ENDOSCOPIC LASER TREATMENT OF BREAST IMPLANT ENCAPSULATION Appearing in a recent issue of The American Journal of Cosmetic Surgery, an article written by former Fellow, Dr. Jon Perenack and Dr. Tobin describes a technique developed by Dr. Tobin and Surgery Center Scrub Tech, Rudy Garza which uses a tiny endoscope and a built in laser to release contracted breast implant capsules.(full story) It can be viewed in its entirety here. (PDF Format) To view the file you will need Adobe Acrobat Reader. Recognizing and correcting a failed rhinoplasty: Unfortunately, not all nose jobs go well. In this invited article that appeared in the December issue of Plastic surgery Products , Dr. Tobin discusses some of the problems that can occur and a few of his techniques for correction based on his 30 years of experience in rhinoplasty surgery.  Fortunately most rhinoplasty surgery goes well, but when problems occur, it can tax the skills of even the most accomplished surgeon. It can be viewed in its entirety in pdf format. (full story) To view the file you will need Adobe Acrobat Reader. Uses of Microdroplet Silicone Injection In an article in the national cosmetic surgery newspaper, Cosmetic Surgery Times, Dr. Tobin’s longterm experience using microdroplet silicone injection treatment of skin depressions and lip augmentation was reported. Dr. Tobin described his experience at a live surgery conference held in Tulsa in September of 2003. It can be viewed in its entirety in pdf format. (full story) To view the file you will need Adobe Acrobat Reader. The Expanding Uses of Botox While the primary indication of Botox remain the treatment of expression wrinkles new uses for the drug continue to surface. Local injections of botulinum toxin may significantly benefit patients with headache, spasticity, dystonia, torticollis, hemifacial spasm, blepharospasm, meige syndrome, spastic dysphonia, writer cramp, hyperhydrosis, or tremor. (full story) FDA Hears Evidence of Breast Implant Failure On July 8, 2002, an FDA advisory committee heard evidence from breast implant manufacturers that studies had shown that as many as 25% of women who had saline breast implants had undergone secondary surgery within five years of operation. Breast implants are currently made by two manufacturers, Mentor and McGhan. (full story) Saline Filled Breast Implant Results at Cosmetic Surgical Center Reported In a recent edition of the American Journal of Cosmetic Surgery, the results of 9 years experience using saline filled breast implants at The Facial Plastic & Cosmetic Surgical Center were reported. In addition to reviewing results of surgery, an analysis of patient response to the surgery was studied. Capsular contracture, or firmness, remains one of the main factors affecting patient satisfaction.(full story) Liposuction leads to increased popularity of arm reduction Concern about large, bulky upper arms has brought many patients to our Center over the years. Many have been discouraged by the need for long incisions required in classical arm reduction techniques. Newer techniques of liposuction have allowed us to successfully treat many of these patients without these incisions.(full story) Concerns persist regarding rupture of old gel filled breast implants It has now been ten years since the general use of gel filled breast implants has ended. Except for unusual circumstances, patients in the US all receive saline filled implants. Although admittedly, there is a higher incidence of rippling, or surface irregularity, with these implants, the added safety more than offsets this disadvantage.(full story) Many options available for treatment of lines in the face For years, women, and to a lesser extent – men also, have sought a means to treat facial lines and surface depressions with a non-surgical technique. The many products available serves as testimony to the fact that the perfect solution has yet to be discovered. (full story) Home skin care program available from our Center An advantageous adjunct to cosmetic surgery is skin treatment with alpha hydroxy acids (AHAs). This can be used before and after cosmetic facial surgery, to enhance the results and to aid in the healing process, but they are also useful by themselves in many situations. We are pleased to offer a program of skin care based on the use of alpha hydroxy acid at our Center. This program can be carried out at home by the purchase of products from the Center, such as those shown here. (full story) Combining procedures in cosmetic surgery While it is becoming increasingly common for patients to combine multiple procedures while undergoing cosmetic surgery, the risks as well as the advantages must be carefully considered by both the patient and the surgeon. (full story) Innovations and Advances in Cosmetic Breast Augmentation - the Endoscopic Approach This recent article appearing in the trade magazine PLASTIC SURGERY PRODUCTS by Dr. Tobin discusses his endoscopic technique of breast augmentation as well as reviewing the current state of breast enlargement in general. It can be viewed in its entirety in pdf format. (full story) To view the file you will need Adobe Acrobat Reader. Dealing with deflated breast implants While saline implants have proven highly satisfied, leakage is an ongoing risk that requires prompt attention to avoid further difficulty. (full story) Fine Lines and Sun-Damaged Skin Respond to Laser Therapy Fine lines and sun-damaged skin are common problems for patients who come to our Center. The treatment for this type of condition is resurfacing, but what type of resurfacing is best? For quite some time, the use of lasers has replaced the older technique of chemical peel. (full story) Picking your breast implant size One of the most important issues in breast augmentation surgery is size. Very often, patients who are having breast augmentation surgery feel that there is an ideal breast size that can be determined by the surgeon. Nothing could be farther from the truth. The choice of breast size is a very individual decision that can only be made by the patient.(full story) Enhancing prompt recovery after cosmetic surgery Today's cosmetic surgery patient is vitally interested in rapidly returning to normal activity. Here are some tips and ideas that we have found helpful to enhance prompt recovery after surgery.(full story) Options in upper face rejuvenation Deciding between techniques available for upper face rejuvenation can be difficult. Options include eyelid surgery (belpharoplasty), forehead lifting and the more comprehensive extended subperiosteal lift. This article will focus on choosing between the later two options. Readers can learn more about all of these techniques in other sections of our website. Our search engine will help you find appropriate areas.(full story) After Your Facelift One of the main things we hear from patients after they have undergone a facelift is "How do I maintain this look?" There are a few things that can be done to help extend the "life" of your facelift. Remember, a facelift sets back the clock, but it doesn't keep it from running. Ongoing preventive maintenance is very important to get the most out of your investment in your appearance. (full story) Suture brow stabilization procedure offers a simple way to enhance the appearance of the sagging eye and brow. Drooping of the brow is not only a common result of aging, but is also present in many young people, often resulting in a tired or angry appearance. In fact, not uncommonly, when people request eyelid surgery (blepharoplasty), they are really more concerned about the brow than the eyelids. For the patient that is seeking a more conservative approach, the suture brow stabilization may be just the answer.(full story) Mastopexy, or Breast Lifting Represents a Surgical Challenge Fortunately, for patients presented with drooping or sagging breasts, there are many options available. Our new expanded chapter on breast lift surgery provides insight into the options available. (click here for more information) Going Home Unblemished - Faces from around the world trek to Abilene for surgeon's handiwork By CHRIS NEWTON (From the Associated Press) ABILENE -- Walking through the winding, palatial hallways of Dr. Howard Tobin's office, you feel as if you're about to meet a head of state rather than a small-town plastic surgeon.(full story) Breast reduction surgery provides immediate relief of physical symptoms associated with large breasts. Confirming a study carried out in 1996 by Dr. Howard Tobin and Dr. Thomas Houting, which appeared in the American Journal of Cosmetic Surgery, a recent report from the University of Pennsylvania hospital in Philadelphia provides evidence that "reduction mammaplasty (breast reduction surgery) provides immediate relief of physical symptoms associated with macromastia (large breasts)." According to Dr. Brian Glatt, one of the authors of the study, this operation "has one of the highest patient satisfaction rates in all of plastic and reconstructive surgery."(full story) Lasers add refinement to cosmetic nasal surgery At the Cosmetic Surgical Center, the use of the carbon dioxide laser has allowed refinement in technique that increases precision and reduces post operative swelling and recovery. (full story) Thousand Smiles gives help where its needed most Dr. Howard Tobin and Cosmetic Surgical Center anesthetist Robert Laird recently returned from their annual visit to Encinada, Mexico, where they participated in the Rotary International sponsored cleft palate surgery clinic headed by California maxillofacial surgeon, Jeff Moses. It is a touching story off commitment in which the givers truly feel that they receive far more than they give. (full story) Endoscopic Submuscular Breast Augmentation In this article, appearing in the Cosmetic Surgery Times , Dr. Tobin explains his technique of using endoscopy in breast augmentation. In it, he tells how the technique can help to overcome many of the previous limitations of the submuscular technique. (full story) Endoscopic capsulotomy offers an improved method or examining and treating firm breasts with capsular contracture following breast augmentation. Concern over leakage of silicone from older implants has led to a variety of diagnostic techniques. We have found that the only certain way to determine leakage is to directly examine the implant by means of an endoscopic technique done through a tiny incision beneath the nipple.(full story) Tummy Contouring - Choices, Choices, Choices. There are now a variety of options available for patients seeking abdominal contouring. Choices can be difficult but this article will help patients consider their options. (full story)

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