Uncategorized Archives - Weinstein Plastic Surgery Center

Archive for September, 2020

Do I need a breast augmentation or lift?

There are many reasons why women may be unhappy with their breasts, which is why breast enhancement surgery is the most popular cosmetic surgery procedure. Pregnancy, weight loss, aging, hormones and development can affect the size and shape of the breasts. During your consultation with Dr. Weinstein, you will discuss your options for breast enhancement, which include breast augmentation, breast lift or both. Read on to learn more about the differences between the two surgical procedures.

Breast augmentation

More than 300,000 people in the United States undergo breast augmentation each year. This popular surgery addresses the size and shape of the breasts. There are a variety of reasons why women want to have this surgery done. Women who have experienced pregnancy or weight fluctuations may notice loss volume. Some women have abnormally small or underdeveloped breasts, while others have elongated breasts or breasts that are different sizes. Some women seek this surgery after having previous breast surgery.

During your initial consultation, Dr. Weinstein will go over the different surgical techniques best suited for you based on your breast anatomy and concerns. This includes the placement of the incision and implant type, size and shape. While saline implants are an option, most patients opt for silicone implants as the silicone gel feels most like natural breast tissue. The newest option is gummy bear implants, which are silicone gel implants with higher viscosity.

Breast lift

While breast augmentation addresses the size and shape of the breasts, a breast lift will reshape and raise sagging breasts. Also known as mastopexy, a breast lift consists of removing excess skin and tightening breast tissue to create a more youthful contour. Often, women choose to have a breast lift with breast augmentation to increase the breasts’ size and firmness and correct any imbalance in shape.

During your initial consultation, Dr. Weinstein will discuss the various incision patterns and techniques and make recommendations for you based on your age, skin elasticity, size and shape of your breasts and whether implants will be involved.

If you’re interested in changing the size and shape of your breasts or reshape and raise sagging breasts, call our office today at (908) 879-2222 to schedule a breast enhancement consultation with Dr. Weinstein.

What causes carpal tunnel syndrome?

If you’ve noticed tingling, numbness or dull ache in your fingers or weakness in your hand and you’ve started dropping things, you may be experiencing what’s known as carpal tunnel syndrome. You will want to see your doctor early, before it begins to interfere with regular activities or before the condition progresses and you have permanent nerve and muscle damage. Here we’re sharing the signs and symptoms and what you need to know about carpal tunnel syndrome.

What is carpal tunnel syndrome?

The carpal tunnel is a narrow passageway surrounded by bones and ligaments that are on the palm side of your hand. Carpal tunnel syndrome is caused by pressure on the median nerve, which provides sensation to the palm side of your hand, except the little finger. Patients report feeling numbness, tingling and weakness in the affected hand and arm.

What are the symptoms?

Symptoms start gradually, but you’ll first notice the tingling and numbness in your fingers and hand, usually the thumb and index. Some describe the sensation as “pins and needles feeling” or an electric shock that may travel from your wrist up to your arm. You may also experience weakness in your hand and find yourself dropping objects because of it. The thumb’s pinching muscles are controlled by the median nerve, and when there’s pressure on that nerve, the muscle loses control.

What causes it?

Often there is no single cause of carpal tunnel syndrome. Any or all of the following may be a contributing factor: wrist fracture; swelling and inflammation caused by rheumatoid arthritis or another bone or joint disease; hormonal or metabolic changes such as pregnancy or menopause; and frequent, repetitive movements such as typing or grasping movements such as with certain physical activities.

Treatment for carpal tunnel syndrome can relieve the symptoms and restore wrist and hand function. If you are experiencing the symptoms of this syndrome and are interested in learning your treatment options, contact our office today at (908) 879-2222 to schedule a consultation with Dr. Weinstein.

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.

How a Thigh Lift Can Help You Add a Little Spring to Your Step This Spring

Thigh Lift

Losing a lot of weight is a victory within itself. However, even though having a slimmer body can be life changing, it can leave you with excess stubborn fat and a lot of loose skin in the process. So, what can you do to get rid of both of these concerns? A thigh lift.

What’s a Thigh Lift?

Here at Dr. Larry Weinstein’s office, we offer patients a variety of different surgical procedures including a thigh lift. During a thigh lift, Dr. Weinstein, will make an incision on your inner thigh next to your groin so that the incisions can be concealed later on. Once the incisions have been made, he will then use a liposuction technique to remove excess fat from the upper thighs and then begin removing excess skin and tightening it. After each step is complete, he will then stitch you up and get you back on the road towards recovery.

Why a Thigh Lift?

It can be really hard to have a lot of excess skin after weight loss because it prevent you from showing off your full results. After all of the dieting and exercise that you put yourself through, not being able to get into a swimsuit or shorts without feeling self-conscious about your excess skin is enough to make you want to hit your head against the wall. With a thigh lift, Dr. Weinstein can save you all of that frustration and help you feel more confident in your skin (literally).

What Are Results Like?

The number one thing that you will be happy with after getting a thigh lift are the results. After the swelling has died down, you will notice that you have less fat around your thighs and you won’t have the loose excess skin that you did before.

Schedule your consultation today and contact our Chester office today and call 908-879-2222

How to Get Rid of Your Carpal Tunnel Syndrome

Facial Fillers Chester NJHaving numbness, tingling, or achiness in your fingers, hands, and wrists is the last thing that anybody wants. If you spend your days typing or working with your hands and have experienced these symptoms, you may have a condition called carpal tunnel syndrome. But what is carpal tunnel syndrome and how can it be treated? Let’s take a closer look.

What Is Carpal Tunnel?

The carpal tunnel is a passageway through your wrist that carries tendons and nerves. When pressure builds up on the nerve in the carpal tunnel it can cause carpal tunnel syndrome that results in aching, numbness, tingling, and even impaired hand function. If you have recently been diagnosed with carpal tunnel syndrome or if you experience any of these symptoms on a regular basis, then you may not know where to start as far as treatment goes. Depending on the severity of your condition, you may be able to use a simple splint but if your condition is severe, then Dr. Weinstein may recommend surgery.

Splint

Doing everyday tasks like picking something up or using your phone can oftentimes exacerbate your symptoms and make them work. When you isolate your wrist and hand with a splint, you may be able to alleviate some of the symptoms that you are experiencing; just make sure that it’s the right fit for your hand because if it’s too tight or too loose, it may cause worse symptoms.

Physical Therapy

If you type a lot for a living or work with your hands, then you know just how sore they can get after a long day of work. Sometimes, physical therapy is recommended to help stretch your hands and loosen your nerve to alleviate pressure. During physical therapy, your hand therapist will work with you on hand strengthening and stretching exercises that you can continue to do at home.

Surgery

The last thing anyone with carpal tunnel wants to have to do is undergo hand surgery, but sometimes it’s necessary. During surgery, Dr. Weinstein will cut the tissue that placing pressure on your nerve to help relieve pressure. Surgical results vary from patient to patient and depend on how severe your carpal tunnel was and how long that you had it for.

The best way for you and your doctor to determine what treatment option is going to give you the best results is by scheduling an appointment with us at our Chester office at 908-879-2222.

Are there age restrictions on Botox?

Botox is without a doubt the most popular thing in the plastic surgery field. Males and females, old and young, all flock to Larry Weinstein’s office to get Botox to help fill in wrinkles that once used to be non-existent. And although Botox is popular among all different age groups, it has many people asking “Are there any age restrictions on Botox?”

Why do people want Botox at a young age?

BotoxThere is a consensus among many young patients who receive Botox injections that getting Botox at a young age will help them to prevent against getting wrinkles later on in life. And if there is any sort of preventative measure that’s worth taking, it’s worth the try.

What does research say?

Collectively, research points to one thing: Botox hasn’t been around long enough for us to determine whether or not there are benefits to getting Botox at a young age or if it’s more beneficial to wait until you’re older. However, many people believe that because there aren’t any sort of adverse side effects or problems with getting Botox at a young age, that there really isn’t any harm in doing so. That being said, it really is up to you and Dr. Weinstein to sit down and discuss the best method to use going forward.

Is it dangerous?

Getting Botox in your early to late twenties is not dangerous— as long as it is administered by a professional in the right doses. If you are under the age of 18, you will have to have a parents consent and will need to have a consultation with Dr. Larry Weinstein to determine whether or not he feels that you are a suitable candidate to get Botox at such a young age. It should be noted, however, as indicated above, because Botox hasn’t been on the market for very long, there isn’t any strong evidence that points to the fact that Botox is a preventative treatment.

As you can see, there are no real age restrictions on getting Botox. If you or a loved one is interested in getting Botox or if you would like to learn more, set up a consultation with Dr. Larry Weinstein today!

 

The Truth About Scar Revision

Scars are naturally formed by the body as its response to damaged tissue. Although the wounds have already healed, people seem more concerned about the scars they have left behind. At last, patients with significant scars in their bodies already have a way on how to get rid of them. Scar revision is a cosmetic procedure that helps improve the appearance of your scar.

Although many patients have gotten significant results from a scar revision treatment, some of them still have different misconceptions regarding the procedure. Knowing what seems to be just myths can lead a person to either expect much or less from the treatment, which is why it is better to get the facts straight.

Myth: Scar revision is a quick surgery. 

Depending on the condition and situation of the individual, a scar revision usually takes about one to five hours of treatment. During the procedure, the patient can either be under local anesthesia or general anesthesia. It is best to discuss your preference with your surgeon beforehand.

Myth: Scar revision can get rid of the scar completely. 

A scar revision is called a “revision” for a reason. This is because there is actually no guarantee that your scar can be completely removed. Usually, the treatment can make your scars less raised and give you a more even skin tone especially in the surrounding skin of the scar. The success of the procedure will also greatly depend on scar size, skin type or color, location of the scar, age of the patient, and the body’s ability to heal.

Myth: Scar revision comes with very minimal risks. 

Like any other surgery, scar revision can pose possible risks, especially when the procedure is done by a doctor who is not qualified or lacks experience. Such risks include infection, bleeding, anesthesia reactions, skin discoloration, bruising, swelling, and numbness around the treated area.

Make sure that you get treated by reliable surgeons only. For more information on scar revision, call us today at 908-879-2222 to request an appointment with Dr. Weinstein. You can also fill out this online contact form to schedule your initial evaluation with Dr. Weinstein.

 

2013 Plastic Surgery Stats

Our 2013 Annual Statistics were released over the wires this morning at 9:00 AM Eastern. Our numbers this year have both good news for plastic surgeons and several news angles that should resonate with the media. Among them are:

  • There was a 6.5% increase in the total number of surgical procedures performed last year as compared to 2012. Almost 2 million procedures were performed among the core group last year
  • Americans spent $12 billion on cosmetic procedures for the first time since 2008 when the recession hit

Of that total, more than 7 billion was spent on surgical procedures and more than 5 billion was spent on nonsurgical procedures

  • Lipo was the number one procedure, increasing 16% over 2012. This is in spite of the burgeoning growth of technologies such as CoolSculpting
  • As previously stated, Buttock augmentation has increased 58% over last year and Labiaplasty increased 44% over last year
  • Injectables are way up this year:
    • Botulinum toxin, (Botox, Dysport and Xeomin): 3,381,476 in 2013 – up from 2,915,865 in 2012 – a 16% increase
    • Hyaluronic acid: 1,738,999 for 2013 – up from 1,318,197 in 2012 – a 32% increase
  • Aesthetic plastic surgery for men is being de-stigmatized
    • Liposuction is up for men by 24% since last year alone
    • Injectables for men are up 16%
    • Men broke the million mark for number of procedures performed first time since 2007

5 Rhinoplasty Myths Debunked!

Nose reconstruction surgeries, also known as rhinoplasty, is continuously becoming one of the most popular cosmetic procedures. In 2011, the American Society of Aesthetic Plastic Surgery revealed that there were about 120,000 patients seeking nose reshaping surgeries alone. Nose Surgery Surgeon Dr. Larry Weinstein offers his surgical expertise to men and women wanting to aesthetically enhance their appearance through a New Jersey rhinoplasty procedure.

Despite its popularity, there are several myths associated with nose surgeries. The truth behind them are revealed one by one below.

1. Rhinoplasty could be performed by anyone who calls himself a surgeon.
This is actually true. Anyone who is licensed to perform surgeries can do a rhinoplasty. However, keep in mind that surgeons have their own fields of expertise. A nose reconstruction surgery is an intricate procedure which involves complicated passageways housing bones, cartilages and other nasal structures. Why not specifically seek the services of a rhinoplasty specialist instead?

2. Any nose surgery is relatively painful.
This is actually false. There is actually no pain involved in rhinoplasty due to use of anesthesia. Dr. Weinstein will perform nasal surgeries either through general or local anesthesia, depending on the extent and requirements of your specific condition. General anesthesia will keep you completely asleep while local anesthesia will specifically numb the operated area. Swelling and bruising may be observed for the first 2 weeks, reaching their peak for the first 2 to 3 days following surgery.

3. Rhinoplasty is only for women.
Although women takes about 91 percent of the cosmetic surgeries performed in 2011, it is interesting to note that rhinoplasty ranks second amongst the top 5 surgeries performed in men on the same year. Male patients often seek rhinoplasty to narrow wider noses, remove bumps or create a more symmetrical shape.

4. Almost anyone will be able to figure out if I have nose surgery.
On a whole, your family and other close friends who are already familiar with your looks may notice the difference. However, most people will not be able to figure out that you had just a nose job.

5. A nose job will make me look stiff and expressionless.
This is not true. Your facial muscles will not be affected nor touched during rhinoplasty thus you are expected to frown, smile or display other facial expression without any problems at all.

For more information pertaining to rhinoplasty, contact Dr. Weinstein today!

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