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Neck Lift vs. Neck Liposuction

Pearlman Facelift Patient Before and AfterAs the years pass by, the neck ages along with the rest of the body; sagging skin, muscle laxity, and excess fat may lead to the so-called “turkey neck” that can be seen in older individuals. Neck lift surgery and neck liposuction are two procedures that can address common complaints associated with aging. These treatments rejuvenate the appearance in different ways.

Neck Liposuction

Liposuction is a surgical procedure that removes unwanted fat from the body. It can be performed anywhere on the body, including the neck. On the neck, excess fat can create noticeable bands and may collect beneath the chin, simulating a second or “double chin.” With neck liposuction, the excess fat is removed to improve the contour and definition of the neck. Through a few tiny incisions, a tube is inserted, and the excess fat is permanently suctioned out of the neck area to rejuvenate its appearance. Because this procedure only addresses fat, neck liposuction is for patients whose primary concern is stubborn neck fat and not tissue laxity, wrinkles, or other serious signs of aging.

Neck Lift

A neck lift is a surgical procedure that corrects tissue laxity in the neck. Like many expert plastic surgeons, Dr. Pearlman incorporates neck lift surgery with his facelift surgery techniques because the procedures are synergetic. Correcting sagging skin and muscle laxity in the lower face and neck can dramatically refresh the appearance.

The effects of aging on the neck can be corrected with one of two approaches. The first is the mini-facelift, which tightens the SMAS (underlying facial musculature) and improves the early jowls and excess skin that sag in the lower face and neck. This procedure is for younger patients who have minimal sagging and early aging indicators. The second technique is the deep plane facelift, which lifts and repositions the underlying layers of the face and neck, as well as the skin, to improve tissue laxity and the effects of aging. This procedure is for patients who have more serious signs of aging and provides natural-looking results that last longer. Both approaches involve surgical incisions, tightening the facial structures, and removing excess skin. Neck liposuction is often incorporated as well.

Your Treatment Plan

As an experienced and dual board-certified plastic surgeon, Dr. Pearlman can evaluate your needs and wishes to determine the best surgical approach for you. If you are mostly concerned about excess fat and bands along your neck, you may be able to achieve your desired results with neck liposuction. If you have a turkey neck with tissue laxity and other symptoms of aging, neck lift surgery is the recommended solution. The extent of your surgery will depend on your needs. Whichever procedure is selected for your treatment plan, it will rejuvenate your neck and help you reclaim a youthful, slender, and defined neckline.

Schedule your personal consultation with Dr. Steven J. Pearlman to learn how one of these procedures could improve the appearance of your neck. To book your appointment, please call 212-223-8300 or complete our online contact form today.

How a Well-Balanced Chin Can Enhance Facial Beauty

Dr. Pearlman Chin Implant PatientIn defining facial beauty, facial structure is just as crucial as the color of your eyes or the fullness of your lips. It can play a more prominent role than you realize. Facial features that are perfectly angled, well-defined, and equally balanced enhance facial attractiveness. If your chin is poorly defined, it may be limiting your overall facial attractiveness. Chin implants can be used to create a more elegant chin, better-defined profile, and stronger facial contours.

The Chin’s Role in Facial Beauty

A beautiful chin is well-balanced with the rest of the facial features. The chin should fit together with the nose, cheeks, forehead, and rest of the face. From the front and side view, the chin should appear neither overly prominent nor receding but be perfectly in between. A receding chin causes the lower face to look small and weak, and this affects not only your perceived beauty but also other characteristics. Historically, having a weak or receding chin has also been perceived as having a weak or unlikable personality.

The Nose and Chin

Many people who are unhappy with their noses may not realize that the nose could be accentuated by a receding chin. A sizable percentage of individuals who desire rhinoplasty could be helped by getting a chin implant as well. Placing a chin implant can restore facial balance so that the chin and nose fit together. Chin augmentation and rhinoplasty are frequently performed together to accomplish this.

Male vs. Female Chins

Male and female faces are structured in slightly different ways, and this affects our perception of their attractiveness. On a male face, a strong chin and jawline are considered desirable. The character Gaston in Disney’s “Beauty and the Beast” is a classic caricature of a man with a strong chin that others find handsome. However, the same prominent chin on a female face would be seen as overbearing and unattractive. A woman’s chin should be smaller but should not recede, as an overly small chin is also disproportionate. It should be defined and balanced in proportion to the nose.

Chin Implants

A chin implant can augment the chin to improve facial structure. There are several chin implant designs that can improve your profile and/or fill out a narrow chin. Dr. Pearlman will use various sizes and designs as well as computer imaging to select the ideal chin implant for you. To insert the implant, a tiny incision is placed under the chin, leaving a barely visible scar. The synthetic implant is then placed directly over the chin bone. Because this implant restores a natural facial balance, it is rarely detectable by your peers. Most chin implants are a permanent addition to the facial structure and will enhance your facial attractiveness for many years.

Chin augmentation with an implant can enhance facial balance and beauty. Some individuals may achieve their desired aesthetic appearance solely with a chin implant. Others may benefit from combining chin augmentation with rhinoplasty, cheek augmentation, or other procedures that enhance facial structure. To learn more about chin augmentation and other procedures that can enhance facial beauty, schedule your personal consultation with our facial plastic surgeon, Dr. Steven J. Pearlman. Call 212-223-8300 or complete our online contact form to book your appointment today.

How to Know if You’re Ready for a Facelift

Facelift Dr. Pearlman Before and After photosIf your face is showing significant signs of aging, you could benefit from facelift surgery. But are you ready to undergo this procedure? Here are some ways to know whether you’re ready to change your life with facial rejuvenation surgery.

Physical Signs That You’re Ready for a Facelift

A facelift corrects sagging tissues in the lower face and neck. If you have jowls, significant lower face wrinkles, and poor jawline definition, you could be ready for a facelift. A good test is to set your hands along the sides of your jaw and pull gently toward your ears. If the results seem desirable, you could be a good candidate for this surgery. Other physical signs that you’re ready for a facelift include sagging neck tissues and muscle banding on the neck.

In addition, you should be in good physical and mental health. A facelift is a major surgery, and if you have notable health issues, you are not ready for major surgery. Once your health is under control and your doctor has given approval, you could be ready for facelift surgery.

Emotional Signs That You’re Ready for a Facelift

You may also be ready for a facelift if you have certain emotional indicators. Candidates with noticeable signs of aging should desire a change because they are bothered by their wrinkles and sagging skin. If you look in the mirror and feel discouraged because your appearance does not reflect the youthful and confident person you feel you are, then you may be ready for a facelift. If you are ever dissatisfied that your aged appearance makes you look tired, angry, or sad when you do not feel so, it could be a good time to undergo this procedure. Most importantly, you should be self-motivated. If you are receiving outside pressure to get a facelift, it may be better to hold off until you want it for yourself. On the other hand, if you know you want the procedure, you should feel free to pursue your desires.

The Right Time for a Facelift

Timing is one of the most critical aspects of preparing for a facelift. Most facelift patients are between the ages of 40 and 60. Patients who get a facelift before age 50 may see the best results because they tend to have more youthful skin elasticity. Additionally, because the tissues of your face will be more sensitive to the sun during recovery, it may be best to get a facelift in the fall or winter. Winter is also opportune because sun exposure is more minimal and hats and scarves are more appropriate accessories. These factors will help protect your skin and reduce scarring.

Lastly, you will not be ready for a facelift until you can schedule your time and life around the recovery. Patients must be prepared to take at least 10 to 14 days off of work for their surgery and recovery. Dr. Pearlman also recommends scheduling your facelift at least two to three months or more before an important function, such as your daughter’s wedding. This surgery can change your life, so it is best to make sure that you are ready for it and that you will be able to enjoy the results.

Other factors such as finances can also determine whether you are ready for a facelift. If you feel that now may be a good time to consider this procedure, schedule your consultation with Dr. Steven J. Pearlman. Dr. Pearlman is dual board certified in facial plastic surgery and can help you determine whether you are a good facelift candidate and whether you are prepared for this surgery. To book your appointment with Dr. Pearlman, call 212-223-8300 or contact us online today.

Deviated Septum Surgery

Deviated Septum DiagramIf you regularly have trouble breathing through your nose, it could be more than allergies. You could have a deviated septum, which is the most common cause of chronic nasal obstruction. Functional nasal surgery, formally called “septoplasty,” can straighten out a deviated septum to create more open nasal airways so that you can breathe more easily.

What Is a Deviated Septum?

The nasal septum is a wall of bone and cartilage between the two sides of the nose. This piece of anatomy runs all the way from the floor of the nose to the bridge and down to the nasal tip. In a “perfect” nose, the septum is straight, but for many individuals, the septum is deviated or crooked. This deviation may be caused by an injury or may be present from birth, and many people are unaware that they have a deviated septum or what may have caused it. Many people have a mildly deviated septum and no problems with nasal breathing. However, a deviated septum can be severe enough to cause perpetual nasal blockage on one side that prevents your ability to inhale freely.   

How to Fix a Deviated Septum

A deviated septum that causes no problems may not need to be corrected, although the septum can be straightened during a routine rhinoplasty procedure. However, a deviated septum that does interfere with nasal breathing should be corrected with septoplasty. First, the condition must be diagnosed through careful examination of the inside of the nose. Once a deviated septum has been diagnosed, a surgical plan will be put into place.

Patients can undergo septoplasty on its own or with rhinoplasty. If they choose to undergo septoplasty without rhinoplasty, there will be a functional improvement but no aesthetic changes to the nose. Patients who undergo a septorhinoplasty (septoplasty with rhinoplasty) will have both functional and aesthetic improvements to the nose. Insurance companies may cover all or a portion of deviated septum surgery, but they are not likely to cover the cost of rhinoplasty.

Correction With Septoplasty Surgery

Septoplasty usually uses a closed surgical approach. The crooked cartilage of the septum and bone are moved, removed, reshaped, or scored to straighten the septum. If patients undergo a septorhinoplasty, the surgical approach may be open or closed and will include straightening the septum as well as adjusting the appearance of the nose. In this case, patients will be able to enjoy improved nasal breathing in addition to all the cosmetic benefits of rhinoplasty, such as a more refined nasal tip, a straighter bridge, reduced nasal size, correction of bumps or depressions, and other aesthetic concerns.

Even if a deviated septum has not affected nasal breathing in the past, Dr. Pearlman will always correct it for his rhinoplasty patients by also performing a septoplasty. Adjusting the nasal tissues can cause a deviated septum to become symptomatic and create a blockage, which is why the issue should be corrected once diagnosed to avoid any possibility of a new problem. Most patients who undergo septoplasty experience long-lasting improvements to their nasal breathing.

Deviated septum surgery can straighten the nasal septum to open the nasal airways and improve inhalation. If desired, the procedure can be combined with rhinoplasty for both functional and aesthetic benefits. To learn more about this procedure, request your personal consultation with Dr. Steven Pearlman. Dr. Pearlman is our advanced rhinoplasty surgeon with dual board certification in facial plastic surgery, and he would be pleased to perform your nose surgery to help you achieve your desired results. To request your appointment, call (212) 223-8300 or contact us online today.

Surgeries That Enhance Facial Structure

While some facial plastic surgeries are designed to recreate a more youthful appearance, others are designed to enhance your natural beauty. The following surgeries that enhance the structure of the face can improve your natural attractiveness. Some of these procedures may be appropriate even for young patients and can create a more aesthetically pleasing and well-defined face shape.

Why Facial Structure Matters

Before and After Chin ImplantsThe structure of the face is built around the balance of all your facial features. The angle, prominence, and proportion of each feature in relation to the others determine facial attractiveness. By enhancing a feature that is deficient in some way or by minimizing an area that is overly prominent, the overall face appears more harmonious. A face that is well-balanced is generally considered to be more attractive, youthful, and likable.


Rhinoplasty candidates may feel that their noses are the most prominent and flawed feature on their face. Whether you are unhappy with the size of your nose, the shape of its tip, bumps on your nasal bridge, the width of your nostrils, or other issues, rhinoplasty can help. Rhinoplasty improves the aesthetic appearance of the nose so that it is more balanced with the rest of the face. This allows it to blend naturally rather than stand out, thereby enhancing facial structure and overall facial attractiveness. Even younger patients who are adequately prepared can undergo teenage rhinoplasty.


Otoplasty can improve facial harmony by restructuring the ears so that they are smaller, more natural in appearance, and/or lie flatter against the head. When the ears are made to be less prominent, the remaining facial features become more of a focal point. Ear surgery may be appropriate even for children as young as 6 years old.

Lip Enhancement

Lip enhancement can improve the appearance of the lips and mouth. Using fillers, reshaping, implants, or a lip lift, a surgeon can make the lips appear more prominent, shapely, and youthful. Lip enhancement may be recommended for individuals with naturally thin or flat lips or for individuals whose lips have become thinner with age. Additionally, if the lips are naturally oversized, a lip reduction can reduce their size so that they are more proportionate to the other facial features.

Facial Implants

Facial implants can have a profound impact on the appearance of the face as a whole. Where the facial skeleton is deficient, implants can be inserted to improve definition and create better angles and contours. For example, a chin implant often improves the balance of the nose and chin and alters the look of the entire face. Cheek implants, sub-malar implants, or jaw angle implants can augment these features to enhance facial structure. Since the facial bones change shape with age, facial implants can also restore more youthful facial contours.

When choosing your facial rejuvenation or enhancement treatments, consider whether you would like to enhance your facial structure by undergoing one or more of these procedures. Dr. Pearlman is a distinguished facial, plastic, and reconstructive surgeon and can advise you regarding which procedures will help you achieve your aesthetic ideals. To request your personal consultation with Dr. Pearlman, please contact us online or call (212) 223-8300 today.

Should a Teenager Get a Nose Job?

Teenagers experience significant social pressure from their peers. Everything from their tastes to their appearance can be called into question, and all of this can play a major role in their self-confidence, their self-esteem, and how they respond to social influences. For teenagers who desire surgical correction and are emotionally ready, rhinoplasty can improve the appearance and proportional balance of the nose to help them develop healthy self-confidence at this sensitive time in life.

When Is Teenage Rhinoplasty Appropriate?

Teenage rhinoplasty can be appropriate for teens whose noses are a source of embarrassment or teasing. Having a nose that is large, misshapen, crooked, drooping, wide, asymmetrical, or otherwise unattractive in appearance can lead to emotional distress or even severe anxiety during adolescence. However, rhinoplasty is not for everyone. Teenage rhinoplasty is only appropriate for teens who are emotionally mature and who have been able to carefully consider their motivations as well as the consequences and potential risks of undergoing this procedure.

When Is My Teen Ready for Rhinoplasty?

Teenagers may be ready for rhinoplasty if they are mature enough to make the decision for themselves. While parents may wish to save their children from emotional scarring, they should not pressure their teens into undergoing plastic surgery. They should counsel with their children, but the decision must ultimately be personal. Additionally, girls should be at least 15 and boys should be at least 16 to ensure that the nose and facial features have finished growing. If he or she does not have reasonable motivation, emotional maturity, or the necessary physical growth, your teen should wait for now and consider rhinoplasty in the future.

How Will Rhinoplasty Affect My Teen?

The initial recovery period after rhinoplasty can significantly affect your teen. Nose surgery requires a 10 to 14-day healing period, which may require some absence from school. Teenage rhinoplasty patients also have to avoid physical education classes and sports for two full months. It may be wise to consider waiting until summer break to schedule your teenager’s rhinoplasty procedure so that he or she has adequate time to heal.

In terms of results, rhinoplasty can improve both the form and function of the nose. For teens with impaired nasal breathing, rhinoplasty can incorporate septoplasty techniques to help your teen breathe more easily and comfortably. From an aesthetic perspective, rhinoplasty can greatly improve the appearance of the nose while maintaining a youthful and proportionate facial balance. Nonetheless, it won’t suddenly and dramatically change everything. Rhinoplasty can’t make a teen more popular or guarantee getting a boyfriend or girlfriend. However, teenage rhinoplasty can help teens by enhancing their natural beauty and fostering confidence as well as a healthy self-image and self-esteem. For many teens who choose rhinoplasty, these benefits can help improve their quality of life for years into the future.

Dr. Steven Pearlman is a dual board-certified plastic surgeon with extensive experience in teenage rhinoplasty and other facial procedures. Dr. Pearlman can counsel with you and help you and your teen decide whether to undergo teenage rhinoplasty. Request your personal consultation by calling (212) 223-8300 or by filling out our online contact form today.

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