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The Evolution of the “Facelift”

Posted August 30, 2017

When I was training in New Orleans we were proud of our facelift technique and had good short-term results. Our procedure consisted of making a skin incision in the crease in front of the ear and behind the ear, lifting (undermining) the skin to the mid-cheek area, placing a few sutures to tighten the deeper … Continue reading The Evolution of the “Facelift”

How to Make Optimal Aesthetic Decisions

Posted August 14, 2017

Aesthetic DecisionsIn the world of aesthetic medicine and surgery there are many options and often contradictory recommendations concerning technologies for facial rejuvenation.  How do we help our patients make optimal decisions in this environment?  We just return to basics-  make a precise anatomical diagnosis and recommend the minimal targeted intervention to address the problem. Perhaps … Continue reading How to Make Optimal Aesthetic Decisions

Profound RF

Posted August 9, 2017

Aging is a continuum and to counter it, we may start off with botox or fillers, but eventually work up the ladder to the pinnacle- a facelift. As a surgeon, I can tell you from firsthand experience what a facelift is and how it is done. You actually tighten the deeper layer of the face, … Continue reading Profound RF

Submental Rejuvenation

Posted August 1, 2017

A common concern of patients is the contour of the submental area. Patients desire a strong jaw line and angle between the neck and chin that is about 105-120 degrees. Poor contour of the submental area can be due to any number of anatomical variations including submental fat, recessive chin, lax skin, dehiscent platysma muscle … Continue reading Submental Rejuvenation

Ethiopia Trip Update

Posted April 27, 2017

This Fall I returned to Addis Ababa, Ethiopia for my second trip to help kids with facial deformities. The Black Lion Hospital is the only Head & Neck Surgery resident training program in Ethiopia. The residency program is still in its infancy and will graduate it first class of chief residents in January of 2014. … Continue reading Ethiopia Trip Update

The Beauty of Experience

Posted December 20, 2016

The procedures we perform in facial plastic surgery require both art and craft. Experience benefits our patients and helps us improve both our technical skill and artistic judgment. Extensive science is behind the “10,000 hour rule” that it takes that amount of practice to become expert in a given skill. This practice, however, must be … Continue reading The Beauty of Experience

Balanced Blepharoplasty

Posted December 9, 2016

Eyelid surgery or blepharoplasty is our most commonly performed procedure.  A well done operation can immeasurably enhance appearance in general and simultaneously make the entire face appear more youthful. Dr. Larrabee performed the reconstructive as well as cosmetic eyelid procedures at Virginia Mason Clinic and did special training in these procedures at the Moorfield’s Eye … Continue reading Balanced Blepharoplasty

The Larrabee Center Celebrates Veteran’s Day

Posted November 11, 2016

On this Veteran’s Day we are proud to recognize the military fellows we have trained over the years. We have had especially close relationships to Madigan and Tripler over the decades and have taught residents at both hospitals. Dr. Larrabee trained at Letterman General Hospital in San Francisco and then was Chief of Civic Action … Continue reading The Larrabee Center Celebrates Veteran’s Day

Plastic Surgery in Asian Patients

Posted November 9, 2016

Seattle is a gateway to the Pacific and the Asian Rim countries.  As a facial plastic surgeon I have worked extensively in Asia performing surgery and on broader educational programs.  In recent years, I have lectured in Hong Kong and mainland China plus performed surgical procedures such as facelifts and cleft lip palate repairs in … Continue reading Plastic Surgery in Asian Patients

The Art of Facial Plastic Surgery

Posted September 12, 2016

Our most recent book is titled The Art and Craft of Facial Rejuvenation (http://amzn.to/1WqIUsu). The need for skillful craft in plastic surgery is obvious.  The need for art is less obvious but equally important.  Facial analysis is essential to surgical planning, and thoughtful study of a patient’s facial contour described in angles and millimeters (soft … Continue reading The Art of Facial Plastic Surgery