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Deep Plane Facelift New York City

Why you should consider a Deep Plane Facelift?

Facelift surgery is still the gold standard for rejuvenation of the aging face.  There are a few different techniques used for Deep plane facelift before and afterfacelifts ranging from mini-lifts to the deep plane facelift  A mini-lift raises the skin for a short distance and suspends the deeper muscle called the SMAS.  This procedure is good for younger patients who do not need a lit of lift.  Unfortunately, the results have also been shown not to last as long as a deep plan facelift.

As we age we also lose facial volume, especially in the cheeks.  To replenish the cheeks a lot of surgeons will perform simultaneous fat transfer with facelift surgery.  However, a deep plane facelift will re-suspend sagging cheeks along with the jowls and excess neck skin.  Patients will actually have fuller, more youthful cheeks after a deep plane facelift even without fat injections.  The deep plane facelift is also thought of as a more aggressive surgery than a simple skin or SMAS lift.  Yet, patients look more natural since the SMAS muscle is lifted and fixed in place securely.  The skin can then be gently sewn down without tension; thus avoiding the “swept” or “wind-tunnel” look.  The procedure may take longer but the results are superior and longer lasting.

facelift model

The Manhattan Mouth Maven

Heather Rypien, Certified Nurse Injector

Contributed by
Heather Rypien

Luscious lips are popping up everywhere. Or, perhaps you may not have noticed; and this I promise, is a good thing! The best “work” is work you cannot detect. As a nurse injector living in the south, I had experience with lip plumping but never did I think I would become what I have secretly dubbed myself….The Manhattan Mouth Maven. For real….it has become my reality. On an average day I may have the privilege of plumping 6-10 pouty puckers.

So how did this madness come about? Well…… it all started a few months ago with a beautiful young patient with naturally beautiful lips that just was looking for a little perk. I remember how sweet and how excited she was. I had a great canvas to work with and this was a fairly easy task. We laughed, I injected, she was thrilled, and before I knew it……YELP. NO, I did not “Yelp” I was Yelped….. You know that crazy social media tool that will make you or break you? Yes… that’s the one. Well, let’s just say it was the beginning of a game changer for me and my career, here in NYC and at Pearlman Aesthetic Surgery.

That social media post with her Before-and-After pictures generated such a buzz, lip seekers started to fill her private message option on her yelp page, true story. Before I knew it, the face of our Park Avenue office lobby began to change as well. Our once primarily “upper crust” more mature clientele, evolved into younger, colorful (in every sense of the word) patients seeking not only luscious lips, but the secret to the fountain of youth.


I have had many patients comment that, until meeting me, were inclined to believe that the reviews had to be made up or solicited. My response is the secret to my success–

  1. Less is more. ALWAYS. Period. Drop the mic.
  2. We can add product if necessary or desired, but let’s not have to take out.
  3. Good work should go unnoticed ALWAYS- just because you think it looks great doesn’t mean the vast majority will….just sayin’
  4. Kylie Jenner’s lips work for her but it’s important to remember that for every girl that aspires to achieve this look, there are probably 5 that are trying to avoid it.
  5. I welcome a picture of “dream lips,” it gives me a good idea on the look we are going for and which product to use but remember…….we are looking to enhance, not rebuild.
  6. Listen to your gut!!! The procedure-room chair is not the place to make a decision. If you are not fully committed when you sit in that chair, sit at the bench and play later. It’s your face, the only one you have- be smart and be excited.
  7. We are a team, but I’m not afraid to say no; it’s my reputation and people trust me. It is my job to be a provider not a salesperson.
  8. Just because you can does not mean you should……
  9. I’m from the south no matter what, you will get a hug and your ”heart blessed” by me.
  10. At the end of all this…….IF and ONLY IF you are completely happy- the best compliment you can give is a good review. After all, this is how my new friends find me.

Long lasting Lip Enhancement

Facial injectables are a popular tool used for lip enhancement. However, their results are only temporary. Lip augmentation via lip implants, lip reduction surgery, and/or lip lift surgery are all surgical procedures that can long lastingly enhance the lips. Long lasting lip enhancement with one of these procedures can produce the best long-term results to long lastingly enhance your overall appearance.

Lip Augmentation With Lip Implants

Lip implants can create full, shapely lips for patients whose lips are naturally thin or have become thinner over time. A small incision is made at the corner of the inside of the lips, after which a soft silicone implant is long lastingly inserted into the lips. This option is best for patients who want to augment their lips but do not want to have to undergo regular treatments with facial injectables.

Lip Lift Surgery

lip lift can lift and reshape the upper lip for patients whose upper lip is thin or flat. Lip lift surgery can often produce better results than injectable fillers. Because a lip lift is surgery and requires cutting and subsequent incisions, it is not a quickie filler procedure. Lip lift surgery is for the patient whose anatomical lip structure will not improve significantly enough from filler treatment. For lip lift surgery, an incision is made in a natural crease below the nose to surgically shorten the skin above the upper lip. This procedure creates less space between the base of the nose and the Cupid’s bow at the center of the upper lip. It can also restore a Cupid’s bow and will turn the upper lip outward to create the appearance of a fuller upper lip.

Lip Reduction Surgery

Lip reduction surgery can create smaller lips for patients whose lips are overly large. As fillers can only be used to augment the lips, this is the appropriate procedure for patients who wish to minimize their lips. For the procedure, an incision is made inside the mouth to remove some lip tissue and skin. A lip reduction can also be performed to remove loose silicone or long lasting fillers. Lip reduction surgery can create more sensuous, natural-looking lips that are well balanced with the rest of your facial features.

Long lasting lip enhancement can significantly enhance the appearance of your lips and face. Whether you need a lip augmentation, a lip reduction, or a lip lift, Dr. Pearlman can help you achieve your cosmetic goals with long lasting lip enhancement. Dr. Pearlman also offers lip reshaping and lip augmentation with facial injectables for patients who may prefer it. To schedule your personal consultation with Dr. Pearlman, please call 212-223-8300 or complete our online contact form today.

Nose Surgery for Men

Nearly 31,000 men underwent nose surgery in the U.S. in 2015, according to the American Society for Aesthetic Plastic Surgery. This popular facial procedure is one of the top five plastic surgeries for men. Men who undergo rhinoplasty can attain masculine noses that look natural and attractive.

Motivation for Surgery

Most men who want to undergo rhinoplasty are hoping to create a stronger, more masculine-looking nose. Masculine features tend to be prominent and sharply defined yet well-balanced. Some common complaints men have about their noses are that they are bulbous, flat, off-center, or overly large. Additionally, some men’s noses are disproportionate with their chins, and this creates a weak profile. Rhinoplasty can reshape the male nose to create a more well-defined profile and more attractive face. The results of a well-done rhinoplasty will look natural and may even give men an edge in their professional and social endeavors.

Male Rhinoplasty

before-and-after-rhinoplastyFemale noses are usually less prominent and have a narrower, more defined, and more delicate structure, whereas male noses are usually larger, more prominent, and have thicker skin. Due to these differences, rhinoplasty techniques have to be adjusted to meet the patient’s genetic needs, aesthetic desires, and anatomy. Some men are concerned that rhinoplasty will leave them with an overly done, feminine-looking nose. However, a skilled surgeon can expertly perform both male and female rhinoplasty. Modern techniques can rotate the nasal tip, straighten the nose, and correct sports-related injuries so that the nose looks balanced, natural, and masculine. Dr. Pearlman can improve the structure, aesthetic form, and function of your nose with nose surgery and bring out the best in your facial features. After your procedure, your nose will no longer grab attention but will appear balanced, attractive, and natural so that other features (such as your eyes and smile) can stand out. The results of rhinoplasty frequently lead to improved self-confidence that carries over into other aspects of life.

Board-certified plastic surgeon Dr. Pearlman frequently performs male rhinoplasty at his office in New York City. During your consultation, Dr. Pearlman will use computer imaging to show what can be accomplished with rhinoplasty so that you can visualize your results before your surgery. To schedule your personal consultation with Dr. Pearlman, call 212-223-8300 or fill out our online contact form today.

My Facelift Journey

Contributed by Heather Rypien.

The decision to undergo a surgical procedure, let alone a facelift was one I did not take lightly. My entire life I have struggled with a double chin which consistently was up and down with fluctuating weight loss, genetically, the cards were stacked against me as a saggy lower face is a family trait.

Little bit of background? I am a 45-year-old woman who has worked in the field of aesthetics for over 10 years. I am a Certified Aesthetic Nurse Specialist, basically, a master injector who has not only had the pleasure of injecting many hundreds of patients, but have had the opportunity to inject every FDA approved dermal filler on the market. I have actively pursued every educational opportunity to remain on the cutting edge of advanced injection techniques. I guess where I’m going with this…. I’ve tried it all! So I knew that to achieve my desired result, a surgical intervention was my only option.

Discussing cosmetic surgical procedures is not always an easy conversation. First off, wonky “botched outcomes” sit at the forefront of the minds of many: despite the fact that they are exceptions to the rule. It’s rare that the mags feature “a good facelift” because the reality is, no one can detect a good facelift! Secondly, some just do not ethically or morally believe in altering the face! Despite what others may think, what matter is what YOU think, so, please let me impress upon you this: the absolute most important thing you can do is research and educate yourself to ensure you choose an expert provider.

Although North Carolina is my home and I have established a successful practice there, I decided a year ago to Join Dr. Steven Pearlman and The Pearlman Aesthetic surgery team.It was important to me to work with the best and I found it at my new work home in NYC. Dr Pearlman sets the bar for every one on his team to the highest standard. He is a phenomenal surgeon and a kind, compassionate, honest, and ethical man. Always the patient advocate, Dr. P will never make a decision based on anything other than what is best for the patient. He is quick to give you everything he has while being the first to say no if an expectation is unrealistic or has potential to yield an unnatural result.

Obviously Dr Pearlman was the only choice for me moving forward with the procedure. At first, Dr. P was not on board, he patiently sat with me and explained that I could wait a few years, not that I remotely thought I had a chance at changing his mind IF he felt I would not benefit. I expressed what was bothering me. I had recently lost over 30 pounds; I was not a candidate for Kylbella because my problem was skin laxity. I had been successful in the past with dermal fillers and Sculptra but the loose skin sag could only be ameliorated with surgery. After a thorough consult and discussion, which covered all my questions, concerns and what I expressed was my desired outcome, Dr. P agreed and we booked the surgery.Before and after weight loss

My Facelift experience was phenomenal! I remember looking in the mirror for the first time shocked I did not have a single bruise! I was in my NYC apartment the second day virtually pain free. I had my stitches taken out 6 days later and still think this minimal pain was the worst of the whole procedure! Even though it’s not recommended, I felt comfortable going back to work after just one week! Seven small days of downtime for a huge, beautiful, confidence-boosting life change!  A small amount of time, to be sure! My patients at P.A.S. were amazed–everyone thought I had a new haircut and got some sleep. The remainder of the stiches came out on day 8. I was able to fly home the following weekend and even attend a conference in Chicago that same weekend. My friends who work for some of the top facial surgeons in the country were in awe over my result and sang praises of Dr. Pearlman’s work.beforeafter-facelift

Today is day 16 post surgery. I am still a bit swollen but feel amazing. My face looks better each day and I am excited to see the subtle changes over the next few weeks. Hands down, best decision I have ever made.


What life is like after a facelift – A Surgical Journal- Week 1

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