Faq

What is the difference between open rhinoplasty and closed rhinoplasty?

Both open rhinoplasty and closed rhinoplasty require incisions to be inside of the nose in order to access the bone and cartilage framework. The main difference between the two procedures is whether the surgeon will also make an external skin incision.

In an open rhinoplasty, a plastic surgeon will make a small V-shaped skin incision in the vertically-oriented skin post that divides the two nostrils. This will allow the skin to be lifted up, off of the tip of the nose. The plastic surgeon will then work on the nasal tip cartilage in its natural position, to see what needs to be done. This procedure allows the surgeon to have better access to evaluate and correct asymmetry, projection (i.e. how far the nose sticks out from the face), overall length, and straightness. On the other hand, there is no external skin incision in a closed rhinoplasty.

Some surgeons will choose to perform a closed rhinoplasty, especially to avoid visible incision marks. However, many surgeons prefer open rhinoplasty because of advantages of increased access and visualization, while the incision often heals very well in most patients.

What surgery can improve the appearance of breasts?

You can undergo three common procedures to improve the appearance of your breasts: breast augmentation, a breast lift, or breast reduction.

Breast augmentation, also known as augmentation mammoplasty, is a procedure that can safely enlarge small breasts or increase an undesired size. Implants will be placed in different positions depending on the individual physical make-up of the patient and her breasts. The implant itself can be inserted through three incisions: below the breast, around the nipple and areolar complex, or through the arm pit (axilla).

Patients who choose to undergo a breast lift, however, are usually happy with the size of the breasts. However, due to aging or pregnancy or a host of other factors, the breast gland has begun to sag and droop, creating an undesirable breast profile. Various techniques are used to uplift and reshape the breast, and results are generally excellent.

A breast reduction is designed to make overly large breasts smaller. Patients who are seeking this type of surgery often suffer from severe physical symptoms due to their large breasts. These symptoms include neck, shoulder, and back pain, as well as paresthesia of the arms and the grooving of the shoulders from strained bra straps. This procedure requires lengthy incisions, but these can be placed in inconspicuous locations. Typical symptoms of neck and back pain and other symptoms are often alleviated after a breast reduction. Breast reductions are often covered by insurance.

Before undergoing any surgery, you should consult with your plastic surgeon. He or she will work with you to determine if you are a candidate for one or more of these procedures and whether your expectations can be realistically performed to improve your overall look

What should I know when considering cosmetic injectable treatments?

You should definitely choose a plastic surgeon or clinician with the appropriate training and skills, who has both experience while keeping up-to-date with the latest research and techniques in his or her field. Very often, adverse events and results are directly linked to the physician’s skill and experience.

The American Society for Aesthetic Plastic Surgery (ASAPS) recommends the following guidelines to help you get best and safest cosmetic injectable treatments:

  • Do not choose a provider based on price, or other financial concerns. Injectable fillers are pharmaceutical products and thus must be administered by trained, qualified clinicians.
  • Ensure that the plastic surgeon carefully and fully explains both the benefits and the risks of any proposed procedure to you during a patient consultation. The purpose of the consultation process is to educate the patient, discussing issues and answering any questions that you may have. As every procedure has its inherent risks and benefits, you need to understand these factors to make an informed decision based on realistic expectations.
  • Fully disclose any medical conditions you might have or previously had, as well as any medication you are currently taking. This includes vitamins and over-the-counter drugs. This information will help your clinician select the most effect procedure for you, with the fewest side effects.
  • Any injectable fillers should be administered in an appropriate setting (such as a hospital, an office-based surgical suite, or a free-standing ambulatory facility). Malls and private homes are not medical environments and may be unsanitary.
  • A non-physician may only perform the cosmetic injections if they are appropriately licensed, trained in administering the injections, and under the supervision of a qualified plastic surgeon or dermatologist.
  • Know what you are being injected with. There have been disturbing reports have been regularly publicized in the news of patients being injected with everything from liquid silicone to baby oil and other unapproved products. Ensure that your clinician is using only FDA-approved products purchased within the United States. If he or she refuses to give you this information, seek another clinician.

What words of advice can you offer someone who is thinking about New York plastic surgery?

Proceed slowly and wisely. Research the procedure(s) you are interested in and consult with a board-certified surgeon. You should also check doctor and patient referrals. See if he or she has been appointed at a proper community hospital and is in good standing. Also, be sure to speak with other patients who have already had the procedure(s) you are considering.

Take as much time as you need. Your doctor should be patient, listening to your concerns, and understanding of your wishes.

At what age should someone consider cosmetic plastic surgery or any of the non-invasive aesthetic procedures, and how do I know when I am ready?

There are no age restrictions to see a plastic surgeon. However, depending on your age, there may be developmental issues need to be considered for any procedure.

The day you look in the mirror and see something you don’t like is the day to pick up the phone and make an appointment with a plastic surgeon to examine your options. Positive change should not be motivated by a boyfriend, husband, parent, or any other individual – the choice should be made by you and you alone. A plastic surgeon is in a unique position to help you evaluate your options and the merits of all possible rejuvenating choices, as he or she has extensive knowledge about the skin and its underlying structures.

Ultrasonic and laser technologies have since been applied in more traditional liposuction procedures. Laser liposuction in particular has become quite popular. By using a laser to melt unwanted fat that can then be easily removed with a superfine liposuction canula, your plastic surgeon can reduce stubborn areas of fat that are diet and exercise resistant, especially in the jawline, neck, upper arms, tummy, and thighs. These procedures are short and can often be done under a regional anesthetic block, with very little downtime.

I enjoy the detailed cosmetic surgeries of both the face and the body, but my favorite procedures are nasal sculpting (rhinoplasty) and eyelid rejuvenation surgery (blepharoplasty).

Noses are in the center of the face. When that face is seen through the discerning lens of a camera, a 1mm difference in any direction really matters – it can truly transform a face. A rhinoplasty can provide structural balance and erase years off of a face, especially when done in conjunction with facial rejuvenation surgery.

Nasal sculpting and eyelid re-contouring should be understated, drawing your eye to the natural beauty of the whole face.

How do you guard against unnatural results from cosmetic plastic surgery?

My philosophy has always been “less is more,” and it has served me and my patients well for the past two decades, producing beautiful and natural results. Also, in order to provide the maximum benefit to my patients, I employ cutting-edge surgical and treatment procedures, as well as using the latest minimally invasive, non-surgical, and short-incision techniques.

Are patients becoming less fearful about these new injectable procedures?

For many people, Botox is practically a routine beauty treatment. Botox has one of the strongest safety profiles of any pharmaceutical treatment, with a long history as an effective outpatient procedure.

However, there is more resistance to injectable fillers due to overdone results, such as unnatural full lips, that are seen far too often. Yet no one ever notices the patients with conservative procedures, who come out with great results. They simply just look fabulous. More often than not, it is the skill of the practitioner that creates any unnatural results rather than the procedure. The precise placement and the right type of filler – such as micro droplets – make a difference. I also use a light filler to conservatively augment the beauty anatomy of the lips to produce a gentle, understated, and sexy pout.

How do Botox and injectable fillers differ in minimizing the effects of aging?

Botox and injectable fillers do entirely different things when it comes to minimizing the effects of aging.

Botox is a temporary and selective muscle relaxer, which softens the dynamic wrinkles caused by repeated facial expressions. It is commonly used to remove angry frown lines between the eyes, the dreaded “11” pensive horizontal forehead furrows, and squinting crows’ feet.

Injectable fillers – such as Evolence®, Juvederm®, Restylane®, Perlane®, Radiesse®, Artefill®, and Sculptra® — fill the bottom of a wrinkle or fold, thereby transforming a valley into a smooth plane of skin. Autologous fat transfer, however, remains the best and longest filler, with approximately 70% remaining.

Both open rhinoplasty and closed rhinoplasty require incisions to be inside of the nose in order to access the bone and cartilage framework. The main difference between the two procedures is whether the surgeon will also make an external skin incision.

In an open rhinoplasty, a plastic surgeon will make a small V-shaped skin incision in the vertically-oriented skin post that divides the two nostrils. This will allow the skin to be lifted up, off of the tip of the nose. The plastic surgeon will then work on the nasal tip cartilage in its natural position, to see what needs to be done. This procedure allows the surgeon to have better access to evaluate and correct asymmetry, projection (i.e. how far the nose sticks out from the face), overall length, and straightness. On the other hand, there is no external skin incision in a closed rhinoplasty.

Some surgeons will choose to perform a closed rhinoplasty, especially to avoid visible incision marks. However, many surgeons prefer open rhinoplasty because of advantages of increased access and visualization, while the incision often heals very well in most patients.

What surgery can improve the appearance of breasts?

You can undergo three common procedures to improve the appearance of your breasts: breast augmentation, a breast lift, or breast reduction.

Breast augmentation, also known as augmentation mammoplasty, is a procedure that can safely enlarge small breasts or increase an undesired size. Implants will be placed in different positions depending on the individual physical make-up of the patient and her breasts. The implant itself can be inserted through three incisions: below the breast, around the nipple and areolar complex, or through the arm pit (axilla).

Patients who choose to undergo a breast lift, however, are usually happy with the size of the breasts. However, due to aging or pregnancy or a host of other factors, the breast gland has begun to sag and droop, creating an undesirable breast profile. Various techniques are used to uplift and reshape the breast, and results are generally excellent.

A breast reduction is designed to make overly large breasts smaller. Patients who are seeking this type of surgery often suffer from severe physical symptoms due to their large breasts. These symptoms include neck, shoulder, and back pain, as well as paresthesia of the arms and the grooving of the shoulders from strained bra straps. This procedure requires lengthy incisions, but these can be placed in inconspicuous locations. Typical symptoms of neck and back pain and other symptoms are often alleviated after a breast reduction. Breast reductions are often covered by insurance.

Before undergoing any surgery, you should consult with your plastic surgeon. He or she will work with you to determine if you are a candidate for one or more of these procedures and whether your expectations can be realistically performed to improve your overall look

What should I know when considering cosmetic injectable treatments?

You should definitely choose a plastic surgeon or clinician with the appropriate training and skills, who has both experience while keeping up-to-date with the latest research and techniques in his or her field. Very often, adverse events and results are directly linked to the physician’s skill and experience.

The American Society for Aesthetic Plastic Surgery (ASAPS) recommends the following guidelines to help you get best and safest cosmetic injectable treatments:

  • Do not choose a provider based on price, or other financial concerns. Injectable fillers are pharmaceutical products and thus must be administered by trained, qualified clinicians.
  • Ensure that the plastic surgeon carefully and fully explains both the benefits and the risks of any proposed procedure to you during a patient consultation. The purpose of the consultation process is to educate the patient, discussing issues and answering any questions that you may have. As every procedure has its inherent risks and benefits, you need to understand these factors to make an informed decision based on realistic expectations.
  • Fully disclose any medical conditions you might have or previously had, as well as any medication you are currently taking. This includes vitamins and over-the-counter drugs. This information will help your clinician select the most effect procedure for you, with the fewest side effects.
  • Any injectable fillers should be administered in an appropriate setting (such as a hospital, an office-based surgical suite, or a free-standing ambulatory facility). Malls and private homes are not medical environments and may be unsanitary.
  • A non-physician may only perform the cosmetic injections if they are appropriately licensed, trained in administering the injections, and under the supervision of a qualified plastic surgeon or dermatologist.
  • Know what you are being injected with. There have been disturbing reports have been regularly publicized in the news of patients being injected with everything from liquid silicone to baby oil and other unapproved products. Ensure that your clinician is using only FDA-approved products purchased within the United States. If he or she refuses to give you this information, seek another clinician.

What words of advice can you offer someone who is thinking about New York plastic surgery?

Proceed slowly and wisely. Research the procedure(s) you are interested in and consult with a board-certified surgeon. You should also check doctor and patient referrals. See if he or she has been appointed at a proper community hospital and is in good standing. Also, be sure to speak with other patients who have already had the procedure(s) you are considering.

Take as much time as you need. Your doctor should be patient, listening to your concerns, and understanding of your wishes.

At what age should someone consider cosmetic plastic surgery or any of the non-invasive aesthetic procedures, and how do I know when I am ready?

There are no age restrictions to see a plastic surgeon. However, depending on your age, there may be developmental issues need to be considered for any procedure.

The day you look in the mirror and see something you don’t like is the day to pick up the phone and make an appointment with a plastic surgeon to examine your options. Positive change should not be motivated by a boyfriend, husband, parent, or any other individual – the choice should be made by you and you alone. A plastic surgeon is in a unique position to help you evaluate your options and the merits of all possible rejuvenating choices, as he or she has extensive knowledge about the skin and its underlying structures.

What information can you offer about the newest cosmetic procedures and technologies to tighten skin and remove fat?

Ultrasonic and laser technologies have since been applied in more traditional liposuction procedures. Laser liposuction in particular has become quite popular. By using a laser to melt unwanted fat that can then be easily removed with a superfine liposuction canula, your plastic surgeon can reduce stubborn areas of fat that are diet and exercise resistant, especially in the jawline, neck, upper arms, tummy, and thighs. These procedures are short and can often be done under a regional anesthetic block, with very little downtime.

Do you specialize in particular type of cosmetic surgery in New York?

I enjoy the detailed cosmetic surgeries of both the face and the body, but my favorite procedures are nasal sculpting (rhinoplasty) and eyelid rejuvenation surgery (blepharoplasty).

Noses are in the center of the face. When that face is seen through the discerning lens of a camera, a 1mm difference in any direction really matters – it can truly transform a face. A rhinoplasty can provide structural balance and erase years off of a face, especially when done in conjunction with facial rejuvenation surgery.

Nasal sculpting and eyelid re-contouring should be understated, drawing your eye to the natural beauty of the whole face.

How do you guard against unnatural results from cosmetic plastic surgery?

My philosophy has always been “less is more,” and it has served me and my patients well for the past two decades, producing beautiful and natural results. Also, in order to provide the maximum benefit to my patients, I employ cutting-edge surgical and treatment procedures, as well as using the latest minimally invasive, non-surgical, and short-incision techniques.

Are patients becoming less fearful about these new injectable procedures?

For many people, Botox is practically a routine beauty treatment. Botox has one of the strongest safety profiles of any pharmaceutical treatment, with a long history as an effective outpatient procedure.

However, there is more resistance to injectable fillers due to overdone results, such as unnatural full lips, that are seen far too often. Yet no one ever notices the patients with conservative procedures, who come out with great results. They simply just look fabulous. More often than not, it is the skill of the practitioner that creates any unnatural results rather than the procedure. The precise placement and the right type of filler – such as micro droplets – make a difference. I also use a light filler to conservatively augment the beauty anatomy of the lips to produce a gentle, understated, and sexy pout.

How do Botox and injectable fillers differ in minimizing the effects of aging?

Botox and injectable fillers do entirely different things when it comes to minimizing the effects of aging.

Botox is a temporary and selective muscle relaxer, which softens the dynamic wrinkles caused by repeated facial expressions. It is commonly used to remove angry frown lines between the eyes, the dreaded “11” pensive horizontal forehead furrows, and squinting crows’ feet.

Injectable fillers – such as Evolence®, Juvederm®, Restylane®, Perlane®, Radiesse®, Artefill®, and Sculptra® — fill the bottom of a wrinkle or fold, thereby transforming a valley into a smooth plane of skin. Autologous fat transfer, however, remains the best and longest filler, with approximately 70% remaining.