Our Blog

Breast Implant Longevity

Breast Implants Last 10 Years? Let me say this clearly, breast implant last forever, you don’t! So what exactly do I mean. Women come to me for breast augmentation and frequently ask how often will they have to change out their implant. This is such a common misconception that I thought a blog about it was in order. While I am not really saying they will last forever, I do truly believe for all practical purposes they will. Said another way, I have been in practice for nearly twenty years and have yet to see any implants that I put … Continue reading  

Office Based Full Abdominoplasty Can Be Safe

ABSTRACT Background: As demand for outpatient procedures has increased, abdominoplasties are now judiciously being done in accredited outpatient facilities. The term outpatient is changing from Medicare’s original definition of a patient staying in the hospital less than 24 hours, to a patient being discharged home within hours of surgery. Objective: Previous reports on outpatient abdominoplasties are limited due to their small cohorts and do not distinguish between different types of body contouring procedures. These reports also include patients that were kept overnight. Our objective is to review only full abdominoplasties done in an outpatient facility with the patient discharged home … Continue reading  

Fat Grafting

The History of Fat Grafting Fat grafting has been part of the plastic surgeon’s armamentarium for more than 100 years.  There are historical records of fat grafting going back quite a long ways.  However, only recently have significant advances been made in fat grafting such that the fat grafts are reliable now and in the past year or two so that amazing transitions have occurred.  When most people think of fat grafting they think of various movie actresses getting lips plumped up that look very very large.  This is what  happened in the 1980’s and early 1990’s when fat was … Continue reading  

Skin Repair

Fractional CO2 Skin Repair It’s no secret that as we grow older, time takes its toll. Suddenly you start noticing fine lines, wrinkles and sagging, all of which can make you look tired, sad and older than you feel on the inside. While aging brings wisdom, there is no reason to look older than you feel. You want to face the world with a confident, refreshed and youthful look. In the past, the role of sun exposure in aging was underestimated. The old sunscreens only protected against the burning rays (UVB), letting the aging/cancer rays (UVA) cause premature wrinkles, poor … Continue reading  

Nipple Reduction

Nipple Reduction Surgery Techniques Nipple Reduction surgeries are often considered for those women with large or overly prominent nipples and are often performed in conjunction with breast augmentations and mastopexies, which can alter the aesthetic proportionality between the nipple, areola, and breast. Several techniques exist to correct nipple hypertrophy, yet the majority of the procedures traditionally used can result in scarring of the nipple, decreased nipple sensation, disruption of the innervating intercostal nerves or blockage of the 16 to 24 lactiferous ducts housed in the central portion of the nipple. The use of flaps and excision and resection in the … Continue reading  

Color Thieves

I think it is becoming obvious that none of my blogs so far are about Plastic Surgery. I promise to start blogging about Plastic Surgery starting with my thoughts on Liposuction with my next blog. Now however I must share my musings about one tiny part of an otherwise major issue I have with the pharmaceutical industry. That for another day and probably a number of blogs (see my thoughts on statins vs. Vit C in my first blog). This starts with a long walk I took this morning with my daughter. On the way out the door she told … Continue reading  

Weight Change

Weight Change After Cosmetic Surgery Recently i had a patient come in for a breast lift with augmentation. She was a “full figured” gal and her breasts, although generous, lacked firmness and were very ptotic (droopy). We decided that she definitely needed a breast lift and a modest implant to give her upper pole fullness because I thought her breast tissue simply lacked enough glandular tissue. She did well but some months later came back in and was upset with the appearance of her breasts. Indeed, they didn’t look good at all. They were droopy. The areolas weren’t round anymore. … Continue reading  


My Views on Liposuction When I first started out as a plastic surgeon I saw all types of patients that a general plastic surgery practice might see. These included reconstructive cases like hand trauma and disease (arthritis, carpal tunnel,etc), bad wounds, facial trauma, breast cancer reconstruction, and some cosmetic surgery. As the years progressed I have transitioned such that today I do only Aesthetic surgery more often called cosmetic surgery. An interesting thing has happened though in the past ten years. Now people want to know what area of plastic surgery do I do. Wow have things gotten super specialized! … Continue reading  

Nipple Reduction Surgery

Our Nipple Reduction Surgery Many times I see patients in my aesthetic surgery practice that desire some type of breast surgery, be it an augmentation, lift or combination. Some of these women also have either enlarged (hypertrophied) or elongated nipples. Some are second to breast feeding, others are purely genetic (inherited). After breast augmentation these nipples can become very prominent indeed. In fact many of these women will have to continue using the padded bras they were hoping to throw out. This past September I presented a paper on a type of nipple reduction surgery that I perform at the … Continue reading  

Back Pain

Back Pain – Keep Your Head Up Every once in a while I am at a meeting, talking with some one or reading something and I literally have a wow moment. About fifteen years ago I was at a meeting listening to a renowned occuloplastic surgeon. He shared that he always has his patients do a particular exercise after lower lid surgery and has never had an ectropion since that time. It made so much sense that I adopted it and it’s been a wonderful addition to that part of my practice. These ‘pearls of wisdom’ can be hard to … Continue reading  

Meet Our Surgeons

With Dr. Clayton Moliver, Dr. Fred Aguilar, Dr. Soumo Banerji, and Dr. Virginia Pittman, our practice is the proud home of four of the top plastic surgeons in the Houston area. Their combined expertise has brought beautiful results to thousands of patients — all with a genuine, 1-on-1 approach.

Meet Dr. Clayton Moliver Meet Dr. Fred Aguilar Meet Dr. Soumo Banerji Meet Dr. Virginia Pittman

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    Houston Plastic and Reconstructive Surgery
    575 East Medical Center Boulevard
    Webster, TX 77598

    Houston Plastic and Reconstructive Surgery
    1801 Binz Street #300
    Houston, Texas 77004

    Houston Plastic and Reconstructive Surgery
    10907 Memorial Hermann Drive #340
    Pearland, Texas 77584