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Steven J. Pearlman, MD, FACS Dual Board Certified in Facial Plastic Surgery

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Cooking Your Way To Gorgeous

coverCooking Your Way To Gorgeous is an exciting new book by celebrity esthetician and nutraceutical expert Scott-Vincent Borba written by Ali Morra-Pearlman; Dr. Pearlman’s wife. Who knew that turning heads could be as simple as turning on your oven, blender or stovetop? When you feed your skin what is needs, while still eating the foods you love, you banish problem areas from the inside out. Learn about the most powerful anti-aging foods that are sitting on your pantry shelf right now! For glowing skin and a wealth of skin-friendly recipes plus DIY home facials, scrubs and hair packs, this innovative book is a beauty bible. Not only will you be cooking up gorgeousness, you’ll learn how to use some of the very same ingredients topically to regenerate healthier, younger-looking skin.




Cooking Your Way To Gorgeous is available at Pearlman Aesthetic Surgery and

Do I need fillers, facelift or facial implants?

04Have you ever wished you could enhance certain parts of your face without surgery?

The good news is that you have multiple options.  If you are not quite ready for a facelift or facial implants; a less invasive procedure might be a good start.

Facial Fillers
Fullness in the cheeks is a highly desired feature for women of all ages.  Through our body’s natural aging process, we lose volume from our upper cheeks. Injectable fillers such as Juvederm, Restylane, Perlane, Belotero, Radiesse, and Sculptra are effective in immediately restoring that volume, and are becoming increasingly popular due to their minimal downtime, and immediate results.  These procedures are performed as outpatient procedures, right here in our office, to fill out any area of the face that needs a little lift, or plumping up.

Not to be confused with facial fillers; Botox,  Dysport, and Xeomin are different types of FDA-approved botulinum toxins which are used to relax the muscles responsible for ‘active’ wrinkles.  An example of a common ‘active’ wrinkle is what is known as the ’11’ between your eyebrows.  We call this an ‘active’ line because it is caused by over-activity of the underlying muscles that you use to frown.  In contrast, facial fillers are effective in treating ‘static’ lines which are not due to activity of underlying musculature.  An example of ‘static’ lines are the naso-labial folds, which run from the outsides of your nostrils, to the corners of your mouth.

When you visit our office we can show you examples of amazing results of restoring youthfulness without the need for a facelift or implants.  The combination of toxins and fillers can shave years off of your appearance both quickly, and inexpensively.

The effects of facial fillers varies by the type of filler used.  Some have a duration of just a few months, while other ‘long lasting’ fillers may last up to two years.  Some of these fillers have even been reported to stimulate new collagen growth; such as Radiesse and Sculptra.  This stimulation of collagen rebuilds the face’s natural support structure, and creates longer lasting effects. The wonderful thing about these products that carry what we call a ‘bio-stimulatory effect’ is that they recruit the help of your body’s own natural materials to rejuvenate your face.

Facial fillers are not meant to correct sagging skin along the neck, brow or jaw line. These cosmetic issues may require surgical procedures (although only a visit to see us can help you be sure).

Facial Implants
If you are seeking a more long lasting solution to your facial features, facial implants are a popular option.  In contrast to the injectables that we discussed earlier, which plump up the soft tissues of the face; facial implants go right to the source and give support to what you already have. Facial Plastic Surgeons insert these facial implants at the bone level to enhance your natural bone tissue, supporting the soft tissue above. Because of this, the results of facial implants are much more predictable.

One common method for inserting these implants used by Facial Plastic Surgeons is to make small incisions in discreet areas of the mouth, so the implants can slide into place. Although the procedure is long lasting, it is reversible if results are not optimal for you.

When you make the decision between injectable facial fillers and facial implants, it is important to consider the long-term effects of your choice. If you want a long lasting change, facial implants are probably your best choice. However, you may just want a temporary, or more subtle fix.  In this case, the use of facial fillers; with or without botilunum toxins, can produce amazing results.

If you’re considering a cheek or other facial enhancement, please take a look at our WOW Cheeks procedure in this video and call us for a consultation: (212) 380-1541

Plastic surgery – reconstructs your self-esteem, too.

ultherapy1A rhinoplasty can do more than rebuild your nose – it can build confidence, too.

Looking good is something that everyone wants and there is nothing wrong with that. If a little bit of plastic surgery is going to give you the confidence that you need to take that extra leap, either professionally or socially, then cosmetic plastic surgery is something you shouldn’t feel ashamed to consider.

This is especially true if there is something about your appearance that makes you want to hide or keeps you from exploring new opportunities due to fear and anxiety.

This isn’t only for cosmetic procedures like nosejobs, accident victims also fall into this category and tend to be great candidates for reconstructive  facial plastic surgery.  This may affect your social life, love life, or even your willingness to take professional risks like public speaking or leadership positions.  While your surgeon will recommend that you receive mental health care to deal with any emotional or psychological trauma you suffered during your accident, he will be able to assist you with the physical trauma and scars to help you along as well.

It’s important to note that facial plastic surgery is a major operation, so choose your surgeon wisely.   An unskilled doctor could, instead of raising your self esteem, botch a procedure and leave you worse off than when you started. In fact, many skilled plastic surgeons who are very talented in body plastic surgery procedures do not achieve the same results a facial plastic surgeon can for facial cosmetic surgery procedures as they do not specialize. Also, make sure you ask you friends and family for references and then do a check with the national medical association on your doctor. Ask your doctor to see before and after pictures of other patients they have worked on. This will give you the courage to go ahead with your plastic surgery.

Plastic surgery can take years off of your face & neck. Live like a celebrity, and treat yourself to a more attractive you.

Call for a consultation today: (212) 380-1541

Three Oils That Will Make You Feel Better

Teenagers have been told for decades that avoiding greasy, fried foods will keep acne at bay. The line of reasoning always was that ingesting oil would cause the skin to secrete oil causing pimples. The truth is the skin has its own oil glands which work overtime during the teen years. Not only is eating healthy oils not bad for the skin, it is also a great way to keep the skin youthful and clear. These three oils in particular are great to add to one’s skin care routine:

1. Olive Oil
The most commonly known oil for health is olive oil, particularly the extra virgin variety. It does not have to be limited to internal use, however. This antioxidant-rich oil heals and restores skin and even blocks ultraviolet rays from the sun.

2. Grape Seed Oil
Although not as well-known as other oils, grape seed oil has great anti-aging properties. The oil is extracted from grape seeds usually discarded during the production of wine. It is a great moisturizer and even helps to fade wrinkles. Grape seed oil can be applied to minor skin rashes as well.

3. Coconut Oil
The healthy fats found in this tropical fruit abound with nutrition for the body including the skin. Coconut oil is used most often in skin care for moisturizing. It is excellent for chronic skin conditions, like eczema, since it creates a protective barrier without the dangers of petroleum based products or the greasiness associated with them.

While it might be wise to skip on the French fries and fried chicken, no one needs to worry about these oils damaging skin. What is healthy for the inside of the body usually shows up as an added benefit to the largest organ, the skin.

Copyright 2012. As licensed to Pearlman Aesthetic Surgery. All rights reserved

Anti-Aging Skin Care… for Mature Skin

Clear, vibrant skin is a sign of optimum health and vitality. As skin matures, it tends to lose that youthful elasticity and suppleness, needing much more care and diligence to stave off the signs of aging, including wrinkles and fine lines. A balanced regiment of cleansing, exfoliating and moisturizing, in addition to periodical visits to a dermatologist, will aid with anti-aging for older skin.

The first step in anti-aging care is proper cleansing. Dirt, dust and everyday makeup wear can clogs pores and wreak havoc on aging skin if not effectively cleansed. Consult your dermatologist to find a cleanser that is made expressly for your skin type. A creamy cleanser generally works for dry skin and a clear cleanser for oily skin. It is essential to wash skin in water that is of moderate temperature due to the fact that extremely hot or cold water can cause broken capillaries, which exasperates the signs of aging.

A good moisturizer should be a top priority in an anti-aging skin care routine. Aging skin needs assistance in generating collagen in the skin. Products that contain alpha hydroxy acids and retinoids help to reduce wrinkles, fine lines and give skin a more youthful, resplendent appearance. The most essential requirement for all anti-aging skin care is to be consistent and stay committed to a routine.

Older skin should be exfoliated on a regular basis. Most individuals find that their skin looks more youthful and smoother after exfoliation. This can be done at home with a simple scrub or during a visit to the dermatologist. The board-certified dermatologists at our practice incorporate chemical peels, microdermabrasions and laser treatments as part of a patient’s skin care regimen.

Copyright 2012 Total Social Solutions. All rights reserved.

Skin Care NYC

Topical vitamins, health and anti-aging for skin care and facial aging

New York, NY – If you told me as recently as 2 months ago that I would be blogging based on a question from my Facebook Fan page, I would have thought both you and I were crazy. Well, here it is; I had an inquiry from Pauline, a lovely lady from Charlottesville, VA about vitamins and skin tightening. This came as a response to an article in Natural Health Magazine February 2010, where I was quoted on the benefits of topical vitamins for skin rejuvenation.

We have long known about the beneficial effects of various vitamins on anti-aging. The most well documented is Retin-A, a vitamin A derivative. Technically, Retin-A is only FDA approved for the treatment for acne. However, people have been using this for decades for more youthful appearing skin and it is probably the single best anti-aging topical treatment you can use at home for facial aging. Retin-A has been demonstrated to reverse the signs of aging right down to the cellular level. There are potential side effects though; dryness, redness and sun sensitivity. So, use it at night and use daily sunscreen (as everyone should do so already). Other Vitamin A preparations are also available that have moisturizers or modified retinoids that may be less irritating and better tolerated by your skin.

Vitamin C is an antioxidant that is effective in fighting aging skin. Anti-oxidants combat the formation of free radicals. What does all that mean? Ultraviolet (UV) radiation from the sun penetrates the skin and causes the formation of free radicals. Free radicals damage the skin cell membranes, enzymes, surrounding fluid and proteins making the skin age prematurely. Vitamin C neutralizes some of this damage. It is also a necessary building block for a number of the enzymes that make collagen for our skin. UV exposure also depletes the skin of Vitamin C making it less available for the skin cells. Oral vitamin C is good for overall health, but little gets to the skin so topical is helpful as well. Unfortunately, you can’t chop up vitamins and smear them on your skin. The vitamin C molecules need to be of a specific size and associated with certain carriers that enhance skin penetration and absorption. This varies from product to product.

Pauline also asked about Vitamin D. Vitamin D has been a hot topic lately, as it was even featured in the New York Times Science Section last week. Vitamin D is made in the body from sunlight and also found in fish and fortified milk. There are well documented health advantages from Vitamin D for many disease processes as well as overall health. What is not known is if we really need to take supplements other than what we get naturally from food and sunlight. Active healthy patients have higher Vitamin D levels. But is this from outside sources or do healthier people produce more Vitamin D themselves?

When it comes to vitamins taken orally, nothing beats a balanced diet and good hydration for healthy skin. The #1 thing I recommend for overall health is adding Omega 3 fatty acids. These are the highest in fish but can be obtained from a number of other sources such as flaxseed oil or even oral supplements.

Here’s to a healthier you. Steven J. Pearlman, MD, FACS

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