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

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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.

Getting a Facelift? What You Should Know

Facelifts, or rhytidectomies, are popular cosmetic procedures that remove wrinkles, sagging and a general tired look from the face. Performed by a skillful cosmetic surgeon, While a facelift won’t make you look like your own daughter, if performed by a skilled surgeon, you’ll look years younger.

Steps to Getting a Perfect Facelift

Consult local cosmetic surgeons who have performed numerous facelift procedures. Make sure your surgeon speicalizes in cosmetic surgery for the face. A good plastic surgeon will explain the procedure, preparation, recovery, and potential complications. He will also discuss payment options with you and determine if you’re a good candidate for surgery. If you are, he’ll take your photograph and schedule surgery.

There’s some preparation on your part that you will need to make to have the best facelift experience.

Do you smoke? Time to quit. If you take blood thinning medications or supplements that could interfere with the healing process, you will need to stop taking them, but only under your doctor’s supervision. Discuss all medications and supplements with you plastic surgeon and family doctor before going in for any surgical procedure.

During surgery, your surgeon will comb back your hair and hold it back with a rubber band. Depending on what you and your plastic surgeon decide, you will go under a sedative and local anesthesia (applied to the areas where the incisions will be made) or under general anesthesia (most plastic surgeons prefer this method).

Your surgeons will make small incisions around your temples, ears and lower part of your scalp in an irregular fashion to reduce scarring. He will then create a skin flap and remove or move around fat and tissue under the skin. Your facial muscles will be raised and the skin will be fitted over your newly sculpted face. He will then remove the excess skin and close the incisions using glue or sutures.

Performed by a skilled surgeon, scarring will be minimal and well hidden; they may even appear to be natural lines around the face.

After your facelift procedure, your surgeon will remind you of how to perform self-care during recovery, including pain management, caring for surgical incisions, and when you can return to your normal routine. You will also schedule follow-up appointments to check on progress, manage any post-surgical complications that may arise, and take more photographs for comparison.

Though it might be a while before you see the amazing results of your facelift, like the great majority of patients, you will enjoy your more youthful face and smile when people assume you’re your daughter’s older sister.


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

Teaching Facial Plastic Surgery

Dr. Pearlman, course director for the AAFPRS

Two weeks ago was the 46th Annual Fall Meeting of the American Academy of Facial Plastic and Reconstructive Surgery. As co-director with Dr. Rick Davis from Miami, Florida, we spent countless hours over the past year working hard to make this meeting a success. From the feedback we received, it certainly was. There were approximately 85 hour-long courses, 9 invited lectures, 10 panels, 7 half day workshops, over 100 vendors, plus a number of special luncheon sessions. By meeting time, all of the hard work was done. We spent most of the meeting just making sure things ran smoothly and that all speakers and panels stayed on time and on topic. 

The most outstanding part was the speakers that we invited. We kicked off with Dr. Timothy Marten from San Francisco, an excellent lecturer on facelift surgery. Dr. Val Lambros presented his unique ideas on facial aging, based on years of studying individuals and how they age and comparing generations within the same family. Prof. Wolfgang Gubish from Stuttgart, Germany, a prolific rhinoplasty surgeon, gave a few outstanding lectures on treating very crooked and devastated noses; a topic on which he is world renown. Dr. Raj Kanodia lectured on his personal technique of subtle rhinoplasty and minimally invasive facial rejuvenation. Dr. Fred Menick demonstrated why he is one of the recognized experts in nasal reconstruction following cancer removal. Dr. Jeffrey Spiegel gave us new insights into beauty with a lecture on facial gender transformation surgery. Three endowed lectures were also given. Dr. Fred Stucker spoke on over four decades of performing rhinoplasty. Dr. Mohit Bhandari discussed the ever growing field of Evidence-Based Medicine. Dr. Richard Linnehan gave an inspiring presentation having flown four Space Shuttle missions. 

Overall, running this meeting was a busy but very rewarding experience. Having been involved in academic medicine for 24 years, I am able to fulfill one of the original definitions of doctor: to teach others.

Steven J. Pearlman, M.D., F.A.C.S.

Facelift in New York; getting even

Don’t get mad.. get even!

Revenge Surgery 

What’s better than getting even when it’s time to move on with your life? In an April article i the NY Post, a number of women were interviewed who were

NY Post, for full text please click on link in the blog

going through life changes. Included in this article is Sue, a patient of mine who, at the time, was scheduled for a face/neck lift. Sue is now over a month post op and feeling great.

Sue is a wonderful lady with the most amazing and sensitive disposition, but her marriage of 12 years was coming to an end. She was also transitioning in another big life change: a new career as a schoolteacher. Like so many young minded women, her face didn’t match her young body and mind. A facelift is just what she needed for an, excuse the pun, “pick me up.”

I expect to be posting her before and afters in a few months when all healing is over, but already she is thrilled and has been told by many friends that she looks like her old self, not someone pulled or “done.”

If you feel like you look dated, you might do with a little tweak or two to get a fresh outlook on life. Revenge is sweet, especially when you look younger than your old spouse!

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

Facelift or Facial Fillers in NYC

To lift or fill the face?

I recently saw a patient who came in because I did a facelift on one of her childhood friends and she liked what she saw: a more youthful look without looking “pulled.” She had a facelift about 7 years ago and feels that it helped a little but the skin of her lower face is “wrinkley” with some excess skin under the neck and cheek folds. She sought out a few opinions of other doctors and the suggestions ranged from fillers to implants to a revision facelift. My first inclination was to suggest another facelift. This would help the jowls and extra skin under her neck. What concerned me is that when listening to this lady, she was more distressed about the way the skin hung around her mouth and narrowing of her cheeks. As a surgeon, facelifts are more interesting and fun for me to perform, plus this patient was basically asking if a revision facelift would be the best solution without specifically stating it. However, I felt that a facelift wouldn’t be the best initial solution for her concerns. I suggested that we first try Sculptra to restore volume to her face and fill out the deflated cheeks and areas around her mouth. A facelift can be performed later to lift the drooping facial skin and muscles.

This is really about deciding priorities. I categorize facial aging into 5 categories: skin changes, dynamic muscle action, loss of volume, gravity and loss of elasticity. Everyone experiences all 5 as they age. It’s more a matter of what should be addressed and in what order. For this patient, I feel it is volume first (high volume fillers with longevity – Sculptra) then combat gravity and loss of elasticity next (facelift). 

 The face ages in 5 ways: skin, muscle action, volume loss, gravity and loss of elasticity. When the question is to fill or lift the face, both the doctor and patient need to determine the best treatment plan per the patients priorities. Steven J. Pearlman, MD, FACS

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