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Concerned about anesthesia?

I occasionally meet with a patient who has concerns about anesthesia. Sometimes they are concerned about giving up control and being completely asleep without knowing what’s happening. Some of them have heard or read stories about people having bad experiences with anesthesia. I’d like to share with you my outlook on how to choose the […]


Should a Facelift always include a neck lift?

Patients often ask me if they can avoid a face lift and just focus on the neck. The question is also asked the other way around: is it possible to have a facelift without a neck lift? This is my response: With the advent of techniques that permit greater facial rejuvenation with less operating time […]


Silicone vs. Saline Breast Implants – What are the differences?

Silicone is material that has a rubbery texture. A breast implant consists of a solid silicone shell (bag) filled with either saline (salt water) or silicone gel. All breast implants are made by spraying a mold with or dipping a mold into liquid silicone. When the silicone dries, the implant is then peeled off the […]


Breast Implant Placement – Is it better to place above or below the muscle?

Breast implants are placed into a pocket under the breast. The terms “above the muscle” and “below the muscle” are frequently bandied about. Which is better? Patients have opinions, surgeons have opinions. Certainly, I, a plastic surgeon who has performed a fair number of breast augmentations, have an opinion. Before I render than opinion, let’s […]


Body Sculpting Surgery: Technologies and Techniques

Many of my patients have asked about how VASER (internal ultrasound ‘VASER’ assisted lipoplasty) is different from Smart Lipo and Slim Lipo (Internal Laser-Assisted Lipoplasty). This article, written by a biomedical engineer compares these and several other technologies to reduce subcutaneous fat. I think that the article is well written and informative. When I was […]

  • Posted on: Feb 21 2010
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When is it time to change your breast implants?

I performed my first breast augmentation in 1990. Over the years a great deal has changed with regard to the approach to this operation. Some surgeons still take the same approach they did twenty years ago. Others, like myself, try to stay current and even set the standard for the procedure (i.e. 24 hour rapid […]


Three dimensional imaging for breast augmentation – A useful tool or just another marketing ploy? Part III

Part III – A comparison of the available systems – one plastic surgeons personal opinion There are currently two systems available for computerized imaging and simulation of breast augmentation surgery. Portrait 3D manufactured by AxisThree, a company funded by Siemens and started in 2002. AxisThree claims to use technology developed by Siemens in the Portrait […]

  • Posted on: Nov 2 2009
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Epstein Plastic Surgery Long Island NY

NEW PATIENT CONSULTATIONS, INJECTABLES,
NON-SURGICAL PROCEDURES AND POST-OP CARE
Mark D. Epstein, M.D., F.A.C.S.
200 Motor Parkway, B12
Hauppauge, NY 11788