Plastic Surgery Blog New Jersey - Dr. Larry Weinstein

New Jersey Plastic Surgery Blog

7 things you need to know about buttock and outer-thigh lifts

Aging, significant weight loss, and even genetics can cause the buttocks and thighs to sag. Often a healthy diet and exercise program can’t tighten, firm and contour this area as well as lift procedures. Here are seven things you should know about buttock and outer-thigh lifts.

Ideal candidates are in good health. You should also avoid smoking and have realistic expectations about outcomes from the procedure.

A buttock lift and outer-thigh lift are often performed together. Although the procedures can be done separately, patients often find the buttocks and thighs have the same issues.

The incisions are made in places that scars can be easily hidden. The buttock lift incision is made across the top of the buttocks from one hip bone to the other, low enough to be concealed by underwear or a bikini. For the outer-thigh lift, the incision is made in the groin area. Though they will be visible, the scars will fade over time.

Liposuction may be performed. During the procedures, excess skin and fat are removed. Support sutures are placed deep within the underlying tissue, while skin is then redraped around the new contours. Incisions are closed with sutures. Patients are usually required to wear compression garments to reduce swelling and speed up the healing process.

The lift procedures are typically performed on an outpatient basis. The lift is done under general anesthesia. Most patients can leave after the effects of the anesthesia have worn off, while some patients may have to stay overnight.

Swelling, soreness and bruising can last for up to a month. This is typical for recovery, but pain can be controlled with medication. Most people can return to work and regular, non-strenuous activities after about two weeks, but must avoid strenuous activities for four weeks or longer.

They are not weight-loss procedures. This is performed only on those who are not significantly overweight. After the procedures, the buttocks and outer thighs have trimmer contours, and the skin is tighter and smoother. Surgical results are long-lasting.

If you want to learn more about buttock and outer-thigh lifts to improve the contour of your lower body and give it a more youthful appearance, call our office at (908) 879-2222 to schedule a consultation with Dr. Weinstein.


5 common reasons women get breast augmentation

Larry Weinstein MD FACSEveryone who has ever considered breast augmentation has her own deeply personal reasons for doing so. Research shows that women often experience a huge boost in confidence following the life-changing procedure. With more than 300,000 surgeries performed in the United States each year, breast augmentation surgery continues to be the top cosmetic procedure.

Here are some common reasons why women go under the knife for larger, fuller breasts:

  1. You’ve lost a lot of weight or just finished nursing. Breasts often droop or get smaller after pregnancy and nursing or after you’ve lost significant weight not related to childbirth. Breast augmentation with or without lift would be ideal to boost shape and volume and help you achieve the look you desire.
  2. Your breasts aren’t the same size. So many things can affect breast symmetry. Trauma, puberty and hormonal changes can affect the size or volume of a woman’s breasts, causing one to be larger than the other.
  3. You believe your breasts are too small. Macromastia describes the post-pubertal underdevelopment of a woman’s breast tissue. There’s no true definition of this medical condition as the definition of “small” varies with each person. Breast implants can help improve confidence and self-image for women who perceive their breasts to be too small.
  4. You’ve had mastectomy surgery. As part of their cancer treatment, many women opt for breast reconstruction surgery following a mastectomy or double mastectomy. This is typically a two-stage surgery. During the first procedure, the surgeon places a tissue expander under the skin and slowly fills it with saline over time to help ready the chest tissue for the implant several months after the mastectomy, which is the second stage of reconstruction surgery.
  5. You want to look younger. With age often comes sagging, and breasts appear smaller. Breast augmentation with a lift can help give you a more youthful look.

Breast augmentation surgery can help you gain more confidence and boost self-esteem. But it’s important to do your research and decide to do this surgery for you – no one else. If you’re ready to discuss getting larger, fuller breasts in the New Year, call (908) 879-2222 for a comprehensive consultation.


4 things to know before getting a tummy tuck

Larry Weinstein MD FACSYou exercise. You eat right. But even that strict diet can’t help with loose, sagging skin around the abdomen. If you’ve been wanting a flat and toned abdomen, consider starting the New Year with a new you by consulting with Dr. Weinstein about a tummy tuck. Here are a few things you should know before getting this popular cosmetic surgery:

A tummy tuck can boost body image

Also known as abdominoplasty, a tummy tuck is the best way to remove excess skin from the abdomen area after weight loss or pregnancy. The surgeon also tightens the fascia surrounding the muscles along the abdominal wall during this time.

A tummy tuck is not an alternative to weight loss

It’s ideal for women who are done with childbearing and want to tighten abdominal muscles and reduce skin. It’s also suitable for men and women who are in good health and have lost a significant amount of weight but still have excess fat or loose skin around their belly. If you are planning on losing a substantial amount of weight or becoming pregnant, you will want to wait to get a tummy tuck.

A tummy tuck can be done in combination with other cosmetic procedures

Liposuction may be done at the same time as a tummy tuck because it removes fat while a tummy tuck removes skin. A “Mommy Makeover,” is a combination of breast, hip and tummy procedures, including breast augmentation with or without lift, breast reduction, liposuction and tummy tuck. This all-in-one procedure is popular because it offers one recovery time instead of individual recoveries.

It may take a while to get back to feeling like your old self. A tummy tuck is a major surgery

If you are in good physical condition, you will find recovery is much faster. Some people can return to work in just two weeks, while others return to work in three or four weeks. Exercise will help you recover and heal faster by reducing the chance of blood clots, toning your muscles and reducing swelling. Just make sure you ease into it and avoid vigorous exercise until cleared by the surgeon.

Tummy tuck results can be life-changing and last a long time if you exercise and eat a balanced diet. If you’re ready to learn more about having a tummy tuck and other procedures to help you look and feel your best, contact our office today at (908) 879-2222 to schedule a consultation with Dr. Weinstein.


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.

  1. 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.

  1. 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.

  1. 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.

  1. 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.


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.


Give Yourself the Gift of a Mommy Makeover This Holiday Season

Mommy Makeover Chester NJYou 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.


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