Archive for April, 2010

The American Society for Aesthetic Plastic Surgery Meeting

Friday, April 30th, 2010

This week I attended the annual meeting of The American Society for Aesthetic Plastic Surgery here in D.C. at the National Harbor.  This meeting brings together plastic surgeons from all over the United States and the world. While it would seem to the outside observer that this meeting is all about the plastic surgeons and the innovations in the exhibit halls, in reality this meeting is about safety, consistency and predictability for our patients.

Early in its evolution cosmetic plastic surgery was an offshoot and little publicized branch of plastic and reconstructive surgery.  Surgeons had different approaches and techniques that they generally kept to themselves.  There were no defined standards for evaluation and comparison.  The creation of the American Society for Aesthetic Plastic Surgery brings us together to share ideas, learn new concepts and critically evaluate the old ones.  The Society continually promotes the safety, certification and training of its members so that we can go forward and practice the most advanced and reliable cosmetic medicine possible.

So what did I learn this week…?  More than I could write in this blog even twenty years after graduating from Columbia Medical School.  What I took away was the knowledge that cosmetic medicine is ever evolving and will continue to strive for excellence, that the search for safety continues, and that critical evaluation by our peers and colleagues keeps us moving forward with greater wisdom and integrity.

I think that the public can be easily confused by the variety of newly created medical boards that offer weekend diplomas to self proclaimed cosmetic surgeons. The American Society for Plastic Surgery and the American Society for Aesthetic Plastic Surgery are it; the real deal.  They work hand in hand promoting the finest in surgery and safety for our patients.  I felt privileged to be at the meeting this week, and I am proud to be a member of this organization.

To learn more about cosmetic plastic surgery procedures that will help you achieve your aesthetic goals, contact my office today to schedule a consultation.

When is the best time for cosmetic surgery?

Thursday, April 15th, 2010

The best time for cosmetic surgery is when you have the time and support to recover. Each operation that I perform has different timing in terms of average recovery.   Things that require pulling or stretching of muscles like tummy tucks for example will need a longer recovery than skin tightening procedures such as breast lift.  While each patient is different I offer some general rules of thumb:

1. Give yourself off about a week for all but the most minor procedures:
It is better to be pleasantly surprised and need less recovery time than to need more time and not have it.  I go into detail about the expected average recovery for each procedure in consultation.  Some patients may take less than average amounts of time to recover but some may take more.  Better to be on the safe side and have more than adequate time.

2. Have support at home:
My clientele is made up of healthy people.  As such, I perform most of my surgeries outpatient.  It is my firm belief that hospitals are full of illness and harmful bacteria.  I feel strongly that my patients get better care in a cleaner and healthier environment when they are at home with the support of a spouse or loved one.

3. Plan ahead:
If you want to enjoy your figure in the summer have your surgery in the winter or fall.  I see an influx of breast augmentation patients just before the summer each year.   Implants take 3- 6 months or more to settle post op.  Patients who come in earlier in the year will look more settled and natural by the time summer comes.

4. Don’t do surgery right before a major life event.
Each year I see the bride who wants breast implants two weeks before the wedding or her mother who may want a face lift. While I would love to be the physician for these patients it makes no sense to have surgery just before an important life event. Plan at least six months ahead if you can.

5. Stay in the area for a while:
In a perfect world my patients would live next door for a week following surgery.  While not realistic I at least want to have my patients in the vicinity.  Once in a while I have a patient who plans to hop on a plane and recover in an exotic location.  It is just as important for me to be available to you after surgery as before.  Stick around for a while.

6. Stop Smoking.
Without doubt this is the toughest of the recommendations and the hardest for patients.  Smoking exponentially increases the risks of healing problems or infections. While not everyone is able to stop it is one of my strongest recommendations and requires the most forethought.

7. If you have any medical problems schedule even further ahead:
My goal is to perform your surgery as safely as possible.  For patients with medical issues we need time to get appropriate testing and clearance where necessary. It can take more time to get these evaluations and results.

If you would like help in safely planning the procedure you are considering please don’t hesitate to call my office and schedule a consultation.

Facelift, S-Lift, Thread Lift, Lifestyle Lift – Which One Should I Choose?

Saturday, April 3rd, 2010

The names of procedures that are marketed today for facial rejuvenation can sound like alphabet soup and can be very confusing for patients.

Facelifts fall into one of two categories: Mini or Full. You may have heard of the ones with the cute names like S-lift, Thread lift, or Lifestyle lift. These are often marketed in the popular magazines, and are merely variations on the mini-facelift.

So which one do I recommend?—the one that fits my patient.

When a patient comes in to my office for a consultation I will listen to their goals and concerns, look at their hairline and hairstyle, and recommend a specific plan. I perform all of these procedures, but I will pick the specific components of each that will achieve the patient’s goals and try to minimize scars where possible.

I begin with the premise that no one wants the bigger facelift, but a patient with a turkey gobbler neck will need a more aggressive approach than the patient who comes in with a tad of neck laxity and a little joweling.  Some will benefit from an eyelid or brow lift, while others may not. Some don’t even need surgery at all, but may do better with laser, chemical peels, or fillers. Each patient is different, and each will need his or her own subtle surgical variations.

I’m not a fan of the alphabet soup of facelifts, but prefer to tailor a procedure to the individual patient.  If you are interested in learning what would be best for you, contact me, and I’d be happy to help you sort through the options.