Archive for November, 2019

5 Things You May Not Know about Breast Reduction Surgery

Large breasts can be a big problem for many women, impacting health and self-image. Breast reduction is a procedure growing in popularity, helping women feel more confident and comfortable by reducing significant volume and weight in the breast area. Breast reduction can impact your life in several positive ways. Here are a few things you may not know about this life-changing procedure:

1. It has one of the highest satisfaction rates.

Disproportionately large breasts (macromastia) can cause chronic back, shoulder and neck pain, contribute to poor posture and get in the way of an active lifestyle. Bra straps dig into shoulders and leave indentations. Breast reduction patients are some of the happiest and most satisfied patients because they feel so much more comfortable and functional. Many patients go on to do well in exercise programs because they feel so much better with that weight and volume removed.

2. Surgery can be performed in several ways.

A breast reduction procedure can either be performed in a hospital with an overnight stay or as an outpatient procedure in an ambulatory setting. The best procedure option for you will depend on your medical history, thorough exam and desired outcome.

3. You’ll want to avoid strenuous activity for about a month or longer.

The surgery only takes a few hours, but you’ll want to take at least a week off from work after surgery to recover. Some may need more time than that based on their situation. You’ll also have follow-up appointments with your surgeon to remove stitches and bandages.

4. You get a breast lift at the same time.

During a breast reduction, your surgeon will remove excess tissue and skin and move the nipples up in a position to give them a lift, so naturally, you get a breast lift at the same time.

5. Insurance may cover your surgery.

If you’re having physical problems like back and neck pain, some insurance companies will cover part or all of the cost of surgery. You will need to work with your surgeon’s office to gather and send all the information necessary to your insurance company for approval, which could take a month.

To learn more about breast reduction and Dr. Weinstein’s techniques for a near pain-free recovery, call (908) 879-2222 for a consultation.

Posted in Breast Reduction on November 30th, 2019

Enhanced Facelift Rhytidectomy with SMAS

Larry Weinstein, MD FACS, Chief Plastic Surgery, Chester Surgery Center, USA
Abstract

A retrospective review of 218 patients had rhytidectomy with SMAS . Average age 55 over 18 years range of 43 to 83. From 1992 to 2004 average age was 49, In 2017, average age 62. 60 % of patients are done under local with conscious sedation, 40 % under general anesthesia. Patients take Valium 10mg, Emend a long acting antinausea medication and an antibiotic orally with a sip of water 1 hour prior to procedure. 0.5% lidocaine with epi injected to incision lines and fatty areas. 10 minutes elapses while a TCA peel, filler and/or Botox are administered. Skin painted betadine, the hair and ears are soaked with Betadine. Hair is slicked back with Bacitracin ointment . The angle of the head rest is raised to an acute angle to flex the neck as much as possible. Orbicularis oris muscle fascia is grasped with a forceps and a 3-0 ethibond is placed as a suspension suture to the anterior SMAS. Platysma muscle is suspended to the mastoid fascia with a 3-0 Ethibond suture. A 2-0 PDO Quill is placed over the 3-0 Ethibonds and SMAS to bury the Ethibond suture. Any irregularities are trimmed . 3-0 Monocryl subcuticular. Bacitracin is applied to the wounds, gauze and Kerlex Barton’s dressing. Results: There was no postoperative nausea or vomiting. Tylenol postoperatively PRN. Patients had Tylenol PM at night and 5mg Valium for anxiety or tightness. Two small hematomas evacuated with a syringe during a postoperative visit. A seroma over the parotid gland required syringe aspirations till resolved. 3 pixie ears were noted with long term follow up. All patients with conscious sedation reported an excellent operative experience on a post-procedure questionnaire. Conclusion: Emend may help prevent postoperative nausea and vomiting. The 2-0 PDO quill may help SMAS elevation and prevent exposure of permanent Ethibond suture. Elevating the head rest can help elevate the SMAS and skin under no tension intraoperatively .

Biography

LARRY P. WEINSTEIN, M.D., FACS Diplomat American Board Plastic Surgery , Fellow American College Surgeons , SUNY(Brooklyn) Plastic Surgery Clinical Instructor. Attending Plastic Surgeon Morristown Medical Center. Third Prize 1988, Plastic Surgery Educational Foundation Scholarship Contest September 1989, ACS/Volunteer Leadership Award, March 1993, Award Northwest NJ Regional Woman’s Center Centenary College. Alfred Cohen Research Award BVAMC,. In May 2005, American Chinese Medical Association NJ “Plastic Surgery & Facial Rejuvenation”, The ASERF In Chul Song Award-Philanthropic Efforts and Humanitarian, 2012, Madison HS wall of Distinction NYC City Council Citation April 27, 2014, MtFJC Honoree March 10, Plastic Surgery missions India 25 times since 1993.

Posted in Uncategorized on November 21st, 2019

Give Yourself the Gift of a Mommy Makeover This Holiday Season

You will put a lot of time and effort into finding the perfect gifts for family and friends this year, so why not treat yourself to something special? Consider a consultation with Dr. Weinstein to discuss a Mommy Makeover so you can start off the New Year with a new you.

Pregnancy and childbirth can do a number on a woman’s body, leaving you with loose skin, stretch marks, sagging breasts, damaged abdominal muscles and more. Many women exhaust their diet and exercise efforts but can’t get their pre-pregnancy body back. That’s when a Mommy Makeover can help you get your pre-baby body back.

In addition to women who have lost as much pregnancy weight as they could on their own, candidates for surgery include women who are done with childbearing and breastfeeding, and have waited at least six months after giving birth to her last child before considering surgery. You will need to be in good health as multiple procedures will be involved. It’s also good to have a positive outlook and realistic expectations going into this life-changing surgery.

While customized to your needs, this all-in-one surgery usually combines a tummy tuck, liposuction, breast lift, breast augmentation or breast reduction to achieve the desired look. You can even add facial rejuvenation procedures such as a neck lift or jowl lift or eyelid surgery to achieve an even more youthful appearance.

Your comprehensive consultation with Dr. Weinstein will help you determine your best options, understand the risks involved and help you set up expectations for what you’d like to achieve. The length of procedures varies depending on your needs – usually ranging from two to six hours. And, depending on how extensive your makeover is, you may need more than one session. Recovery and healing can take several weeks or months depending on what procedures were performed, so it’s important to follow your surgical team’s instructions and keep all post-op appointments.

Helping moms restore their bodies for more than two decades, Dr. Weinstein is committed to helping you achieve your post-pregnancy body goals. Contact our office today at (908) 879-2222 to schedule a Mommy Makeover consultation with Dr. Weinstein.

Posted in Mommy Makeover on November 15th, 2019

Give Yourself the Gift of a Mommy Makeover This Holiday Season

It may take years for the effects of aging and sun damage to show on your skin, but with new technology in laser skin resurfacing, you can remove years of damage quickly with minimal downtime.

The first hybrid fractional laser, the Halo laser delivers both ablative and non-ablative wavelengths of laser energy to the skin. What this means is that while one laser targets the skin’s outer layer, called the epidermis, the second laser creates factional channels into the skin’s second layer, called the dermis. Combined, this helps remove sun damage you can see and the damage you can’t.

Here are some fast facts about Halo laser skin resurfacing:

1. Halo treats several skin conditions, including sun damage, wrinkles and fine lines, skin resurfacing, enlarged pores, acne scars, pigmented lesions and actinic keratoses.
2. Halo can treat all skin types and not just on the face. It’s used to treat the skin on the neck, cheek, arms, hands and legs.
3. It’s more comfortable than traditional, non-hybrid fractional resurfacing, and won’t leave your skin damaged and red as it combines non-ablative energy and mildly ablative energy.
4. The procedure is not painful. Some patients describe it as a slight prickling sensation. Topical anesthetic combines with Halo’s cooling technology to keep you comfortable during the procedure. After treatment, your skin continues to feel warm for up to 30 minutes and maybe longer with deeper treatment.
5. It is fast healing as only a topical anesthetic is applied to your skin, and you can be back to wearing makeup in 24 hours.
6. There is very little downtime, and you should be able to return to work within a few days.
7. You’ll see results in just two to five days after treatment, and in only 1-2 treatments, unlike older technology that required several treatments for similar results. And treatments can be more or less aggressive depending on your timeframe and number of sessions you want.
8. Results are permanent and will last as long as you protect your skin from further UV damage.

To learn more about laser skin resurfacing and other ways to restore a youthful, healthy glow, schedule a consultation with Dr. Wiener by calling (773) 763-3990.

Posted in Mommy Makeover on November 15th, 2019

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