Male Plastic Surgery

Male plastic surgery continues to gain in popularity. Year after year the number of men undergoing elective cosmetic surgery procedures has been increasing. This is because men care about their appearance just as much as women, and men are more willing to admit this now. It’s 2021 and there is less of a stigma surrounding plastic surgery overall and this is helping to fuel an increase in men requesting surgical procedures to improve their appearance. The statistics from the American Society of Plastic Surgery (ASPS) continues to show a steady increase in men requesting elective cosmetic procedures, even though men still make up a very small portion of all plastic surgery patients.

What are the most common cosmetic procedures for men?

The most common cosmetic procedures requested by men include:

How are these procedures different in men?

There is a big difference between cosmetic procedures in men and cosmetic procedures in women. Procedures are often modified to help preserve male characteristics and avoid feminization of the appearance. This is because men in particular, want to look more refreshed, but not different. For example, when performing eyelid surgery on men, the amount of skin removed is often less than the amount of skin we remove in women. This is because a little bit of extra skin on the upper eyelid helps preserve a more masculine appearance. When we do eyebrow lifting in men, we do not lift the brow too high because a lower and straighter brow is seen as more masculine than the high arching brows of women.  Rhinoplasty, or nose reshaping, is another procedure that is modified in men. We tend to keep a stronger, larger nose on the male face. If we were to perform male rhinoplasty the same way we perform female rhinoplasty, the result may be a nose that is too small for the male face.

Basically, if we are performing cosmetic procedures on a man who desires to preserve his masculine features, the surgeon needs to be aware of the normal male anatomy and preserve these masculine features. Of course, if the purpose of the man’s surgical procedure is to create a more feminine appearance, then we would perform the procedure in a manner more common in our female patients.  

Other Considerations for Male Plastic Surgery

Aside from modifications in the surgical technique to preserve a masculine appearance, other considerations for plastic surgery in men include:

  • Incision placement
  • recovery restrictions
  • pain management

 

  • Incision Placement

As plastic surgeons, we always take great care in placement of our incisions. This is because surgical incisions ultimately become surgical scars, and we want these scars to be as hidden as possible. For the most part scars of the face are kept hidden within the hairline. This means that when performing facial plastic surgery on men, we need to consider the male hairline and how it can change over time. For example, a male facelift needs to take it to consideration that men commonly develop receding hairlines or become bald later in life. If a scar is please in same location we would place it on a woman, then this will be a very visible scar in situations of receding hairline for balding.  As you can imagine, hiding face lift scars on men is much more difficult than women with long hair.

Similarly, in the case of a male tummy tuck, the abdominal scar is placed lower and more horizontal in men than in women. This is because we want the scar to be hidden beneath underwear and a bathing suit. In men this requires a lower and straighter scar as opposed to the tummy tuck scars in women that tend to follow a natural curve to their pelvic bones.

  • Recovery Restrictions

Any surgery requires restrictions during the recovery period. Cosmetic plastic surgery is no different. When operating on men, the recovery restrictions often need to be modified. There may be longer restrictions regarding heavy lifting and certain contact sports. Also, in general men tend to be less patient with recovery. This means that men tend to be more unwilling to restrict their activities. Therefore, the surgeon needs to be more specific about what male patients can and cannot do. This is not to suggest that female patients are not impatient sometimes, or that female patients do not engage in strenuous activity and contact sports.  It just means that in general, male patients require more specific instructions and at times are less compliant with these restrictions.

  • Pain Management

Pain management tends to be an issue as well with many male patients. It has been documented now cosmetic surgery to be less tolerant of the pain during the recovery period. This is not to suggest that all male patients are bad with pain and all female patients are good with pain, since everyone is different and it is impossible to characterize peoples pain threshold simply based on gender. However, surgeons need to be aware that male patients overall tend to feel more pain during the recovery. And it is more difficult to control this pain. This means that multiple different medication’s may be required to control the pain.

Choosing your Plastic Surgeon

While the numbers of men requesting cosmetic surgery continues to rise, men still account for only 20% of all plastic surgery patients. This means that plastic surgeons still overwhelmingly have female patients. If you are a man interested in cosmetic surgery, you should be sure to choose a plastic surgeon who is board certified in plastic surgery and is experienced with male patients. This will help ensure that your surgeon will provide you with the most appropriate procedure sense as we discussed earlier, operating on man is very different than operating on women.

If you would like to discuss male plastic surgery with a board-certified plastic surgeon experienced an operating on man, you can contact Dr. Matthew Schulman.

Frequently Asked Questions:

Do men get Tummy Tucks?

Yes. Men get tummy tucks, but a tummy tuck in a man tends to be directed towards excess skin that can accompany weight loss. In women, a tummy tuck is targeting changes associated with pregnancy. However, this is not the case in men. This means that a tummy tuck in men tend to remove excess skin but there is usually not a requirement for muscle repair.

Is it common for men to have chest reduction surgery?

Chest reduction surgery is very common among men. It is designed to remove excess fat and breast tissue that can develop in men. In fact, up to 80% of adolescent boys experience excess breast tissue during puberty. A percentage of these boys do not see regression of this breast tissue and this can become bothersome to them. Male chess reduction is very common among males of varying ages.

What areas of the body can liposuction be performed on in men?

Liposuction can be performed on any part of the body where there is excess fat. In men, it is commonly the lower abdomen flags and lower back which is often referred to as the “spare tire”. But again, if you have excess fat of your neck, thighs, arms, or chest, liposuction may be an option for you.

Is there a procedure to give me a stronger jawline?

Jawline surgery is very common in men. This is because a strong jaw line is considered by many to be more masculine. The specific procedure will depend exactly on what you need done, but jawlines can be strengthened using injectable fillers, implants, or even surgery to move the jawbone.

 

References

Plastic Surgery Trends for 2021: The COVID Effect

2020 has been a difficult year for everyone. Illness, death, social distancing and restrictions, workplace disruptions, and uncertainty has been the focal point of 2020 and will most certainly extend for a considerable amount of this coming year. Despite this, in my New York City Plastic Surgery Office, I am seeing upticks in the demand for plastic surgery. We are seeing increased demand for invasive plastic surgery procedures, increased demand for non-surgical procedures, and increased attention to specific areas of the body. My colleagues around the country are reporting similar observations.  This is easily explained given the current circumstances. Let’s take a closer look at this.

Increased Demand for Invasive Procedures

There are many people who have been intending to have invasive surgical procedures like breast implants, tummy tucks, Brazilian Butt Lifts, and Mommy Makeovers. Having these procedures involves considerable planning, including time off of work or time away from parental obligations.  These issues surrounding recovery, are usually the main reasons why people delay having the surgery procedures that they desire.  Oftentimes, many years pass between when people decide to have a surgical procedure and when they actually have that procedure performed. It is common for patients to tell me that they “have been thinking about this for years”.

Changes From Covid Pandemic in Plastic Surgery

One of the main changes that has come from the COVID pandemic, is that people are working from home. This provides a unique advantage for those wanting plastic surgery. Now that people are working from home, they are able to recover from invasive procedures without having to take extended time off. This is because many people find it possible to effectively work from home after surgery, long before they would be comfortable physically going in to the office. When recovering from surgery, it is often difficult to get up, get dressed, drive or commute to work, be in an office, meet face-to-face with colleagues and colleagues, and then return home. This is the main reason why it is common to require two to three weeks off work while recovering from surgery. However, when working from home, the required time off can often be reduced to one week or less, simply by not having to physically go in to work.

Another important consideration when planning for plastic surgery is family considerations. If you are responsible for taking care of children, alternative arrangements need to be made. This can be difficult for many, especially if there are no friends or family available to assist you during your recovery. Now, since many people are working from home or have put off trips and vacations, it may be easier to find people who can help you or your family during the recovery period.

Additionally, many people have money available for surgery that they did not intend on having. This is because many people have cancelled vacations and are not eating out in restaurants. Current financial data indicates that many American families have significantly increased their savings. This has allowed people to find money that may have been reserved for something else, and now use it for their plastic surgery. 

This all means that more people are finding time and money to have the surgical procedure they have been planning.

Increased Demand for Non-Surgical Procedures

For many reasons as detailed above, there is also an increased demand for non-surgical procedures. These include Botox, Fillers, Lasers, and chemical peels.  This is because people have more time for recovery. While these procedures are not surgical, there is still associated recovery since some of these procedures can result in temporary bruising, swelling, and discomfort.  For example, while botox is very well tolerated and often has no bruising, fillers may result in bruising for a few days or a week. Additionally, chemical peels to the face may cause irritation and peeling for a few days for a light peel to a few weeks for a deeper and more aggressive peel.

The recovery from non-surgical procedures is often considered “social recovery”. This means that there is often no pain and no restriction of activities. However, people have bruising and swelling that often makes them want to hide from friends and colleagues until they heal. This can mean avoiding seeing people and being in social gathering for a few weeks. Given current social distancing, social restrictions, and work from home, there is a unique opportunity for “social recovery” without missing out on anything. This is continuing to drive the increased demand for non-surgical procedures.

Increased Focus on Specific Body Areas

Another consideration for 2021 is that people are wearing face masks and will continue to wear face masks for the considerable future. This means that certain parts of the body will remain covered while in public. Areas of the face, such as lips, jawline, neck, and chin, which are common areas of complaints, become less noticeable to others. This has caused people to put off treatment of these areas. There are less demands for neck lifts, fillers to the lips, and chin augmentation. This makes sense since these areas are often covered by a mask and quite simply, “no one sees it”. In turn, there is increased focus towards the areas of the face that remain uncovered when wearing a mask. These areas are the forehead, eyes, and upper cheeks. There is increased demand for treating these areas with botox, fillers, or surgery. Botox can be injected into the forehead and around the eyes to reduce or eliminate lines and wrinkles.  Filler can be injected under the eyes to reduce the appearance of eye hollows and eye bags. Eyelid surgery, or blepharoplasty, is a surgical procedure to remove excess skin and fat from the eyelids, and is increasing in demand since the eyes are the center point of someone wearing a mask.

These are certainly unprecedented times we are living in. There is turmoil, uncertainty, and sacrifice. There is also unusual opportunity for some people, and this has caused an increased demand for surgical and non-surgical cosmetic procedures. I have seen this as well as my colleagues across the nation. To meet this increased demands, many plastic surgeons have increased the number of consultations they are offering and increasing the number of surgery openings. This is all being done while maintaining the safety of our staff and our patients.

Contact Our Office

If you are looking to explore any surgical or non-surgical cosmetic procedures, we are here to help. To schedule your consultation appointment with Dr. Schulman today, or if you have questions or concerns regarding surgery, send our office an email or give us a call!

Reference 

Traveling for Your Surgery

As the popularity of plastic surgery procedures increases, so does your options for surgeons. Ideally, you would select a surgeon in your local area since it would be most convenient for your surgery and all the necessary pre-op and post-op appointments. However, the best surgeon for you is often not right down the street. This means, that more and more people are electing to travel to the surgeon of their choice. Oftentimes, the surgeon in far enough away that it requires a very long car ride or even a plane trip. Many people are selecting surgeons that are in different states and even different countries. This is not necessarily a bad thing, but does require some additional considerations and planning.

Why choose a far-away surgeon?

The easy answer is that you think it is more important to select the best surgeon for your procedure, and their location does not make a difference to you. With the rise of the internet and social media, potential patients have exposure to surgeons from around the globe. Gone are the days where you picked your surgeon because your primary doctor recommended him or her, or your friend had gone to them. Now, there are so many internet resources to help you choose your own surgeon. This may be based on reviews or before and after photos. Your internet research will likely lead you to a surgeon that is many many miles away from you, especially if you are looking for an expert in a very specific procedure such as a Brazilian Butt Lift or Mommy Makeover. Sometimes people choose a surgeon based on cost, and if you happen to live in an area with a vey high cost of living, you may elect to travel to s surgeon in a region with lower prices.

There are many things to consider, when choosing to have your surgery far from your home, and it will certainly require additional planning. Continue reading to learn about these considerations.

How will you have your consultation

If you choose a surgeon who is far away, you need to think about how you even start the process of the consultation. Will the consultation be done virtually? If it is done virtually, who will be doing the consultation? Will it be with the doctor themselves or will it be with a nurse or assistant? Or will you be making a specific trip for an in-person consultation?

It is true for any consultation – in-person or virtual – that the consultation MUST be with the actual surgeon who will be performing your procedure. Only that specific surgeon is in a position to appropriately discuss the surgical plan and any risks of the procedure. If your consultation is not with the surgeon, I would strongly recommend re-evaluating your choice. If your consultation will be virtual, you want to make sure that there is a designated time to be examined in-person by the surgeon prior to surgery. This means that you should be examined the day before the surgery, and not 5 minutes before the procedure. This will have given the appropriate time for any changes in the surgical plan to be made safely.

How will your travel for the surgery?

Will the distance require you take an airplane? If it does, you want to make sure that it will be safe for you to travel home in the same manner. Some surgeons will request that you avoid flying for a certain amount of time after a procedure. Also, some procedures may make airplane travel very uncomfortable. Also be aware that there are often traveling delays and you need to account for this possibility. Your flight may be delayed due to weather or other situations. You may hit unanticipated road traffic. Make sure you allow extra time, and this usually means, planning to arrive to the area a few days BEFORE your surgery.

Where will you stay after the surgery and for how long?

Your surgeon will recommend the appropriate amount of time that you should stay in the area after your surgery. This may be anywhere from a few days to a few weeks, depending on the complexity of the procedure. You may have sutures that need to come out or drains that need to be removed, and this may require that you stay even longer. You need to make the appropriate arrangements for wherever you are staying – hotel, friends/family, airBnB, recovery house. Your surgeon will examine you and give you the clearance to return home when you are ready. But you need to also be prepared for the possibility that he or she may require you to stay longer if there are concerns or complications that need to be monitored.

Who will be accompanying you during your surgery?

As is the case with any surgery, you will need someone to help take care of you afterwards. When you are traveling for surgery, this will also mean that someone else will need to travel with you. You will need to find a family member or friend that is willing to make the trip and stay for as long as they are needed.

Who will you contact if there are concerns after you go home?

You want to make sure that you have the contact information of your surgeon. Certainly, there will be questions about your recovery and you need to make sure that someone will be available to answer those questions. Your surgeon should be available to you even if you are now 1000 miles away.

Does your surgeon have a colleague in your area who can assist in your care if needed?

In the event that you have a problem and need to be evaluated, your surgeon should be able to call a colleague in your area. Any reputable board certified plastic surgeon should be able to pick up the phone and call a colleague in an emergency. This is another reason why you should choose a respected Board Certified Plastic Surgeon. Unless it is a true medical emergency, your surgeon should not be instructing you to go the nearest emergency room for care that can be provided in a profession setting with a plastic surgery colleague.

Where will your post-operative care be done?

There is a lot of post-operative care that is required for any plastic surgery procedure. This includes routine check-ups, suture removal, drain removal, scar treatments, etc. If you choose to travel to a surgeon in another area, you should be prepared to travel back to that surgeon for this routine post-operative care, unless he or she has made pre-arrangements with a local surgeon.

Cost Considerations

The main benefit to traveling for your surgery, is that you are able to select a true expert. In fact, about 35% of my patients come to me from distances over 500 miles away. However, you need to be aware of the additional arrangements and planning required. These also come with additional expenses, since you need to consider the cost of travel, cost of accommodations, and the costs associated with returning to that surgeon for routine (or non-routine) care. Keep this in mind if your main motivation for traveling to have your surgery is the reduced cost, since when you factor in the additional costs, the savings may not be as much as you had thought.

Dr. Schulman welcomes patients from all over the world. To start the process of your Virtual Consultation with New York City plastic surgeon, Dr. Matthew Schulman, visit our website.

Virtual Consultation – The new normal

2020 has brought some major changes to our lives. Whether we like it or not, social distancing, wearing a mask, and avoiding events is going to be with us at least for the near future. The medical field has also felt these new changes. In addition to COVID screening protocols for all patients, visitors, and staff, we have also significantly limited the number of in-person consultations. This has been done to minimize person-to-person contact, and so our part to help keep everyone safe. This has increased the popularity of “virtual consultations” with over 80% of our new consultations choosing this option.

A virtual consultation means that instead of a new consultation coming to the office to be evaluated for their surgical procedure, they are evaluated in another way that eliminates person-to-person contact. This is also commonly referred to as “tele-medicine” or “tele-health”. This is done over an electronic device such as a phone or computer. There are several platforms that can accomplish this task, such as facetime, zoom, or just the telephone. During your virtual consultation, you will be evaluated by the medical professional as if you were right in the office. While there are clearly some limitations to these types of evaluations, it can be very accurate and very successful when a skilled provider is combined with a patient who is forthcoming about every detail. Every doctor has a different method of performing these types of visits.

Your virtual consultation with Dr. Schulman:

Dr. Schulman has been offering virtual consultations for about 10 years now. This is because many of his patients come from long distances, and virtual consults offered a unique convenience for his out-of-town patients. However, new COVID-related restrictions now make virtual consultations a good option for even local patients. Dr. Schulman has been able to refine his virtual consultation process over the past ten years to make it more efficient and accurate.

Read below to learn more about the specific Virtual Consultation process with Dr. Schulman:

  • Consultation Submission:

The initial step is complete an online virtual consultation submission form. This form is found directly on our website and asks for basic information about you, your medical and surgical history, and what procedure you are looking for. It also allows for submission of photographs so that Dr. Schulman can see the areas your are inquiring about. Out website contains instructions about how to properly take photographs and you can use our photo gallery as an example.

  • Initial Review Process:

After your submission is completed, your information and photographs will be personally reviewed by Dr. Schulman. Make sure to provide as much detail as possible, including dates of prior procedures. He will use all this information to determine if the requesting procedure is appropriate and safe. If you are a candidate for the procedure you are interested in, you will receive and email with more information about the procedure and details about available consultation dates and times.

If you are not a candidate for the procedure, you will also be notified by email with a brief reason why. Reasons why you may not be a candidate for the procedure may include that your current weight is about the safe limit, the procedure you are asking for is not the procedure that would give you the best results, you have medical problems or medications that would place you at increased risk for an elective cosmetic procedure.

Occasionally, you will be asked for more information. This is most common if you have had prior procedures that may affect the procedure you are inquiring about, and you did not list a date for that procedure. You may also be contacted if your photographs are lacking in quality and it makes it difficult to evaluate, or if you did not include photographs of the body part you are inquiring about. There is also the possibility that it is simply too difficult to evaluate you in this manner and you are better suited to have an in-person consultation. This is more likely if you have a very complicated medical or surgical history, or if the procedure you are asking for is a correction of a previous surgery.

Because every submission is reviewed by Dr. Schulman, it may 24-48 hours to receive a response. If you do not receive a response, be sure to check your spam folder!

  • Preparing for your Consultation:

After you have been deemed a candidate for your virtual consultation, you will be sent more detailed forms. These are the same forms that you would fill out if you were in our office waiting to be seen in person. These forms will ask for a more detailed medical and surgical history and will also outline important office policies.

You will also be sent information about how to pay for your virtual consultation. The submission process and Dr. Schulman’s initial review and approval are all done complimentary. However, our office does charge a consultation fee for your virtual consultation. A portion of this fee will be credited towards your surgery.

  • Your consultation:

Dr. Schulman prefers to perform his virtual consultations via telephone. He has found that this is the most reliable method of communication and eliminates normal internet “glitches” that tend to occur. It also allows you more flexibility in terms of where you are during the consultation since you don’t have to worry about proper lighting, a computer, or internet connection.

Dr. Schulman will call you at the scheduled time and day of your consultation. He will have already reviewed all your paperwork and your photographs and will also have those in front of him. Dr. Schulman will discuss your goals and what is, or is not, realistic for you. This is the exact process that would be done during in in-person consultation in his office. You will have the opportunity to ask any questions you wish.

  • After your consultation:

Immediately after speaking with Dr. Schulman, you will be transferred to a surgical coordinator. This coordinator will discuss pricing for the procedure you just discussed with Dr. Schulman, and will let you know what the surgical availabilities are. The coordinator will also review our booking and scheduling policies with you.

  • Pre-Operative appointment:

After you book your surgery, you will be offered a “pre-operative appointment”, usually about 3-4 weeks prior to your surgery. This pre-op appointment will be done in-person, so you will have the opportunity to meet with Dr. Schulman in the office. This is an important part of the process, since it allows you and Dr. Schulman to meet each other, and confirm that the virtual recommendations still apply.

Advantages to Virtual Consultations

  • Adhere to social distancing recommendations and minimize infectious risk
  • Obtain a consultation sooner than for an in-person consultation
  • Have the consultation from anywhere
  • More flexibility on days and times

Dr. Schulman has been performing virtual consultation for ten years, so this new trend is nothing new for him. There are certainly difficulties with performing virtual consultations, since it is not always possible to determine skin quality and other things from photographs. However, Dr. Schulman is skilled at this process and will let people know if a virtual consult is not for them. Currently, about 80% of new consultations opt for this method. This is a good option for those requesting tummy tucks, mommy makeover, Brazilian butt lifts, liposuction, and breast augmentations.

To start the process of your Virtual Consultation with New York City plastic surgeon, Dr. Matthew Schulman, visit our website.

Cosmetic Procedures During COVID-19 Pandemic

The year 2020 has certainly been a difficult one. COVID-19 has changed the way we live and will continue to affect how we live for years to come. While some areas of the United States are seeing a recent uptick in the number of COVID cases, other areas continue to see a decline. For those areas where the number of COVID cases remains low and in a decline, there is push to restart “normal” life. For most, this means back to work, back to school, back to retail shopping, and back to seeing friends and family. For others, it also means, resuming the desire for cosmetic procedures. This may include non-surgical treatments such as Botox, fillers, facials, and lasers. It also includes surgical treatments such as liposuction, breast augmentation, mommy makeovers, tummy tucks, and Brazilian butt lifts. In fact, the demand for cosmetic procedures is very high. Let’s discuss why there is such an increased demand for surgical and non-surgical treatments, and whether or not it is something that is safe to do right now. Please keep in mind that these thoughts are based on information that I have at this very moment, and things may change as facts change.

Demand for Cosmetic Procedures is High

The fact of the matter is that people have been isolated and socially distant for the past four months. This means that they have been unable to receive any of their routine beauty care. Many have been without facials, laser treatments, chemical peels, and botox for a longer stretch than ever before. The wrinkles and irregular pigmentation has likely returned, and the body hair is growing back. Many of these treatments require on-going sessions, and missing 4 months of treatments may set things back for them. As the social distancing restrictions lessen, people are eager to resume their regular beauty routine.

Additionally, during isolation, people may have become more self-critical. When we have nothing but time on our hands, sometimes it leads to us analyzing, or over-analyzing, ourselves. So, over the past four months, people may have become aware of things that they dislike about themselves and that they would like to change or improve upon. Scrolling photo-shopped pictures of Instagram “influencers” all day long certainly is not helping. After four months of isolation, sometimes something as simple as a botox injection is what people need to help them feel “normal” again.

The biggest reason why the demand for cosmetic procedures is at such a high level is time. Many people have more free-time than ever before. Schools are out. They may be out of work, have reduced work hours, or working from home. This means that school and work may not be a barrier for them anymore. They no longer have to worry about taking time off to heal and recover from a procedure. Their annual summer vacation is likely cancelled due to travel restrictions, so many people have a two to three week block of time that had already been cleared on their schedule that can no be used to recover from a procedure.

Now, I am certainly not saying that the social distancing associated with COVID-19 has made people who would never consider having plastic surgery now have plastic surgery. But, the circumstances of the last four months have likely help people who have been thinking about having something done finally take the next step.

So, is it safe and what precautions need to be taken?

When we discuss whether or not a procedure is “safe” to have during a COVID-19 pandemic, we are really talking about the risk of transmission between you and the medical staff; “If I get botox injections, am I at risk for catching COVID?” Surgical and non-surgical procedures can be done safely during this COVID-19 pandemic, but there are several important steps that you and your doctor need to take. Some procedures carry higher risks than others. Procedures centered around areas of the body where the virus lives, such as your nose, mouth, throat, and lungs, carries a higher risk than procedures of the breast and body. Also, these procedures can only be performed in geographic regions where it is allowed, based on the current number of COVID-19 cases.

You need to be COVID-free

This is the most fundamental thing to be concerned about. You want to be sure that you do not have COVID-19. This means that you are not actively infected. You want to be sure that you are without the most common symptoms of COVID-19. This includes fever, sore throat, cough, loss of taste or smell, fatigue, body aches, nausea, vomiting, diarrhea, skin rashes, etc.

Because not everyone infected with COVID-19 has symptoms, you are also want to be sure that you have not been in contact with anyone who has had COVID within the previous 14 days or traveled to high risk countries or states. The list of high risk regions changes almost daily, so it is important to familiarize yourself with the current list on the CDC website. You will be required to wear a mask while in your doctor’s office as well.

Your Doctor’s office should be COVID-free

The staff at your doctor’s office should be taking the same precautions to make sure that everyone who you will encounter during your visit is also COVID-free. This means that the staff will be screened for COVID symptoms daily and also subjected to routine testing. The staff should also be wearing masks at all times to reduce your risk of exposure, since again, some people may be asymptomatic COVID carriers.

Medical offices are also taking precautions with any non-patient who enters the office. This means that entry to the office will be restricted to only patients and essential people. If someone doesn’t need to enter the office, they will be asked to stay outside. This includes delivery persons, postal workers, friends or family of patients, etc. Anyone who needs to enter the office will be subjected to a screening process to detect any COVID symptoms BEFORE they are permitted inside.

Social Distancing will occur inside the office and operating facility

Inside the office and operating facility, staff and patients will be socially distanced. Patients will come to the office alone. No friends or family will be permitted, in an attempt to reduce the risk of exposure and transmission.

Appointments will be spaced-out in a manner so that you should be the only patient in the office and any given time. This means that instead of there being 3-4 patients scheduled per hour, there may only be 1 patient per hour. This will eliminate your exposure to other patients and it will allow for complete disinfection of the room between patients. However, this also means that appointments for your non-surgical procedure or surgical consultation will be much more limited, so expect there to be a much longer wait to get into the office.

The waiting room will also be modified. You will find six feet distance between chairs and couches will be for one person only. Items that can be a transmission point for the virus, have also been removed. These include magazines and skin care samples.

The Doctor will look different

Your doctor will be wearing full Personal Protective Equipment (PPE). These include a mask and gloves. Depending on the specific procedure you will be getting, he or she may also have on a protective gown and a face shield.

Additional Precautions will be taken in the Operating Room

During a surgical procedure, additional precautions will be taken. These precautions are based on what we know today about the virus and how it can be spread. Your anesthesiologist will be protecting him or herself with a full face shield. You will have a surgical mask that will remain on throughout the entire procedure. The number of people in the operating room will be minimized during the times most risk for transmission of the virus – going to sleep and waking up. The air circulation in the operating room will be modified to allow for additional filtration of the air so that any airborne virus is filtered out of the room. The operating room is always thoroughly cleaned between patients, but cases will be spread out to allow more time to do so. Essentially, every single patient will be treated as if they have the virus, and this is something we call in medicine “universal precautions”.

There also may be a limitation on the specific procedures that can be done in the operating facility. Procedures involving the nose remain at the highest risk, so you should check whether your surgeon is performing procedures like rhinoplasty.

Should you get tested for COVID-19?

This is a very difficult question since there still remains some issues surrounding testing. First of all, despite all the talk about how important testing is for controlling this virus, there is still many barriers to testing. Not everyone is able to get tested. In some regions, testing centers may not be abundant. Also, many states will only provide testing to people who are residents of that state. So, what if you are living in another state or visiting another state and you want to get tested? It is possible that you will have difficulty.

More fundamental is the significance of the test. Keep in mind that not everyone who is infected with COVID-19 will have a positive test. There still will be false negatives, which is why it is so important to treat everyone as if they have it. Test results take anywhere form 2-5 days to get back. So, if you get a negative result, it doesn’t mean you haven’t been exposed during the days between your test and your results. So, if you are going to be tested in preparation for your surgery or procedure, you really need to quarantine yourself from the time of the test to the time of the procedure. This can be difficult. Until we had rapid tests that give results in under 2 hours and are 100% accurate, there will always be an issue with testing. Keep in mind that this is referring only to the RNA tests that specifically test for the virus. This is not referring to rapid antibody tests that are available.

Rapid antibody tests have their own shortfall. First of all, it only detects if you have antibodies to the virus, presumable indicating that you had been infected in the past. These tests are readily available and results can come in as little as a few minutes. However, the accuracy can be low. Also, there can be false positives, meaning that it can show antibodies that you have to other coronavirus, like the common cold, and not COVID-19. Most importantly though is the significance of a positive antibody? What does it really mean if you have antibodies? All it means is that you MAY have had COVID-19. But, we don’t know if that means you cannot get it again. Many suspect that there is not going to be long-term immunity to COVID-19. You will likely be able to get it again in the future. So, while antibody testing is important if figuring out how many people may have had COVID-19, it probably means very little in terms of keeping you safe during your cosmetic procedure.

As you can see, there are some things we still do not understand about COVID-19, but medical offices are set up to protect you as best as possible. In fact, I would argue that having a procedure in a medical office, with trained medical professionals who understand infectious disease and sterile technique is exponentially less risky that going to the supermarket or the park.

To learn more about having your surgical or non-surgical procedure in New York City with Dr. Matthew Schulman, please contact our New York City Plastic Surgeon office today.

What Should My Weight Before My Plastic Surgery?

It is important to be in optimal physical shape before any surgery. Healthy people heal faster and better than people who are unhealthy. When it comes to any invasive procedure, like surgery, complications can occur that can place you at risk. Being strong and healthy will reduce your risk of serious or minor complications during and after surgery. Cosmetic surgery is elective, meaning that you “want” it but don’t “need” it. This makes safety even more important. You will be completely evaluated by your primary medical doctor prior to your surgery. Being healthy for surgery includes:

  • Having any chronic medical conditions controlled
  • Not having any serious medical problems
  • Not smoking cigarettes
  • Having normal blood work results
  • Being at a safe weight

Should My Weight Be Stable Prior to My Surgery?

We require that a person’s weight be stable and also within a relatively normal range. It is common for someone’s weight to fluctuate a few pounds up or down. Many people find that they put on about 7-10 pounds of “winter weight” and then slim down in the warm weather months. However, you should not have surgery if your weight is steadily going up or going down. It is important for your weight to be stable for about 6 months (give or take a few pounds). This allows your skin to adjust and tighten. If you are having trouble stabilizing your body weight, you should be evaluated by your medical doctor. While weight changes are due to diet and exercise, or lack of it, there are some medical problems that can account for weight changes. Diabetes and low thyroid can cause weight gain. Hormonal changes, commonly associated with menopause or birth control, can result in weight gain as well. Over-active thyroid can result in uncontrolled or unintended weight loss. There are dozens of medical conditions that can result in unintended weight changes, which is why a complete medical evaluation is necessary.

What Should My Weight Be Prior to Surgery?

So, your weight is relatively stable, but what should it be? Generally, we want your weight to be in a safe range, not too high, and not too low. This is why we use a guide called Body Mass Index, or BMI. BMI is number that is generated by using your height and your weight. The calculation is:

BMI = Weight (kg) / height (meters)2

But don’t worry! You can simply google “BMI calculator” and there are several calculators that will do the math for you.

Why Does BMI Matter?

Using a BMI calculator, you will be categorized based on your number:

  • Underweight = <18.5
  • Normal weight = 18.5–24.9
  • Overweight = 25–29.9
  • Obesity = BMI of 30 or greater

The reason why BMI matters is because the data shows that the risk of complications increases as BMI increases. These complications include complications that can occur during surgery as well as those that can occur after surgery. Elevated BMI can place you at increased risk for anesthesia-related complications with your heart and lungs. It can also increase your risk for delayed wound healing, poor wound healing, scarring, and infection after the surgery. Patients with an elevated BMI may also have a poorer cosmetic outcome. This is particularly true for procedures designed to shape the body such as tummy tucks, liposuction, and mommy makeovers. So, BMI, or Body Mass Index, is an important tool for assessing your risk of complications or poor cosmetic outcome.

What Should My BMI Be Before Surgery?

We prefer that your BMI be 30 or below before you undergo elective cosmetic surgery. This is because your risks increase as your BMI rises above 30. However, it is important to realize that BMI is not a precise predictor of complications or results. It is just a guide. For example, some people with an elevated BMI would not really be considered “obese”. Since the calculation is only using height and weight, it does not account for muscle mass or bone structure. Some people who are in amazing physical shape may actually be categorized as “obese” solely based on the BMI calculation. For example, think about someone like Serena Williams. She is an elite athlete and in amazing physical shape. However, using her height and her weight in a classic BMI calculation, she would be classified as “overweight”. Men have similar issues with the classic BMI calculations because of the increased muscle mass. Kevin Durant would similarly be classified as “overweight”, but no one would ever really consider him “overweight”. In fact, most would consider him “skinny” by any standard.

This shows some of the imperfections of the Body Mass Index calculations. Accordingly, plastic surgeons do allow some flexibility when using BMI. The BMI number must be combined with careful examination of each person. Sometimes people with a BMI of 25 is more overweight than someone with a BMI of 30. In my practice, I will allow a consultation for people with a BMI 32 or below. Depending on what I see during the examination, I may agree to operate on them at their current weight, or I may require weight loss prior to surgery.

Can My BMI Be Too Low for Surgery?

It seems obvious why a very high Body Mass Index would make someone a poor candidate for an elective cosmetic procedure. However, sometimes a BMI can be too low. Someone can be “too skinny” for a surgery. This may be related to the procedure they want done. For example, if someone is requesting liposuction, there needs to be some fat to be removed. If you don’t have much body fat, then there is nothing to removed. Attempting to remove fat in someone who has very little to begin with, will likely result in contour abnormalities that may be impossible to fix. Also, those who desire to have fat transfer to an area of their body, such as their butt and hips, require their own “donor fat”. This procedure, called a Brazilian Butt Lift, would not be suitable for people who lack adequate fat. So it is possible to be “too skinny” for a Brazilian Butt Lift, or BBL.

Other common procedures that are problematic in people with low BMIs would be tummy tucks and breast implants. In very thin people, the sutures used to tighten the underlying abdominal muscles during a tummy tuck, may be visible or palpable beneath the very thin abdominal skin. This can cause pain and unsightly appearance even after the most successful tummy tuck. Similarly, very thin women may not achieve the best cosmetic result with breast implants, because the implant may be less camouflaged. The result can be breast implants that are palpable and have visible rippling and wrinkles. Very visible and palpable breasts implants is a common reason why women request to have breast implants removed.

Know Your Body Mass Index Before Your Consultation

As you can see, BMI is an important tool that plastic surgeons use to help determine if you are an appropriate candidate for the procedure you are requesting. This means that you should know your BMI before you have your consultation. You should check your weight at home and put those numbers into one of the many BMI calculators available on the internet. You will then be aware of your actual BMI number and be able to have an informed and intelligent discussion with your Plastic Surgeon at your consultation. It will also help you understand why we sometimes tell patients that they should lose weight prior to surgery. The recommendation to lose weight is based on your plastic surgeon’s desire to give you optimal results in a safe manner. Since you are asking for an elective cosmetic procedure, our job is to avoid any complication whenever possible.

If you would like to learn more about the procedure you are interested in, and find out if you are an appropriate candidate, contact New York City, Board Certified Plastic Surgeon, Dr. Matthew Schulman.

What Should My Blood Count Be Before My Plastic Surgery?

A proper blood count is required to be a candidate for elective cosmetic surgery. In otherwise healthy individuals, a low blood count is the most common reason for surgical cancellation or postponement. Let’s talk in more detail about:

  • what a low blood count means
  • what causes a low blood count?
  • what can be done to treat a low blood count?

What Testing is Required Before My Plastic Surgery?

It is necessary for you to be in optimal physical shape to be eligible for cosmetic surgery. Unlike other procedures that may be considered necessary, like gall bladder removal, appendectomy, heart surgery, gynecological surgeries, etc., cosmetic surgery is entirely elective. It is something you want, but not something you need. Accordingly, your Board Certified Plastic Surgeon should never place you at unnecessary risk to have a procedure that makes you look better. If your surgery was to save your life, then certain risks are necessary, but this is never the case with elective cosmetic surgery. Before your surgery, you will undergo a full medical evaluation to make sure you are healthy and that your surgery can be done safely. You will have a physical examination to evaluate your heart and lungs. You will likely undergo and EKG to make sure your heart is functioning correctly. Your surgeon may require specialized testing for any pre-existing medical problems. You will also have blood tests to further evaluate your health. One of these blood tests will measure your blood cells and specifically, your hemoglobin level.

What is Hemoglobin?

Hemoglobin is the protein component of your red blood cells, found in the center of every single red blood cell. It is the part that specifically binds oxygen so that the blood cell can carry oxygen and deliver it throughout your body. The normal hemoglobin level will depend on your age and gender:

  • Women: 12 or higher
  • Men: 13 or higher

What Are the Symptoms of Anemia (Low Hemoglobin Levels)?

A proper oxygen level in your blood is necessary for the normal function of your body. If someone has a low hemoglobin level, they will have a lower level of oxygen in their blood. This can starve the cells of the body of vital oxygen. This is called anemia. A proper oxygen level in your blood is necessary for the normal function of your body. The symptoms associated with anemia is determined by the severity of the anemia. Mild anemia can make you feel tired and fatigue. You may feel low energy and even cold. Moderate anemia is more concerning and can cause a rapid heart-rate, dizziness, and shortness of breath. This is because your body is low on oxygen and your heart automatically tries to work harder and pump faster, and your lungs try to get more oxygen from the air. Severe anemia can lead to heart attacks, arrhythmias, stroke, and even death. Adequate blood oxygen levels are also necessary to help you heal after injury or surgery. This means that even moderate anemia can increase your risk of having wound healing problems after your plastic surgery.

Your hemoglobin level is determined with a simple blood test called a complete blood count, or CBC. This is one of the standard blood tests obtained in preparation for surgery. There are also some rapid testing devices, called Hemacue, that will measure the hemoglobin level in a few minutes from a simple finger stick.

What Are the Causes for Anemia?

There are a variety of reasons for low hemoglobin. First, your hemoglobin level may be low because you are bleeding or have lost blood. This will happen after surgery, after trauma, or most commonly, if you have very heavy menstrual periods. Women with uterine fibroids and heavy periods, commonly have a low hemoglobin level from blood loss. Other causes of blood loss may be bleeding hemorrhoids, bleeding ulcers, or even colon cancers.

However, one of the most common reasons for low hemoglobin levels is iron deficiency. Iron is necessary in the production of blood cells and hemoglobin. Anything that causes decreased iron in the body can lead to deceased blood counts. This iron-deficiency may be because of a lack of dietary iron that is commonly found in meats like beef and liver. Vegetarians often have some degree of iron deficiency and are encouraged to increase their consumption of non-meat foods that are high in iron, like beans. People with iron-deficiency anemia require daily iron supplementation with iron pills. This is usually very successful in raising the hemoglobin level but can take several weeks to show improvement.

People who have had prior surgeries like stomach resections (because of cancer or ulcer disease) or bariatric (weight loss) surgery, are also prone to anemia. This is because they are lacking a critical part of the stomach necessary for absorption of vitamins and minerals necessary for red blood cell production.

Other less common causes of anemia include:

  • Genetic diseases like sickle cell or thalassemia
  • Bone marrow diseases like leukemia
  • Older age
  • Pregnancy
  • Kidney disease
  • B12 or Folate deficiency

How Can I Treat My Anemia?

A combination of history and laboratory tests can help determine the cause of your anemia. The treatment will depend on the cause of your anemia. If your anemia is from blood lost like heavy periods, you will need to see your gynecologist to evaluate you. Sometimes birth control pills can regulate your menstrual cycle, or uterine fibroids may need to be treated with medication or surgery. People with iron-deficiency anemia will require daily iron supplementation with pills. This is usually very successful in raising the hemoglobin level but can take several weeks to show improvement. In extreme cases of iron deficiency, intravenous iron infusions are sometimes necessary. In some cases, such as occurs from genetic diseases, it may be impossible to raise the hemoglobin level. Treatment of your anemia may require the involvement of a hematologist, or a doctor who specializes in diseases of the blood.

What Hemoglobin Level is Required for Surgery?

Usually, I require that my patients have a hemoglobin level of at least 12 to be cleared for surgery. This will of course vary depending on the planned procedure, since some procedures normally lose more blood than others. A breast augmentation results in virtually no blood loss, while a Mommy Makeover will come with more blood loss. Since all surgery causes some normal blood loss, some degree of drop in hemoglobin level is expected after your surgery. If you are starting at a low level before surgery, then the level may be a more significantly lower level after the surgery. This can set you up for the potential complications after surgery, even if you have never had previous signs of anemia.

Avoiding serious complications during surgery and making your recovery better, is the reason why you need to have an appropriate hemoglobin level prior to surgery. If you are unclear of your hemoglobin levels, you can have this tested very easily. You may be surprised. If you have always been a little fatigued, or felt a bit more tired or look a little paler than your friends, you may be suffering from anemia. Since this is so common, especially in women, I think all women should be taking a daily iron pill. You may be shocked at how much better you feel after a few weeks.

Contact Dr. Matthew Schulman today to learn more about your options for safe plastic surgery.

Lost A Lot Of Weight? Plastic Surgery Can Improve Your Final Look

Lost A Lot Of Weight? Plastic Surgery Can Improve Your Final Look

 

Losing weight is a serious accomplishment, particularly if you’ve managed to lose a lot of weight and keep it off for good. It takes a lot of self-discipline, working against your body and society, and you should be proud of yourself. But what can you do if you lose all that weight only to find that you’re not happy with the results? This happens all the time because people lose weight and are left with a lot of loose skin.

Post-weight loss, loose skin is often concentrated around the waist, upper arms, and chest, and this excess skin can make otherwise remarkable weight loss results less than thrilling, but there is a solution: plastic surgery. Through the proper application of several different procedures, a surgeon can help you complete your body’s transformation, highlighting your hard work

 

 

What Procedures Address Excess Skin?

There are several different procedures that address the problem of excess skin, depending on where on the body it’s located. Among the most common are tummy tucks, arm lifts, and breast lifts. If you’ve lost a very large amount of weight, you may also need skin removal surgery; this is more common in those who have lost weight very quickly, since the skin doesn’t have a chance to contract back. Older patients are also more likely to need skin removal surgery because their skin is less elastic, due to reduced collagen production. Skin removal surgery targeting the area around the lower abdomen is known as a panniculectomy.

Most patients with excess skin require some combination of procedures to get the optimal results, but the procedures are not without risk. In addition to the usual risks associated with surgery, more extreme procedures like panniculectomy can leave significant scarring. For those who are concerned about scarring, a different selection of procedures may be more appropriate.

Why Remove Excess Skin?

In addition to issues of appearance, many people seek plastic surgery after losing a lot of weight because having hanging skin can actually present serious health risks. Specifically, loose skin can lead to infections, because the weight of hanging skin causes tears and the folds breed bacteria. That’s why many doctors will actually recommend that patients undergo these procedures once they’ve reached a stable weight. This isn’t just about how you look, but about your long-term health.

Body Lift Or Tummy Tuck?

Though the distinction may seem confusing at first, lower body lifts and tummy tucks – both common procedures among those who have loose skin – are radically different procedures, with the body lift being far more extreme. In body lift surgery, the surgeon actual performs a skin removal while also drawing up and tightening the skin around the entire lower body; there is also an upper body equivalent that addresses loose skin around the arms and back. As part of a lower body lift, you may also undergo liposuction for additional shaping, a buttock lift, and also buttock augmentation to adjust for the loss of shape, since the buttocks are prone to flattening.

Thought a tummy tuck is similar to a body lift, it targets a much narrower area of the body. Rather than addressing the thighs, waist, stomach, and arms all at once, a tummy tuck generally involved a panniculectomy coupled with tightening of the underlying musculature. Depending on the patient’s need, some patients also undergo additional liposuction.

Often, for patients with extreme weight loss, Dr. Schulman recommends an additional midline abdominal incision, known as a fleur-de-lis incision. Though this leaves an additional scar, it also allows for better contouring and the scars do fade over time, and the fleur-de-lis incision is widely considered to be safer.

 

 

Is A Breast Lift Enough?

Breast lifts are another common procedure among those who have lost a lot of weight, but it’s important to recognize that a breast lift may not be enough to address the results of such enormous physical changes. That’s because, while a breast lift repositions the breasts, it doesn’t change the amount of breast tissue or fat in the area. As such, depending on a woman’s final body shape, some may require an additional breast reduction or breast augmentation.

Some women have too much breast issue relative to their new body size, which can lead to back pain, which is why a breast reduction coupled with a breast lift may be appropriate. Others experience something more akin to the buttock flattening mentioned above. For these women, a combination breast augmentation and breast lift may be more appropriate, to create the desired proportions.

Male Breast Reduction – A Common Concern

While breast reduction and augmentation surgeries are commonly discussed, many men who have experienced substantial weight loss are left with “man boobs” – extra flesh around the chest from past fat stores. Unfortunately, this is much harder for men to talk about than for women seeking a breast lift. Many are ashamed to discuss the issue. However, men can also have breast reduction surgery, often combined with chest contouring procedures, which will resolve the problem, creating a more masculine, flat chest.

Arm Lifts And Other Procedures

One of the problems with loose skin following weight loss is that it can exist just about anywhere on the body, from the stomach and arms to the neck and back. Additional procedures like arm lifts, neck skin tightening, and other interventions can address loose skin elsewhere on the body. Every individual has different needs and different areas that they’re concerned about – your doctor will discuss your concerns with you and help you make the best decisions for your body.

Preparing For Post-Weight Loss Plastic Surgery

 

If you’re considering plastic surgery in New York City  of any kind after losing a lot of weight, it’s important to take your time. Dr. Schulman generally require post-weight loss patients to maintain a stable body weight for at least six months before these procedures, so you’ll need to demonstrate that you can remain at this new weight. Additionally, many formerly overweight patients have lingering health issues, ranging from Type 2 diabetes to high blood pressure, which can complicate the surgeries. Maintaining a stable, lower weight for at least a year can sometimes reverse these health issues and make surgery much safer.

Ready to get rid of excess skin after extreme weight loss? Then you need the best on your side. Contact Dr. Matthew Schulman today to learn more about your options for body shaping and contouring. You worked hard to change your life and lose weight – the right surgical procedures just reveal what’s hiding underneath.

 

References

 

Plastic Surgery Myths Debunked

To many, plastic surgery is an area of medicine reserved only for the rich and famous. It is often seen as a luxury, unnecessary, or even dangerous. These are all myths that need to be put to rest. The practice of plastic surgery is not only tremendously popular, but it is also an extremely important form of medicine — one that helps people much more than you likely assume.

Below are some of the most common myths regarding plastic surgery. Read on to learnthetruthwhen it comes to plastic surgery.

Myth #1 – Plastic surgery is only for those who are vain.

Many people mistakenly think that those who get plastic surgery are vain and obsessed with perfection.

While it is true that some people may abuse plastic surgery procedures, aiming for an ever-elusive “perfection” in their body and form, most plastic surgery procedures are actually quite functional and purposeful for patients.By definition, plastic surgery includes both cosmetic AND reconstructive procedures.

Board certified plastic surgeons will reconstruct breasts that have been removed or deformed from cancer operations. They will correct cleft palates and cleft lips in babies. They will also help improve scars, wounds, injuries from accidents, and treat burns.

Even those cosmetic procedures that aim to improve one’s appearance can serve a very important purpose for the recipient. Mothers who have been through a tremendous amount of physical and emotional pain during pregnancy, birth, and post-pregnancy may regain their self-confidence with amommy makeover. Those who have worked diligently for months, or even years, to achieve and maintain a healthy body weight can benefit greatly from excess skin removal. Helping someone achieve the appearance they want, is more than just vanity.

Myth #2 – All doctors can perform plastic surgery.

This is a bit tricky because technically, all doctors (all of those with a medical license)canperform plastic surgery, but they cannot call themselves a “Plastic Surgeon”. Should you hire them foryourplastic surgery? That’s another question entirely, and the answer isabsolutely no. A plastic surgeon can probably perform your brain surgery, but should they? Of course not.

While any professional with a valid medical license can technically perform plastic surgery,only board-certified plastic surgeonshave the training, experience, and certifications to complete plastic surgeries. Board Certified Plastic Surgeons will also have hospital privileges so that they can take care of you in the event of a complication or emergency.

Myth #3 – Patients of plastic surgery are all rich and glamorous.

Certainly, there are rich and famous patients in our New York City Plastic Surgery office. But it’s crucial to note that the majority of plastic surgery patients are everyday people just like you.They’re individuals who are looking for ways to improve discomfort after losing over 100 pounds and dealing with excess skin. They’re people who have been scarred by on-the-job injuries. They’re children with cleft palates or other disfigurements that, if remedied, could result in a great deal of improved self-esteem and self-confidence.

Plastic surgery is an amazing form of medicine that can improve quality of life for a multitude of individuals. It is not the hollow practice that many people mistakenly assume it to be. There are also several options for financing your procedures that can assist you make elective cosmetic procedures affordable.

Myth #4 – There’s no need to ask a lot of questions at your consultation appointment.

In fact, youshouldask a lot of questions at your consultation appointment. One of the main goals of the appointment is to help you better understand your intended procedure, the preparation and recovery processes, and what to expect from your results. Any questions or concerns you have should be addressed to your doctor at your appointment, and never be shy about bringing these topics up.

To better prepare beforehand, keep a running list of the topics you’d like to discuss with Dr. Schulman on a pad of paper. Take this list with you to your appointment.

Myth #5 – Plastic surgery is only for women.

Many women are interested in plastic surgery, and atDr. Schulman’s practice, a great number of patients are women, but plastic surgery is NOT only for women.

But to say that plastic surgery is “only for women” is a gross exaggeration. In fact, men are looking for plastic surgery solutions in increasingly large numbers as of late. Currently about 15% of patients in Dr. Schulman’s office are men.

Procedures such as dermal fillings, liposuction, tummy tucks, and more are all available for men — and indeed, men are interested. Another highly sought-after procedure for men ismale breast reduction surgery. Those males who are embarrassed or self-conscious about excessive tissue on their chests are turning to plastic surgery to improve their self-esteem and confidence.

Plastic surgery is certainly not just for women.

Myth #6 – Plastic surgery will last forever.

We’d love it if this was true, but unfortunately, it’s not. Plastic surgeons are often called “miracle workers” for the way that they can manipulate skin, tissue, fat, and muscle in order to create improved contours and better skin tone. Indeed, these are things that plastic surgeons are trained to do.

At the same time, it’s important to note that “results that last forever” are impossible. Plastic surgeons can certainly help you improve your self-confidence, appear more youthful, and remedy acute issues. But to say that they can work miracles and make their results last forever is untrue, since the body continues to age and change. We say that plastic surgery turns the biological clock back, but it does NOT stop the clock all together. It’s critical to have realistic expectations when you choose to undergo plastic surgery — and to pay attention to how touch-up appointments, additional non-invasive procedures, and other best practices can positively impact your results.

Myth #7 – You can be too old for plastic surgery.

Age itself is not a factor, so this is a myth. It is your overall health and condition of your body that is most important. This means that if you are advanced in age, but your overall health and skin quality is good, you may still be an excellent candidate for your procedure. Conversely, if you are young, but have medical problems, then you will not be a candidate to undergo your cosmetic procedure. So when it comes to plastic surgery, the old saying “age is just a number” is true.

Myth #8 – Plastic surgery makes you look fake.

This may be true with BAD plastic surgery, but good plastic surgery should be able to give you the shape and appearance you desire, in a natural-looking way. The problem is that all too often, people focus on bad plastic surgery results, since the media loves to show photos of celebrities with bad results. Remember, millions of people are getting plastic surgery each year and you are not noticing it because the results are natural-looking.

Interested in Finding the Best Plastic Surgeon New York City Has to Offer? Contact Us Today!

Are you interested in a plastic surgery procedure — or several procedures — that you think may benefit you physically, emotionally, and mentally?

Good candidates for plastic surgery include those who are in good mental and physical shape, with a healthy body weight, and few underlying conditions. It’s important that you are a non-smoker for at least four weeks prior to your surgery (and for eight weeks after surgery). You should have realistic expectations about the outcome of your procedures.

When you’re ready to discuss your plastic surgery goals with Dr. Schulman, feel free to give our New York City office a callat (212) 289-1851. We’d be pleased to help you schedule an appointment and get you in for your initial consultation with Dr. Schulman.

How to Choose the Right Implant Size for Your Breast Augmentation?

It’s often the case that making the decision to have breast augmentation surgery in New York City in the first place is “the easy part.” Deciding on the size of the augmentation, on the other hand, can be a bit more of a challenge.

Of course, this decision doesn’t have to be stressful. Undoubtedly, you want to spend time thinking about it and investigate your options. But there’s no reason to let yourself be consumed with anxiety. Breasts implants are available in a variety or sizes, from very small to very large, so with the help of a skilled board certified plastic surgeon, you can get exactly what you want.

The guide ahead will help you make a well-informed decision that you’ll surely be happy with when you see your results.

Tips for Choosing the Right Size for Your Breast Augmentation

1.      Start with your own measurements.

It’s important to get exactly what you want out of your new breast implants, but you also must work with the body you have. In other words, you need to choose an implant size that matches your body size and shape.

This means starting with your own measurements. What is your current cup size? Band size? Bra size? Are you small framed? What is the width of your chest frame? Do you have large hips? Ideally, you’ll choose a breast implant size that is complementary to your overall frame.   During your consultation, your board certified New York City plastic surgeon will take measurements of your breast width. This will help you in your decision.

2.      Understand the “Look” you are going for.

You should be aware of the ultimate “look” you want to achieve. Are you going for “curvy” or “voluptuous”? Or are you hoping for an “athletic” appearance?  This will also help guide you to the appropriate breast implant size. Smaller implants tend to look more “natural” and “athletic”, while larger volume breasts implants will give more curves.  Again, this is a very broad generalization and you must consider your body measurements as discussed in #1.  This means that if you have a board build to begin with, you will likely be able to still achieve a natural appearance with a large implant. Very narrow body types or very thin women, may still look overly curvy with even a small implant.

3. Understand the limitations of your own breast tissue

If you’d like your new breasts to be much bigger than your current size, remember that you still must consider the limitations of your breast tissue. After all, your breast and skin still have to accommodate the implant. There’s no way to stretch the breast tissue beyond its limits, nor would you want to try. Implants that are too large for your own breast tissue can cause long-term damage to the tissues and place you at increased risk for implant-related complications or the need for future surgeries.

At your consultation appointment, your surgeon will address this issue by assessing the amount of breast tissue you have available to possibly accommodate larger implants. Your surgeon will perform a “pinch test” by pinching your breast tissue and skin, in order to determine how large an implant you can hold. In some cases, you can “work your way up” to a larger cup size by starting with one surgery that takes your cup size from an A to a C, for example, and then waiting a few more years before moving on from a C to a D or DD, for instance.

4.      Look in Magazines and Online to see what type of results you want…or don’t want.

Just as you might take a picture of a celebrity’s hair style and take it to your salon, you can find pictures of celebrities’ overall shapes and take them to your plastic surgeon for reference when it comes to the breast implant size you want to try.

Go online or flip through magazines to find someone who has a similar overall body shape to you. If you like the way their breasts look, this may be a good model to shape your new implants on. The pictures should also greatly help your surgeon determine the best course of surgery to undergo. For example, in some cases, a breast lift New York City  may also be warranted while it won’t be necessary for other women. Keep in mind though, that everyone is different and it is often impossible to totally replicate a look you see in a photo. But again, surgeons will find this helpful since it is easier for patients to show what they want with photos then explain what they want in words. You should also include photos of results that you do NOT want. These photos are equally helpful to your surgeon.

5.      Remember that bigger implants can be heavy.

If you’re thinking about getting implants on the bigger side, don’t forget that they’re going to be heavier, and sometimes the weight can be significant. Some women who get very large implants end up complaining of back, neck, and shoulder pain. After all, the heavier your breasts are, the more weight your spine needs to support. Indeed, back, neck, and shoulder pain, are a primary reason for breast reduction surgery. Furthermore, breasts that are heavy tend to cause problems with ptosis (drooping caused by aging) or sagging later on because the weight of a large implant will stretch the breast tissue.

To rule out any potential problems with excessively heavy implants, Dr. Schulman routinely tells his patients to try out some differently sized implants before taking the plunge on a chosen pair.

You may be able to take a sample pair of implants home with you. You can then try them out by wearing them for a few days.  You can wear them in your bra to work or out to dinner at night with your favorite outfit and set of heels. If it’s uncomfortable to wear the larger pairs or if you don’t end up liking the size you’re wearing when you look in the mirror, this is a good way to find this out before getting the actual surgery.

6.      Forget about the volume number.

A lot of women are obsessed with the volume or number of “CCs” of their future implants, but this number is rather irrelevant in the grand scheme of things.

To clarify, all breast implants are measured by their volume in CCs or cubic centimeters. When an implant has a higher number of CCs, it’s going to be bigger and make your breasts appear larger as a result. The truth is, however, the exact number of CCs doesn’t really matter as much as you may think. Once you start talking volume changes of at least 50 CCs, then yes, someone will be able to tell the difference. But if you’re trying to decide between a set of implants that are 350 CCs vs. a set of implants that are 330 CCs, this is really not an important difference that will be noticeable by anyone except your actual plastic surgeon and yourself.  The difference is only 1-2 millimeters and virtually undetectable to all but a trained surgeon.

Also, modern breast implants come in a variety of shapes and profiles. This means that there are important characteristics besides just volume. Some implants are wider and flatter, while others are more narrow and project more……even if they are the exact same volume.  These nuances are part of what your surgeon will discuss with you.

7.      Meet with a Board Certified Plastic Surgeon for breast augmentation in New York City.

All of the above tips are great places to start when it comes to choosing the ideal implant size for your breast augmentation surgery. But the very best way to find an optimal implant size is to meet with your plastic surgeon for an in-office consultation. The best New York City breast augmentation surgeon will spend a significant amount of time with you, helping you to determine an optimal implant size for your desired results.

At your consultation appointment, be sure to speak up and be vocal about what you want. Your surgeon will not only assess your body to determine the optimal size range of implants that will be available to you, but they’ll also speak with you about your specific needs and desires. Tell them what you want in your new breasts, and show them any pictures that help exemplify what you hope to look like when your surgery has healed.

Your surgeon will be able to tell you what your options will be and can guide you through what to expect before, during, and after your surgery as well. Dr. Matthew Schulman of Schulman Plastic Surgery is available to consult with you about your upcoming breast augmentation surgery any time you’re ready. Dr. Schulman is one of the leading plastic surgeons in New York City and is board certified, specializing in breast augmentation.

Are You Considering Breast Augmentation Surgery in New York City?

Dr. Schulman has extensive experience providing amazing breast augmentation surgery outcomes for his patients. He’ll give you exactly the breasts you’ve always dreamed of having.

The ideal breast augmentation New York City women want needs to be efficient and to meet all the goals of the patient. Recovery time should be as short as possible, and the process itself should be safe, efficient, and effective. These are all things that Dr. Schulman offers at his New York City practice.

Are you ready to take your body to the next level and get the brand-new breasts of your dreams? Call Schulman Plastic Surgery at (212) 289-1851 today, or contact us online to schedule your breast augmentation surgery!