Today Mohs Surgery or Moh’s Micrographic Surgery is a well-established technique for removing skin cancers. The basic premise is that the skin cancer can be excised directly under local anesthesia. The tumor and surrounding tissue are oriented, mapped and then sectioned for eval

  This patient suffered an injury resulting in an isolated left zygomatic arch fracture. This was repaired using Gillies approach. His post-operative photo (below) shows excellent reduction and a fully healed left zygoma. Note that the depression of his lateral cheek is no longer

Recently, Dr. Kevin Brenner was presented with this official commendation from The City of Los Angeles and Mayor Antonio Villaraigosa. This ornate certificate is not simply beautiful visually, but is also beautiful for what it represents.  In this certificate of appreciation, our city

Nasolabial flap reconstruction of the nasal ala (nostril) is a staged procedure that requires skill, dilligence and judgment during execution for skin cancer repair. This patient is pictured here three weeks following his first stage operation for correction of this left nasal ala def

Rene Le Fort was a french surgeon who became interested in and therefore studied the different patterns that occur with mid-facial fractures. Interestingly, Dr. Le Fort determined the most common patterns of facial fractures that result from high impact trauma by dropping cadaver head

Recently The British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) with guidance by the Royal College of Surgeons (RCS) issued a new  consortia on how to improve standards in emergency surgery care. Specifically, they highlighted the key involvement of Plastic

As a Board-Certified Plastic and Reconstructive Surgeon in Los Angeles, I devote a large portion of my practice to the treatment and prevention of skin cancers and the reconstruction of skin cancer defects. Although the treatment of patients with late stage melanoma is usually managed

Interesting case in a Los Angeles skin cancer patient: Reconstruction of a nasal skin cancer defect: This patient presented to me for nose reconstruction of this large defect of the left ala and cheek. The patient underwent Moh’s excision of an infiltrative basal cell carcinoma.

Indirect approaches for reduction of the zygomatic arch : A traumatic  impact to the side of the face can sometimes result in a pure zygomatic arch fracture. In these cases,  the zygomatic complex itself remains nondisplaced. In the classification of cheek bone fractures, this would b

As I mentioned earlier this week, as a Los Angeles based diplomate of the American Board of Plastic Surgery, I find it important to stay abreast of new and updated information that will allow me to better care for my patients. The following is part two of a summary of an update that w

As a diplomate of the American Board of Plastic Surgery, I find it important to stay abreast of new and updated information that will allow me to better care for my patients. The following is a summary of an update that was recently published regarding the management of patients with

Basal cell carcinoma (BCC) can occur in several shapes and sizes. Test your knowledge: 1) Nodular BCC: These tumors present as a nodule on the skin and appear translucent or pearly in color. 2)Ulcerating (Infiltrating) BCC: These tumors present as an erosion or ulcer, commonly with ov

Tissue expansion is a surgical process that is done in order to increase the surface area of local tissue that is available for reconstructive purposes. Tissue expansion is a process, and not a single procedure. During the first operation, an incision is made adjacent to the area to b