Blog Archive

Suffer From Excessive Underarm Sweating? We Have a Solution Sep 1st, 2019

If embarrassing, excessive sweating and body odor are keeping you from living your best life, it’s time for a change. You should be able to work out or enjoy time outdoors without worrying about soaking through your shirt and causing people around you to edge away. At Beauty by Brueck,...

The Secrets to a Natural-Looking Nose Job Aug 12th, 2019

No one wants to end up like the reality TV stars on ”Botched” — misfortunately misshapen and desperately seeking the help of corrective cosmetic surgeons.  Dr. Robert J. Brueck of Beauty by Brueck wants you to know what goes into a successful, natural-looking rhinoplasty, more commonly called a “nose job.”...

Unhappy With Your Body After Pregnancy? Learn More About Mommy Makeovers Jul 24th, 2019

Pregnancy is an unpredictable journey that changes your life forever. Some women breeze through pregnancies with nothing more than a few waves of nausea, while others experience severe morning sickness, back pain, and a host of other physical problems. Still, the reward after nine long months is a beautiful, new...

We Answer all of Your Questions About Male Breast Reduction Surgery Jun 27th, 2019

For 25% of men with gynecomastia or male breast tissue enlargement, there’s no known cause. For another 25%, it’s the result of a condition that doesn’t resolve itself after puberty. Whatever the case may be for you, gynecomastia isn’t usually a serious health condition, but it can seriously affect your...

Thread Lift, Barbed Suture Lift or No Incision Face Lift May 16th, 2019

Over the last few months I have had the experience to talk to people about their non surgical outpatient thread lifts.  The results were what I expected, really no change.  One of my patients went back to where she had it done to see how she looked now, 6 weeks post...

Why Blepharoplasty Remains Among the Most Popular Cosmetic Surgeries May 16th, 2019

When people think about cosmetic surgery, they often think of tummy tucks and nose jobs, but eyelid surgery, formally called blepharoplasty, ranks among the top cosmetic procedures in the United States, especially among those seeking anti-aging solutions. After all, blepharoplasty makes your eyes and face look more vibrant and youthful....

Breast Implant Syndrome Apr 25th, 2019

A short while back there was a story on the evening news and on articles in the Newspaper about breast implant associated disease/syndrome. I guess the FDA wants to re-visit breast implant safety. I continue to feel strongly about their safety, but I also have patients coming and telling me they feel...

5 Tips to Speed Your Face-lift Recovery Apr 16th, 2019

If your appearance on the outside no longer matches your youthful spirit on the inside, a face-lift is the perfect solution to bring everything into alignment. The road to this younger look, however, does require surgery, and how you negotiate your recovery can make all the difference. At Beauty by...

Are Your Abs Hiding? Abdominoplasty Can Help Reveal Those Cut Muscles You Already Have Mar 21st, 2019

When it comes to storing excess fat, most people fall into one of three categories: Those who are genetically endowed with a slim figure no matter how much they eat, those who are able to maintain a slender, sculpted shape through diet and exercise, and those whose bodies seem to...

Beauty by Brueck: What to Expect When Recovering From a Tummy Tuck Feb 1st, 2019

It’s not true that you can’t have a flat and toned abdomen once you’ve had a baby or two, gained excess weight, or reached a certain age. The tummy tuck, or abdominoplasty, may be exactly what you need to flatten your tummy. It can also give you a good reason...

6 Tips to Prepare for Eyelid Surgery Jan 14th, 2019

Maybe you’re tired of hearing everyone tell you that you look exhausted or perhaps your sagging eyelids are affecting your vision. Whatever the reason, you’ve decided that you’re ready to have eyelid surgery, also known as blepharoplasty. This minor outpatient procedure can significantly change your appearance and make you look...

Liposuction or Tummy Tuck: How to Choose Which is Right For You Dec 14th, 2018

When you make the decision to tweak your physique, you want to make sure you choose the right procedure to get the results you want. Many men and women choose liposuction and tummy tucks to remove excess fat, repair sagging skin, and get a flatter stomach. The question is, which...

Neck Lift vs Facelift: What is the Difference? Dec 13th, 2018

Facelift and neck lift surgeries are two of the most popular and effective procedures for dramatically improving the appearance of the face, reducing aging in the face and neck areas. While both of these procedures help to improve your appearance, they have some differences as well. Read on to learn...

How to Maintain Your Facelift Results Dec 13th, 2018

A facelift is a comprehensive solution to facial aging and can take years off your appearance. And after undergoing this procedure, patients want to prolong their results as long as possible. Read on for some tips to help ensure your results are long-lasting! Protect Your Skin from the Sun Exposure...

What You Should Know About Liposuction Dec 13th, 2018

Exercise and diet help a lot in acquiring a slim, contoured body, but can’t always eliminate stubborn, fatty deposits. Fortunately, liposuction is the gold standard in eradicating stubborn fat from various regions of the body. There can be a lot of misinformation about liposuction, however, so it’s important to have...

Can I Prevent Skin Cancer? Dec 13th, 2018

Living in Southwest Florida, we definitely have our share of sunshine.  Standard sun prevention measures include hats, sunscreen etc.  But some new studies have revealed that taking 500 mg of nicotinamide twice daily can DECREASE the incidence of basal cell and squamous cell skin cancers by 25%.  There is some...

What’s Included in a Mommy Makeover? Dec 13th, 2018

A mommy makeover is a great way to address changes to the body after pregnancy and breastfeeding. Depending on your specific concerns and goals, several areas of the body can be treated at once. By having the procedures performed in one sitting, you can save time and money and achieve...

How to Contour Your Body After Massive Weight Loss Dec 13th, 2018

Losing a dramatic amount of weight can result in a healthier, more comfortable lifestyle. However, there are some unwanted physical changes that come with weight loss, such as hanging tissue and loose skin. These can prevent you from showing off the hard work of your weight loss efforts, and some...

Protein Rich Plasma and Hair Loss Dec 13th, 2018

Today we all want convenience, no pain with no down time.  Androgenic alopecia (AGA), commonly known as male pattern baldness effects up to 80% of men and surprisingly 40% of women.  One of the  new treatment modalities is PRP, or platelet rich plasma injections, coupled with diode laser therapy.  I...

Botox – New Indication Dec 13th, 2018

It seems every time we turn around Botox has a new indication.  It’s kind of like becoming a “miracle drug” of sorts.  A recent study took 16 patient’s with the average age of 12 who were having surgery on their face to remove a disfiguring birthmark or something similar.  After...

Slim Your Legs with a Thigh Lift Dec 13th, 2018

While many people may not think of their legs as a problem area, they can be an area of dissatisfaction for many. Surgery to slim the legs is most effective in the upper part of the leg, also known as the thigh. For many individuals, liposuction of the outer or...

Lips: What Do We Really Want? Dec 13th, 2018

The lips are in the news all the time.  I guess we all want that “celebrity” look – whatever that may be.  As we now live in the era of the “selfie”, I guess we are consciously looking at ourselves more objectively.  We see our lips, we see our profile...

Threadlift: Fact or Fiction? Dec 13th, 2018

Recently I had a patient come into see me regarding a possible facelift.  She had already spent thousands of dollars on a “thread lift.”  She said it was wasted money.  The popularity is because there is minimal downtime and pretty much anyone can perform it.  This was appealing to many...

Common Misconceptions about Liposuction Dec 13th, 2018

Liposuction is a very popular cosmetic surgery procedure in the U.S. to help remove unwanted fat. However, there are still many misunderstandings surrounding this procedure. We have compiled a list of common misconceptions and facts to debunk those. Read on to learn more. Liposuction can Treat Cellulite Liposuction can only...

Vitamin C & Hair Loss Dec 13th, 2018

Hair loss for the most part is something most people, men and women, experience at some point in time.  The ordinary, everyday vitamin C is an important part of maintaining a healthy head of hair.  Vitamin C makes our hair strong and resilient and it also helps to promote our...

Changing Eye Color – Can We? Dec 13th, 2018

I guess it’s normal in life that we want what we don’t have or at least wish for it.  Now we might be able to attain it.  Most people have brown eyes or a variant there of, but now it is possible to change things as far as eye color...

PRP and Hair Growth 1 Dec 13th, 2018

How many times do we hear “my hair is sooo… thin!” This may be due to lack of number of hair follicles but also the fact that the hair follicles are small or thinner. A recent study of 10 patients, 7 men and 3 women found that platelet rich plasma...

Botox at Home: Good Idea or Not? Dec 13th, 2018

For the most part, we are all on the journey to be more beautiful or let’s say more attractive.  But, for some, that quest is more intense and the path traveled can be filled with lurking dangers.  Botox injections are not without danger.  It is prepared from Clostridium botulinum, which...

3 Life-Changing Reasons to get Eyelid Surgery Dec 13th, 2018

The eyelid lift or Blepharoplasty is an underrated facial procedure. Eyelid lifts have both cosmetic and functional benefits, which is what makes them both unique and very worth looking into for someone who is bothered by either the upper or lower eyelid. Many patients who do end up having this...

Am I Too Young for a Facelift? Dec 13th, 2018

Patients interested in facelifts are typically in the 50 to 70 age range; however, occasionally there will be a younger patient that is interested in a facelift and their first question is always “Am I too young for a facelift?”. There are many factors that contribute to a patient’s candidacy...

SculpSure: The Final Touch Dec 13th, 2018

Many people undergo a difficult weight-loss journey only to find that there are deposits of fat that diet and exercise just can’t reach. SculpSure is a non-invasive body contouring technique that can put the finishing touch on those last few fatty areas. What is SculpSure? SculpSure uses light-based technology to...

Saline or Silicone? Dec 13th, 2018

This is one question every prospective patient has to ask, do I want saline or silicone?  I guess I’ll sprinkle my almost 40 years of experience into my answer to the question. My personal preference is and has always been to go with silicone.  I’m sure the majority of plastic...

Obesity – Help on the Way? Dec 13th, 2018

America has an obesity epidemic.  Here in America 40% of adults are obese and 30% are overweight – count me in.  But help may be on the horizon. Researchers at the University of Texas have discovered a compound that will shrink excess fat by increasing fat cell metabolism.  As fat cells grow...

Eliminate Excess Sweat with miraDry Dec 13th, 2018

Excessive sweating can be an annoying condition, especially when it causes yellow marks on your white shirts and embarrassing sweat marks. In severe cases, excess sweat can even cause skin rashes due to the skin being regularly moist. This excessive sweating is actually a medical condition called hyperhidrosis. At our...

What Can You Include in Your Mommy Makeover? Dec 13th, 2018

Are you done having kids and ready to get your pre-pregnancy body back? If so, it might be time for a mommy makeover procedure. A mommy makeover can involve virtually the whole body and combine procedures for a customizable, full-body rejuvenation. Here are a few common procedures that can be...

Facial Fat Grafting – The Key to Facial Rejuvenation Dec 13th, 2018

As we all age there are certain things we will all have in common.  Most people as they age will first show signs of advanced aging in their faces.  The classic jowl formation, bands in our neck and a significant loss of soft tissue in our face.  How to fill...

PRP and Hair Growth Dec 13th, 2018

I recently read a new study done to see what effect PRP had on hair growth.  The body of evidence keeps building on the positive effects PRP has on hair growth. This new study was conducted in mice.  There were 3 groups of mice studied.  One group got PRP (platelet rich plasma),...

PRP and Hair Loss Dec 13th, 2018

I guess if there is anything we all might want it is a healthy bushy head of hair.  Unfortunately hair loss is everywhere…..women included.  About 40% or more of women at or approaching menopause will have some thinning of hair or hair loss.  No telling how many millions or billions...

The Basics of Breast Reconstruction Dec 13th, 2018

Breast reconstruction is done to help restore one or both breasts following a mastectomy, and can greatly improve a person’s sense of well-being and confidence. There are multiple breast reconstruction procedures that can be performed, and can either be done at the time of mastectomy or at a later date. Because...

Hyperhidrosis – Excessive Underarm Sweating Dec 13th, 2018

The word is long and would be a good one for scrabble but it is a condition that can take over a person’s life.  At first you might say use a little more deodorant  but really it is much more than that.  I read an article that dealt with the...

Botox – The Reach Expands Dec 13th, 2018

By now almost anyone walking on this planet knows the word Botox – they may not know what it is or how it works but it has become over the years a household name. Recently Botox received FDA approval for it’s third indication which is for forehead wrinkles.  Botox is now the...

Botox Myths Dec 13th, 2018

Botox is or has become a common household term today.  As popular as it is there are several misconceptions about Botox.  First, remember Botox is safe to use even though it is developed from botulinum protein, a very toxic substance.  It is important to remember if done properly, Botox treatments are...

The Impact of Body Contouring in Massive Weight Loss Patients and Urologic Outcomes Dec 13th, 2018

Many massively obese patients suffer from urinary incontinence.  The question then becomes as more and more of these patient’s getting body contouring procedures such as abdominoplasties, how does this effect their urinary incontinence?  Surveys pre and post body contouring were done in a series of 102 patients.  Of these patients 44 had preoperative...

Fat Grafting and Breast Cancer 1 Dec 13th, 2018

A really great tool to aid a plastic surgeon in breast reconstruction is the use of a patient’s own fat to reconstruct their mastectomy site.  Especially if the site has received radiation.  One concern brought up early in the discussion was whether or not the transplanted fat cells would encourage migration and metastasis of...

Could You Benefit From A Facelift? Dec 13th, 2018

As you age, you may begin to experience the unavoidable effects of gravity on your face and neck. A facelift can remove excess tissue and tighten these areas, giving you a more youthful, while still natural, appearance. Candidates for a facelift are healthy individuals with no medical conditions and are...

Generate Hair Growth with Theradome & PRP Therapy Dec 13th, 2018

People have been trying to remedy hair loss for a very long time. Hair growth solutions have ranged from topical solutions from the drugstore to surgical transplant solutions. Platelet rich plasma therapy is the next big thing in hair regrowth procedures. In addition to PRP, Dr. Brueck is also offering a home...

Aesthetic Breast Surgery Dec 13th, 2018

Breast augmentation remains one of the most popular cosmetic procedures. Many times a breast augmentation is done with OTHER cosmetic procedures. After augmentation, the most common was mastopexy (lift) with augmentation and lastly breast reduction. Overall major complications occurred in 1.46% of the patients with hematoma and infection being the most common. The two...

Vampire Breast Lift Dec 13th, 2018

For a while everyone was talking about the vampire face lift.  The media were enamored with it – it was big in Hollywood.  I can’t help but think is was due to its catchy name.  Now we have a vampire breast lift.  Basically all you do is spin the patient’s...

Breast Augmentation and Breast Feeding Dec 13th, 2018

Breast augmentation remains one of the most popular operations we do.  Many potential patients are younger and unmarried so many will question about the effects of breast implants and nursing. I always tell patients getting pregnant and nursing children will have certain long term effects of your breasts, with our without...

Medical Tourism – Good or Bad? Dec 13th, 2018

I primarily do cosmetic surgery and so many times people come in who are considering plastic surgery overseas (Costa Rica, Dominican Republic – whatever) due to cost.  I also have seen many patients who’s results were less than ideal.  So the question is, just how safe is it?  I recently...

Liposuction – Does it Hurt? Dec 13th, 2018

Time for a moment of confession.  Many times patients will ask me “have you had anything done?”  Well time to confess, yes I have.  I had liposuction done maybe 25 or so years ago.  So many patients will ask me, was it painful?  I think it is important to understand...

Liquid Facelift Dec 13th, 2018

I read and hear this term all the time.  Patients ask me “what is a liquid facelift?”  It really is not a lift in the traditional sense of the word.  What it is in reality is a facial rejuvenation technique that involves the injection of various fillers in areas of the...

Antibiotic Irrigation in Breast Augmentation Dec 13th, 2018

Breast augmentation continues to be a much sought after operation.  The most common complication associated with breast augmentation is capsular contracture.  Everyone who gets an augmentation will develop two capsules.  This is your bodies response to a foreign body, but the key is to keep it soft and natural.  I routinely...

The 411 on Cheek Augmentation Dec 13th, 2018

Like any part of your body we age all over – everywhere – and the cheeks are no exception.  Everyone wants to have nice cheek bones with a young youthful contour but for many of us we have lost that young youthful look but despair not.  There are things we can do...

Buttock Lift / Rejuvenation Dec 13th, 2018

Buttock augmentation can be done either with implants or a patient’s own fat.  I personally don’t do augmentation with implants but prefer to use a patient’s own fatty tissue.  This procedure is one of the fastest growing procedures in our country and globally.  Concerns have arisen due to an alarming rate...

Tummy Tuck and Diastasis Recti Dec 13th, 2018

Tummy tucks are very popular.  It is an important component in the newly defined “mommy makeover”.  Part of doing a tummy tuck is how do we deal with the protruding abdomen.  More often than not the protruding or bulging of the low abdomen is due to a condition called diastasis recti...

Is Breast Augmentation Right For Me? Dec 13th, 2018

There are many things to consider if you’re thinking about a breast augmentation procedure. It can seem overwhelming, but the best place to begin is thinking about whether a breast augmentation with implants is the best option for your aesthetic goals. Here are some good questions to consider as you...

The Benefits of PRP Treatments Dec 13th, 2018

PRP, or platelet rich plasma, treatments are becoming increasingly popular. Originally used to treat orthopedic injuries, these treatments are also a natural option for rejuvenating the skin and stimulating hair growth in the scalp. By using growth factors in blood platelets, this treatment can trigger new cell generation for an...

When to Consider a Facelift Dec 13th, 2018

Today, most everyone has heard of a facelift– the procedure that can take years off your appearance for a more youthful look. For those who are experiencing signs of aging on the face, like sagging skin at the jawline, in the cheeks, jowls, and neckline area, a facelift may be able...

The 411 on Fat Grafting/Fat Transfer Dec 13th, 2018

To me the ability to graft or transfer fat from one part of the body to another has been a tremendous tool I use almost daily to eliminate some of the stigma of aging.  This has been a remarkable advance in cosmetic surgery.  I tell my patients this is “liquid...

Stretch Marks – Fact and Fiction Dec 13th, 2018

If there is one thing people – men and women despise is stretch marks.  They are commonly called strial.  Usually they occur as the skin is stretched most commonly by pregnancy or excessive weight gain.  When the skin is overly stretched collagen production in the dermis is disrupted and strial...

Sub-Pectoral Breast Augmentation – What Happens to the Muscle? Dec 12th, 2018

When doing a breast augmentation, there are usually two areas into which we place the implant – sub-glandular (below the gland) or sub-pectoral or (below the muscle). Some surgeons employ one or the other technique exclusively where as I will decide based on the type of implant, the patients desires...

Dr. Brueck volunteers with Kairos Prison Ministry International Dec 12th, 2018

Dr. Brueck will be going to another Kairos Prison Ministry Sunday, April 30th. Kairos Prison Ministry was founded in Florida decades ago and now operates in 37 U.S. states and nine countries, including Australia, Canada, Costa Rica, the Dominican Republic, Nicaragua, Honduras, Peru, South Africa, and the United Kingdom. With...

Can a Facelift Lower Life Insurance Premiums Dec 12th, 2018

I recently read an interesting article about a company called Lapetus Solutions out of Wilmington, North Carolina.  They have developed a software program that can analyze a  selfie and help an insurance company get a read on your health and over all life expectancy.  You would be able to forgo...

Newer Trends in 2016 Dec 12th, 2018

The statistics are in and 2016 is now in the record books.  We saw 17.1 million surgical and minimally invasive procedures performed with breast augmentation and Botox leading the way.  Overall the 2016 statistics saw a 3% increase over 2015. Facial cosmetic procedures saw a sharp rise and once again are one of the...

Male or Female – The Choice is Yours Dec 12th, 2018

When we contemplate having cosmetic surgery one of our considerations is do we go to or prefer a male or female plastic surgeon.  There was a recent article that was a retrospective analysis of 200 consecutive calls to a plastic surgeons practice that had one female and one male plastic...

Breast Implants – Round or Anatomical? Dec 12th, 2018

This is a question I always get asked and for the most part I don’t think it matters.  There was a study done comparing round implants versus anatomical implants on several breast augmentation patients.  Several received mammogram’s either 3 or 6 months post op and guess what?  They were all round.  A...

Liposuction – What Are The Risks? Dec 12th, 2018

There has been a tremendous growth in cosmetic surgery over the last few decades.  In 2015 there were 1.9 million cosmetic surgical procedures performed – an increase of 94% when  compared to 1997.  Breast augmentation remains number one followed by liposuction.  One study involved 31,010 liposuction procedures.  Liposuction as a solitary procedure...

Interesting Trends in Breast Surgery Dec 12th, 2018

When we think of breast surgery I guess in most people’s mind we think of breast augmentation or breast enlargement.  It still remains one of the most requested cosmetic procedures we do but things are changing.  Comparing 2015 to 2014 breast aug’s are down2%.  I know in my practice I see more...

Micro Needling – Demand on the Rise Dec 12th, 2018

There is no question non-surgical aesthetic procedures are in high demand.  One procedure I do that I think has many advantages is micro needling.  Many aestheticians do roller type micro needling which limits the depth of penetration.  I use a mechanical device and couple it with PRP (platelet rich plasma). ...

Does Implant Shape Matter? Dec 12th, 2018

Many times women come in to see me for breast augmentation and in many cases the conversation turns to implant shape – round or anatomical (tear drop). On the surface one might readily say the more natural tear drop shape. A recent study was done to see if in fact shape really...

Up, Up and Away Dec 12th, 2018

There is a new kid on the block.  One of the more popular New Year’s resolution is that “I’m going to lose weight”.  I know, I have been there.  Well there is a new FDA  approved weight loss crutch…it is called Obalon.  It is a series of balloons placed in...

Autologous Fat Grafting for Augmentation Dec 12th, 2018

I recently read an article that dealt with the use of autologous fat to enhance breast shape and size.  What was unusual is that this article appeared in the “Journal of Dermatologic Surgery”.  I thought that was unusual and interesting.  It seems specialties are expanding their reach whether justified or...

Fat Grafting in Cosmetic Augmentation Dec 12th, 2018

Breast augmentation remains one of the most popular cosmetic procedures we to today.  The return of silicone help increase the popularity.  But one of the latest nuances is to perform a composite augmentation.  Just what is this?  This is using a breast implant plus fat from your stomach and or your...

Scars and Vitamin E Dec 12th, 2018

I hear it all the time from patients, “can I use vitamin E on my scars”?  Often times patients will ask me what is the best scar cream.  The answer is the best scar cream for you is the one that works best on you.  There are so many choices...

Organ Transplants and Cosmetic Surgery Dec 12th, 2018

More and more patients are the recipients of solid organ transplants or SOT. Examples include kidney, liver or heart transplants. These patients have their immune systems shut down so their body does not reject their transplanted organ. A recent study included 340 surgeons who performed 552 cosmetic procedures in SOT...

Plastic Surgery and Obese Patients Dec 12th, 2018

It’s hard to listen to the news or read a paper where we don’t hear about the obesity epidemic all across America.  It is estimated that 69% of all U.S. adults are overweight and about 35% are obese  (they have a BMI above 30) We all know the risk factors...

Thighplasty – The Risks Involved Dec 12th, 2018

As more and more people are requesting help for overweight conditions we are seeing more and more people coming in for body contouring procedures.  The most requested one is a tummy tuck but we are also seeing a nice rise in the number of people wanting a thigh lift.  A current multicenter trial...

Sleeping Can Cause Wrinkles Dec 12th, 2018

A recent article in the Aesthetic Journal suggests that stomach sleeping and sleeping on your side may pre dispose a person to facial wrinkling.  Wrinkles can form as a result of distortion of your facial skin as it is pressed against your pillow.  This repetitive activity causes the wrinkles to...

Fat Grafting in Breasts Dec 12th, 2018

I recently read a great article about the use of fat grafting in primary breast augmentation.  I am utilizing more and more fat in breast augmentation surgery.  I call this a composite aug.  Another title is a two-fer like two for one because I take fat from where you don’t want...

What’s New in Anti-Aging? Dec 12th, 2018

One of the questions many of my patients ask me is, “what can I do to preserve/improve my complexion?” They’ve had a facelift and now moving forward wondering what’s next? Is there something I can do non surgically? Several months ago one of my patients introduced me to a new product called...

Brachioplasty Complications Dec 12th, 2018

More and more we see patients coming in requesting brachioplasty or arm lifts.  Usually these are people who have undergone bariatric surgery and have lost considerable  weight – some as much as 150 pounds or more.  An article reviewed 2294 patients in multiple centers, who underwent brachioplasty.  Most brachioplasty patients were older...

Lymphoma Associated with Breast Augmentation Dec 12th, 2018

There have been about 200 cases of BIL-ALCL – in other words breast implant associated anaplastic.  A recent article linked the development of this lymphoma to chronic inflammation via bacterial infection.  It is believed that bacterial antigens trigger the development of this type of lymphoma.  Usually this type of lymphoma develops years...

The Ideal Buttock Dec 12th, 2018

I guess if there is an idea buttock it would be in the eye of the beholder like anything in life.  You like vanilla, I like chocolate.  Some of the aspects of our ideal buttock are: Smooth inward sweep of the lumbosacral/waist area Feminine cleavage of the separation of the...

Facelifting in Identical Twins Dec 12th, 2018

I recently read a very interesting article about facelifting in identical twins.  The article discussed different techniques in 4 sets of identical twins and one set of identical triplets.  The technique utilized was randomized.  There were basically 2 techniques used – a short scar technique and a full incision technique.  The results...

Tattoo’s No More Dec 12th, 2018

Tattoo’s are popular to say the least but many people who have adorned their bodies with tattoo’s have regrets.  Removing a tattoo  can be expensive, difficult and leave unsightly scars.  But help may soon be on the way.  A tattoo removal cream is being developed at Dalhouse Clinic in Halifax...

History of Facelifting Dec 12th, 2018

Face lifting is one of the most popular cosmetic surgery procedures we perform today.  In terms of rankings, it probably is number 6 overall following such procedures as breast augmentation, liposuction and tummy tuck.  A more technical term is rhytidectomy coming from the Greek work for “wrinkles”. The first reported face lift dates back to...

2015 Statistics on Cosmetic Procedures Dec 12th, 2018

Last year 2015, Americans spent over 13.5 billion dollars on wanting to look their best.  Of the most popular surgical procedures, liposuction led the way followed by breast augmentation, tummy tuck, eyelid surgery and mastopexy (breast lift).  Cracking the top 10 for the first time was fat transplantation.  90% of patients are women.  Women had 11.5 million...

Caution: Non-Surgical Rejuvenation Dec 12th, 2018

As we speed a head here in the 21st century we all want a quick and easy and I might add inexpensive fix to appear younger and better.  We all want the perfect world.  However, a word of caution.  One recent non-surgical technique is called Kybella.  These are injections to melt...

“Second skin” May Make Wrinkles Disappear Dec 12th, 2018

The concept is to cover our aged, wrinkled skin with a thin bio membrane or second skin.  Researchers at MIT have developed a thin transparent polymer film to lay over your “old” skin to give you new skin.  This polymer film is only 70 thousandths of a millimeter.  That’s thin. ...

Breast Implants and Capsular Contracture Dec 12th, 2018

If there is one complication that is common it is very hard implant capsulation.  That is dreaded by all breast aug patients.  Their breasts become very hard – in some cases like “rocks”.  Everyone gets a capsule around their implants.  However these capsules contain collagen and cells that can contract like muscle...

Fat Grafting to the Face Dec 12th, 2018

Fat grafting to the face has become an integral part of my facial cosmetic surgery approach.  There is still a lot of controversy and questioning as to what is the best technique to harvest fat to enhance survival.  I tell all of my patients that not all of the fat will...

Breast Augmentation – Which Incision is Best Dec 12th, 2018

In life it is always good to have choices and such is the case for breast augmentation.  My preferred site is to use the inframammary approach.  Sometimes I will utilize another incision if the operation is an implant exchange and the patient already has the incision.  I never use the belly...

Diabetes and Cosmetic Procedures Dec 12th, 2018

When we do any cosmetic procedure we always want a patient in optimal condition.  Many of the patients I do have diabetes – both type 1 and type 2.  I recently read an article that included 129,000 plus patients who underwent cosmetic procedures during a 5 year span between 2008-2013. ...

Tummy Tuck and Back Pain Dec 12th, 2018

When we think of a tummy tuck or abdominoplasty we think of a cosmetic procedure designed to improve one’s appearance.  Tummy tucks are quite popular and part of the infamous “Mommy makeover”.  I recently read a great article that came out of the plastic surgery department at Kemal University in Turkey.  They...

Factors Effecting Breast Augmentation Outcomes Dec 12th, 2018

A recent article studied 100 consecutive breast aug patients to try and determine what pre-existing conditions will affect the final outcome.  Recognizing these pre-op conditions are essential to develop a sound surgical approach.  In this study 18% of patients were considered to be challenging cases.  Major complicating factors included pectus excavation or...

Breast Augmentation – Exciting New Option Dec 12th, 2018

One of the most exciting things to happen in plastic surgery is the development of techniques where we use a patient’s own fat to rebuild their breasts.  This is a win win.  On many of my breast aug patient’s I recommend what I call  a COMPOSITE AUG.  I use an implant, preferably silicone and...

Current Concepts in Breast Augmentation – What is the Best Way? Dec 12th, 2018

I recently posted some ideas of mine having done breast augs for upwards of 37 years.  There was a very interesting article that was a capsule summary of a questionnaire answered by 1067 plastic surgeons.  So I thought you all might be interested in the results. Almost 52% of surgeons DO NOT...

Safety Aspects of Gluteal Augmentation Dec 12th, 2018

Buttock enhancement or gluteal augmentation is rapidly growing in popularity.  For many it is commonly known as Brazilian buttock lift or BBL.  I recently read an article that was a review of articles discussing safety and efficacy of buttock or gluteal augmentation.  In 2002 there were only 614 procedures performed while in...

Wound Closure – A New Time Saver Dec 12th, 2018

I read an interesting article about wound closure in breast reductions and tummy tucks.  To close these incisions precisely to get a good outcome is time consuming.  There is now a new product called the Insorb system, which is FDA approved.  The results from this study showed good scar quality compared to standard...

Seromas and Tummy Tuck Dec 12th, 2018

One of the most popular cosmetic procedures is a tummy tuck or abdominoplasty.  One of the complications associated with this is a seroma – which is a collection of fluid that develops post operatively.  If it occurs usually the surgeon will aspirate it – sometimes this must be done several times.  On...

Current Concepts in Breast Augmentation Dec 12th, 2018

What is the best way? I just posted some ideas of mine having done breast augs for upwards of 37 years. There was a very interesting article that was a capsule summary of a questionnaire answered by 1067 plastic surgeons. So I thought you all might be interested in the results. Almost...

New Trends in Aesthetic Medicine Dec 12th, 2018

Last year we reached a milestone.  Americans spent more than $13.5 billion dollars on surgical and non-surgical procedures.  About 58% were for surgical procedures and 42% were for non-surgical.  With such hit TV shows like Nip & Tuck and Botched, it’s no wonder plastic surgery remains in the mainstream.  For...

Botox and its Effect on Muscles Dec 12th, 2018

Some physicians are using Botox to contour parts of our bodies by injecting the Botox into certain muscle groups such as the masseter muscle for mandibular contouring and also to cause atrophy to large overactive calf muscles.  Various studies have shown that repeated injections of botulism toxin has shown to increase the...

Is Office Based Surgery Safe? Dec 12th, 2018

More and more people are electing to have their surgery in an office based surgery center, but the question remains, is it safe? There now is more clarity to this issue and the answer is YES! I recently read an article which was a prospective analysis of over 129,000 patients who...

Fat Grafting in Breast Reconstruction Dec 12th, 2018

I am a big fan of fat grafting.  It basically is taking fat from an area of your body where you don’t want it and placing it in an area of need.  I would say I use fat grafting in about 60 – 80% of my facelifts.  I am also using it more...

Mirror Mirror on the Wall – How Old am I? Dec 12th, 2018

I guess if we were looking in a mirror hanging on the wall how our face projects may be a tell tale sign of how old we are but one thing may be more telling of our age than our face….our hands.  There seems to be an increase in patients...

Men Are In The Game Dec 12th, 2018

Trends are trends.  It seems more and more men are coming to the table to have cosmetic procedures done.  Some of the more common procedures are upper eyelid surgery, face lifts, suction of love handles and removal of male breast tissue or gynecomastia.  Non-surgical procedures mainly Botox saw a 95% increase over the last 6...

Composite Breast Augmentation 1 Dec 12th, 2018

More and more I am using a patients’ own fat to restore, reconstruct or enhance their breast surgery experience.  In many augs I now do fat grafting to enhance cleavage or superior pole fullness or in some cases to correct asymmetry.  It is also a very valuable tool to enhance reconstruction in post mastectomy...

Medial Thigh Lift – New Twist Dec 12th, 2018

With the growing epidemic of American obesity, more and more American’s are turning to bariatric or weight loss surgery.  Along with patients’ losing huge amounts of weight, what is left behind is a lot of “stretched” out skin.  A medial thigh lift is one procedure we do infrequently compared to say tummy tucks or arm...

Muskings on Breast Augmentation Dec 12th, 2018

I recently read an article about a recent panel discussion on breast augmentation.  I have been performing breast augs for 37 years and even after all those years and hundreds of cases I thought I would share some of my thoughts, my ideas and perceptions that have developed over the years. To...

New Fillers – Volift and Vobella Dec 12th, 2018

I often wonder where people come up with these names.  Neuro modulators and fillers remain the number 1 and number 2 procedures done in terms of numbesr by plastic surgeons.  Both of these new fillers have a crosslinking that makes their degradation slow down to the point they may last...

Miradry – New Approach Dec 12th, 2018

Like all new technology we learn as we go. When Miradry first came on the stage a couple of years ago it required 2 treatments separated by about 3 months. Now we only need one treatment about 90% of the time. We also now use a new tumescent technique which provides greater...

What’s Trending in Plastic Surgery Dec 12th, 2018

Surgical procedures increased by 7% in 2015 over 2014 numbers while non-surgical procedures increased by 22% in 2015. Other popular procedures included fat grafting to the buttock, breast and face. Recently I have performed surgery on several women who wanted their implants removed and replaced with their own fat. The added benefit is...

Liposuction Satisfaction Rates Dec 12th, 2018

Liposuction remains one of the most popular cosmetic procedures requested.  We are often told that people with low BMI (skinny) and high BMI (fat) are not good candidates.  Truth be known I don’t always exclude people with high BMI’s from consideration for liposuction.  I try to make sure their expectations are...

Allergen Growing Again! Dec 12th, 2018

It seems like the order of the day is big is good, bigger is better.  Sort of like some people’s opinions on government.  Allergan recently acquired a company called Anterias.  Why Anterias?  They have developed a new technology that will deliver neurotoxins such as Botox transdermally aka NO MORE SHOTS!  How cool...

Buttock Lift with Fat Dec 12th, 2018

The ideal waist hip ratio is 0.7%.  A recent article was published on gluteal augmentation with a patient’s own fat.  The study involved 106 patients.  The  patients were between the ages of 18-62.  In this group 103 out of 106 felt satisfied with their results.  The amount grafted was from 180-840...

Diet Soda – Something to Ponder Dec 12th, 2018

At one time I was a big proponent of diet soda. It made simple sense – fewer calories – less weight. Sounds simple and easy. But I just saw an article in Journal of The American Geriatrics Society that followed 749 senior citizens over the age of 65. They followed...

Fat Grafting and Breast Cancer Dec 12th, 2018

Many women present for breast reconstruction – many of whom have had radiation therapy.  This creates a problem when one is trying to reconstruct the breast due to changes associated with radiation.  Now on many of my reconstructive patients I will recommend one or more sessions of autologous fat grafting to the...

New Kid on the Block – New Breast Implant Dec 12th, 2018

There are long term consequences of using large heavy silicone breast implants. One can see loss of breast volume, dropping of the inframammary fold, stretching of the breast tissues accelerating the development of breast sagging.  There is a new implant called the B-Lite breast implant manufactured in Israel  by G&G Biotechnology. ...

Dr. Brueck featured on ReleaseWire and Digital Journal Dec 12th, 2018

Read these two articles on Dr. Brueck’s various mission trips and volunteer work across the globe! Click the links below to view the posts via ReleaseWire and Digital Journal. http://www.releasewire.com/press-releases/release-607092.htm http://www.digitaljournal.com/pr/2598206  

Baggy Eyes Dec 12th, 2018

This is something that plagues so many people. Some days it is worse than others. The correction usually involves an operation. Now help may be just around the corner that does not involve cutting. A biotech company called Topoline is in phase II clinical trials with a new ointment that...

Risk Factors/Complications in Facelifts Dec 12th, 2018

In 2014 there were over 126,000 facelifts performed in the United States.  This is one of the most requested and popular facial procedures performed.  A study looked at over 129,000 Patients enrolled in CosmetAssure from 2008-2013.  The overall complication rate was 1.8%.  The two most common complications were hematoma and infection.  Risks...

Massive Weight Loss and Thigh Lift Dec 12th, 2018

We are seeing more and more patients who undergo bariatric surgery to lose massive amounts of weight – and that they actually do. Once they lose their 80, 90, or 150 lbs. they will need a body overhaul because of all the excess skin. One area that really shows the effects of...

Going – Going – Gone! Lipo 202 Dec 12th, 2018

Sounds like an announcer at a ball game but now something other than a baseball may be leaving. A new product called Lipo 202 is to begin phase 3 clinical trials as a new injectable to dissolve body fat. The compound is salmeterol xinafoate which is an asthma drug. The...

What is ATX-101 by Kythera? Dec 12th, 2018

Today we always want the easiest, quickest way to achieve our goal. One of the new players in the facial cosmetic arena is a procedure called ATX-101 developed by a company called Kythera. It is simply a series of injections made into the submental fat that magically melts the fat....

The Miracle of miraDry Dec 12th, 2018

To incorporate a new technology in my practice, my number one priority is – does it work and will it deliver a high degree of success. Once the salesman has your signature on a contract it now becomes your burden and responsibility. A while back, after doing much research, I...

Are breast implants associated with breast cancer? Dec 12th, 2018

Without a doubt breast augmentation has one of the highest patient satisfaction rates. One question I get asked periodically from patients is whether or not breast implants are associated with breast cancer. I recently read an article by the plastic surgery department at the University of Amsterdam. The authors performed...

EXPAREL – The Answer To A Painless Tummy Tuck Dec 12th, 2018

Many women want and need a tummy tuck but are hesitant because of a fear that it is too painful, but no more! Now I offer my patients a new long acing local anesthetic called “Exparel”. This is an extended release from of bupivacaine and when injected into the surgical...

What To Expect In 2015 Dec 12th, 2018

Some areas I think will increase and happen in 2015: Surge in buttock lifts such as the Brazilian buttock lift or augmenting the buttock with fat Doing combination breast augmentations – by that I mean supplement the augmentation patient with fat grafting to provide a more natural look Increased demand...

Cosmetic Surgery Among Aging Middle Age Men Dec 12th, 2018

It is interesting to note trends or changes in patterns. One I have seen, along with others is the increasing number of middle age men seeking cosmetic surgery. Some may say it’s vanity but I don’t think there is anything wrong with wanting to look your best. Along with this...

Does Age Matter in Cosmetic Surgery Dec 12th, 2018

In all of my 35 years in private practice one question that gets repeated over and over again is “Dr., do you think I am too old for this procedure? The oldest lady I did a face lift on was just shy of 90 and the oldest lady I did...

New Breast Implant – IDEAL Implant Dec 12th, 2018

I don’t know how you define ideal but Valeant Pharmaceuticals just received FDA approval for a new saline implant called IDEAL. Inside this new saline implant are a series of shells that reduce wrinkling and bouncing and according to the company produces and implant that feels just like a silicone...

New Therapy For Skin Cancer Dec 12th, 2018

Every time I channel surf in the afternoon I come across Dr. Oz. He always is promoting new products. One caught my eye – it is a product called Curaderm. This product was championed by Dr. Joe Mecola and is used to cure NON-MELANOMA skin cancers. It is used twice...

Faster Is Sometimes Better Dec 12th, 2018

The most important thing is patient safety. I am committed to make sure my patients are at their optimum before surgery. I have always felt to maximize patient safety I try to limit my patients operating room time. There is a DIRECT correlation between time of surgery and post operative...

The numbers are in! 2014 Stats – What’s Hot? Dec 12th, 2018

In 2014, patients spent over $12 billion in surgical and non-surgical procedures. The procedures showing the greatest percentage of growth were buttock augmentation (86% increase), labiaplasty (49% increase) and non-surgical fat reduction. Cosmetic surgery in men was up 43%. The top five plastic surgery operations in 2014 were: Liposuction: 342,494...

Binders and Tummy Tucks Dec 12th, 2018

Part of our routine after a tummy tuck is to place my patient’s in an abdominal binder. This adds some comfort to support the abdominal wall and also holds the dressings in place. A study was just done t the Federal University of Brazil. It appeared in the White Journal...

What Are Risks With A Tummy Tuck? Dec 12th, 2018

As with all operations there are the general risks associated with any operation. One has to realize with an abdominoplasty procedure the scars can be significant since it extend across the entire lower abdomen or somewhat shorter in a mini tummy tuck.  Also one has to be careful when the...

Facelift Dec 12th, 2018

This is one of the more common procedures we do, especially being here in SW Florida. In addition to the usual complications there are some that are unique to face lifting. In the face there are 2 types of nerves – sensory and motor. Motor nerves innervate muscles and if...

What Are The Risks With Breast Augmentation? Dec 12th, 2018

As with all procedures there are risks that are common after breast augmentation. What are some of the risks solely associated with breast enlargement. The risk of bleeding or hematoma is minimal providing the patient plays princess for the first 4-5 days. Infections are extremely rare and many times when...

Cosmetic Surgery: What Are The Risks? Dec 12th, 2018

GENERAL RISKS Facelift Liposuction Breast Augmentation Breast Lift/Reduction Blepharoplasty Coronal Lift or Brow Lift Mastopexy/Augmentation There are certain risks that are part and parcel to any operation. I tell all my patients that bruising, swelling, scarring, infection and bleeding are potential problems as with any operation whether it is a...

Risks Associated With Upper/Lower Blepharoplasty or Eyelid Surgery Dec 12th, 2018

This is a very common procedure especially for upper eyelids. Many times people will have excess skin that can impair their field of vision and in this case it may be covered by insurance. One can experience a corneal abrasion if a suture inadvertently rubs across the cornea. There can...

What Are The Risks With Breast Lift/Breast Reduction Dec 12th, 2018

Both of these operations are very popular. Both involve reshaping of the breast by removing excess skin and relocation of the nipple. However, in a breast reduction we go one step further in that we remove excess breast tissue to take extra weight off of a patient’s neck, back &...

New Link To Dementia Dec 12th, 2018

It seems we hear everyday no correlation or links are being found between diet, drugs and medical conditions. Some of those “medications” are sometimes very common in their use. A recent study done at University of Washington followed just over 3400 senior citizens for 8 years.  The incidence of Alzheimer’s/Dementia...

Coffee – The New Anti-Oxidant Dec 12th, 2018

It seems we are always changing our story. I truly enjoy my morning coffee. New studies in women reveal that women who drink at least 4 cups of coffee daily have an 18% reduced risk of developing endometrial cancer versus women who don’t drink coffee. Why? There may be antioxidants...

Meditate Your Way to Brain Health Dec 12th, 2018

As we age (starting in our mid twenty’s) our brains begin to “shrink” and we can lose cognitive function. A study done at UCLA studied brain scans in 50 people who meditated for at least 4 or more years compared to those who did not. The result was that people...

Fat Reversal Dec 12th, 2018

What amazes me is how as time advances, we reverse our earlier thinking on scientific facts. For years, fat, red meat and cholesterol were shunned – they were a NO! NO! As Americans turned their diets away from meat, dairy and fat – they turned to rice, flour, bread, sugar...

Hot New Trend in Plastic Surgery Dec 12th, 2018

I guess if there is a procedure on everyone’s radar screen it would be buttock lift. One can raise the buttock by a combination of techniques such as skin excision, implants or fat grafting. I am not a proponent of buttock implants – it’s just something I choose not to...

Hair Loss – Hope Is On The Horizon Dec 12th, 2018

Many of us love and eat honey everyday but now that sweet delicacy may have a potential treatment for human baldness. The product found in honeybee hives is called propolis. Researchers Ken Kobuyoski and his colleagues tested the product on shaved mice. Mice treated with propolis regrew their fur faster....

New Technology – Wow! Dec 12th, 2018

The FDA recently gave approval for Cynosure’s SCULPSURE!  The technology is based on controlled hyperthermia to destroy fat cells.  One can heat the fat cells to a certain temperature to destroy them.  The body’s immune system then comes in to sweep these fat cells away.  Studies were done on abdominal lipectomy...

New Test for Alzheimer’s Dec 11th, 2018

I am sure all of us know someone – family or friend – who is affected by Alzheimer’s or dementia. Now there may be a new way to test for Alzheimer’s – a skin test. A product known as tau – this is a protein associated with mental decline –...

Stem Cells and PRP Dec 11th, 2018

I really feel like stem cells and autologous fat grafting are a new frontier in plastic surgery. We all have heard about PRP (platelet rich plasma). In PRP are many essential growth factors and so a question we always would ask ourselves in the combining of PRP with fat/stem cells...

New Lip Augmentation Dec 11th, 2018

Gloderma recently received FDA approval for a new product for lip enhancement. The new product is called Restylane Silk. This product also contains lidocaine but I usually do a lip “block” before I inject my patients so it is almost painless. To my knowledge Restylane Silk is the only FDA...

Iron Stores – May Effect Aging Dec 11th, 2018

We are in hot pursuit of the “Fountain of Youth” or the holy grail of anti-aging. As each day passes a new material or substance is linked to aging. In a study in nematodes they found that by restricting iron stores the nematodes lived longer.  So as we age our...

Gynecomastia In Body Builders Dec 11th, 2018

I see a fairly large number of men who suffer from gynecomastia. The reasons vary and in most cases it is idiopathic. Many of the men who consult with me are body builders. This represents a unique subset of people who suffer from gynecomastia. Most of these men have a...

Biofilm Infection in Breast Implants Dec 11th, 2018

A biofilm is a glycoprotein that is produced by bacteria that bind to the silastic elastomer in the breast implant. These bacteria come from the patients skin and are contained within the breast ducts. A recent clinical study showed a reduction in capsular contracture from 6% to .6% by irrigating...

Less Pain Post-op Following Breast Augmentation Dec 11th, 2018

Breast augmentation is one of the most popular operations since the re-introduction of silicone implants. We all know pain is subjective but I recently read an article by Dr. Joe Gryskiewicz who outlined a regimen to minimize pain post-op. “One thing I do is during the procedure is minimize trauma...

Ultherapy: The good. The bad. The ugly. Dec 11th, 2018

Ultherapy is micro focused ultrasound which leads to heating of the dermis (just below the surface of the skin) and then stimulates elasten remodeling and the making of new collagen. This study involved 103 patients and 93 were evaluated. Almost 64% of patients noted an improvement in their skin laxity....

Urinary Stress Incontinence and Tummy Tuck Dec 11th, 2018

In this study the authors did a retrospective study on 250 patients undergoing a tummy tuck. The patients were then surveyed to see how this affected symptoms of stress urinary incontinence (SUI). 40% OR 100 completed the survey. Of these 100 patients, 40 of them had symptoms of SUI. After...

Will I get stretch marks from Breast Augmentation? Dec 11th, 2018

Not many patients ever ask me, “If I get an augmentation will I have stretch marks or more stretch marks.” The technical term is strial distensae. Strial usually form 4-12 weeks post-op. The exact cause is unknown. Most patients are usually less than 25 years old. There is also a...

Could a cure for Alzheimer’s be on the horizon? Dec 11th, 2018

Almost everyone has heard of Alzheimer’s and the devastating effects it has on individuals and their families. Some new and exciting research may portend a cure may be on the horizon. One potential avenue would be to boost the brains immune system. Stanford doctors were able to REVERSE Alzheimer’s symptoms...

White Fat Cells vs. Brown Fat Cells Dec 11th, 2018

We all love the results of exercising but it is the exercising itself that we loathe. Help may soon be on the way. Our bodies have two types of fat – white fat and brown fat. White fat stores excess calories – UGH! Brown fat burns calories to produce heat....

Stretch Marks No More! Dec 11th, 2018

I don’t know about that but there may be hope on the horizon. Two dermatologists, Dr’s. Ken Rothaus and Jeffrey Dover, did a study involving 16 women (average age 46) and the use of radio frequency (RF) energy generating system that features a multi-polar pulsed electromagnetic field. This was usually...

Single Stage Augmentation – Mastopexy Dec 11th, 2018

Many women who present themselves for primary breast augmentation also need a concomitant breast lift or mastopexy. It is controversial as to how safe it is to do BOTH procedures at once. The benefits are obvious. A recent article in Plastic and Reconstructive Surgery did a retrospective analysis of 23...

Composite Breast Augmentation Dec 11th, 2018

One of the problems with a breast augmentation procedure is that some patients have a thin layer of soft tissue overlying the implant which makes it appear less natural.  A recent article in the Plastic and Reconstructive Journal discussed 197 patient’s who underwent augmentation with autologous fat grafting to their...

Breast Reduction and Teenagers Dec 11th, 2018

We have 2 groups of individuals – an elderly female who has struggled for years with neck back and shoulder pain as a result of severe macromastia. The quality of their life has been severely diminished as a result of their condition. On the other hand you have a young...

One Stage Implant Salvation After Periprosthetic Implant Infection Dec 11th, 2018

One of the most devastating complications following breast augmentation is the development of a post operative infection. Once this occurs the standard therapy was to try a course of an appropriate antibiotic and if unsuccessful then one generally has to remove the implant followed by replacement months later. A recent...

Capsulectomy Specimens – Pathologic Exam Dec 11th, 2018

I tell most of my augmentation patients that in time a revision or exchange may be desired or necessary. The reasons for this are many. When I do an exchange I sometimes will do partial or total capsulectomy. Generally, I do not send the tissue removed for pathologic exam since...

Comparison of Limited Undermining Dec 11th, 2018

Lipoabdominoplasty and Traditional AbdominoplastyDr. Jeff KenkelUniversity of Texas Southwestern Body contouring is very popular. Two of the common methods include liposuction and abdominoplasty. A recent study involved 18 abdominoplasty patients. All were non-smokers. There were two groups. These were: Standard abdominoplasty with wide undermining Limited undermining with liposuction Neither group...

New help against Superbugs! Dec 11th, 2018

We all know about superbugs and flesh-eating bacteria. The most heralded of these is MRSA or methicillin resistant staph aureus. A Dutch biotech company, Micreos has developed an antibiotic that works differently than others by attaching itself to the outside of the bacteria and then releases an enzyme called endolysin...

Does age matter in cosmetic surgery? Young vs. Old Dec 11th, 2018

Cosmetic surgery is popular to say the least but does age matter? Is it safe for older patients? I have many of my patients question me if they are too old. The oldest lady I ever did a facelift on was just shy of 90! I remember the hardest part...

The New Look in Breasts – “Vacation Breasts” Dec 11th, 2018

Many times people come in to have “fuller lips” so we inject the lips with a filler which in 4-6 months will go away. If they like the look then we can put in a permanent lip implant. Now a Dr. Norman Rowe has developed an “insta breast.” It is...

Help is on the way! Dec 11th, 2018

With Thanksgiving just around the corner I can’t help but be reminded of the infamous “turkey gobbler neck.” I am reminded of one of my patients who had a waddle under her chin and innocently her grandson asked her what was in her sack? She was in my office the...

The new way to treat Cellulite? Dec 11th, 2018

We always speak of the “holy grail” and certainly one of the holy grails in plastic surgery is an effective therapy for cellulite. In all my years of practice I have never met any woman who likes her cellulite. A new product may soon become available to treat this undesirable...

Heart Disease – Younger Than You Think Dec 11th, 2018

I guess we all think of heart disease as a disease of adults and old age. But a recent study done in Leipzig, Germany found evidence that heart disease in obese children may start younger than you think. They studied 61 overweight kids from 8 – 21 and compared them to children...

Chocolate Lovers – Celebrate! Dec 11th, 2018

We probably all know a “chocolaholic” and in fact that may be you, or me, or anyone! I’m a partisan to vanilla. But now there may be an extra benefit from chocolate. Chocolate contains a substance called epicatechin – a flavonoid. A study involved two groups of healthy people age...

Capsular Contraction: New Treatment Model Dec 11th, 2018

I tell all of my patients they will develop a capsule as a normal response to the presence of a foreign body such as a breast implant. The key is to keep this capsule soft and natural. There is no simple answer and there are so many techniques various surgeons...

New Hope For Paraplegics Dec 11th, 2018

I recently read an article about a new ray of hope for paraplegics. I wanted to share this with you. Recently a Bulgarian firefighter by the name of Darek Fedyka, 40, underwent a procedure to try and repair a partially severed spinal cord that left him confined to a wheelchair....

New Anti-Aging Strategy: Don’t Drink Soda Dec 11th, 2018

We live in a time where we are told don’t eat this – eat this – don’t do this – do this. Then sometime down the road they do a reversal. Well a new study done at University of California in San Francisco studied the DNA of 5,300 healthy Americans....

New Kid on the Block Dec 11th, 2018

Every time I turn around there is a new laser, a new filler and soon there may be a new “Botox” on the way. This new neurotoxin is called EVOSAYAL and the company making it was just given FDA clearance to begin clinical trials. This is a big market. Neurotoxins...

Allergic Reactions – Culprit? Dec 11th, 2018

Allergies are a part of life. Some people suffer from seasonal allergies – allergic rhinitis – mold, pollen etc., but some allergic reactions can prove fatal. We all have read about lethal reactions to peanuts and bee stings but the SINGLE biggest player in severe reactions are antibiotics and dyes/contrast...

Possible New Test for Dementia Dec 11th, 2018

It seems we read all the time about an upcoming tsunami of new Alzheimers/Dementia cases. A study recently released was done at the University of Genoa and involved 148 seniors who were showing no signs of mental impairment. They all underwent a test, an MRI with arterial spin labeling. They...

BOTOX – Not Always Good Dec 11th, 2018

The number of teenagers injecting Botox has risen 800% over the last several years. It now seems that the ability of Botox to freeze facial expression may cause stunted emotional growth in teenagers. This is based on something called “facial feedback hypothesis.” Our emotional experiences are regulated in part by...

Artificial Sweeteners – Good or Bad? Dec 11th, 2018

Simple logic will tell you the fewer calories you consume the more weight you are likely to lose but hold on. A report in “Financial Times” revealed that artificial sweeteners – something most of us consume everyday – may actually help us become obese. Scientists at the famed Weizmann Institute...

How To Live Longer Dec 11th, 2018

It seems we get caught up in healthy this – healthy that. We are on a merry-go-round to “live longer.” I recently read a very small simple article and they had a very simple solution… stand up. Maybe we should sleep in an upright position. The study was conducted by...

Massive Weight Loss: What are the risks? Dec 11th, 2018

I do a lot of post bariatric surgery reconstruction as well as the same in people who lose massive amounts of weight the old fashion way – diet and exercise! We’re talking about people who lose more than 100 pounds. A study done at the University of Texas hospital in...

Marijuana’s Impact on Teens Dec 11th, 2018

A controversial decision will soon be made by the voters in Florida concerning legalization of marijuana. Yes, they say it is for medicinal purposes but believe me every one will soon have a card on them speaking to their medical necessity to needing marijuana. It is a foot in the...

Lipo – Leads to Bigger Breasts Dec 11th, 2018

Many times people ask about rumors they’ve heard about. One question is whether or not there is fat re-distribution after liposuction. A study out of Kansas followed 82 women who underwent liposuction without a  breast procedure. Standardized breast measurements and photographs were serially obtained. The results showed that neither liposuction...

BOTOX – Anything New? Dec 11th, 2018

Botox came on the scene in a big, big way and continues to seek out new ways to enhance our lives. A new direction may be in the offering. Botox may now be  used in the fight against cancer. Research done in mice shows nerves can encourage the growth of...

Stem Cells and Strokes Dec 11th, 2018

You know my fascination and fondness for stem cells and a new roll is emerging for their use. At the Imperial College in London they studied 5 people between the ages of 40-70 who had strokes involving a blood clot in the middle of their brain. The doctors harvested stem...

Supplements and Cosmetic Surgery Dec 11th, 2018

Some say they are good – some say they are not. I personally take several supplements every day. If my diet is deficient at least I know I will “make up” for it. But I’m not so sure what a normal diet is. However, when my patients are getting ready...

New Breast Cancer Drug Delivery System Dec 11th, 2018

A drug that is a cousin to the well known drug tamoxifen called endoxifen. It is used to treat and prevent recurrence of breast cancer, but when taken orally it can have some serious side effects such as stroke, endometrial cancer or vaginal atrophy. Researchers at the University of Illinois...

Sandalwood – Scent of the Future Dec 11th, 2018

Who would have ever thought that something that smells good could also be good for you. Our nose is a collection of over 350 olfactory cells. It seems the cells in our outer layers of skin also contain similar type cells. Certain of these olfactory cells are activated by certain...

Finger Dexterity – Piano Playing Dec 11th, 2018

I recently read an article in the Wall Street Journal about piano playing. It reminded me of my Dad years ago who as a young boy learned to play the piano to develop finger dexterity in hopes of becoming a neurosurgeon. But his father died and the war came and...

Skin Cancer – Beware Dec 11th, 2018

Our surgeon general, Boris D. Lushniak, has called skin cancer “a major public health problem that requires immediate action.” The number of new cases of skin cancer diagnosed each year exceeds the total for breast, prostrate, lung and colon cancer combined. In the last 30 years the incident of the...

Capsular Contracture – Role of Antibiotics Dec 11th, 2018

One of the complications that can occur with breast augmentation is the formation of a hard unnatural feeling breast. This is a capsule. Every breast implant that is inserted will form a capsule because this is our bodies normal response to a foreign body so the key is: how do...

Does Mastopexy Affect Bra Size? Dec 11th, 2018

Many women come in for breast lift surgery. I always try to explain the difference between a breast lift or mastopexy and a breast reduction procedure. The difference is that in a breast reduction you are removing skin AND breast tissue whereas in a mastopexy or breast lift, you are...

Obesity – Cause? Dec 11th, 2018

I guess if I asked 10 people I might get several different responses. We live in an age of gathering and collecting information such as favorite color – favorite food – the best diet for weight loss – the list is endless. I was reading  the July 25, 2014 issue...

Obesity and Sleep Dec 11th, 2018

Before we were discussing how we have become a nation of couch potatoes, I think it is pretty obvious to most of us – rather than exercise we text, play with our smartphone or Xbox. The opposite of working out or sleeping.  There have been several studies touting the importance...

Breast Augmentation & Reconstruction Dec 11th, 2018

Breast augmentation and reconstruction have really surged due to the re-introduction of silicone implants. In my opinion silicone is a home run! Many times patients come in wondering if their implants are leaking. The next question is what is the best technique utilized to determine the integrity of an implant....

Botox Cream? Dec 11th, 2018

There are so many people who are affected by excessive underarm sweating. This is so devastating and expensive to those who suffer from it. The most effective treatment is miraDry. A simple, safe, effective outpatient procedure that is done under local anesthesia. It takes about an hour and you are...

Breast Implants – Smooth vs. Textured Dec 11th, 2018

Breast implants have benefited from a resurgence in popularity since silicone is back in play. There still remains many questions to be answered – smooth surface implants versus textured. One thought is that bacteria may form colonies on the surface of the implants and these biofilms of bacterial colonies may...

Not Enough Sun – Bad Dec 11th, 2018

For years all we hear about is that too much sun exposure is bad. It causes skin cancer – we need SPF 50 – your skin will wrinkle and shrivel up. That’s all true but limited sun exposure can be bad too. This study found that women who avoided the...

Fat Neck No More Dec 11th, 2018

More and more patients are looking for non-surgical ways to enhance their looks. On the horizon is a new injectable called “AXT-101” that may get FDA approval to remove unwanted fat in the neck. I injected a lady several years ago with a similar “cocktail” and after 4 or 5...

Broccoli: Good For Everyone Dec 11th, 2018

I know a lot of my patients are not broccoli lovers but I am. It now turns out it is GOOD for you. A study was recently done in 291 Chinese adults who drank “broccoli sprout tea”. Some increased excretion of the toxic chemicals benzene and acrolein. These are products...

SUN – SUN – SUN Dec 11th, 2018

We always hear about the sun and how bad it is for our skin. It seems we have done a complete 180 from 20 or so years ago. I see patients all the time who want to play the “how old do you think I am” game. They look 70...

Caution – Beware Dec 11th, 2018

The healthcare landscape changes daily – reimbursements fall – costs of practicing medicine rise and the paper forms add nausea to the equation. This has created an environment where a potential cosmetic surgery patient is a walking land mine. Everyone is doing Botox, fillers, Ultherapy, lasers – you name it....

New Risk Associated with Cellular Phones Dec 11th, 2018

Every time you read something it seems to negate or change what we learned earlier. Several years ago there was – and I guess still is – a big scare on cell phones and their possible link to brain tumors. Now a new scare comes on the scene. It seems...

New FDA Approved At-Home Laser Dec 11th, 2018

We have seen such a proliferation of promotions offering non-invasive cosmetic procedures such as fillers and Botox. Now the newest wrinkle is – get this – an FDA approved at-home laser system called Iluminage Skin Smoothing Laser. This is the first at-home laser device approved by the FDA to treat...

Betty Beach is the best around! Dec 11th, 2018

The good Lord allowed me to meet with Mrs. Betty Beach. Betty works for Sell State Premier Realty. They are located at Royal Palm Square. Her contact info is (239) 910-1030. Her e-mail is betty.beach53@comcast.net. I have known Betty and discussed the sale with her and eventually gave her the signed...

Fat Grafting During Breast Reconstruction Dec 11th, 2018

One of the exciting new frontiers in plastic surgery is utilizing your own tissue to do reconstruction. I am all for using your own fat to volumize depressed areas or using larger volumes for reconstructing your own breast. This is truly exciting and will give the surgeon more viable options. Many people have...

Operating Room Time – What is Ideal? Dec 11th, 2018

One of my guiding principles for 34 years has been and always will be patient safety. That is number one. More and more surgery is being done safely and effectively as an outpatient so one important question is how long should it be? What time frame should we shoot for?...

Resveratrol Dec 11th, 2018

I remember seeing a TV show a short while back on I believe 60 Minutes touting the great benefits of resveratrol. It was the magic ingredient found in wine. Now we have new research that shows this ingredient may not be the magic bullet to good health and longevity. They...

New Worry While Driving Dec 11th, 2018

Nothing annoys me more than someone driving at a high rate of speed and texting or a lady texting AND putting on her makeup. It is so unsafe and aggravating. Now a recent study was revealed that driving while pregnant also increases your chances for an accident. The study revealed...

3 for 1 – Great Bargain! Dec 11th, 2018

miraDry – the revolutionary treatment for excessive underarm sweating now has two extra benefits. A recent study by Dr. Jeremy Bauer at New York University Department of Dermatology shows that the hair in the miraDry treated axillae showed significant reduction in hair in their armpits. The study involved 42 patients....

The Mind Altering Effects of Marijuana Dec 11th, 2018

Recently in the State of Florida, we voted down legalizing medical marijuana. This was a good thing – to log the foundation for a drug culture is simply not right. We spend billions on anti-smoking campaigns and now we are saying it’s okay if we legalize marijuana? New studies show...

Breast Augmentation: More Choices Than Ever Nov 19th, 2018

There was a time, not too long ago, that if you were unhappy with your breasts, your options were limited. But thanks to modern medicine and innovative technologies, you now have more choices than ever when it comes to breast augmentation. Here at Beauty by Brueck, with convenient locations in...

How Can I Get a Natural-Looking Facelift? Oct 30th, 2018

It’s difficult to get through grocery check-out lane without at least glancing over at a rack of magazines with cover photos showing facelifts gone wrong, often achieving the very opposite of what they’re designed to do. At Beauty by Brueck, Dr. Robert J. Brueck and his team work with you...

Introducing: The QuickLift Oct 16th, 2018

Usually, a traditional facelift can eliminate wrinkles, folds, and fine lines from the face and diminish the signs of aging. A facial surgery might not be for everyone, though. A new type of procedure, known as the QuickLift, has become one of the most preferred ways to boost the contours...

Everything You Need to Know About the QuickLift® Facelift Oct 16th, 2018

As we age, it is only natural for our facial skin to become lax and for wrinkles to form. However, if these signs of aging are causing you to look older than you feel, it may be time to consider a facelift. The QuickLift Facelift, created by Dr. Brueck, is a great,...

How Liposuction can Benefit a Tummy Tuck Oct 16th, 2018

Are you dealing with stubborn fat pockets or sagging skin on the abdomen? If you said yes, then you understand the discomfort that it can cause, as well as the negative effect it can have on self-esteem. Thankfully, there are effective cosmetic procedures that can help to address these issues...

Steps to Take Before Your Rhinoplasty Procedure Oct 16th, 2018

The nose is at the center of the face, so if you are unhappy with the shape, size, or proportion of your nose, it can hard to ignore it. Many individuals who are unhappy with their nose will consider a rhinoplasty procedure. However, before booking your surgery date, be sure to...

Say Goodbye to Sweat with miraDry Oct 16th, 2018

While summer is many peoples’ favorite season, if you are suffering from hyperhidrosis, you may feel differently. Hyperhidrosis is a condition that causes excessive sweating, even when an individual is not taking part in activities that would make them sweat excessively. If you are tired of dealing with sweat stains...

Non-Surgical Facelifts Oct 16th, 2018

I guess it’s only human nature to want the perfect answer to a problem.  I am old and my face shows my age more than I want.  With that as a given what would be the “perfect” solution?  Good question to ponder and one that would have a myriad of...

Liposuction vs Tummy Tuck Oct 16th, 2018

Many of us are living with stubborn areas of fat or flabby skin in the abdomen area. While there are a couple of procedures that can help to address these issues, how do you know which one is right for you? We have broken down the two most popular procedures...

Tips for Liposuction Recovery Oct 16th, 2018

If you are considering liposuction, you have probably done your homework on what the procedure entails, but it’s easy to forget about the recovery process. Like any other invasive plastic surgery procedure, liposuction requires some downtime to recover. Read on to learn more about what to expect during recovery, and how...

What A Rhinoplasty Can Do For You Oct 16th, 2018

Most people have probably heard of a “nose job” or even know someone who has undergone one. However, there can be a lot of misinformation about what exactly it is or what it does. Many people are unhappy with their nose because it doesn’t fit their facial proportions or it...