Cosmetic Surgery Associates

The breast augmentation post-op pain relief research work done by Dr. Jabs and Dr. Richards has just been accepted for publication in the Aesthetic Surgery Journal. This is our national plastic surgery aesthetic publication that will be read by thousands of plastic surgeons in the United States and abroad and is the official journal of the American Society for Aesthetic Plastic Surgery.

Our research helped us to develop a technique that provides post-op pain relief with breast augmentation surgery not previously achievable. It involves a meticulous implant pocket dissection method avoiding the perichondrial nerves, injection of tumescent fluid (normally used for liposuction pain relief) into the surrounding breast tissue, and direct injection of a long acting anesthetic into the pectoralis muscle. Patients with this approach had significantly less pain scores after surgery.

My last three breast augmentation patients had an initial recovery room pain score of 0 out of 10! At Cosmetic Surgery Associates we take pride in providing the highest quality of safety and comfort to our patients.

Dr. Richards

Over the last several months I have recommited myself to personalized patient care and to improving my skills. One of my favorite operations, and truly one of the most difficult plastic surgery procedures, is rhinoplasty (surgery of the nose). I have been practicing for 20 years and although certainly experienced, I feel there is always more to learn. It is the endless advancement of understanding and technique that makes our specialty so interesting.

I had the good fortune to spend a few days last week with one of the giants in the field of rhinoplasty, Dr. Ron Gruber of Oakland California. He is remarkable for his anatomical approach to nasal surgery, his simple solutions to difficult problems (the kind where you think “that is so simple why didin’t I think of that?”) and for his ability to relate this information in a clear and concise manner in both written and oral presentations. My approach to rhinoplasty has been a synthesis of many techniques over the years, using the best of each approach. When I found Dr. Gruber’s writings I was amazed how much sense he made and how well his approach to nasal problems worked. I have been an enthusiastic adherent to his surgical philosophy ever since. I learned a few new “tricks” last week that will benefit my patients and make the results I obtain even more predictable. These techniques preserve the tissue in the nose leading to a more functional, natural appearing result. I look forward to applying these techniques to my next cases.

All the best,

Dr. Jabs