Beauty in Balance: A Common Sense Approach to Plastic Surgery & Treatments-Less Is More

189 Pages·2006·1.03 MB·english

by  Allen D. Rosen

BEAUTY IN
BALANCE
A Common Sense Approach
to Plastic Surgery & Treatments—
Less Is More
ALLEN D. ROSEN, MD
VALERIE J. ABLAZA, MD
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DISCLAIMER
The information contained in this book represents the opinions of the author and should by
no means be construed as a substitute for the advice of a qualifi ed medical professional. The
information contained in this book is for general reference and is intended to offer the user
general information of interest. The information is not intended to replace or serve as a sub-
stitute for any medical or professional consultation or service. Certain content may represent
the opinions of the authors, Drs. Allen Rosen and Valerie Ablaza, based on their collective
training, experience, and observation; other physicians may have differing opinions.
All information is provided “as is” and “as available” without warranties of any kind, expressed
or implied, including accuracy, timeliness, and completeness. In no instance should a user
attempt to diagnose a medical condition or determine appropriate treatment based on the
information contained in this book. If you are experiencing any sort of medical problem or
are considering cosmetic or reconstructive surgery, you should base any and all decisions
only on the advice of your personal physician who has examined you and entered into a
physician-patient relationship with you.
This book is designed to provide information of a general nature about cosmetic procedures.
The information is provided with the understanding that the author and publisher are not
engaged in rendering any form of medical advice, professional services, or recommendations.
Any information contained herein should not be considered a substitute for medical advice
provided person-to-person and/or in the context of a professional treatment relationship by
qualifi ed physician, surgeon, dentist, and/or other appropriate healthcare professional to ad-
dress your individual medical needs. Your particular facts and circumstances will determine
the treatment that is most appropriate to you. Consult your own physician and/or other
appropriate healthcare professional on specifi c medical questions, including matters requir-
ing diagnosis, treatment, therapy, or medical attention. The information contained in this
report is delivered “as is” without any form of warranty expressed or implied. Any use of the
information contained within is solely at your own risk. MDPress, Inc. assumes no liability or
responsibility for any claims, actions, or damages resulting from information provided in the
context contained herein.
ISBN: 0-9748997-4-7
Copyright © 2006 by Allen D. Rosen, MD & Valerie J. Ablaza, MD, All Rights Reserved
The contents of this book including, but not limited to text, graphics, and icons, are copy-
righted property of Allen D. Rosen, MD & Valerie J. Ablaza, MD. Reproduction, redistribu-
tion or modifi cation in any form by any means of the information contained herein for any
purpose is strictly prohibited.
No part of this book may be reproduced, stored, or introduced into a retrieval system, or
transmitted, in any form, or by any means (electronic, mechanical, photocopying, recording,
or otherwise), without the prior written permission of both the copyright owner and the
publisher of this book.
Printed in the United States of America.
Book design by StarGraphics Studio
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About
the Authors
ALLEN D. ROSEN, MD
One of Americas Top Docs, Allen Rosen, was named one of the
fi nest plastic surgeons in New York and New Jersey, by both New
York Magazine and New Jersey Monthly Magazine. For eight years
running, peer surveys by Castle Connolly Medical have recognized
him as one of our countries premier plastic surgeons. Good Morn-
ing America, MTV, Eyewitness News, and NBC, have profi led his
work, and he has been an invited guest on News 12 New Jersey
and numerous other network media events. He has been quoted in
Allure, Shape, and Self magazines, New York Daily News, The Wall
Street Journal, and the Washington Times. For over a decade he
has been a distinguished spokesperson for the American Society
of Plastic and Reconstructive Surgeons and is the founding partner
and medical director of the Plastic Surgery Group. Having fi nished
his surgical training at Columbia Presbyterian Medical Center in
New York, he relocated to New Jersey where he serves as Assistant
Clinical Professor in the Dept. of Plastic Surgery at the University of
Medicine and Dentistry of New Jersey.
Dr. Rosen believes in balancing the demands of a busy profes-
sional life with that of volunteer service. He was honored in the
spring of 2005 for ten years of dedicated service to Heal the Chil-
dren, a charitable organization which helps children from around
the world who need reconstructive surgery. The American Can-
cer Society of New Jersey, for which he served as unit president,
honored him for his efforts to help women in the fi ght against
breast cancer, and both the American Red Cross and the National
Congressional Committees’ Business Advisory Council have singled
him out to honor his outstanding contributions to community ser-
vice. Most recently he has been involved in fund-raising activities
to support Juvenile Diabetes Research.
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VALERIE J. ABLAZA, M.D.
A partner and the Corporate Vice President of The Plastic Surgery
Group, Valerie Ablaza is unique in her profession, noting that just
one out of ten plastic surgeons are women. “I know that my per-
spective and sensitivities are different than my male colleagues,” she
says. “Of course, there are things that my female patients will tell me
that they would never tell a man, but surprisingly, many men also
prefer the insight and perspective of a female plastic surgeon.”
Dr. Ablaza is board certifi ed by the American Society of Plastic
Surgeons and is a Fellow of the American College of Surgeons. She is
also a member of the American Society of Plastic Surgeons, Phi Beta
Kappa, and the Alpha Epsilon Delta honor society. She received her
medical degree from the Medical College of Pennsylvania, com-
pleted her residency in plastic surgery at the New York Hospital/
Cornell Medical Center, and fi nished her training with a fellowship
in breast and aesthetic surgery in Nashville, Tennessee, with the
internationally renowned plastic surgeon G. Patrick Maxwell.
Frequently quoted on Internet websites including PlasticSurgery.
com, Cosmeticsurgery.com, and awcancer.com, Dr. Ablaza has been
featured on CN8 One on One with Steve Adubato. She was also
a guest author of “Fifty Things To Do When You Turn Fifty,” a book
about self-help and personal growth. She has had numerous articles
published in medical journals, written chapters for plastic surgery
and orthopedic textbooks.
Dr. Ablaza has donated her time and expertise to Healing the
Children, an international charity that provides reconstructive
surgery to children from low-income communities and third-
world countries. She has been an active participant with leader-
ship roles in plastic surgical societies on the state and local level
and sits on the executive committee of the New Jersey Society of
Plastic Surgeons.
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Acknowledgements
We would like to thank our families, whose love and
pride in our work make all we do meaningful. We would
also like to recognize the wonderful staff of The Plastic
Surgery Group for supporting us in our pursuit of excel-
lence. We could not do it without you.
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We would like to dedicate this book
to our patients—past, present, and future.
They have been, and will continue to be
a constant source of inspiration and joy
for us as we fulfi ll our life’s calling.
It is only through you that we are
fully able to realize our dreams.
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Contents
Introduction 11
1
Chapter

The Plastic Surgeon’s Role as Navigator 13
Body Image 15
The Natural Look 17
Who Is Having Cosmetic Surgery? 18
Do I Need Cosmetic Surgery? 19
Choosing the Right Time for Your Surgery 20
2
Chapter
Make-Better Instead of Make-Over:
What Is Not Real in the Reality Shows 21
Combining Procedures 24
Staging Surgery 26
3
Chapter

So You Want to Have Cosmetic Surgery 27
Choosing a Surgeon 28
The Consultation 28
The Value of Computer Imaging 30
Where to Have Your Surgery 32
Financial Considerations 33
Tissue Glue 36
Implantable Materials 36
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4
Chapter

Getting Ready for Surgery 37
Details Before Surgery 38
Medications 38
Do I Need Blood Work or Tests? 39
Vitamin Supplements 40
Skincare Strategies 40
Diet & Exercise 41
Risks of Surgery 41
Smokers Beware! 42
Managing Your Discomfort 43
Recovery Time 43
Travel Guidelines 44
5
Chapter

Anesthesia for Cosmetic Surgery 45
Local Anesthesia 47
Twilight Anesthesia 47
Regional Anesthesia 48
General Anesthesia 48
6
Chapter

Surgery on Your Face 49
Restoring Your Youthful Face 51
Improving the Contour of Your Neck 56
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Rejuvenating Your Forehead and Brow 59
Eyelid Rejuvenation 63
Nose Reshaping 69
Changing the Shape of Your Face 74
Ear Reshaping Surgery 78
Combining Procedures 80
7
Chapter

Recontouring Your Body 83
Removing the Fat 85
Tummy Tuck 92
Plastic Surgery Following Massive Weight Loss 97
Body Lifts 98
Arm Recontouring 100
Tightening Your Thighs 102
Combining Procedures 103
8
Chapter

Breast Reshaping 105
Breast Enhancement 106
Breast Implants Past and Present 109
Rejuvenating Your Breasts 114
Reducing the Size of Your Breasts 116
Areola and Nipple Reduction 120
Correcting Nipple Inversion 121
Combining Procedures 121
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9
Chapter
Non-Surgical Options
for Cosmetic Enhancement 123
Botulinum Toxin 124
Soft Tissue Fillers 128
Resorbable Filling Substances 130
Non-Resorbable Filling Substances 135
Lip Enhancement 137
Skin Resurfacing 139
Types of Peels 140
Lasers and Light Sources 144
Non-Ablative Lasers 147
Permanent Cosmetics 151
10
Chapter

The Waves of the Future 153
Combining Procedures 154
The Youth Window 155
Surgery with Less Scarring 156
Pump Up the Volume 156
Lifting with Sutures 157
Beauty in Balance 157
11
Chapter

Frequently Asked Questions 159
Glossary 168
Resources 183
Index 184
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