The Journal

Notes from the practice.

Writing is how we think. We share what we are thinking about here.

Featured · Education · 6 min read

Choosing between a deep-plane and SMAS facelift.

Patients often arrive at consultation having researched "deep-plane" facelift online and come ready to ask for it by name. Sometimes they're right. Sometimes a SMAS-plication or extended SMAS approach is the better technical choice. The decision is anatomic, not marketing.

In this piece, I walk through the technical distinctions, the patients each technique suits best, and what the recovery and longevity differences actually are.

Recovery · 4 min read

The first 14 days after rhinoplasty: what to expect.

A day-by-day recovery guide we share with every Whitmore rhinoplasty patient, from the splint coming off to when you can wear sunglasses again.

Aesthetic · 5 min read

On restraint as a design principle.

Why our most-photographed results are often the ones nobody can quite identify — and how we think about subtlety in aesthetic surgery.

Education · 7 min read

Implant choice, in plain language.

Saline vs. silicone, smooth vs. textured, profile vs. projection — what these terms actually mean and how to think through them at consultation.

Practice Notes · 3 min read

On knowing what we don't do.

Some procedures are best performed in dedicated, high-volume practices. How we think about referring patients out, and what we look for in a referral.

Skincare · 5 min read

The four-product skincare routine that does most of the work.

Sunscreen, retinoid, vitamin C, and a gentle cleanser. The compounding benefit of getting these four right outperforms almost anything else.

Recovery · 6 min read

What we tell every patient about scars.

Scars are inevitable; how visible they end up is largely controllable. The variables that matter most, in order of importance.

Aesthetic · 4 min read

Why filler is overused.

The most useful tool in non-surgical aesthetics is also the most over-applied. A look at how we approach filler — and when we recommend pausing or reversing.

Practice Notes · 4 min read

Why we keep the practice small.

The economics of a high-volume practice and why we chose against them — and what trade-offs that produces for patients.

Education · 8 min read

Revision rhinoplasty: what makes it different.

Revision is not "the same surgery, again." It is fundamentally different — different technique, different planning, different recovery — and it deserves its own conversation.

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