Archive for the ‘Face’ Category

Awesome Tan – Avoiding Cosmetic Surgery if You Can

Tuesday, June 26th, 2012

I am guilty of spending time on the roof of a community hospital in New Jersey during my general surgery training longer ago than I care to remember. It was a quiet hospital but nonetheless I was rotated there because they had to have a surgical resident in house for the occasional trauma. Stuck there on summer weekends I spent most of my downtime reading surgery and cosmetic surgery journals   on the roof of the building and while there I acquired an awesome tan.

I wish I knew then what I know now. The sun, the tan, while desperately appealing, is a really bad idea. In my plastic surgery practice I see daily, what damage was done by sun worshipper’s decades earlier. I’m not just talking about skin cancers. I see facelifts that could have been avoided, blotchy loose skin that need not be there and wrinkles that could be so much less.

The Sun’s rays weaken the fibers in our skin that keep our skin tight and smooth. The picture below is of a man who drove a truck for 25 years. The left side of his face by the window unprotected and exposed to the sun. The difference speaks for itself.

Avoiding Cosmetic Surgery

So for my Sun worshiping patients I don’t mean to discourage you but I hope you can avoid your facelift or laser resurfacing in 10 or 15 years. Use a sun block of at least 15 and get a spray tan for now – you won’t regret it later! If you have experienced sun damage and are interested in learning more about procedure or treatments to help reduce the signs of aging, contact my practice for a consultation.

Tattoo Removal – Your Options & What the Future Holds

Monday, February 6th, 2012

As I am fond of telling my kids, the key to tattoo removal is prevention. Unfortunately, most of the people I see, at my cosmetic surgery practices in Maryland and Virginia, who want tattoos off never got that advice. But here I’ll provide some options each with pros and cons.

Laser Tattoo Removal: Lasers can remove certain tattoos. The best results are when the tattoo has dark ink. Lasers target black best. Reds and greens are much more difficult to eradicate. Professionally applied tattoos often come off more easily because the pigment is at a more uniform level. The problem here is that laser removal can require multiple treatments and sometimes fail for lighter colors, or deeper pigments. Even if the tattoo is removed a ghost of the tattoo is left behind.

Excision Tattoo Removal: If the tattoo is in an area where there is excess skin around the tattoo, if the skin is loose it can be cut out. This completely removes the tattoo but will leave a scar.

Serial Excision Tattoo Removal: For moderate size tattoos the tattoo can be excised in stages giving the skin time to relax and stretch between excisions. This leaves a scar too.

Tissue Expansion Tattoo Removal: If there is not enough skin to cut out and close the tattoo area balloons can be placed under the skin to stretch the adjacent area over a few months and then use the stretched skin to close the area. This option takes time, patience and is very costly. This leaves a scar too.

Skin Graft: A large tattoo could be removed and skin grafted over the defect but this would not be particularly aesthetic. Skin grafts generally do not look like normal skin and a scar would be left where the skin is removed.

The future of Tattoo Removal: A company called freedom 2 is developing pigments that will be much easier for lasers to remove but as of this writing, I put as of this writing they aren’t available yet.

If you are interested in Tattoo Removal, I invite you to contact me to schedule a consultation at one of my practices in Maryland or Virginia. To keep waiting to a minimum I encourage you read “Sorry I Kept You Waiting for Your Consultation of Cosmetic Surgery.” For more information on other procedures of cosmetic surgery explore my website.

Sorry I Kept You Waiting for Your Consultation of Cosmetic Surgery

Tuesday, January 31st, 2012

I find myself running behind in the office and sometimes doing what I hate the most… keeping someone waiting for their cosmetic surgery consultation. I am on your side here. I don’t like waiting in the doctor’s office either.

So first and foremost if you are reading this and I have kept you waiting, or will keep you waiting, I offer you my sincere apologies. There is more to this blog however. I thought you might find it interesting to know how and why we can get backed up.

—–The cascading arrival time: While we have a good scheduling program all it takes is one late arrival to shift the schedule off kilter by 30 minutes or more. Unfortunately that will happen on average about twice during an office day at anyone of my plastic surgery practices in the Washington DC, Virginia area.

—–The exploding consult: for the average consultation we have a pretty good estimate the time it will take for me to evaluate, explain and go over treatments. However, it is extraordinarily common for a patient to book a consultation about one type of surgery but then also ask about two or three more. At 25- 30 minute per topic the math gets a little scary. Interested in knowing more about that topic, read my past blog “What Goes Together- More Than One Procedure of Plastic Surgery”.

—–The mom /friend phenomena: I love it when a patient brings a friend or family member to the consultation another set of ears and eyes is comforting and helpful. It is extremely common though that the friend or family member becomes the second consult in that room at the same time.

—–I am long winded: yes, it’s true. I love to teach and educate my patients and I don’t want anyone to leave feeling they did not get the best and most informative experience they could. So if one topic becomes 3 or if mom or friend has a question I will always feel compelled to answer it in detail.

I hope this doesn’t scare you off. A busy cosmetic plastic surgery practice is a good thing.

So a few tips: Morning consults are less prone to cascading delays, if you’re interested in many things, or so is your companion, just let us know ahead and we’ll leave more time. Bring a book just in case. Whether it’s breast, body, face, nose, or liposuction I’d love to meet you and I’ll do my best not to keep you waiting.

If you have any more questions about my office or to schedule a consultation please contact me.