Cosmetic Surgery Questions

Dermatology, Cosmetic and Plastic Surgery in New York City (NYC) and Manhattan

Q. I have an inverted nipple on one breast that when stimulated becomes “uninverted”. It is particularly bothersome in warm weather when I wear t-shirts. Is there any nonsurgical way to treat this condition?

A. Yes. Injecting a filler, such as Restylane or Juvederm can make your inverted nipple “pop out.” These are temporary fillers that last approximately six months. Now’s a great time to see how well this works so you’ll know just what to do when it’s t-shirt weather.

Q. My legs look great, except that I have a significant bulge on the inside of each knee. Because of this I don’t wear skirts. Anyway to treat this?

A. We have the perfect solution for your problem. A little local anesthesia, and about 7 minutes of liposuction on each knee will get rid of the bulges. You’ll be comfortable and confident and ready to show off your great legs.

Q. I’m 45-years-old with great cleavage but too much sun caused brown spots, and some wrinkles. As a result I don't wear clothes that expose my décolletage--but wish that I could. What can I do?

A.There are several things you can do to have a more youthful décolletage. At Juva we have a laser that is specifically designed to treat brown spots. No anesthesia is required and the treatment only takes a few minutes. After the treatment the brown spots will crust and then disappear. For the lines and wrinkles, we have a state of the art laser, the Affirm, that stimulates new collagen and elastin. Add a filler like Restylane, Juvederm or Sculptra and your wrinkles will fade away.

Q. I’d like bigger cheekbones but don’t want surgery. What are my other choices?

A. Your choices include, Radiesse and Sculptra. Radiesse is a long lasting injectable filler. The results are immediate and last about 18 - 24 months, at which time a touch-up may be necessary. Sculptra, another injectable, stimulates your body to produce new collagen. Three treatments are necessary, spaced 4 to 6 weeks apart. The results can last up to two years

Q. I take glucosamine and chondroitin supplements to relieve my joint pain. Can I continue to take these before surgery?

A. No, definitely not. Chondroitin has the potential to interfere with normal blood clotting. Therefore people may suffer bleeding complications from chondroitin especially when it is used in combination with other blood-thinning medications. Glucosamine can actually mimic human insulin, thus artificially causing low blood sugar. Glucosamine and chondroitin should be discontinued 2 to 3 weeks prior to surgery. We advise our patients to discontinue all herbal medications 2 to 3 weeks prior to surgery.

Q. I’ve heard that botox can be used to prevent widening of facial scars. Is this true?

A. This is correct. Scars widen when there are movements of the facial muscle that tend to pull apart the suture line (new scar) before the area has healed sufficiently to prevent spreading of the scar. Using botox to temporarily paralyze muscles that would cause a scar to widen makes for a better result.

Q. I’ve come across the term “nonablative" laser treatments. What does the term mean and how are these lasers used.

A. A nonablative laser is one that does not “ break” the skin or cause visible damage to the skin. Therefore there is no down time. There are nonablative lasers used for skin tightening such as the Titan and the Affirm lasers. .They can be used not only to tighten facial skin, but also on sagging body skin. . Nonablative lasers are also used to treat cellulite. These and many more nonablative laser treatments area available at Juva.

Q. I’m 60-years-old and have been a smoker for most of my life. Is it true that smokers can’t have a face lift?

A. Smokers can have a facelift. However, depending on the individual physician's approach special precautions will be taken. These may be technical considerations about how the surgery is performed, or special supplements prior to surgery. No matter what the modification, all surgeons will deem it mandatory to stop smoking at lease one month before surgery and for two to three weeks after your procedure.

Q. Several years ago I had broken blood vessels on my face treated with a laser.The laser did a great job. The blood vessels disappeared but I was bruised for about 10 days. Have there been any advances that eliminate the bruising?

A. Yes. At Juva we have the most technologically advanced laser for treating facial blood vessels-- the Cynergy laser. We can treat your blood vessels with no bruising. The treatment is painless, requires no anesthesia, and there is no downtime.

Q. Which is better to treat facial lines and wrinkles, a chemical peel or a laser?

A. Good results can be achieved with either technique. However, lasers are more precise. The depth of penetration of the laser beam is exactly the same each time the laser beam strikes the skin; the treatment is consistent with uniform results. A chemical peel, on the other hand, is less precise which may result in uneven results. At Juva we have the new Sciton laser, a state-of–the-art erbium laser that can be used to perform either a laser peel or laser resurfacing. A laser peel may be perfectly adequate for patients with superficial with superficial fine lines; patients with deep lines and wrinkles or acne scars full may require laser resurfacing. A laser peel targets the epidermis, which usually ranges between 0.1 and 0.2 mm. in thickness. Laser resurfacing treats both the epidermis and the dermis, penetrating up to 0.4 mm. The Sciton, a “dial-a-depth” laser is a fantastic tool that allows a degree of precision never before possible.

We look forward to answering your plastic surgery questions. If you are interested in scheduling a consultation, please call the Juva Skin & Laser Center at 212-688-5882 or email us.

Bruce E. Katz, M.D., Director
60 East 56th Street, Suite 2,
New York, NY 10022-3204
212.688.JUVA (5882)or MediSpa: 212.421.9501
Fax: 212.421.9502

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