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

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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.

Conclusion
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

Facelift in New York: turns a Ma’am back into a Miss

I recently performed a facelift on a very popular and stunning 50-something lady. I have known her for years and have been treating her with Botox and Fillers for cheek definition; Wow cheeksTM. These treatments didn’t really help her jowls that much. Along with many wonderful features, she always had a beautiful jawline but over the past few years even that was starting to droop.
A few weeks after her facelift, she came in glowing. She was in a store and a young male clerk referred to her as “miss.” She said she hasn’t been called “miss” for years and was really getting tired of getting called “ma’am.” The next visit she was glowing again: on the way to her visit she was visibly “checked out” by a group of 20-something young men. These were both feelings and situations that she was certainly used to in her 20’s, 30’s and even into her 40’s. Now as a 50 year young lady, that star is back.

Botox and Fillers Doctor Self Treatment

Physician Heal (or treat) Thyself

70% of physicians who offer Botox in their practices actually get treated with Botox and half have actually injected themselves! I designed and conducted a survey along with my co-authors on physicians in core specialties regarding Botox and Facial Filler treatments. This survey was published last week in the Archives of Facial Plastic Surgery. Over 6500 doctors from the four specialties were polled including: Facial Plastic Surgery, Plastic Surgery, Dermatologic Surgery and Oculoplastic Surgery (these are considered to be the core specialties for facial fillers and neurotoxins by the Physicians Coalition for Injectable Safety, http://www.injectablesafety.org).

These astounding statistics speak for themselves. Doctors trust Botox and fillers so much that not only do a majority who offer them in their practices get them, but half of these physicians actually inject themselves. Nothing speaks louder when it comes to trust than findings like this. I am often asked if I would have such – and –such a treatment done on myself or a family member, well here it is.

The third part of this study looked at who else doctors trust to inject them. Two thirds preferred a physician colleague, 27% a Physician’s Assistant, Registered Nurse or Nurse Practitioner. Additionally, two percent of those surveyed allowed non-medially credentialed individuals to inject them. Why? I have no idea but this is not condoned by any of the above groups. So, if you are wondering about the safety of Botox or Facial Fillers, consider what doctors actually do. Steven J. Pearlman, MD, FACS.

Skin care, Botox, Facial Plastic Surgery in New York

Whats your New Years’ Resolution? Love Your Face

It’s the New Year and we are all filled with resolutions about how we will eat better, drink more fluids, exercise and take better care of our bodies. Unfortunately, even if that takes place, nothing will firm up your face or prevent the effects of gravity. Of course using sunblock daily, eating well and avoiding smoking will help but nothing can reverse facial aging. As I tell my patients, gravity sucks.

The face ages in 5 ways, we each go through it. Treatment choices depend on your priorities, tolerance and financial means.                           

Facial Aging Treatment
  • Skin changes: red and brown spots, wrinkles
  • Lasers, peels, skin care
  • Loss of volume
  • Fillers
  • Dynamic lines
  • Relax muscles: Botox, Dysport
  • Loss of Elasticity
  • Surgery
  • Gravity
  • Surgery

You can start small with good home skin care and light office peels. My patients love the myBody myPROBIOTIC PEELTM peel that our office nurse Christine Ross does.

If you “Like” my page on Facebook you may qualify to win a complementary peel. http://www.facebook.com/PearlmanAestheticSurgery

Other minimally invasive treatments that can be done right in the office chair are fillers and Botox or Dysport. In 20 minutes you can knock off three of the 5 causes of aging. There is really no such thing as a “non-surgical” facelift but many patients can look great with peels Botox and fillers.

Surgery is the next step and can be read about on my website. 

Tip of the week: Exercise, hydration and good nutrition can make your body look younger but doesn’t help your face.

Facial Plastic Surgery and Fillers in New York

Celebrities and Photoshop, is this the norm for magazines?

I am often asked by patients about celebrities and two extremes of results. First, why do they look so good? The second question is why do they look so bad? Don’t they have good plastic surgeons in Hollywood? These questions and comments are a result of the many celebrity focused magazines and TV shows.

From NY Times article

Last week I was sent supposed “before and after” photos of a third-tier celebrity to comment on what she had done; facial plastic surgery or other minimally invasive procedure such as Botox and/or Fillers. The problem was that the “after” photo was so photoshopped that it was a joke. I declined to comment replying to the inquiry, that with the amount of “work” that was done to the photo it could easily be Zsa Zsa Gabor at her current age instead of the forty-something reality TV star.

 The N Y Times had an article on that very same topic this week. One former talent agent along with a Dartmouth University computer science forensics expert discussed Photoshop changes on celebrity magazine photos. In a scholarly paper for the prestigious Proceedings of the National Academy of Science, Prof. Farid suggested a software tool for measuring how much a beauty photo has been altered. With this new tool and more “truth in advertising” the consumer would better be able to see what models and celebrities really look like. This could also reduce the often extremely high expectations of individuals seeking cosmetic surgery.

 The AMA actually has a policy on truth in advertising. Cosmetic surgeons are supposed to identify when a website or an advertisement has a model and not a real patient of theirs. Of course, before and after photos should always be un-retouched. Lastly, plastic surgeons should identify if the photos on their websites are actually theirs or generic. All before and after photos on my website are actual patients that have given us written consent for use of their photos.

 As for the “bad” side of celebrity cosmetic surgery; this is a topic for another blog. I have addressed fillers in past blogs. For some reason, if 1 cc of filler is good for a lay person’s lips or cheeks, for some reason in Hollywood they think 3+ syringes is better.

Celebrities often look better in magazines as a result of Photoshop. Plastic Surgeons cannot do this, so why can the media? Steven J. Pearlman, MD, FACS

Botox, Juvederm, Restylane and Laser Hair Removal in New York

“At What Price Beauty” Check out Today’s Deals

This is the title of an article from the New York Times on April 14, 2011 in which I was quoted. I guess that shows how far behind I am in my blogging. Anyway, the article interviews a number of high end providers such as Oscar Blandi Salon and Jennifer Jablow, DDS, a highly respected dentist. I was asked about placing an offer in Gilt City for discounts on Botox, facial fillers (Juvederm and Restylane) and laser hair removal. I chose Gilt City since I am a regular consumer and I see that they represent quality manufacturers and businesses. My promotion ran in December so people can get a quick fix to look younger for the holidays.

I found the vast majority of patients to be really nice people and high end consumers who were looking to try Botox or fillers for the first time, people looking for a new doctor to perform these treatments on them, and a few just looking for a bargain.

The next question was, would I do this again? I don’t want to repeat this offer for a long time since I don’t want to undercut my loyal patients who have been coming to me for years and paying higher prices and “cheapen my brand.” This sentiment was echoed by a patient on who I had performed surgery last year who owns a boutique public relations firm. She said she was impressed that I was forward thinking in running the offer on Gilt City but that I should “never do that again.”

Steven J. Pearlman, MD, FACS

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