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Surgical Procedures on Long Island

Plastic, Cosmetic and Reconstructive Procedures & Treatments

The term 'plastic' or 'cosmetic surgery' actually covers a variety of surgical and chemical procedures which alter the body's outward appearance. Procedures are used to shape certain body parts such as the breast or nose, soften skin tone to reduce or eliminate wrinkles, and to correct problems resulting from accident or disease.

Plastic surgery procedures are generally safe and relatively painless when performed by an experienced surgeon, although each procedure is different. With all surgical procedures, there are certain degrees of risk and uncertainty. During an initial consultation Dr. Epstein will discuss your procedure with you in detail, describing the realistic potential outcome and any possible risks involved.

Almost all of the procedures listed are performed at our facilities. Most procedures are performed using only a local anesthesia, others are performed with intravenous sedation. Certain procedures will require general anesthesia. The decision concerning the type of anesthesia to be used will be discussed with you during your initial consultation.

Facial Surgery & Skin Resurfacing

Areas of the face and neck can be enhanced or refined for both women and men using surgical procedures and chemical treatments. Corrections can also be made for congenital deformities (birth defects) and abnormalities resulting from accidents or disease.

Surgery of the Nose
(Rhinoplasty)

Surgery to reshape the nose, (rhinoplasty) is among the most common plastic surgery procedures. This procedure can reduce or increase the size the nose, remove an unwanted hump, change the shape of the tip or the bridge, narrow the width of the nostrils, or change the angle between the nose and the upper lip. The procedure is also used to correct problems resulting from injury and can help relieve certain breathing difficulties.

For additional information on nose surgery visit:
www.plasticsurgery.org/public_education/procedures/Rhinoplasty.cfm

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Eyelid Surgery
(Blepharoplasty)

Eyelid surgery (blepharoplasty) is designed to remove excess skin and muscle from the upper and lower eyelids. The procedure can correct drooping upper lids that tend to sag with time and the puffy bags below the eyes. Blepharoplasty can be done as a single procedure, or in conjunction with other facial surgery such as a facelift or a browlift.

For additional information on eyelid surgery visit:
www.plasticsurgery.org/public_education/procedures/Blepharoplasty.cfm

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Facelift
(Rhytidectomy)

Over time, the long-term effects of gravity, exposure to sun, dry air, and general stress takes its toll on an individual's face and neckline. Jowls can develop under the jawline with folds and fat deposits. Sometimes creases begin to form between the nose and the mouth.

A facelift can considerably reduce these signs of aging by removing excess fat, tightening the underlying muscles, and redraping the skin around the neck and face. Facelifts can be done alone, or frequently performed in conjunction with another procedure such as a forehead lift, eyelid surgery, or nose reshaping. If your problem areas are limited to the neck, a more conservative procedure, known as a "necklift" will be recommended. In some cases, a facelift can reduce the outward signs of aging by ten or fifteen years.

For additional information on facelifts visit:
www.plasticsurgery.org/public_education/procedures
/Rhytidectomy.cfm

View Before & After Examples

Forehead Lift
(Browlift)

A forehead lift or "browlift" is used to correct a drooping browline (eyebrow area) reducing the horizontal lines and furrows (worry lines) that often make a person appear angry, sad or tired. The procedure creates a refreshed, youthful appearance to the forehead area above the eyes.

When performing a forehead lift procedure, muscles and tissue areas that droop or cause creases are removed or corrected to smooth the skin on the forehead to reduce frown lines and raise the eyebrows. There are two surgical methods, and during your initial consultation the procedure that works best for you will be recommended. The first is the most conventional method where a surgical incision is hidden just above the hairline. Browlifts are also performed using an endoscope which enables the procedure to be performed with a minimal number of incisions. While the traditional method can sometimes attain more lift, both methods create smoother, flatter skin on the forehead.

For additional information on browlifts visit:
www.plasticsurgery.org/public_education/procedures
/Browlift.cfm

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Chemical Skin Resurfacing

All chemical resurfacing treatments work essentially the same way -- the outer layers of damaged skin are stripped away and new cells form during the healing process. These new skin cells provide smoother, tighter and younger-looking skin.

Chemical Peels
(Alpha Hydroxy Acid Peels)

Chemical peels using alphahydroxy acids such as glycolic, lactic or fruit acids are the mildest of the peel formulas. They can provide smoother, brighter-looking skin and are used to treat fine wrinkles, dryness uneven pigmentation and acne.

For additional information on chemical peels visit:
www.plasticsurgery.org/public_education/procedures
/ChemicalPeel.cfm

BOTOX®Cosmetic

BOTOX® Cosmetic is a protein that weakens muscles that wrinkle the skin. It is injected under the skin into areas surrounding the eyes, forehead and mouth to reduce "worry lines", "crow's feet" and "frown lines". The procedure is quick and usually done in an examination room.

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Facial Fillers

Collagen is a protein found in the second layer of skin known as the dermis (the first layer is called the epidermus). It is injected under the dermis layer to add fullness to areas of the face such as the lips, cheeks and forehead.

For additional information on injectable fillers visit:
www.plasticsurgery.org/public_education/procedures
/InjectableFillers.cfm

Other Facial Surgery Procedures and Skin Treatments

In addition to the above-described procedures, our office also performs other facial surgical procedures.

Surgery for Facial Scars

Surgery of the Ear (Otoplasty)

Male Facial Surgery of the Neck

We also carry a complete line of skin-care products to help extend the benefits of some procedures.

Skin-Care Products

Breast Enhancement

Surgery of the breast is performed to enhance the size or shape of a women's breast for cosmetic, medical or reconstructive reasons.

Breast Augmentation
(Augmentation Mammoplasty)

Breast augmentation is a very popular procedure for women and among the most commonly performed cosmetic surgery procedures. A saline-filled implant is inserted under the crease in the breast, around the nipple or through the armpit. The implant can be placed under the breast tissue or beneath the chest wall muscle. After surgery, breasts will appear "fuller" and more shapely in contour. Incision scars will fade or disappear over time.

For additional information on breast augmentation visit:
www.plasticsurgery.org/public_education/procedures
/AugmentationMammoplasty.cfm

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Breast Lift
(Mastopexy)

Over time, the effects of gravity along with the loss of the skin's natural elasticity begins to have an effect on the appearance of a woman's breasts. These factors, combined with pregnancies and nursing will often cause the breasts to lose their youthful shape and firmness.

A breastlift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts. The procedure can also reduce the size of the areola (the darker skin surrounding the nipple). Breast implants inserted in conjunction with a mastopexy procedure can increase both firmness and size.

For additional information on breast lift visit:
www.plasticsurgery.org/public_education/procedures
/Mastopexy.cfm

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Breast Lift and Augmentation

Many women desiring an augmentation of their breasts also require a lifting of their breasts (mastopexy) in addition. The reason for this are that their skin envelope is disproportionately larger than the tissue that is contained within. The nipple descends and the breasts droop. Breast augmentation alone would result in a firm breast mound in the proper position on the chest wall, yet with the breast itself sagging off the lower surface of the breast mound. The solution is to remove excess skin and reposition the nipple.

In most cases, an incision is made on the lower portion of the breast and an implant placed under the muscle. The excess skin is then removed and the nipple repositioned.

In our practice, we first place the implant under the muscle using a small incision in the armpit using an endoscope (like laparoscopic surgery) to guide the surgery. This results in less tissue trauma, minimal, if any bleeding and often times less discomfort to the patient. The advantage to the endoscopic approach is greater precision with less tissue trauma. The scars are fairly evident initially but over time they fade considerably.

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Breast Reduction
(Reduction Mammaplasty)

Large, pendulous breasts may cause a woman to potentially experience various medical problems caused by the excessive weight of the breast tissue. Problems with posture, skeletal deformities, back and neck pain, skin irritations and breathing problems are common with this condition. Bra straps often leave indentations in the shoulder area. Many women, especially teenage girls, are very self-conscious if they have unusually large breasts.

Breast reduction (reduction mammaplasty) removes fat, glandular tissue, and excessive skin, resulting in smaller, lighter and firmer breasts that are better-shaped in proportion to rest of the body.

For additional information on breast reduction visit:
www.plasticsurgery.org/public_education/procedures
/ReductionMammaplasty.cfm

View Before & After Examples

Breast Reconstruction
(After Surgery)

Reconstruction of the breast after a mastectomy due to cancer or other disease is quite possible with today's surgical procedures. The procedure is often covered by many HMOs after breast cancer surgery and legislation is currently before Congress to enact mandatory coverage. Using the newest medical techniques, a plastic surgeon is often able to create a breast that is similar in form and appearance to that of the natural breast. A consultation will provide you with information on the many available options for post-mastectomy breast reconstruction.

For additional information on breast reconstruction visit:
www.plasticsurgery.org/public_education/procedures
/BreastReconstruction.cfm

Other Breast Enhancement Procedures

Male Breast Reduction
(Gynecomastia)

Although rarely discussed, enlarged male breasts is a common condition. Gynecomastia affects approximately 40 to 60 percent of men. There is no known cause for gynecomastia, although there has been some correlation with various drugs or medical conditions.

Men who feel self-conscious about their appearance are helped with breast-reduction surgery. The procedure removes fat and/or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a contoured chest that is flatter and firmer.

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Body Contouring

The appearance of the abdominal section of the body can be refined and contoured using surgical procedures.

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Surgery of the Abdomen
(Abdominoplasty or "Tummy Tuck")

Generally referred to as a "tummy tuck", abdominoplasty removes excess fat skin and from the abdomen. The procedure also helps to flatten the abdomen by tightening the surrounding muscles. Women with stretched abdominal areas due to previous pregnancies can benefit considerably from abdominoplasty, although they should have completed their childbearing. Older individuals whose skin has lost some its elasticity and are slightly obese can experience an improvement in their abdominal area.

If you are in generally good physical shape but are concerned about abdominal fat deposits or loose skin that does not respond to diet and exercise, the procedure can potentially reduce or even eliminate a protruding abdomen. Abdominoplasty can produce a permanent scar which can possibly extend to both sides of your hips, although the scar will likely be located below the bikini or bathing suit line.

For additional information on abdominoplasty visit:
www.plasticsurgery.org/public_education/procedures
/Abdominoplasty.cfm

View Before & After Examples

Liposuction
(Lipoplasy / Suction Lipectomy)

Now among the most popular cosmetic surgery procedures, liposuction (also known as "lipoplasty" or "suction lipectomy") sculpts the body by removing undesirable fat from areas around the thighs, knees, buttocks, waist, hips, abdomen, chin, cheeks, neck and upper arms. Ultrasound-assisted liposuction (UAL), tumescent technique and the super-wet technique are are among the various techniques used to provide precise results.

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Liposuction is not a substitute for a healthy diet and exercise, but the procedure can eliminate areas of fat that are unresponsive to typical weight-loss methods.

For additional information on liposuction visit:
www.plasticsurgery.org/public_education/procedures/Lipoplasty.cfm

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Hand Surgery

Dr. Epstein has extensive experience in hand and microsurgery to correct congenital abnormalities and problems resulting from accident or disease.

Flexor Tendon Injuries

Carpel Tunnel Syndrome

Arthritis of the Base of the Thumb

Ganglion Cyst Removal

Trigger Finger

deQuervain's Tendinitis

Dupuytren's Disease (Thickening of the palm)

For additional information on hand surgery visit:
www.plasticsurgery.org/public_education/procedures/HandSurgery.cfm

General and Reconstructive Plastic Surgery

In addition to these items listed below, there are many other cosmetic skin improvements and conditions resulting from medical traumas that we may be able to correct.

Birthmarks & Moles

Wound Surgery

Microsurgery

Skin Grafting

Other Surgical Procedures and Treatments

Please call our office for more information if you have a condition or situation that is not listed.