Posts by Michael Couch:


A safe mixture of 50% nitrous oxide and 50% oxygen for relief of pain and anxiety. Everyone’s pain tolerance and anxiety are not the same. For patients who need a little help we offer Pro-Nox because patients can control the effect by breathing through the circuit with a one-way valve. Pro-Nox provides quick pain and […]

Nano Fat

NANO FAT: You’ve heard of fat grafting. You may have heard of micro fat grafting.  So what is nano fat? For the last 20 years, plastic surgeons have safely used autologous (from the same person) fat grafting in aesthetic and reconstructive cases.  Over the years there were numerous reports of improved skin texture, pigmentation, and skin quality […]

Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL)

Breast Implant Associated Anaplastic Large Cell Lymphoma is an uncommon and treatable type of T cell lymphoma that can develop around textured breast implants. It is not a cancer of the breast tissue itself. The disease has been associated with both silicone and saline implants that are textured.  It has nothing to do with what […]