Cosmetic Surgery History: Facelift Edition
Dr. Eugen Hollander performed the FIRST recorded facelift ever in 1901.
This then led to the first textbook on facelifts in 1907!
121 years later, we’ve come a long way!
Cosmetic Surgery History: The Brazilian Buttock Lift (BBL)
Credit is given to Dr. Ivo Pitanguy with over 2,000 peer reviewed journals on BBLs!
His first paper reported on correcting buttock ptosis (or sagging) in 1964! While the procedure wasn’t a BBL in the sense that we know today, it was a buttock tuck (or lift) that removed excess skin and fat to eliminate the ptosis. What it wasn’t able to do was correct volume or projection!
In 1969, Dr. Barrels, et al documented the first buttock implant. But rather than using the buttock implants we have today, they used silicone BREAST implants! This later led to the development of the buttock implants that we know and use today.
In the 1980, as liposuction became more popular, fat transfers became more prominent. And this has evolved into what we know as a BBL today!
Cosmetic Surgery History: Gynecomastia Edition
To review, gynecomastia is the overdevelopment of glandular breast tissue in a male.
By 1B.C, the Romans were performing all types of cosmetic surgery procedures. The earliest documented gynecomastia case was by Roman physician Cornelius Celsus.
There have been significant enhancements since then that are far more minimally invasive.
In my practice, depending on the degree of glandular tissue present, I either perform:
1- VASER assisted liposculpting and Renuvion JPlasma skin tightening with small poke hole incisions! This helps eliminate the need for incisional glandular removal in most patients. It also may allow for chest masculinization.
2- Direct glandular excision with a small incision on the bottom aspect of the areola. This allows for the incision to be well hidden.
Cosmetic Surgery History: Breast Implant Edition
In 1962, Drs. Thomas Cronin and Frank Gerow invented the FIRST silicone breast implant!
Timmie Jean Lindsey from Texas became the FIRST woman to have silicone breast implants!
This then led to a cascade effect where in 1976 the Food and Drug Administration (FDA) led to the regulation of silicone implants.
These original silicone breast implants were made of a solid silicone shell on the outside and a very thick silicone gel on the inside. In addition, they were all teardrop shaped with patches on their back side.
They weren’t particularly soft and 100% of the patients developed capsular contracture.
A lot has changed since then-varying implant sizes, shapes and projection in addition to a capsular contracture risk of only 1% per year!
In my practice, I offer both saline and silicone implants placed either through the infra-mammary crease (fold under the breast) or the areola (around the nipple).