THE NEW YORK CITY PLASTIC SURGEON, PC
As a specialist in breast surgery, I spend a lot of time considering patient goals with their breasts. This goes way beyond size and shape, and extends into a very broad area of what I call “vibe.” There is a vibe to each breast, that carries with it a sense not only of gender, but
I started hearing about PRP many years ago, when it was being studied for its healing properties in orthopedic surgery. But the history of PRP goes way beyond that. PRP’s origin story begins in the 1970s, when hematologists provided transfusions to patients who had low platelets. They found that the platelets could be replaced, but
Cellulite is one of those miserable things that happens to most people, and that has very few treatment options. The actual definition of cellulite is the dimpling of the skin that causes the texture to be uneven and look puckered. It happens because the skin is connected to the underlying muscle by thin fibers that
Years ago, lasers were a thing of science fiction. They lived in our imaginations, and appeared in movies and cartoons. After watching them in fantasy life for so long, we began to believe that they indeed had secret powers, and that they could do anything. Now that lasers are everywhere from operating rooms to beauty
In some cases, scars may require additional intervention, like laser treatments or injections. For patientswith thick and raised scars, steroid injections can help them soften and flatten. In other cases, eitherpigment or texture issues can be helped with laser therapy. A word of caution: be sure that the providerwho is performing the laser treatments knows
The second tier of scar factors has to do with your general health. Patients who are healthy heal fasterand better. This makes sense, but it is often taken for granted. If you have good nutrition and goodhabits, you are more likely to close a wound quickly, have it gain strength and elasticity soon, and have
When I consult with patients, they often ask me if I have pictures of what the scars will look like. I havepictures, but not necessarily of what their scars in particular will look like. I have pictures of otherpeople’s scars, at specific time points, and I can give them my thoughts on how their scars
Hair transplants are nothing new, although the technology has evolved in recent years. When they first began, the typical procedure was to take a strip of hair-populated skin from the back of the head and sew it in to the bare areas in the front. Later, this same strip would be cut into smaller pieces
I was at a plastic surgery conference several years ago, in the audience, when the panel of “experts” began discussing breast implant illness. At that time, there was a lot of emerging evidence of a negative immune response to breast implants in certain patients. There was also an emerging online society of women who had
Many years ago, I had a patient come in and ask me to liposuction the area below her breasts, right on top of her lower rib cage. I remember being surprised because so much of my time was spent removing fat from the lower belly, and the area over the ribs always seemed to be
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