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521 Park Avenue, New York, NY 10065
Tel 212-223-8300
Steven J. Pearlman, MD, FACS Dual Board Certified in Facial Plastic Surgery

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Facial Plastic Surgery, best patient care in NYC

Reflections from a facebook post

I recently posted new photos of my office staff to my Facebook Fan page, Dr. Pearlman. Yes, I have a Facebook fan page to update friends and interested parties on the latest and greatest in facial rejuvenation. Back to the photos, one “friend” who happens to live in the building where my office is asked “who is the person in the hat.” He well knows it’s the Doorman, Chester Adamik.  Chester is the first and last individual patients see when they come and go from 521 Park Avenue. Doormen in a landmark Park Avenue building need to be diplomats and ambassadors, yet support both the physicians and tenants alike.

I posted the staff photo to demonstrate the extraordinary individuals who go into making the patient experience the most comfortable and pleasant possible. It was at a staff meeting that Chester first came up. We were discussing the process for patient consultations: a patient arrives at the office and is greeted by Salma (Reception manager or as a friend refers to this individual, patient experience coordinator.) Kim is also often at the front desk (patient coordinator.) Forms are then filled out, or turned in since they are now available on our website. They are then escorted to my office to discuss why they are here, with a wait that rarely exceeds 10 minutes.

We discuss patients’ goals and desires as well as reviewing their medical history. We then go to the exam room where I examine each individual and we plan their treatment, surgical and non-surgical. For rhinoplasty and revision rhinoplasty, I really like computer imaging as an excellent discussion tool and establish mutual goals for the surgery. 

Following my examination and any treatments, patients then meet with Kim in the consult room for scheduling and other business matters. To discuss ins and outs of having surgery, Christine (Plastic Surgery RN) is always available. They then finish with Salma. BUT, on the way out, there is always Chester, the last person they see here, who helps them exit with a smile. He is always extra kind, sensitive and helpful with patients who are bandaged from recent surgery.

We do our best to make every patient’s experience the most favorable possible, from the time they enter the building until they exit, refreshed and more beautiful.  Steven J. Pearlman, MD, FACS

Pucker up with the new “CUPID’S BOW LIP” treatment

Instead of aiming arrows, I try to hit the love mark with cosmetic injectables.

Gravity eventually takes a toll on every part of the body, even the lips. As we get older, the upper lip loses its firmness and definition. As a result, the Cupid’s bow, a sign of youth and beauty, is lost leaving an undefined, flat line in its place.

Thinning of the lips becomes evident from generation to generation. I did a comparison of 4 generations of lips right in my own family; from my baby girl to my wife to her mother and my wife’s grandmother. What I can see is the loss of shape firmness (the medical term is turgor) as well as volume of the upper lip. By the eldest generation the upper lip becomes flat with vertical lines.

CUPID’S BOW LIP is performed by using a half cc, or touchup size of Restylane or a half a syringe of Juvederm. The filler is used to create new shape to the lips. To the contrary, to create larger lips, I use a full syringe or 1cc of filler. However if overdone, as is seen way too often, patients can look puffy and get an awful “trout pout.” Additionally, I use a tiny amount of Botox to smooth the vertical lines above the lip as well as relax the muscle in this area.

I am looking to re-introduce the power of glamour. Celebrities have long been the inspiration for what patients look for. However, the latest trends have been to make lips too large. They look great on Angelina Jolie, but how many other celebs have lips that are way too big, plus upper lips that are twice the size of their lower lips? For truely aesthetic lips, the lower lip should be at least 1 1/2 times the size of the upper lip.

So who do I look to emulate? I create more coy, flirtatious lips. This more refined and natural look references the Holywood glamour of yesteryear when starlets like Gloria Swanson, Carole Lombard and Greta Garbo were the defining power of beauty.




Below are a few examples of lips that I have created using this technique, after photos are on the bottom.


a VERY happy patient

a VERY happy patient

Both upper and lower lips
Both upper and lower lips


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