Category Archives: Procedures
April 19, 2021: What is a safe distance?
We are all aware of the health and safe protocols we must follow to help protect our loved ones, those around us and of course ourselves from the coronavirus: wear a mask, wash hands frequently and maintain a distance of 6 feet from other people. A 6-foot separation from others was the recommendation of the […]
Safety of Out-Patient Plastic Surgery Procedures During the Coronavirus Outbreak
Plastic surgeons as a group have from the very beginning of the coronavirus outbreak taken the care and protection of their patients and staff very seriously. The American Society of Plastic Surgeons (ASPS) and The Aesthetic Society (ASAPS) provided early support and guidance to their members in this respect. The question remained if these protocols […]
The Skinny on Body Sculpting
Non-surgical body contouring encompasses a wide spectrum of energies and devices. When the patient as the consumer is trying to decide what is the best machine or procedure, the variety of choices can certainly feel overwhelming. Non-surgical body contouring can be divided into two categories: non-invasive and minimally invasive. The non-invasive devices use many different […]
FDA Draft Guidance on Breast Implants
This week the FDA issued a draft guidance regarding breast implants. According to 2018 statistics from the American Society of Plastic Surgeons breast augmentation is the most popular cosmetic surgical procedure with more than 300,000 procedures performed. Breast reconstruction after mastectomy accounts for in excess of 100,000 additional procedures. There are two separate issues of […]
New Medical Aesthetician Joins Practice
Kenneth O. Rothaus, MD & are pleased to announce that Juliana Longoria has joined our staff. Juliana, a graduate of the prestigious Christine Valmy International School for Esthetics, is a New York State licensed medical aesthetician and a skin care specialist. With more than a decade of experience in the care of the aesthetic patient, […]
Correction of Length in the Aging Lip

For many individuals, one of the most distressing signs of aging are those changes seen in the upper lip. The patients generally focus on two obvious of these changes: the presence of vertical wrinkles and the loss of volume. The third change, less obvious to most, the lengthening of the lip is becoming increasingly recognized […]
Subcutaneous Breast Reconstruction – Are We Returning to Where We Started?

The original technique for breast reconstruction, as described by one of my mentors (Randall H. Guthrie, MD), involved the creation of a pre-pectoral pocket. In other words, after the mastectomy and during the reconstruction, the breast implant was placed in the space above the muscle and below the skin. Many surgeons, however, were uncomfortable with […]
SmartLipo™ vs. Safe Lipo
I don’t pay much attention to what is published about plastic surgery in the lay print media. A patient, however, had questions recently about an article she came across in Allure magazine. This article was heralding the benefits of a widely available liposuction technique, power-assisted liposuction (PAL) which was renamed for the launch of a […]
Updates in Plastic Surgery: Breast Reconstructions
The current issue of the journal JAMA Surgery has 3 interesting articles regarding breast reconstruction. Two of the articles compare the differences between autologous breast reconstruction (using the patient’s own tissues) and implant-based reconstruction. (Santosa, KB, et. al. JAMA Surg. 2018;153(10):891-899 and Bennett, KG, et. al. Jama Surg. 2018;153(10): 901-908 ) The article by Dr. […]
Not your Mother’s Mommy Makeover
Mommy makeovers have been growing in popularity since the term was introduced in 2005. Women who wanted to return to their pre-baby bodies after completing their families began asking plastic surgeons to combine two or more procedures at a time. The term “mommy makeover,” came into existence because these women said wanted to restore their […]