Plastic Surgery, through science.
Evidence-based information about plastic, reconstructive and aesthetic surgery, written for patients.
I use this space to answer questions that frequently come up during consultations, explain the anatomy and reasoning behind different procedures, and look critically at some of the treatments and trends in aesthetic medicine.
The aim is simple: to help patients understand what a treatment can realistically achieve, what the evidence actually supports, and where its limitations are.
Why I Rarely Use Hyaluronic Acid Filler in the Tear Trough
Tear trough filler can initially smooth the hollow between the eyelid and cheek, but the under-eye is one of the least forgiving areas to inject. I explain the anatomy behind persistent puffiness, malar edema, filler migration and long-term HA persistence—and why I often prefer microfat grafting or fat-transposition blepharoplasty.
Injectables, Evidence & Expectations
PDRN and polynucleotides are increasingly promoted as regenerative injectables in aesthetic medicine. This review examines what the current evidence actually supports, including skin quality improvement, wound healing applications, and the limitations of existing clinical data.
Technical Principles for Preserving Mediterranean Identity in Rhinoplasty
Rhinoplasty is not about changing who you are.
For Mediterranean and Middle Eastern patients, the nose is a defining feature of identity. My approach focuses on refining the nose while preserving ethnic character, natural proportions, and facial harmony.
Eyelid Revision Surgery - Managing Unintended Consequences
Eyelid revision surgery requires precision and restraint. From hollow eyes and ectropion to brow ptosis, revision blepharoplasty addresses complications from previous eyelid surgery with a tailored, anatomy-respecting approach.
What about skin cancer?
Skin cancer, one of the most common cancers globally, is primarily caused by UV radiation and can often be treated successfully with surgery if detected early, making regular skin checks and sun protection essential for prevention
Fat grafting vs Hyaluronic acid fillers?
Let’s break down the pros and cons of fat grafting versus hyaluronic acid (HA) fillers scientifically!
What non-invasive procedures complicate a facelift? What’s the right path?
How non-invasive are the non surgical skin tightening procedures? How much do they complicate a facelift and/or necklift?
How to balance between patients’ safety and desires in Plastic Surgery?
Patient safety and patient-centered care
How many procedures can be safely done at one time?
What is the safety threshold for undergoing multiple surgical procedures at once?