February 8th, 2009 Kenneth M. Rose MD
New York City is a business center of all kinds. As such, men of all ages and in all different occupations want plastic surgery. They need to look good just like women. Whether it’s an aging businessman who wants to keep his edge in the boardroom, a young model or someone who is freshly divorced and back in the singles market, men, like women, have their own reasons for plastic surgery.
Usually, for me at least,liposuction of the love handle areas and the belly tend to be the most common operation. Others include, eyelid surgery, facelifts and Botox injections as well as other facial fillers.
Some procedures like gynecomastia (male breast enlargement) and prominent ears are also very common. In fact, I’ve done many more ear pinnings on men than on women.
Overall, women make up most of the plastic surgery patients nationwide, but just like women, men are patients too and they all have their own particular reasons for looking better.
Posted in Men and Plastic surgery | 1 Comment »
January 12th, 2009 Kenneth M. Rose MD
Besides the obvious, what’ s the difference?
Saline implants are made with a silicone shell and are filled with salt water. Silicone implants have a silicone shell and a “cohesive gel” interior. As far as the FDA is concerned, they are the same in terms of complications. You can expect to get the same problems with both namely, infection, scarring, bleeding and eventual rupture. Almost anyone will tell you that the gels feel better to the touch. However, no matter which one you choose, 35% will have something fixed within five years after implantation.
You should also be aware that breast implants DO NOT last forever. Your surgeon should tell you this during your consultation. Either the saline or gel implants will normally last five to ten years. My own personal experience is that implants will last eight to twelve years. So if you have a breast augmentation, expect to have more than one surgery in your lifetime to upgrade/replace the prosthesis.
Here is an informative article from the Mayo Clinic that answers a lot of questions. I hope it helps.
Posted in breast augmentation | 1 Comment »
December 28th, 2008 Kenneth M. Rose MD
Does your fourteen year old want a nose job? Does your seventeen year old want her thighs liposucked? Children present a special problem for plastic surgeons.
In general, anything besides a purely reconstructive procedure should be carefully considered by you, your child and your surgeon. It is not necessarily wrong to have a minor undergo a cosmetic procedure, but many are not emotionally equipped to deal with the physical changes, even if the result is surgically terrific, and even more are unable to with the complications should they arise. (In case you you didn’t know, all surgery does carry with it inherent complications.) I’m certainly not singling out the young in this regard. There are many older people, both men and women, who find it hard to deal with the physical changes cosmetic surgery brings. It can be extra difficult for those still finding their way in the world.
In addition, children’s bodies are always changing. Some “problems” may just disappear on their own if they are given enough time.
Finally, make sure that your child, and not you, wants the surgery. All too often I have mothers come in to the office with say that their sixteen year old “wants a breast reduction.” It’s clear that the poor girl has very large breasts, but it’s frequently the mother who wants the surgery rather than the patient. This is never a good situation and no surgeon should ever agree to operate under these conditions.
Cosmetic surgery in the young is a collaborative effort between the surgeon, the parents and the patient. It is a decision that should be made very carefully.
Posted in Children and Plastic Surgery, Home | Comments Off
December 25th, 2008 Kenneth M. Rose MD
A little known thought among patients considering nose jobs is the quality of their nasal skin. It is very important. If a patient has skin that is too thick (usually seen in men), the work done by the surgeon underneath will not show as well. The result is frequently a nose that looks the same as it did before surgery. On the other hand, a thin skinned nose (usually seen with women) may show too much of the rearranging underneath and make the nose look odd.
I would compare a thick skinned nose to someone lying on a bed under a thick quilt. You can’t see the outline of the body. A thin skinned nose is like someone that is lying under only a sheet-you can see everything. (Or maybe too much.)
So before you think about having a nose job, think about your skin. It makes a huge difference.
Posted in Home, Nose Jobs | 1 Comment »
December 25th, 2008 Kenneth M. Rose MD
As patients begin to grow older and endure instances such as stress, many times, their true age may begin to be revealed through the eyes, causing patients to experience imperfections such as sagging skin, “bags,” drooping, and wrinkling throughout the upper and lower eyelids.
Eyelid surgery (“blepharoplasty”) can be a beneficial procedure to assist patients in achieving a more refreshed appearance.
Types of Eyelid Surgery
If needed on the upper eyelids, upper eyelid surgery can performed to help remove pockets of fat and excess skin through an incision located on the natural creases of the upper eyelids.
Commonly performed in conjunction with upper eyelid surgery, lower eyelid surgery can also be used to reduce excess fat from the inside of the lower eyelids through an incision hidden within the lower eyelashes.
Performed at our state-of-the-art surgical center, patients can look forward to receiving excellent care during their stay.
Dedicated to providing patients with optimal results, eyelid surgery could help you attain the refreshed, younger looking appearance you desire. With incisions carefully disguised on the upper and lower eyelids, patients will be able to enjoy long-lasting, natural-looking results.
Posted in Eyelid Surgery | 1 Comment »
December 22nd, 2008 Kenneth M. Rose MD
There was a great article in the New York Times today. It explains the concerns Plastic Surgeons have when choosing patients to operate on. In brief, if you’ve been in practice long enough, you’ve met all of these types. Read it to see life from our side of the exam table.
However, I wish discuss how patients should choose a surgeon. My best advise is to choose someone you feel comfortable with. We all hope your surgery goes well and usually it does. But remember, nothing is ever guaranteed. If something goes wrong your procedure you want someone who you think will help you through your tummy tuck complication with kindness and compassion. Of course there are other normal considerations: board certification, recommendations from friends or other patients, and the overall feeling you get from the office and staff. It is frequently a tough choice and I empathize, but try to understand, the doctor-patient relationship is a two way street. You need to trust us and we need to trust you.
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December 7th, 2008 Kenneth M. Rose MD
This is a good article from The New York Times about Gerald Pittman a plastic surgeon here in Manhattan. It makes a strong case of how to avoid plastic surgery. I think it’s a little exaggerated, like surgery is the absolute last resort (after all he makes his living by operating), but there is a lot of truth to it.
Believe it or not most good plastic surgeons turn down a large percentage of their prospective patients. Some are just not candidates for surgery. That could be because they are not psychologically realistic about the results, they are poor candidates for the particular surgery they want (i.e. an obese person wants a tummy tuck or a heavy smoker wants a facelift) or the surgeon’s personality and the patient’s just don’t mesh.
The best thing you can do as a patient is be realistic about the results (liposuction and tummy tucks are not dieting substitutes) and try to be in the best physical shape before the procedure. This combination of positive attitutde, good surgical judgement on the part of your surgeon and prime physical condition, is the best way to insure a a great result.
Posted in Facelift, Plastic Surgery, Tummy Tuck | 3 Comments »
November 30th, 2008 Kenneth M. Rose MD
It’s no secret that times are financially hard for everyone. Plastic surgery is no different. One survey I read said that cosmetic surgery is down 40 to 60% in the last year. As such a lot of plastic surgeons may be cutting corners to get new patients. It is important that you know that your doctor is qualified and is doing your procedure in a certified surgical facility. This article explains what questions you should ask when having your consultation. Whether economic times are tough or not, you should probably ask these questions anyway.
You should also look at my television interview on WCBS-TV “Beware of Bargain Plastic Surgery.” drrose_wcbs_6208
Remember surgery is serious business. It should not be taken lightly by you or your surgeon. The most important part of your experience is really not the result, but how safely you get there.
Posted in Bad Plastic Surgery, Plastic Surgery | 1 Comment »
November 26th, 2008 Kenneth M. Rose MD
This article from England’s Daily Telegraph, shows you that women are frequently under a lot pressure from their significant others to change the way they look. This, I find, is especially true for breast augmentations. It’s one of the few operations where the partner, who’s not getting the procedure, frequently does most of the talking. After all, you never see the husband come in with their wives for a facelift and say, “Pull Hard Doc, real hard.”
As a surgeon it is important to make sure the person getting the surgery really wants it. It’s OK to have the partner’s input, but whoever goes under the knife should be completely onboard. Breast augmentation is still surgery and like any procedure, make sure it’s what you, and nobody else, really want.
Posted in breast augmentation | 3 Comments »
November 10th, 2008 Kenneth M. Rose MD
Liposuction is a commonly performed plastic surgery procedure. It is a very effective technique for removing areas of fatty bulge that are non-responsive to diet and exercise. Liposuction can be performed on a wide variety of body locations such as the abdomen, thighs, hips, arms, chin, and “love handles.”
If you have an area on your body with more fat than you would like, then liposuction may be a viable option for you if you are an appropriate candidate. But before you can make a serious decision about pursuing liposuction, you naturally want to know something about it. Essentially, how does liposuction get the fat out?
During a liposuction procedure, the area of your body that is going to be treated will have a fluid injected into the fat tissues in order to make it easier for the plastic surgeon to sculpt the tissue and remove fat. Of course, anesthetic is injected into the same area as well so you don’t experience pain during the procedure and also helps to keep you comfortable following the procedure. A third set of ingredients uses a blood vessel constricting medicine that reduces bleeding.
Once the body area has been prepared, your plastic surgeon will make multiple small incisions to access the fat tissues beneath the skin. The incisions are strategically located in natural skin folds to reduce the visibility of scars. Through the incisions, small tubes are inserted to pull out the fat. Unlike in a procedure like a tummy tuck, there are basically no scars with liposuction.
Beyond the basics of the liposuction procedure, there are various techniques that your plastic surgeon may employ on a case-by-case basis depending on what you may need. Examples of types of liposuction are microliposuction and ultrasound-assisted liposuction. Many liposuction approaches are available and more techniques are being developed all the time. I will help you consider your options based on your body and what you hope to achieve.
For the most part, liposuction is an outpatient surgery. The extent of your liposuction surgery and your preferences along with your surgeon’s judgment will determine whether you have a general or local anesthesia. It is also quite common for long-lasting local anesthetics to be injected into the surgery site to reduce pain for a couple days while you ease into recovery.
It is important that you accept that liposuction is not a cure-all for weight problems. In fact, liposuction is best applied to people of normal or near-normal weight who want to address fatty areas and smooth away bulges.
Posted in Liposuction | 2 Comments »