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.

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 learn the truth when 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 a mommy 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) can perform plastic surgery, but they cannot call themselves a “Plastic Surgeon”.  Should you hire them for your plastic surgery? That’s another question entirely, and the answer is absolutely 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 surgeons have 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, you should ask 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 at Dr. 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 is male 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 call at (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!

Clearing up the confusion versus Liposuction and Tummy Tucks

Many of our patients have the questions regarding liposuction and tummy tucks. These two procedures are commonly confused and they are very different. In order to get the right procedure for your needs, it is important to understand the difference between liposuction and tummy tucks.

Tummy Tuck vs Liposuction: What’s the Difference?

The biggest similarity between liposuction New York City and a tummy tuck is that both procedures aim to improve the appearance of the midsection. Still, each procedure is also distinct.

For instance, liposuction is the removal of actual fat deposits from the abdomen. The procedure involves a plastic surgeon making small incisions near where the fat is to be removed. The surgeon then inserts a thin tube called a cannula which is used to break up the fat and then removed though suction. The removed fat is either discarded or re-injected in a fat transfer procedure. The fat can be re-injected into the buttock, hips, breasts, face, or even hands. Liposuction can remove fat from the abdomen, sides, back or any area where you have unwanted fat.

A Tummy Tuck, or abdominoplasty, deals more with the skin and underlying abdominal muscles. During a tummy tuck, an incision is made in the bikini line and the abdominal skin is elevated. Sutures are placed in the abdominal muscles to tighten them. These muscles commonly stretch apart with aging, weight changes, and pregnancy. Suturing the muscles together can give a flat abdomen. The excess skin is then removed and the skin is put back together. The scar will be well hidden beneath underwear or a bikini.

 

 

So how do I know which is better for me?

Your plastic surgeon will help you understand whether a tummy tuck New York City or liposuction is the best operation. In general, if your issue is excess fat, but your skin is not loose, then liposuction may be what you need. If your skin is loose or hanging, or your muscles are separated (giving you a “pregnant” appearance), then a tummy tuck may be better.  Remember, lipo is for fat, tummy tucks are for skin and muscle. It is important to select the right operation so that you get a good result.

Can Liposuction and Tummy Tuck be performed together?

Absolutely! In fact, it is common for liposuction to be part of your tummy tuck. This is because most people have excess fat AND excess skin.  Oftentimes, the only way to get a great tummy tuck result is to do liposuction at the same time. Sometimes, your surgeon may recommend a staged approach, in which liposuction and tummy tuck is done in separate operations. This may be recommended for safety reasons or in order to improve your cosmetic results.

 

 

What is “Lipo 360”?

“Lipo 360” is a newer term that refers to liposuction in a 360 degree direction (or all around your torso). Some may refer to this as circumferential liposuction. This means that liposuction is performed on the abdomen, flanks, and back.  This allows improvement is your entire torso since it is usually necessary to make the back look better to make the front look better. It provides a much more complete improvement. Not all surgeons are experienced with this procedure since it involves multiple areas of liposuction and re-positioning the patients during the surgery. While some surgeon may say that they will lipo your “sides/flanks” during the procedure, you need to clarify if they will be turning you over in order to do this, since you will get a much better result when the liposuction is performed from the front AND the back. This is what truly differentiates Lipo 360 from standard liposuction. If you excess fat on your abdomen, flanks, and lower back, then you are probably an excellent candidate for Lipo 360. 

What Is a Tummy Tuck 360?

 

A tummy tuck 360 is similar to liposuction 360 in that this procedure improves the appearance of the abdomen from every angle. Like liposuction 360, a tummy tuck 360 removes the excess skin in the front, sides and back. This will involve removing the skin on the front, as is done with a standard tummy tuck, AND removing the skin of the lower back and upper buttocks. The scar will go all the around, like a belt, but is completely hidden under bikini or underwear. The other advantage of this procedure is that you will get improvement in the appearance of your thighs, hips, and buttocks. It is the surgical equivalent of “pulling up your pants” and is a great option for people who have lost a significant amount of weight. A Tummy Tuck 360 is also referred to as a circumferential tummy tuck, lower body lift, or “around the world”. It requires an experienced body contouring surgeon with exceptional skill.

The recovery for a Tummy Tuck 360 may be slightly longer than for a traditional tummy tuck, so this may be a factor in your decision.

Also, if you have had a previous standard tummy tuck, you may benefit from a surgery to remove the skin that is still present on your backside.

Can fat transfer be combined with Liposuction, Lipo 360, Tummy Tuck, or Tummy Tuck 360?

Yes, fat transfer can be combined with any procedure. It is very common to use the fat that is removed during the procedures and re-inject it into specific areas of the body. Commonly, the fat is added to the butt and hips. This can be a very powerful was to reshape the body, by using your own tissue instead of implants. Sometimes people seem to lose their curves after procedures such as liposuction or tummy tucks. By adding fat to specific areas, we can put the curves back and give a much better appearance.

Schedule Your Liposuction or Tummy Tuck Consultation Today!

Both liposuction and tummy tucks can be life-changing procedures for those looking to improve their profiles and physiques. At Schulman Plastic Surgery, Dr. Schulman uses advanced techniques that New York City men and women trust. As a board certified plastic surgeon, specializing in body contouring, Dr. Schulman has performed an extensive number of procedures for his highly-satisfied patients. He often combines procedures such as liposuction, tummy tucks, and fat transfers, making him one of the most sought-after plastic surgeons in New York City.

To book your liposuction or tummy tuck consultation today, give us a call at (212) 289-1851, or contact us online!

Get Rid of the ‘Dad Bod’ With These Procedures

What is a “dad bod,” you ask?

According to the term’s original source:

“The dad bod is a nice balance between a beer gut and working out. The dad bod says, ‘I go to the gym occasionally, but I also drink heavily on the weekends and enjoy eating eight slices of pizza at a time.’ It’s not an overweight guy, but it isn’t one with washboard abs, either.”

While this isn’t exactly an all-out criticism, it’s also not a glowing review. Furthermore, if you yourself have what someone might describe as a “dad bod,” you’re probably looking for solutions, rather than just accepting the dad bod fate.

The good news is that there is absolutely no reason to settle for a dad bod if you don’t’ want it. If you want to eliminate the beer gut and love handles, you have that option with several plastic surgery procedures.

So, when you’re ready to say “so long!” to the dad bod life, here are the top procedures that will help.

Top Procedures for Tackling Dad Bod

Male Liposuction

Male Liposuction New York CityWhen you look in the mirror, you want to see what your mindset reflects: Confidence and strength. When you don’t see this, however, discouragement is inevitable. And it’s even more discouraging when you’ve been putting in long hours at the gym and you still aren’t seeing results.

When this is the case, male liposuction is the best procedure that can help. Any man with a healthy BMI (Body Mass Index) and with good skin elasticity and muscle tone can be a strong candidate for liposuction. Remember that liposuction is not a weight loss tool – it is a body contouring procedure. It is designed to help the specific areas that are resistant to your diet and exercise.

The liposuction procedure removes stubborn fat from common fatty areas that men struggle with: abdomen, arms, chest, thighs, neck/chin, and flanks. This is achieved through the insertion of a hollow stainless steel tube, called a cannula, into the skin through very small incisions. Once the cannula is inserted, Dr. Schulman will suck out the excess fat cells by a combination of back-and-forth motions and suction. This trusted procedure is highly effective and can be performed as an outpatient. In fact, from start to finish, you’ll generally only have to spend a few hours in our office for liposuction.

Male Tummy Tucks

Male Tummy Tuck New York City Many men assume that procedures like tummy tucks are only for women. It is common for women to get a tummy tuck after pregnancies, but men also complain of excess abdominal skin that occurs with aging or with weight loss. The truth is, men are just as likely to get a tummy tuck as women are. Likewise, tummy tucks performed on men are just as effective as they are with women. Finally, men are just as satisfied with the results.

Whereas the liposuction procedure only removes fat deposits beneath the skin, the tummy tuck procedure (abdominoplasty) tightens up the ab muscles and also removes excess skin. This is often a good procedure for those who have recently lost a large amount of weight as it can help remove stretched out skin and stretch marks, especially on the lower abdomen.

In some cases, male liposuction is used in tandem with male tummy tucks — in effect, removing small deposits of excess fat while at the same time tightening the excess abdominal muscles, and removing excess skin. The entire result will give you a flatter, firmer, decidedly less “dad bod” abdomen.

Male Breast Reduction

It’s not uncommon for fullness in the male chest (gynecomastia) to develop over time. This may be caused by normal aging, hormonal factors, recreational drug use, prescription medications, weight fluctuations, or a genetic predisposition. Some men develop enlarged chests during puberty and it never improves.

Regardless of the cause, wanting to get rid of this excess tissue is completely natural, so many men attempt to reduce on their own. However, even with rigorous exercise and dieting, these efforts often prove futile. This may be because the glandular breast cannot be reduced with diet or exercise, because the fullness is actually caused by stretched skin, or because genetic factors make slimming in this area on your own simply impossible.

Fortunately, the male breast reduction procedure performed by Dr. Schulman is the ideal way to solve this problem.

In a male breast reduction (or gynecomastia surgery) New York City Dr. Schulman removes the excess glandular breast tissue and lifts and firms the area in order to get rid of droopiness and sagginess. Because everyone’s experience with gynecomastia is unique, Dr. Schulman will cater your procedure to you, specifically. In this way, your procedure may involve liposuction, physical tissue removal, and/or skin removal. The scars and recovery will depend on exactly what needs to be done for you.

Botox for Men

In the non-surgical realm, many men are looking for quick and effective solutions to facial rejuvenation. This means the reduction or elimination of wrinkles and lines — often, most troublesome at the corners of the mouth, between the eyebrows, on the forehead, and at the outer corners of the eyes (crow’s feet). As a man, you may also want to combat unfortunate natural facial expressions that can sometimes make you appear angry, worried, or tired — even when you aren’t.

The best solution for these challenges is — time and again —Botox.

Botox provides fast and highly-effective solutions to wrinkles and the appearance of unwanted expressions. It can also slim bulky or unattractive jawlines, and it can even reduce excessive sweating on the hands and feet or beneath the underarms.

Furthermore, Botox will not only reduce and get rid of wrinkles, but it will actually prevent further wrinkles from forming as you age.

Possibly the best news about Botox is that the process is fast, and simple. Discomfort is extremely minimal, and there is no downtime involved.

Chemical Peels or Laser Treatments

When you’re after improvement for skincare issues such as scarring, hyperpigmentation, fine lines, or uneven texture, chemical peels and lasers are simple, noninvasive procedures that can help.

Dr. Schulman uses a variety of chemical peels of varying strengths. These peels may treat the outermost layers or go even deeper into the skin.  Recovery from chemical peels is minimal, but will depend on the depth of the treatment. It may involve several days of redness, followed by several days of peeling. In the end, you’ll enjoy smoother, tighter, more even skin.

Laser treatments are also a great option. Dr. Schulman has a variety of lasers available to you. These lasers may resurface the outer layers with minimal downtime, or he may recommend a deeper laser treatment to reduce lines, wrinkles, and old acne scarring.

For optimal effectiveness, many patients opt to combine their chemical peels and lasers with procedures such as neck lifts and eyelid surgery.

Ready to Start Working on That Dad Bod?

Dr. Schulman a New York City Plastic Surgeon offers the type of male plastic surgery New York City guys can get on board with: Straight-forward, effective procedures with straight-forward, effective results.

From Botox and chemical peels to male liposuction and breast reduction, Dr. Schulman will help you say goodbye to the dad bod lifestyle and hello to a body you can be proud to strut at the beach or gym.

To schedule your “dad bod” consultation with Dr. Schulman today, give our office a call at (212) 289-1851, or send us a message and we’ll be in touch with you soon!

Top 3 Cosmetic Procedures Most in Demand by the New Generation

In this new age of social media, everyone wants to look their best. Everyday millions of people post images on Facebook, Twitter, and Instagram that showcase their best selves to the world. That includes this new generation of millennials who are signing up for plastic surgery procedures in record numbers.

According to the American Society of Plastic Surgeons in their 2019 Plastic Surgery Statistics Report, an estimated 17.7 million cosmetic procedures took place. Many of those procedures were requested by the “new generation”, a subset of Millenials who are 20-39 years old. Of the procedures that were most requested, the top of the list include breast augmentation, liposuction, and rhinoplasty.

Let’s look at a little bit more about these top 3 cosmetic procedures most in demand by the new generation and why people are exploring these options in body improvements. Plus, the best part of this new generation is that they aren’t afraid to talk about the body and face improvements they want a plastic surgeon to make for them. It’s a whole new world of full transparency.

 

 

Breast Augmentation New York City is the #1 Requested

Breast augmentation in New York City is by far the most requested cosmetic procedure by this new generation. This is also called an augmentation mammoplasty or more informally referred to as “breast implants” or “breast enlargement”. During this procedure, a plastic surgeon inserts implants that are filled with either silicone or saline under a patient’s existing breast tissue. The goal with implants is to get the most natural looking and feeling results as possible. The latest implant technology allows a combination of durability and natural appearing and feeling.

There are many reasons that people decide they want to enhance their body in this way. It may be that they like their breasts but desire a larger cup size. Other times it could be to even out differences in size and shape between each breast. Asymmetry is very common and is a big reason why people decide they want to undergo breast augmentation surgery with breast implants.

Some people have this type of procedure after surgery to treat breast cancer. This would be reconstructive surgery. A mastectomy to remove one or both of the breasts after cancer can contribute to the desire for implants. The rebuilding of this area with a breast implant can make a person’s recovery feel more complete by restoring their body to the form they want.

Millennials Want to Feel More Confident

As a confidence booster many women feel that having breast augmentation will make them happier with their figure. This subset of millennials is very outspoken about their desire to better themselves in any way they see can. There is less stigma associated with this surgery than ever before. With social media, the new generation isn’t afraid to document their own plastic surgery journeys to their friends, family, and followers. 

Past generations might have been more close-mouthed and secretive about visiting a plastic surgeon, but that’s not the case anymore. It’s a very accepted way to better your appearance if that’s what you choose to do. People are proud of the improvements that a plastic surgeon can do for them. It’s evident on television shows that highlight and explore the benefits of plastic surgery.

What to Expect After Breast Augmentation Surgery

After the surgery there can be some pain and swelling. It is done on an outpatient basis, with the patient being allowed to go home the same day. The stitches used for the incision are dissolvable and will be absorbed into the body within six weeks. To relieve the pain and discomfort an over-the-counter medication such as acetaminophen can be taken. Most patients are back to normal daily activities within a few days.

The patient will have to be careful to avoid strenuous activities for about 3-4 weeks, wear a special supportive bra, and may have to do some post-operative exercises to relieve pain and increase arm movement.

The #2 Cosmetic Procedure is Liposuction New York City

Liposuction is one of the oldest cosmetic procedures and it’s still very popular among the new generation to tone and tweak their figures. This procedure removes extra pockets of fat from various areas in the body. Those places can include the stomach, thighs, hips, neck, or arms. It’s not meant to be a weight loss solution, but rather the procedure can help to streamline and slim those hard to lose places where exercise isn’t doing the trick. It is a body contouring procedure.

This procedure is also done as an outpatient, and you are able to go home the same day, There can be soreness, bruising, and swelling after the surgery. The discomfort will vary depending on the extent of liposuction and the number of areas.

Compression garments are worn after the surgery to help minimize the pain and reduce swelling. Over-the-counter medications can also be taken as well.

 

 

The Long Term Results of Liposuction

For different people the long term results of liposuction can vary. If the person gains significant weight, the fat deposits will come back in certain areas. You have to be very careful to maintain a healthy lifestyle after having liposuction done and your body may change as you continue to age. 

Rhinoplasty New York City is the #3 Top Procedure

Finally, the third most popular procedure is rhinoplasty or what is commonly called a “nose job.” This allows the plastic surgeon to slim down, reshape, or fix bumps and asymmetry in the nose area. It can enhance the entire facial structure for a person when it’s done the right way.

The nose is one of the most common areas for improvement that makes a big difference in a person’s overall appearance. In this age of “selfies” being taken all the time, the new generation has mastered this way of taking their own photo for showing off on social media. That’s why a cosmetic procedure involving the face is still such a popular surgery for millennials to have.

Many older teens also request this surgery before they head off to college as a graduation present from their parents. This rite of passage has been popular for decades.

After a Rhinoplasty Cosmetic Procedure

This surgery is also done on an outpatient basis.  After a rhinoplasty procedure, the patient can expect to be bandaged with some swelling and pain. Over-the-counter medication can also be taken to deal with some of the minor pain that happens after the procedure. Splints will be worn on the face around the nose area for about a week after the surgery.

You will also have to be careful about any activities where something could potentially injure your face. Hardcore exercise should be avoided for a few weeks and it’s also not advisable to wear glasses or sunglasses during this time while the nose area is healing.

Dr. Matthew Schulman is Ready to Serve the New Generation of Millenials

Dr. Matthew Schulman is a board certified New York City plastic surgeon who is more than ready to serve this new generation of patients. If you are ready to make serious improvements to your face and body, this New York City based physician is going to be there for all your aesthetic goals. Be the beautiful person you want to be inside and out with any of these top 3 cosmetic procedures and all others he offers. Contact Dr. Schulman’s office with any questions or to schedule an appointment to explore how you ideally want to look today.

What is PermaLip Lip Augmentation?

If you’ve long coveted the lips of stars like Angelina Jolie, Scarlett Johansson or the iconic Marilyn Monroe, you’ve probably done some research on lip augmentation procedures and wondered which option would, once and for all, give you the plump, pouty, natural look so admired on stage and screen. While there are several options available, from temporary injectable solutions to implants, Board certified New York City plastic surgeon Dr. Matthew Schulman is particularly excited about PermaLip lip augmentation implants.

What makes PermaLip Implants Different from Others?

PermaLip lip implants are a significant and pleasing step up from previous varieties of cosmetic lip implants. They have been a life-changer for many of Dr. Schulman’s patients who wanted to boost and plump up thin lips, or who have experienced the thinning of the lips that often comes with the aging process.

Previous models of permanent lip implants came with several disadvantages, the most obvious of which was their unnatural look and feel. Some of them had what Dr. Schulman calls the “cigarette roll” look, as the ends were not tapered to conform to the natural shape of the mouth. Many of these older lip implants would migrate into unnatural positions over time, causing lip distortion and difficulty with activities like speaking, eating and kissing. They were also difficult to customize, so that also contributed to the unnatural look of older styles of lip implants.

In addition to these problems, if a patient later wanted a lip implant removed, the process was difficult and complicated because, over time, the body would begin to absorb the material and the implant would become one with the patient’s face, sometimes in an unnatural position. Bruising, scarring and swelling were frequent side effects of the removal process, and more extensive work was usually needed to restore the patient’s natural lip contours.

PermaLip implants, however, are extremely easy to implant; they are even easy to remove if the patient later feels that is necessary. Otherwise, PermaLip lip implants can stay put and perform well and naturally for years and years. They are made out of a soft, non-reactive silicone that has a natural feel and texture when inserted inside the lip. Patients rave about how natural these lips feel when eating, talking and even kissing.
Another thing that patients enjoy about PermaLip lip augmentation is that they are more customizable than previous styles of lip implants. They are tapered at each end to prevent the “cigarette roll” look and they come in three different widths and three different lengths. The patient can choose either a 3-millimeter, 4-millimeter or 5 millimeter diameter, along with the correct length. The wider the diameter, of course, the bigger the pout.

PermaLip implants also do not become incorporated into the body’s other tissues over the course of time. This is an added benefit for those patients who choose this lip augmentation procedure. If the patient later decides to remove the implant for any reason, the removal process is as simple as the original insertion process. The insert just slides right out, and recovery time is minimal.

Some patients initially express concern that perhaps the PermaLip lip augmentation inserts will rupture or leak, but they cannot do this. They are made from solid, but soft, flexible silicone that remains inert inside of the lips. There is no liquid component to the implants, so there is no danger of leaking.

For most of Dr. Schulman’s patients with PermaLip, however, these implants have lasted and looked great for years and years, so it’s relatively uncommon for him to have a removal request with these particular models.

Is PermaLip Lip Augmentation Better than Injected Solutions?

For years, lip augmentation by way of an injectable fat, collagen or other solution was the standard procedure for people going for the pouty, kissable look. Over the years, more sophisticated injectable solutions were developed, including hyaluronic acid. Hyaluronic acid is naturally produced by the body, so adverse allergic reactions are extremely rare.

Dr. Schulman also has excellent results using several other non-surgical lip fillers such as Restylane®, Juvederm®, Perlane®, Radiesse®, Sculptra® and Belotero®. These all produce wonderfully natural, plump, pouty puckers and are a good option for many patients on a temporary basis.
The keyword here is temporary; lip augmentation injections usually last from about six to nine months, on average. So the main issue that patients have with injected solutions is that they have to be re-injected a couple of times a year to keep the pretty pout going strong. The cost of these repetitive injections can add up over time. Painful, biannual injections and the inconvenience factor of having to schedule the procedure and recover from it regularly can be a turn off for many patients.
The PermaLip lip implant, on the other hand, is truly permanent. It stays put and continues to plump up your pucker, so you only have to pay for it one time and then proceed to enjoy life with the fuller lips you’ve always wanted without having to keep paying to have them redone periodically.

What Should I Expect from a PermaLip Implant Procedure?

If you would like to know more about PermaLip lip augmentation or any other lip enhancing procedures, please schedule an appointment to talk with Dr. Schulman personally. He will talk with you about all of the options we can provide and help you plan a procedure that will create the best look and overall outcome for you.
If you and Dr. Schulman opt for PermaLip lip augmentation, you’ll schedule another appointment for the short, outpatient procedure. Dr. Schulman will use a local anesthetic and then cut tiny slits on either side of the mouth to slide the PermaLip implant right into the correct area of the lip, or lips. You can have the bottom, top or both lips augmented in this way.

Following the lip augmentation, you will probably experience some swelling, pain and tenderness in the area, particularly over the first 24 to 48 hours. Some patients experience minor bruising as well, but this is not common. You should be able to see the final results over the course of the next few days as the swelling continues to go down. Tenderness and light sensitivity can last for about two weeks in most cases. Just be sure to follow Dr. Schulman’s recommendations for recovery for the best outcome.
If there is ever a reason you want to have these lip implants removed, the process is fairly straightforward and simple. Once again, tiny incisions will be made on either side of the mouth and Dr. Schulman will simply slide the PermaLip implant right out.

If you are curious about the results other patients are getting from PermaLip lip augmentation, we invite you to look through the lip augmentation photo gallery. You might also benefit from hearing Dr. Schulman talk about PermaLip implants on his YouTube channel. But to find out how PermaLip lip augmentation, or any of our other lip augmentation procedures could give you the lips you’ve always wanted, definitely schedule an appointment with Dr. Schulman today.

Why is Plastic Surgery Growing Among Men?

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An area of plastic surgery that continues to grow is procedures for men. While men comprise only about 10% of all plastic surgery patients, this number is increasing each year. More men are requesting both surgical and non-surgical procedures for the face and body.

Top Surgical Procedures for Men and their Statistics

According to the official procedural statistics from the American Society of Plastic Surgery and the American Aesthetic Society of Plastic Surgeons, the top 5 surgical procedures for men includes nasal surgery (rhinoplasty), eyelid surgery (blepharoplasty), male liposuction, male chest reduction (gynecomastia surgery), and hair transplantation.

Hair transplantation For Men

Among these top five surgical procedures, hair transplantation is the fastest growing, increasing about 20% from 2016. This is mostly due to a combination of increased awareness as well as improved technology. Historically, hair transplant surgery involved techniques that were very crude, and resulted in very unnatural results. Oftentimes, the transplanted hair appeared to be “doll-like” and it was very obvious that a procedure was done. This made these procedures undesirable to most men and there was a stigma attached to it. However, there has been significant improvement in the understanding of the procedure and also the technology used.

Doctors have become more knowledgeable about creating an appealing hairline. They recognize that the hairline should be softer. This means that the transplanted hairs should be arranged more “randomly” along the front hairline, in order to avoid creating a sharp “wig-like” appearance. This was often not possible in the past since the older technology only allowed for larger clumps of hairs to be transplanted. Modern technology now allows them to harvest and transplant small number of hairs, even individual hair follicles. This means that the doctor can alternate groups of one, two, or three hairs along the hairline. The result is a much more natural appearance. Additionally, the improved technology allows for a much faster (and more discrete) recovery process. Since “donor” areas can be more hidden and heal quicker.

Liposuction for Men

The second fastest growing surgical procedure is liposuction. This can also be partially attributed to improved techniques as well. The use of smaller cannulas allows for smaller scars and faster recovery. Also, the use of newer energy-based liposuction technologies can help decrease bruising and swelling and also help stimulate more skin retraction. Men have also been happy with newer “highlighting” and “etching” techniques that create the appearance of muscle definition and a more masculine physique. There has been a 7% increase in male liposuction procedures since 2016.

Non-Surgical Procedures for Men

Non-surgical procedures are also more common among men. The top five non-surgical or minimally-invasive procedures among men are Botulinum Toxin injections (Botox, Dysport, or Xeomin), laser hair removal, microdermabrasion, chemical peels, and soft tissue fillers (Restylane, Juvederm, Radiesse, and Sculptra).

Botulinum Toxin injections is the fastest growing of these top non-surgical procedures. Approximately half a million Botulinum Toxin treatments are performed each year on men. This represents a 7% increase since 2016. These are simple injections that are almost painless and require zero recovery time. They are done to reduce or eliminate lines between the eyebrows, on the forehead, and around the eyes. The results last approximately 3 to 4 months.

Why are men requesting more plastic surgery procedures?

So why are men requesting more plastic surgery procedures? As discussed earlier, the increased demand can be partially attributed to improvement in technology and techniques. Modern technologies and techniques allow for more natural results, less pain, and a faster recovery. This applies to all procedures, including those done for women. Those men who have avoided plastic surgery procedures because of fear of scarring, pain, and time off from work are now reconsidering things.

Also important is that there has been a reduced stigma surrounding male plastic surgery. 10 to 20 years ago, most people had plastic surgery done in secret. They were hesitant to let people know that they were having a procedure done. Men were even more secretive of plastic surgery procedures. More recently, everyone, including men, have become more open about what they want to have done and what they have had done. This can be credited to social media and television. Men are more open to discussing plastic surgery with others and this makes them more willing to have procedures. This is especially true when it comes to less invasive procedures like Botox, hair transplantation, and liposuction.

Increased desire among men to look better

There is also an increased desire among men to look better. Men are more concerned about their appearance. They want to look better and are no longer accepting of the old adage that men appear more distinguished as they get older. Men are more aware of personal grooming, fashion, and other things designed to look better. This trend may be fueled by millennials who grew up without the plastic surgery stigma and are now pursuing cosmetic procedures.

Society may also be putting pressure on men to look better as well. It is not uncommon for a man to have a procedure done in order to help advance personally and professionally. Some men feel that as the workforce becomes more competitive, there is a need to look better…. or younger. The influx of younger men into the workplace may put pressure on the older men to appear younger. There is also pressure within the dating world as well to look better.

As you can see, there is a variety of factors that have contributing to the increase number of men having non-surgical and surgical plastic surgery procedures. These are improved techniques and technologies, increased professional and personal pressure to look better or younger, and the reduced stigma surrounding plastic surgery in general. I have seen a growing number of men in my practice and anticipate that this trend will continue in the future. I would not be surprised if the number of men undergoing these procedures becomes 25% of the total plastic surgery procedures within the next 5 years.

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