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Larkspur, CA
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SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Plastic Surgery
Doctor Q&A
55 Answers
4 Agrees
The number of answers this doctor has agreed with.
A female asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Lipodissovle In Test: Lipodissovle is still in clinical trials and when they are done it will be submitted to the fda.
It takes time and the patients need to be followed t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 48-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Can Spread Quickly: Nodular melanomas tend to grow up as a nodule, and down into the skin.
With melanomas, the deeper it is into the skin, the more likely it is to sprea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Avoid Alcohol: Smartlipo is a medical procedure that requires local anesthetic and possibly sedation. Like any invasive procedure you should discuss with your physic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A female asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
SmartLipo is Laser: Smartlipo and regular cannula liposuction both require tumesent anesthesia.
Tumescent anesthesia is dilute local anesthetic mixed with a vasoconstric... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 42-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Genetics: Dupuytren's occurs on all races and is considered to be hereditary. It is common in northern europeans over 50 and in men more than women.
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A male asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Time Will Help: Larger breasts in teenage men are somewhat common and they shrink at 17 or 18.
Loosing weight can help if you are overweight.
Certain drugs such as ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Online Forums : There are melanoma online forums:
http://forum.Melanomainternational.Org/mif/
and basal cell cancer forums:
http://www.Cancercompass.Com/mess... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 24-year-old male asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
See a Physician: An exam by a physician will help determine if it is a lipoma based on clinical exam
ultimately, only excision will show if it is a lipoma or not.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
A 50-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
SmartLipo Melts Fat: Smartlipo melts fat with laser and can tighten skin. Regular liposuction uses a cannulas and a vacuum to suction out fat.
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsAnswered >2 years ago
A 24-year-old male asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Abnormal Airflow OK: After a septoplasty there can be clogged blood and mucous in the first few weeks.
You may even have some splints that hold the deviated septum in pla... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
SmartLipo is Laser : Smartlipo is a laser-assisted fat removal and skin tightening.
Laser is used internally through punctures wounds and a fiberoptic wand is passed into... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Sun is a Problem: Intermittent sun damage and sunburns are associated with an increased risk of melanoma.
So sensible sun protection at the beach is important.
Avoid ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 42-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
BOTOX can Help: Botox can helps the spasms in the muscles. It is used to help balance the muscle imbalance. It has been around for some years and is not experimenta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 38-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
May Be Good: The clinical trials are underway, and it may be a good product. Will know more when the studies are submitted to the fda.
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 39-year-old female asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
SmartLipo is Laser : Smartlipo uses a laser to melt fat.
It requires local anesthetic, or sedation as it is an invasive technique. The melted fat is suctioned out and th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Needs a Biopsy: Melanomas need to be excised as a biopsy as the diagnosis is from the pathological analysis.
Clinical exam alone is not sufficient for a diagnosis.
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A female asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Little Migration: Juvederm would migrate only in the local area.
It can be massaged and smoothed out, but there is little migration other than a few millimeters or so.
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 44-year-old female asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Infection Possible: Your doctor may be concerned that a low grade infection is causing the lumpiness.
So that is why the antibiotic was prescribed.
Rare infections can ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 37-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Try Silicone Strips: Over the counter siilcone strips can help. Or your doctor can possibly laser it to improve it, or inject it with cortisone to help shrink it.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years agoMerged
A 32-year-old female asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Low Doses Can Help: Low doses of a dissolver, hyaluronidase dissolve a little. Higher doses dissolve a lot. So start small, and repeat as necessary some days or a week l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsAnswered >2 years ago
A 35-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
BOTOX/RESTYLANE Diff: Botox is a nerve and muscle relaxant. It causes weakness in the muscles.
Restylane (dermal fillers) is a hyaluronic gel that pumps up and fills soft... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 49-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Sun Protection : Sun protection with hats and sunscreens allows your skin to repair. Adding retinol or retin a (tretinoin) will further allow the skin to heal and imp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
US About a 1000/year: About 1000 cases a year in the us
link:
http://www.Spineplus.Com.Au/studynotes/geninf07.Htm
mortality of gas gangrene is about 19%
link:
ht... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 32-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Slight Diferences: Belotero and juvederm are similar products by different companies. Both are hyaluronic acids, a normal human substance.
Belotero does not come with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 20-year-old female asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Cleansing is Key: Your stress response is causing your acne to break out. So cleansing is very important. Plus adding things like benzoyl peroxide will help keep the b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Ganglions Have Fluid: A ganglion cyst will light up in the dark with a light (transillumination).
Ganglion cysts can be aspirated or ruputured.
Dupuyten's is hard and ten... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 50-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Possibly: There are cases of massive breast enlargement in young women, and this includes 13 year-olds.
You should seek out a board certified plastic surgeon a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 44-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Treatments Available: Dupuyten's contracture can be treated with injections, via puncture treatmetnt(needle aponerutomy) or via surgery to excise the disease.
The disease ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years agoMerged
A 32-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Laser or Injection: Certain lasers can help keloids, as can injections of cortisone. So see you dermatologist or plastic surgeon as they can help with these treatments, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 39-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
SmartLipo is Laser: Smartlipo is laser melting of fat.
Numbing is required with local and or sedation. Skin pokes are necessary to pass the fiberoptic cables. Fat is m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 43-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Low Chance of Keloid: Keloids are skin scarring conditions and the cartilage piercing should not cause them to worsen. Cartilage piercings carry a chance of infection, so ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 50-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Rare Allergies: Hyaluronic acid is the component of juvederm.
Hyaluronic acid is a normal human substance so the body rarely attacks something that is "normal".
How... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Check Redness/tender: Infectins will be red, tender, and swollen.
Hot compresse will help to bring it to a head and relieve the pressure. Topical antibiotics will keep th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 65-year-old female asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
XIAFLEX (collagenase clostridium histolyticum) Can Help: Xiaflex (collagenase clostridium histolyticum) injections will dissolve dupuytren's and scar tissue. So these injections can be useful after previous... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 28-year-old female asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Dr. DiBernardo: Dr. Dibernardo helped develop the technique of smartlipo and lectures to doctors on its use. He is very experienced.
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsAnswered >2 years ago
A 34-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Epi Best Small Cuts: Minor cuts would bleed less from Epinephrine in local anesthetic as Epinephrine is a constrictor.
Local anesthetics with Epinephrine are useful for p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsAnswered >2 years ago
A 32-year-old female asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Bumps Can Improve: Bumps may get better after some time and firm massage/pressure. The bluish discoloration may remain and need hyaluronidase.
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 50-year-old female asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Skin Checks Are Good: With a previous melanoma, you are at higher risk to getting another one.
Plus there is a slight chance your previous melanoma can recur.
So see a de... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Hands, Feet, Penis: Dupuytren's generally is a disease of the hands.
On the feet it is called lederhose disease.
In the penis it is called peyronies disease.
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Many Risks: Melanoma risk is increased with a family history, intermittent sun exposure, more moles, larger moles, and even red hair.
Risks can be decreased via ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 32-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
SmartLipo is Laser: Smartlipo melts the fat with laser heat.
Local anesthetic is necessary as it would hurt if not numbed.
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 33-year-old female asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Glycolics Thin Skin: Glycolic acids thin the skin, so self tanning would not be advised as your skin would be thinner from the acid.
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A female asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Rinse with water: Copious irrigation with water is important.
Glycolics are an acid and will sting and can give chemical burns. So rinsing is important.
Lots of wate... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 37-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Weight Affects Chin: Weight gain will lead to a double chin.
However, some double chins are genetic.
Weight loss with a double chin can lead to skin excess.
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 39-year-old male asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Can Try Botox : Botox can help with persperation and odor from the armpits. Lasts perhaps nine months so is very good for the upcoming summer months.
Get a home BP ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 48-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Fillers May Bruise: All fillers are injected, so bruising is a common side effect.
Certain areas are more vascular, such as near the eyes and they can bruise more and th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 42-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Injections Bruise: All injections bruise. So fillers such as juvederm can occasionally cause out of control bruising. Injections near the orbit are more likely to brui... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Consider Propecia (finasteride): See your doctor about Propecia pills. They block hydrotestosterone from causing hairloss. Rogaine, (minoxidil) a topical application helps in some ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 46-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
See your doctor: A physician, or an ear/nose/throat specialist can look into your nose to determine if you have a deviated septum, polyps, or both.
So see your doctor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Keith Denkleranswered
Plastic Surgery 44 years experience
Unknown: Juvederm dot com states:
the safety of juvÉderm® injectable gel for use during pregnancy, in breastfeeding females, or in patients under 18 years has... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
51
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Denkler is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Denkler is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thanks! I thought I was out of the woods since cancer free for 23 yrs
HealthTap member
Thank you, your answer was very helpful!
HealthTap member
Thank you, your answer was very helpful!
Education & Training
Medical/Graduate school
Baylor College of Medicine, TX
Graduated 1979MD
Medical/Graduate school
Baylor College of Medicine
Graduated 1979MD
Medical/Graduate school
University of Texas System, Austin
MD
Residency
St. Joseph Hospital
Awards
UCSF Clinical Professor of Plastic Surgery, UCSF
Top Plastic Surgeon, Second Place, California - Spring
2014
Top Doctor, Third Place, San Francisco Region - Spring
2014
Affiliations
American Society of Plastic and Reconstructive Surgeons
California Society of Plastic Surgeons
California Medical Association
Publications
Surgical Complications Associated with Fasciectomy for Dupuytren’s Disease: A 20-Year Review of the English Literature
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