When You Love What You Do, You Never Work a Day In Your Life

Ever since I can remember, I have wanted to be a doctor. In nursery school, when the other kids wanted to be cowboys and firemen, I wanted to be a pathologist. I do not know exactly why I was so drawn to medicine, but the fever just never went away.

Fortunately, I was able to get good grades, study at Johns Hopkins and Columbia, and realize my dream to become a physician. Finding my calling in Plastic Surgery was the icing on the cake. As I enter my 15th year in private practice, it is hard to imagine doing anything else.

With the success I have been fortunate enough to have, I continue to invest it back into my practice. We just expanded to 6000sf last year, expanded our cutting edge ySpa, and this month opened our Laser Center for Latin Skin. The technology we have is the best available for our Hispanic patients, and we continue to serve the community.
Every day I am excited to come to the office and work with my fantastic staff. My patients honor me by trusting me to help them achieve their cosmetic goals. I can honestly say that I give my all to each one, even after seeing over 25,000 patients so far.

I thank those of you who have made my practice such a pleasure, and look forward to serving the needs of the community for many more years.


Why are Hispanic Noses Different?

While I believe that all people are created equally, the anatomic differences among the races cannot be ignored.  As a plastic surgeon who specializes in Hispanic beauty, I am keenly aware of the unique challenges that these variables create.

I have seen very poor results in rhinoplasty of the latin patient done by very competent board certified plastic surgeons.  Why?  Because they do the same surgery they are used to doing in the Caucasian population.  This does not always work for my patients.

Let me qualify this discussion by stating that the Hispanic population is tremendously diverse, from the lightest thinnest skin to the darkest and thickest.  My observations are generalities, and each patient needs an individual analysis by a board certified plastic surgeon who specializes in Hispanic noses.  Below you will find my most important tips for success.

  1. The nose has to match the face.  You can have a perfect nose, but if it does not match the face in both size and ethnic features, it will look strange.  Make sure your doctor has computer imaging to show you how the nose you like will look on your face.  At Yager Esthetics, we do this for every nasal consult.
  2. It is better to do too little than too much.  Obviously, I try to do the perfect amount every time, and my revision rate for rhinoplasty is 5%.  Once you have an overoperated nose, especially if the nostrils are too narrow, it is nearly impossible to restore a natural appearance. 
  3.  Internal support is essential for breathing.  If you remove too much structure in an attempt to get a smaller nose, it usually fails due to skin thickness.  Once support is gone, you risk a nose that cannot breathe.                                                                                                                                                                                                                                                                                                                                                   

Good luck in your quest to improve your appearance.  We look forward to seeing you  and offering a safe and beautiful solution.


What is Different about Hispanic Plastic Surgery?

Although it may be politically incorrect to say, all people are not created equal- not in appearance, cultural beauty ideals, or desires. Because of this, each woman who wants a breast augmentation has more than one choice of implant type, size, shape, texture, and insertion technique. But are Hispanic women different? In my experience of having consulted on over 23,000 of them, I would have to say they are, and are proud of it.
Although the term Hispanic or Latin encompasses a very wide group of people of varying countries, colors, and body types, I can make some broad distinctions that apply to the majority. Some are physical, some genetic, and some cultural.

Hispanic skin is certainly different, and responds to surgery and inflammation in a manner unlike Caucasian or African-American skin. If you are not very white or very black, the body’s response to surgery is much more unpredictable, and conditions like PIH (a darkening of the skin after inflammation) and abnormal scarring can occur. Knowing how to inform the patients of this, and having techniques available to reduce the risk, as well as treat the result, is something only a large experience with Hispanic patients can teach.
The Latin beauty ideal is also different. A fuller hip and buttocks is almost a universal Hispanic desire, as well as noticeable curves. Some countries like a fuller breast, some a smaller firm breast. You must speak to each patient to understand individual desires.
Hispanic music and fashion also play a role, as wearing form fitting clothing does not allow for bulges or “chichos”. Dancing requires contact with the waist and back, so the firmer and flatter the better. Women cannot always get away with a girdle.
It is your right to know the experience of your plastic surgeon, so ask. What percentage of his/her patients are Hispanic, make sure he/she speaks your language so you can communicate directly, and make sure the staff and patients look like you!