NImagazine.com – Spring 2007 Story by Brian J. Reagan, M.D. Plastic and Reconstructive Surgery Photography by Martin Mann. Since being quoted in an 1855 poem by Robert Browning, many have said “less is more” for a variety of reasons. These days, this sentiment is being expressed by an increasing number of women with breasts that are too large and out of proportion to the rest of the body. Termed “mammary hyperplasia,” the condition commonly produces back pain, shoulder pain and chronic headaches in its sufferers. The condition can also lead to skin irritation, skeletal deformities, and even breathing problems. And according to Dr. Brian Reagan, a plastic and reconstructive surgeon in La Jolla, far too many women suffer needlessly, and are unaware of a simple procedure that can alleviate these complaints –
“I don’t just do one type of facelift,” says Dr. Reagan. “During my training, I was able to gain a deep appreciation for a number of different techniques and subtleties.” As a result, he is able to take a variety of approaches to facelifts depending on his patients. “One example of that is the MALER, OR MIDFACE LIFT,” he says. “For a younger woman mid-30s, early 40s who hasn’t experienced jowling yet, a full facelift isn’t necessary. Instead, I address the midface area, lifting the cheek to rejuvenate the look.” He uses the same incision as he does for a lower-eyelid lift, so there isn’t any additional cutting.
“Dr Reagan, I feel great, but I don’t recognize the person in the mirror.” I hear this all the time. People are taking better care of themselves, and they want to look as good as they feel. Again, plastic surgery can help. Often, by the time we enter our fifties, the soft tissue of the face and neck has dropped enough to warrant a face/neck lift. If not already previously performed, rejuvenation of the eyelids/brows should be included to create a more natural, balanced result. In addition to the procedures list previously (see 40’s), there are two scenarios when I do additional procedures to achieve facial rejuvenation.
I look like a Sharpei. What can you do about all this skin?” exclaimed a typical post-bariatric surgery patient to Dr. Brian Reagan, plastic and reconstructive surgeon. An estimated sixty million American adults are obese, with six million being morbidly obese. For those patients, bariatric surgery has proved successful in reducing weight and saving lives. But these patients don’t rejoice in their transformation until the resulting redundant skin is gone, and this is when Dr. Reagan gets involved. “The first thing I do is congratulate these patients for their life-saving weight loss. From the smile on their faces, I can tell that they aren’t used to a lot of compliments, says Dr. Reagan.
IT used to be that a cosmetic surgery patient who was tired of
sagging jowls would discreetly ask for names of reputable doctors
who did facelifts. A surgeon, building a practice as word of mouth
about his skills spread, became, in effect, his own brand.
But now facelifts themselves are