers . They are however known as the rodent ulcer. This term comes from the fact that they are locally destructive to the tissue. They certainly can invade and eat in to bone. Aside from being disfiguring, this cancer can eventually spread and when it does it is more deadly than melanoma.
Shawn Allen, MD
Boulder Dermatologist
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