Cosmetic Surgery Associates

Where to begin? So many exciting things are happening in plastic suregery right now.

Everything that I now do as a plastic surgeon has changed since my residency in New York 20 years ago. I’ll give you a few examples and then over the next few blog entries go in to more detail.

Let’s start at the top, so to speak.

Browlifts:Before, a big incision across the top of the scalp.Now, limited incisions and the use of the endoscope allow us to preserve sensation and achieve excellent results.

Eyelids: Before, we took OUT most of the fat in the upper and lower lids. Now, we preserve fat and tighten and reposition the tissue that holds the lower lid to the globe.

Facelifts. We are doing less and achieving a look that is more. The S-lift, or mini-lift, is suitable for most people, addresses the neck and loose skin of the cheeks and allows you to be back at work faster with less pain.

LiposuctionBefore. Big cannulas and lots of blood in the extacted fat. Now. Small cannulas and with the use of tumescent fluid we can take more safely with a lot less bleeding, plus we get the added benefit of local anesthesia.

Breast augmentationBefore. Silicone gel implants that had a shell that allowed the silicone to come in to contact with the breast tissue leading to scarring or capsules. Now. New Memory Gel Silicone implants have a thicker shell and the silicone is a gummy bear consistency. Place under the muscle they are providing fantastic results. Saline implants are still the standard bearer and offer an alternative to those that want the smallest possible incision with the least chance of capsule formation.

Breast Reduction Before. More incisions with less “sculpting” of the breast tissue Now. No incisions along the undersurface of the breast, and therefore less scars, and shaping of the breast tissue to allow a better chance of long term shapliness.

Next time: The results of our recent study on decreasing pain after breast augmentation.

All the Best,

Dr. Jabs