I always knew I wanted to be a plastic surgeon, but my specialization in breast augmentation really didn’t take form until I opened my own solo private practice in 2000 in Fort Lauderdale. There was so much mediocre and frankly bad plastic surgery going on that I knew I had to come up with a solution to fix all of the problems that kept walking in the door.

I came up with the Original Internal Bra- my strong permanent internal suturing technique I use to repair a host of problems- bottoming out, lateral displacement, synmastia, etc. Over the years I successfully obtained a U.S. Trademark for the procedure, and now both patients and plastic surgeons from around the world inquire about my technique and its success. Just in the past week I’ve spoken to three plastic surgeons from three different European countries about the technique and its nuances and how I apply it in certain patient situations.

I also don’t pay for any marketing or advertising- I have relied on word of mouth, online reviews and social media to spread the word organically. In doing so, now I have over 250,000 followers on Instagram and over 75,000 unique visitors to my website each month.

Young plastic surgeons often come to me for advice and it’s very simple- work hard, be honest with patients, treat them fairly, identify problems with current techniques and come up with solutions, and hone your surgical talents to the best of your ability. There are no shortcuts in this business- the 16 years of college, medical school and residency are only the beginning, a downpayment so to speak- once you enter private practice is when the real hard work begins and it takes many years to become the best and to be recognized for it.

It took at least the first ten years to grow my business and become internationally recognized as a leader in the field of breast augmentation before I had a constant stream of patients and even had to create a waiting list. Now we greet patients from around the world- all 50 states and over 78 foreign countries. My waiting time for surgery is about three to four months and I perform over 750 breast augmentations a year.

Although I had the opportunity to build out an operating room in my office, like so many other plastic surgeons have done to generate more income, I always felt surgery should be taken more seriously and would be safer performed in a full service accredited hospital facility. I choose to operate in a fully equipped and certified Ambulatory Surgery Center (ASC), run by a local hospital, with their board certified M.D. anesthesiologists and nursing staff. I operate there Mondays, Wednesdays and Fridays and typically perform 5-6 breast augmentation surgeries on each of those days.

On Tuesdays and Thursdays I see patients in my office for consultations, preop and postop visits. I keep my staff very small- no extraneous spa or skin care practice to create clutter and distractions- just 100% breast augmentation surgery all day, every day. I think that helps us focus and provide the best possible care and results, consistently, day after day, year after year.