Dr. Helena Taylor and Dr. Stephen Sullivan and their colleagues have published their most recent research findings in The Cleft Palate-Craniofacial Journal. Their research on cranial (skull and forehead) remodeling was featured in the journal and their image was selected for the cover! They used 3D imaging to assess the postoperative head shape of patients who had undergone cranial remodeling for metopic synostosis. With their surgical techniques and imaging technology, they found that cranial reconstructions approximated the foreheads of normal controls, and reconstructions were stable at more than 1-year follow-up. Dr. Taylor and Dr. Sullivan perform facial and cranial surgery for both reconstructive and cosmetic reasons including trauma, cancer, transgender facial and forehead remodeling, and congenital anomalies. Learn more about their research or call to schedule an appointment. 617-492-0620
Congratulations to the New England Patriots and the Super Bowl win!!
Boston magazine has released the 2019 list of Top Docs™.
Come see us for a consultation or a second opinion for your plastic surgery or cosmetic surgery. While the title ”Boston’s Best Plastic Surgeon” is claimed by many, we hope our practice provides an unusually thoughtful and honest approach to patient care and we love providing patients with an opportunity for a second opinion. We feel that patients should welcome a few opinions with different plastic surgeons and find a surgeon with whom they feel comfort and trust; and also one who is certified by the American Board of Plastic Surgery. Your cosmetic surgery consultation fee can be waived if you come for a second opinion and bring your quote from another surgeon.
Dr. Taylor and Dr. Sullivan, Boston Mass board certified plastic surgeons, recently authored a paper in Plastic and Reconstructive Surgery in which they described their findings with the aging face. They used the newest technology with 3D photographs to analyze facial asymmetry and found increasing asymmetry with increasing age. Read more in this press release: https://consumer.healthday.com/senior-citizen-information-31/misc-aging-news-10/aging-face-uneven-features-739179.html
To improve facial symmetry, Dr. Sullivan and Dr. Taylor and customize a treatment plan that may include non-surgical options such as Botox or facial fillers, minimally invasive procedures such as facial fat transfer or eyelid lift (blepharoplasty), or full facial rejuvenation with facelift, necklift or eyelid lift.
Call us to learn more about your facial asymmetry.
Dr. James Chang, Professor and Chief, Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, CA, has just published Global Reconstructive Surgery.
Dr. Taylor and Dr. Sullivan are contributing authors to this textbook. In their chapter they describe alveolar bone grafting in children with cleft lip and cleft palate. Dr. Taylor and Dr. Sullivan are board certified plastic surgeons in the Boston and Cambridge Mass area who also have fellowship training and experience with cleft and craniofacial surgery as well as global surgery. Cleft lip and palate is one of the most common congenital anomalies around the world. In addition to children and adults in the United States who require repair and revision of cleft lip and palate, patients around the world suffer from lack of access to surgical care to repair cleft lip and palate. Dr. Taylor and Dr. Sullivan have traveled globally with Partners in Health and Operation Smile to care for children and continue to be actively involved with global surgery teaching and research with Partners in Health and ReSurge. In addition to a broad plastic surgery practice, they also frequently peform secondary revision of cleft lip and palate for children and adults at Mount Auburn Hospital, a Harvard teaching hospital in Cambridge, Mass. Patients from around the region and the world come for care in their office.
With Dr. Chang's new textbook, Elsevier notes that, "As the surgical community steps up to tackle the global burden of surgical disease in developing countries, Global Reconstructive Surgery is the first reference of its kind to offer focused, pertinent coverage of key areas surgeons need to understand to fully participate in this endeavor. It provides authoritative, real-world guidance on common surgeries performed around the world to help optimize outcomes in difficult environments and for a variety of conditions."
Please check out the book at: https://www.elsevier.com/books/global-reconstructive-surgery/chang/978-0-323-52377-6
The triathlon season and Spartan season in New England has come to an end. Congratulations on your tremendous season and success! Get on your Peloton and keep going! Despite being in the best of shape of your life with increased muscle mass and less fat, perhaps you have some stubborn areas of fat around the abdomen, love handles, or thighs. It may be time to consider liposuction for a minimally invasive and gentle way to safely remove the fat. Your recovery could be done in time to enjoy the ski and snowboard season at Killington, Stowe and Stratton.
If you have stretch marks are excess skin of the abdomen and your sixpack is waiting to show, tummy tuck or abdominoplasty may be a good solution and offers a relatively quick recovery.
With the holidays approaching, it may be time to consider non-surgical facial rejuvenation for volume enhancement with fillers such as Restylane, Juvederm or Versa. Or consider softening of deep wrinkles with Botox or Dysport.
Be prepared for the holiday season in Boston, Cambridge, Newton, Lexington, and Arlington.
Now is the time to schedule your facial rejuvenation with muscle relaxing treatments such as Botox and Dysport or volume treatments with hyaluronic acid such as Restylane, Juvederm or Versa. Call Dr. Taylor and Dr. Sullivan to schedule an appointment. Dr. Taylor and Dr. Sullivan have been named among the best board certified plastic surgeons in Boston by Boston Magazine and they personally perform all treatments. In addition to being plastic surgeons, they are both fellowship trained cranial and facial plastic surgeons and have knowledge and experience with the face that few other surgeons have.
Facial Asymmetry Increases with Age
October 26, 2018 – Asymmetry between the two sides of the face increases steadily with aging – a finding with important implications for facial rejuvenation and reconstructive procedures, reports a study in the November issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
Three-dimensional digital imaging techniques show a subtle but significant aging-related increase in facial asymmetry increases with age – especially in the lower two-thirds of the face, according to the new research by ASPS Member Surgeon Helena O.B. Taylor, MD, PhD, of Mount Auburn Hospital, Cambridge, Mass., and colleagues. "The observed correlation between increasing facial asymmetry and age can be useful as a guide in plastic surgery to produce age-matched features," the researchers write.
Steady Increase in Facial Asymmetry with Aging
Using a technique called 3D photogrammetry, Dr. Taylor and colleagues performed detailed scans of the facial surface in 191 volunteers, who ranged in age from four months to 88 years. The researchers then calculated the "root mean square deviation" (RMSD) to quantify the degree of asymmetry between the two sides of each face.
This digital imaging approach enabled the investigators to distinguish very subtle levels of asymmetry – within a fraction of a millimeter. Facial asymmetry was analyzed in terms of age, and between the upper, middle, and lower thirds of the face. Across age groups, RMSD calculations of facial symmetry clustered between 0.4 and 1.3 mm.
"We found a highly significant positive correlation between increasing age and facial asymmetry," the researchers write. The measurements showed a small but predictable increase in RMSD: by 0.06 mm for each decade of life. Facial asymmetry did not vary significantly based on race or sex.
Asymmetry increased with aging across all thirds of the face, but the changes were greatest in the lower two-thirds – from the eyebrows to nose and from the nose to chin – compared to the upper third. "This finding suggests that the middle and lower features contribute more to overall asymmetry over time," Dr. Taylor and coauthors write.
While some degree of asymmetry is "attractive and inherent" in the human face, achieving facial symmetry is a fundamental goal of plastic surgery. In terms of precision and accuracy, 3D photogrammetry is a major advance over previous studies of facial asymmetry using direct measurements (anthropometry).
The results confirm the presence of small but measurable and noticeable increases in facial asymmetry with aging. While the underlying mechanism of these age-related changes remains open to debate, the findings support "a site-specific approach to facial rejuvenation," according to the authors.
For example, using implants or soft tissue volumizers to replace the deep support structures could improve facial asymmetry and restore youthful proportions, especially from the eyebrows down to the chin. Dr. Taylor and colleagues conclude: "Ultimately, we hope to contribute to a better understanding of how asymmetry evolves with time and use this data to improve outcomes in both reconstructive and aesthetic surgery."
Dr. Helena Taylor recently returned from New York where she was the Co-Chair for a facial plastic surgery and craniomaxillofacial trauma surgery course hosted by AOCMF. The AOCMF is a multispecialty community, established in 1974, consisting of a worldwide network of clinicians from the fields of plastic surgery, oral and maxillofacial surgery, ENT, ophthalmology, and neurosurgery. Dr. Taylor, named one of the best board certified plastic surgeons in Boston, also has fellowship training in craniomaxillofacial surgery and is a faculty members for AOCMF as well as Harvard Medical School. She traveled to New York to teach other physicians about the principles and newest techniques in facial plastic surgery and craniomaxillofacial trauma. She coordinated a group of other plastic surgeons to teach plastic surgeons from New York, the Northeast, and from around the country.
Dr. Helena Taylor and Dr. Stephen Sullivan recently returned from Napa, CA where they were invited participants in a Faculty Development Forum hosted by AOCMF. The AOCMF is a multispecialty community, established in 1974, consisting of a worldwide network of clinicians from the fields of oral and maxillofacial surgery, plastic surgery, ENT, head and neck surgery, ophthalmology, and neurosurgery. Dr. Sullivan and Dr. Taylor, board certified plastic surgeons in the Boston and Cambridge area with fellowship training in craniomaxillofacial surgery, are faculty members for AOCMF. They frequently travel to teach other physicians as well as learn the newest techniques in facial plastic surgery, including cranioplasty, facial reconstruction, facial trauma, orbital and eyelid surgery, and nasal surgery. At this most recent symposium, they joined a small group of surgeons from around the country learned teaching and presentation skills to help train other surgeons and students.
Consumer Reports reported in the January 2017 issue of Consumer Reports Magazine on hospital quality with preventing hospital acquired infections. Mount Auburn Hospital, a Harvard teaching hospital in Cambridge Massachusetts, was found to be one of the highest-scoring teaching hospitals in the country and the only hospital in the Boston area to receive this honor! Read the full story here: http://www.consumerreports.org/hospital-safety/hospital-acquired-infections-zero-tolerance/
Keeping patients safe should be one of our greatest priorities in healthcare. Dr. Stephen R. Sullivan and Dr. Helena O. Taylor, board certified plastic and cosmetic surgeons in the Boston and Cambridge Massachusetts area, are committed to patient safety and provide plastic surgery care exclusively at Mount Auburn Hospital. Ask your plastic surgeon about preventing surgical site infection.
Boston Magazine has released the 2016 list of Top Doctors.
Both Dr. Stephen Sullivan and Dr. Helena Taylor have been honored as Top Doctors and Boston Plastic Surgeons!
Modified from WEDNESDAY, April 16, 2014 (HealthDay News) -- A pit bull attack results in the total dismembering of a teenage girl's ear and she is at risk of loosing her ear forever.
What's a doctor to do?
If you're Dr. Stephen Sullivan, a Mount Auburn Hospital plastic surgeon, you turn to the visually repulsive yet uniquely beneficial blood-sucking power of leeches.
"The patient's situation was very precarious," Sullivan explained. "Because there are two types of blood vessels in the body. You have the ones that come from the heart to the tissues, which are arteries. And you have the ones that bring the blood back from the tissue to the heart, which are the veins. And in this patient's case we were able to hook the arteries back up but not the veins. And you really need both."
"So what we did," Sullivan added, "was take something we find in nature -- leeches -- and apply it to medicine. Because leeches are very, very effective at what they do, which is sucking blood out."
Sullivan, who's also an assistant professor of plastic surgery at Brown University, joined his colleague Dr. Helena Taylor to present their story in the April 17 issue of the New England Journal of Medicine.
The dog attack in July 2013 left the 19-year-old woman with her left ear ripped from her head, leaving an open wound. After preserving the ear, the surgical team started with a reconnection of a 0.3 millimeter-thick arterial branch.
"But we're talking about a dog attack, so the severing of the ear was not a clean cut," Sullivan said. "The edges weren't crisp, and the chances for a good reconnection were generally pretty low. And because we couldn't immediately reconnect the veins, one of the most serious problems we faced was a rising risk for congestion, in which internal pressure builds up because the blood has nowhere to go. Which means that no more fresh blood can enter, so it basically becomes a big clogged pipe."
Enter the leeches.
Sullivan and Taylor placed the worms, horror-movie style, onto the side of the woman's head. And then they began to do what leeches do best.
"They suck and drain away the blood," Sullivan explained, "so more fresh blood can finally get in. And they do it quite efficiently. And while they're at it, it gives the body the time to make its own new veins, which is something that the body can do very efficiently as well. So the goal is to use the leeches as a temporary drainage system, until the patient can regenerate their own drainage system."
Still, Sullivan described the entire process as "touch and go."
"I was hopeful, but at the same time this is not a commonly performed procedure," he noted. "The FDA [U.S. Food and Drug Administration] approved leeches in 2004 for all sorts of amputation situations, with a detached finger probably being the most common type of scenario. But still, I would say that it's been done less than 50 times around the world."
The result: a full recovery of the ear's function and appearance.
"Her hearing was totally unaffected by this," Sullivan said. "So I would say this is a perfect example of bio-inspiration, in which we take an organic talent and apply it successfully."
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