In The Media

Dr Rian Maercks Editorial in PRIVEE Magazine.

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Breast surgery and modeling - A special edition blog featuring a one on one Interview with Dr Rian Maercks.

Dr Maercks makes Ocean Drive Magazine's LIST.

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Stitch Perfect - A plastic surgery blog featuring Dr Maercks

Many often strive for perfection. When it comes to looks, some reach a point of obsession where dieting, exercise and aging gracefully is no longer an option. While it is good that modern medicine has found ways to help enhance people looks, the dark side of the industry shadows those self proclaimed Industry leaders that handle their patients in the same corporate way GM handles its car dealerships. They prey on people wanting to improve their looks and neglect the personalized patient-doctor experience many people demand in order to feel comfortable and secure. Read More...

In Perfect Proportion - New You Magazine April 2011 Issue

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New You Magazine, Spring 2011

For Gloria, looking as vivacious as her active and healthy lifestyle was just a fat transfer away. “I was very confident with myself before [but] I tend to work out and keep myself in good health, and the result was that I noticed that my face looked very thin,” she says.

After a consultation with Dr. Maercks, Gloria put to rest any lingering doubts about undergoing surgery. “You never know what the results might be after any cosmetic surgery,” she says. “But, Dr. Maercks has very good manners with his clientele. After [the surgery] he reassured me about the results and I was calm because he explained in detail how it would turn out.”

Click here to read more!

March 2011 Issue of New You Magazine featuring Dr Rian Maercks' Fat Grafting Procedure

Click here to read article.

Publications and Articles

The vastus intermedius periosteal (VIP) flap: a novel flap for osteoinduction. ( Click )

A Gene Expression Analysis of Human Mandibular Distraction Callus ( Click )
Reversal of Cardiopulmonary Failure by Mandibular Distraction ( Click )

Tertiary Plus Rhinoplasty: Recreating Deep Structural Subunits for Optimal Aesthetic Outcomes

Fernando Molina, MD, Hospital Angeles Del Pedegral, camino a santa Teresa 1055, consultario PB-06, Ciudad De Mexico, 10700, Mexico and MR Maercks Rian, MD, Plastic and Reconstructed Surgery Department, Hospital General "Dr. Manuel Gea González", Calzada de Tlalpan 4800, Mexico City, 14000, Mexico.

The multiply operated nose, the severely traumatized nose and the cocaine nose have many similarities that challenge the aesthetic and reconstructive surgeon. Findings include shortened nasal length, lack of tip projection and severe scarring with limited extensibility and mucosa. We present a series of these challenging patients in which we apply a technique based on recreating the structural subunits of the nose and restoring an aesthetic nasal index.

Materials and Methods

All patients are managed in a closed manner with bilateral rim incisions. After complete liberation of the native cartilaginous structures from the scar and cutaneous cover, dissection continues to allow establishment of appropriate tissue envelope length. All previous grafts and foreign bodies are removed as necessary. Costal cartilage is harvested and two grafts are designed. The first graft recreates the deep structural subunit that corresponds to the skin subunits of the columella, soft triangles and tip. This graft takes the form of a short pyramid with an isosceles triangle as its base. The equal sides of the base triangle correspond to the distance from anterior nasal spine to the light reflex on each side of the tip(16-20mm). The third side is the width of the tip(8-10mm). The superior face of this pyramidal graft recreates the tip proper. A second graft re-establishes nasal length by coursing from radix to the posterior surface of the pyramidal graft. The step-off between this graft and the projetion of the pyramidal graft is 4mm in patients with thin skin and 8mm in patients with thick skin. A third gratft spanning between the upper lateral cartilages is added only when the internal nasal valve is compromised. Once grafting is completed a periosteal and galeal graft is harvested from the parietal scalp. This graft is draped over the entire construct to relieve the scarred appearance of the nasal skin.