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

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Giving You That Wow Factor.

ultherapy1 I’ve stated this before but I’ll do it again, our face can tell people a lot about you. How you’ve lived your life and how it has how it has affected you. And as we grow older the signs of our age begin to show more and more.One of these signs is the loss of facial volume as you grow old you’ll begin to notice that your cheeks aren’t as full or round as they use to be. Your skin will also show more signs of sun damage which brings with it wrinkles. 

But there are ways of being able to reverse the effects of aging with a very simple 10 minute procedure which is performed in-office. Normally patients and surgeons address the nasolabial folds which run from the corner of the nose down to the mouth. When filling these folds patients would normally state that they looked better but there was no enthusiasm and I myself was not satisfied with the results. 

However I see more incredible results by putting more filler into cheeks and only a little into the folds. The response I get is from patients who see themselves in the mirror after this quick procedure is “wow”.  Which gave us no other choice than to call it   “Wow Cheeks™“. Depending on the patients preference I use Juvéderm ,Sculptra, or Radiesse. 

For more information on Wow Cheeks™ and to schedule a consultation, visit our website  

Teaching Facial Plastic Surgery

Teaching Facial Plastic Surgery in Las Vegas

I just returned from Las Vegas where I was lecturing at the 7th annual Multispeciality Foundation course on Facial Plastic Surgery. The first reaction from friends is, “oh, Vegas must have been a lot of partying and fun.” This course is so comprehensive that I didn’t want to miss anything, so I was inside the lecture halls from 7 AM until after 6 PM every day for 4 days straight. At night were dinner demonstrations and meetings with the various laser, filler (Juvederm, Restylane, Radiesse, Sculptra, Belotero) and neurotoxin (Botox, Dysport) vendors to see what’s the latest and greatest.

I gave four talks at this meeting. Three were on rhinoplasty:

  1. spreader grafts for primary and revision rhinoplasty
  2. What causes nasal obstruction other than a deviated septum
  3. Treatment of the complications of rhinoplasty
  4. Wow cheeksTM How to make nasolabial folds look better than just treating the lines. 

I also moderated a half day session on eyelid rejuvenation, including lectures on blepharoplasty, browlifts, Botox and fillers for the eye area.

This meeting has an amazing cadre of lecturers, equal numbers from each of the “core” disciplines of cosmetic surgery: Plastic Surgery, Facial Plastic Surgery, Oculoplastic Surgery and Dermatologic Surgery. Attendees can really see how different specialists approach facial aging and the varying ways that internationally recognized experts from each discipline treat facial aging.

This meeting was a true testament to the organizing committee and founder Dr. Randy Waldman; a long time friend and facial plastic surgeon (in that order of importance) from Lexington, KY. He ran a similar but smaller meeting in Newport Beach, CA for 17 years before this and is a true meeting genius.

Steven J. Pearlman, MD, FACS

Botox, Facial Peels, Facial Fillers and Shoeshines in NYC

Simple Pick-me-ups

This morning as I was sitting getting a shoeshine I thought about simple things that make us happy. I was introduced to shoeshines by my fellowship mentor, Dr. William Friedman. He taught me more than surgery and how to treat patients, he also taught style. Out of the blue when he wanted to take a short walk and get a quick “boost,” he would say “let’s go get a shine.” This actually works! So I continued the same tradition with my former junior partner (when I was with a big group), Dr. Eric Cohen. He still talks about it. 

Since my move to Park Avenue over 10 years ago, I now go to Jim’s on east 59th St. They have 6 chairs and yet always manage to have a short line. 

I figure this is akin to my wife going out to get a mani-pedi, a facial or a new outfit. Amazing what a little thing can do for your spirits. I find that my patients feel the same way after getting a refreshing Probiotic Peel, a little Botox or fillers (Juvederm and Restylane). The peel is performed by Christine Ross, our extraordinary cosmetic surgery nurse; a new peel that doesn’t actually peel but leaves your skin glowing.

 A number of patients come in with friends and some mother-daughter teams for quick Botox, maybe some Juvederm or Restylane for the cheeks or lips and then off to lunch in the city. Steven Pearlman, MD, FACS

So, for a quick pick-me-up try a Probiotic facial peel, Botox or even a shoeshine.

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.

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

Frequent Filler Miles, Juvederm and Botox in NYC

First it was frequent flier miles, then hotel chains. We even get to use almost any airline with Amex rewards. I drew the line there. It seems everywhere you turn you can get frequent user points: Starbucks, the local car wash, even nail salons. I choose not to save these cards. But now it’s right here in my office. Brilliant Distinctions is for patients who get repeat treatments with Botox and/or Juvederm. You can accumulate points on their website so that rewards can be accumulated towards money off (from Allergan) on Botox, Juvederm or even donate your points to charity.

To me, this is a no-brainer. As we know, Botox lasts an average of 3 to 4 months and Juvederm from 6 months to a year. To maintain the same level of rejuvenation you then need to return a few times a year to stay looking fresh and young. So, why not sign up?

A few years ago my Botox rep suggested that we have patients come in automatically at around 3 ½ to 4 months as their Botox is wearing off for repeat treatments. At first I thought it was a ploy to sell more Botox. However, by keeping muscles at rest and not allowing them to fully recover they undergo atrophy. That means the facial muscles get thinner from disuse.  This will enhance the smoothing action and after a few years may reduce Botox requirement for steady patients. So, when my receptionist offers to schedule your next Botox appointment right after you just had one, it’s to help maintain your wrinkle-less face.

In summary, Botox and fillers help rejuvenate your face. Timely visits will maintain a youthful look and now can even be redeemed for discounts on future treatment.

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