PSG Blog

Breast Revision Surgery (and What We Do to Prevent It)

Complications from breast augmentation surgery are rare, but we do see them at the Plastic Surgery Group of New Jersey. The overwhelming majority of our breast augmentation patients enjoy their implants for many years, but occasionally we see patients from other practices that have developed a complication and require additional or revision surgery to fix it.

Revision surgery can involve replacing the original pair of implants with a new pair, or simply removing them altogether. Because it is a costly and time-consuming experience, our plastic surgeons do everything we can when planning and placing implants to prevent the need for future revision surgery. Here are a few steps that can be taken to avoid breast augmentation complications requiring revision surgery.

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Are Breast Implants Toxic?

Do you dream of augmenting your small bust via breast augmentation — but question the safety of breast implants? This month’s blog post is written specifically for you, as the team at the Plastic Surgery Group of New Jersey tackles concerns surrounding the safety of breast implant devices.

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Millennials Explain Why They Had Plastic Surgery

If you tend to associate plastic surgery with tummy tuck and facelift procedures, you may be surprised to learn that one of the fastest-growing demographics seeking plastic surgery is millennials (individuals currently in their 20s and early 30s). Here, the team at the Plastic Surgery Group of New Jersey breaks down some of the most common millennial motivations for pursuing procedures like breast augmentation, liposuction, lip augmentation and more.

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Americans Spent $13.5 Billion on Plastic Surgery in 2015

Last year, Americans spent a record-breaking amount on plastic surgery. According to the American Society for Aesthetic Plastic Surgery, this was the first time plastic surgeons noted such high numbers — closing in on almost $14 billion. This is a $1.5 billion increase from 2014 to 2015.  The team at the Plastic Surgery Group of New Jersey breaks down the news in more detail here.

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Talking to Your Children about Plastic Surgery

Many of the patients that visit us at the Plastic Surgery Group of New Jersey tell us they prefer to keep their cosmetic treatment discreet in order to avoid chatter from friends, co-workers and acquaintances. However, when it comes to family and children, it is impossible to keep surgery a complete secret. Children are (perhaps surprisingly!) perceptible and can detect the most subtle changes. Therefore, if you are planning to have a plastic surgery procedure, you will probably have to say something to your kids. The question is, what?

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Neck Lift for a Younger, Sleeker Jawline and Neck

The team at the Plastic Surgery Group of New Jersey has frequently observed how the upper and lower face age at different paces. Sometimes, the lower face, including the jawline, chin and neck, can start to sag and wrinkle more quickly than the eyes and forehead. To address this disparity in the aging process, our plastic surgeons offer neck lift surgery, which can be performed independently of other facial rejuvenation procedures, to counteract the laxity and sagging around the jawline and neck. Read on to learn more about what neck lift can accomplish.

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The Health Benefits of Plastic Surgery

In most cases, the focus of plastic surgery is to improve a person’s appearance — by increasing the size of their breasts, reducing the circumference of their waist or minimizing signs of aging. However, some of the plastic surgery procedures performed by the Plastic Surgery Group of New Jersey also help to improve the patient’s health and resolve health problems.

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Paying with Bitcoin: Changing the “Face” of Business

The Plastic Surgery Group based in Montclair, New Jersey is changing the face of business. They now accept Bitcoin as a method of payment for all surgical and non-surgical services.  The Plastic Surgery Group works to be ahead of the curve in implementing the latest technologies into their practice.

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Join us for our June Seminar!

Upload: May 17, 2016


Our next presentation will be hosted by Barry S. Citron, M.D., F.A.C.S.

Monday, June 13th 2016 at 5:30pm in our Montclair office
37 North Fullerton Ave. Montclair, NJ 07042

“Everything you want to know about Plastic Surgery, but were afraid to ask…”

Q&A to follow presentation

Hors d’oeuvres to be served

*Speaker to begin promptly at 6pm*

Call today to reserve your spot! 973-233-1933
RSVP Required – Limited seats available

Lip Enhancements Break Record

According to data released by the American Society of Plastic Surgeons, lip enhancement is one of the fastest-growing procedures of the past 15 years. Last year, a lip enhancement procedure was performed approximately every 20 minutes. Here, the team at the Plastic Surgery Group of New Jersey explains why a record number of people are discovering the benefits of lip enhancement.

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What Breast Surgery Patients Should Know – But Don’t

Breast surgery realitiesAt the Plastic Surgery Group of New Jersey, our team believes in total transparency. We want our patients to feel as educated and informed as possible when making decisions about their care. Though the majority of our patients have done a lot of research on their desired breast procedure before coming to us, there are things that they don’t know and that we reveal during the consultation process. Here are some examples:

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Dr. Allen Rosen Published in Aesthetic Surgery Journal

Upload: March 29, 2016

We are extremely proud to announce that our very own Dr. Rosen was published in the March 2016 Volume of the Aesthetic Surgery Journal!

The Aesthetic Surgery Journal is a leading peer-reviewed international journal publishing high-quality research in aesthetic surgery.
Dr. Rosen’s publication titled, ‘Periareolar Closure With Barbed Sutures,” discusses the evolution of a technique he uses while performing augmentation, mastopexy, and breast reduction surgeries.

Congratulations Dr. Rosen!

The Bridal Beauty Event!

Calling All…
Brides, Mother of the Brides, Bridesmaids
Grooms, Father of the Brides, Groomsmen…

Plastic Surgery P.A. Stephanie Rosen
presents the “MUST HAVE” beauty treatments
that will get you looking picture perfect for the big event!

Special Bridal Packages
available for purchase one night only!
Offers include special pricing on…
Botox, Fillers, Facials,
BBL photofacials, Microneedling,
Venus Concept Treatments
Limited packages available

Monday – April 18th, 2016 at 5:30pm
at our Montclair location
Speaker to begin promptly at 6pm

RSVP, limited seating – Raffles & Giveaways – Bring a friend gift

Call to reserve a seat for you and a guest!

Surprising Plastic Surgery Trends in 2015

Upload: March 23, 2016The American Society of Plastic Surgeons (ASPS) is the world’s largest group of board-certified plastic surgeons. Each year, they survey their 7,000+ members to get an idea of the current state of plastic surgery. Here, the plastic surgeons of the Plastic Surgery Group of New Jersey (who are members of the ASPS) discuss the findings of the newly released 2015 annual report.

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All-In-One Comprehensive Skin Rejuvenation

While out golfing with a friend one afternoon, I asked what products he uses for his skin. After his initial chuckle, I rephrased my question: “you are so great at wearing sunscreen, why don’t you put on other skin protectors, like retinol, vitamin C, antioxidants and moisturizer?

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Can Exercise Help Gynecomastia?

Upload: February 8, 2016For men with gynecomastia, everyday life can present certain challenges. It can be embarrassing to go shirtless at the pool or beach. Dating can be difficult. And self-confidence in social situations can waver. The team at the Plastic Surgery Group of New Jersey feels deep compassion toward any man that is self-conscious of their enlarged breasts, and we want to keep them informed of their treatment options.

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The PSG Xpress

No time? No problem!

At The Plastic Surgery Group, we understand your time is valuable and that special skin care treatments and upkeep is sometimes challenging to fit in to your busy days. With that said, the skin experts at PSG have created a specialized treatment for those of you with demanding lifestyles.

We like to call it…

The PSG Xpress
Quick – Effective – Affordable

Who’s it for?

• Introductory patients new to the world of skin care •

• Patients who already take good care of their skin and want to
supercharge their results without investing a lot of time •

• Patients currently receiving our more intensive monthly Clinical Skin Treatments can add PSG Xpress treatments to their regimen and speed up the process to lighten pigmentation, smooth fine lines and wrinkles, and help your skin find its balance…sooner •

• Patients interested in a home care regimen who could benefit from a demonstration explaining the use and sequence of our fine pharmaceutical skin care products •

Our Dermatology PA, Stephanie Rosen will perform a comprehensive skin evaluation for you, including a look “under the skin” with our Reveal Imager. Next, a thorough cleansing, exfoliating peel, hydrating serum, masque, and a daily skin care regimen to send you on your way to clearer, smoother, younger skin.

Give your skin all the invigoration your skin all the invigoration it needs in just 30 minutes!

Schedule your appointment today…and you can thank us later!


Skin Sparing in Mastectomy and Reconstruction

Skin Sparing MastectomySkin-sparing mastectomy was developed to minimize the deformity that results following removal of breast tissue for treatment of breast cancer. Two generations ago, skin muscle, nipple and all the surrounding lymph nodes were removed at the sign of breast cancer and this resulted in a cure. Over the years through intensive studies, it became obvious that the breast tissue is not usually associated with the breast skin so removal of the cancer could be safely performed scooping it out like taking a walnut out of its shell, leaving the skin muscle and lymph nodes intact if they were not involved.

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It’s Valentine’s Day All Month Long!

Make a reservation with PSG this year and treat yourself to our
Restoring – Rejuvenating – Refreshing
Valentine’s Day Specials!

Menu of Indulgence
Pucker up and restore volume to those lips! Filler will help you achieve a plumper look for more kissable lips
Juvederm Special – 15% OFF full syringe
Give yourself the gift of lift! Facial rejuvenation with Ultherapy will non-invasively
tighten the face & neck
Ultherapy Special – 15% OFF full face
Winter does a good job leaving our skin dull and dry. Refresh your skin with this luxurious anti-aging facial treatment!
Purchase a PSG Signature Facial with Magda
and receive a complimentary Dermaplane treatment
Long Luscious Lashes
Lashes too short or sparse? Latisse grows lashes
longer, fuller, and darker
Latisse Special – Buy one box get one 50% OFF

Gifts for Him
Botox for Your Sweetheart
Have a wrinkle free relationship! Offer your significant other a Botox treatment so he too can prevent unwanted wrinkles
Men new to the practice – Receive 50% OFF Botox
Kybella for Your Fella
Is submental fat bothersome to your fella?
Kybella is an injectable treatment that destroys fat cells and eliminates the double chin for good!
Kybella Special – 15% OFF your first treatment

Offers expire 2/29/16

Refer a friend new to the practice and receive a complimentary
PSG Signature facial
if they book a treatment or surgery!

Love is in the air!

Schedule a reservation today for you or your Valentine!

Hand Rejuvenation with Injectable Fillers

Botox and filler injections for facial lines and creases have become more mainstream, creating refreshed and more youthful appearing faces. When done in combination with facial, breast, and body rejuvenation surgery, we as plastic surgeons have been able to “turn back the hands of time” for many people. Now we are left to address the problem of “older looking” hands that no longer match the other more youthful looking faces and body parts.

One easy solution to this problem is injection of Radiesse® into the backs of the hands. This procedure can be comfortably performed in the office with immediate results. The product lasts from between six months to one year and requires only a total of one to two syringes of product.

For more information or to schedule an appointment, contact our office at 973-233-1933.



The New Face-Lift?

The New Face-Lift? According to today’s Style & Beauty article in the New York Post, the number of patients seeking skin tighteners has increased over 20% in the past 5 years.

Ultherapy has become one of the most popular rejuvenation tools on the market and is offered here at PSG!

Visit our Ultherapy page for more information.

Call us today to schedule a consultation: (973) 233-1933

Does Lipo Hurt?

Is liposuction painful?Liposuction is one of the most popular procedures offered at the Plastic Surgery Group of New Jersey. As such, our team receives a lot of questions about the particulars of the operation and what to expect. The topic of pain during and after surgery often comes up; many patients want to know, does lipo hurt?

In this month’s blog post, the team at Plastic Surgery Group of New Jersey addresses this topic in more detail.

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How to Get the Most Natural Facelift Results

Combining facial procedures for natural resultsThe decision to combine multiple surgical rejuvenating procedures at the same time is very much an individual choice. I believe that facelift and eyelid surgery is a natural combination of procedures that can be done simultaneously since the recovery period for each is about the same and neither one interferes with the healing of the other. Similarly, I do not do eyelid surgery and rhinoplasty simultaneously since I believe that the swelling from the rhinoplasty and eyes makes it an uncomfortable recovery and may impact healing.

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Dr. Allen Rosen Discusses Choosing Breast Size after Reconstruction

Breast reconstruction size optionsIt is desirable for a plastic surgeon to discuss breast cup sizing at the time of initial consultation in preparation for mastectomy and breast reconstruction. Although skin quality is a factor in many aspects of the postoperative course, except in patients with irradiated skin, most patients do not have limitations on cup size during the reconstructive process.

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How to Look Younger This New Year

New Year Beauty TipsApproximately 40 to 50 percent of Americans make New Year’s resolutions, and many of them are related to health, wellness and personal appearance. If one of your resolutions is to look younger and feel more confident in 2016, the team at the Plastic Surgery Group of New Jersey can help. We offer a full range of treatment options to help take years off of your appearance. The best part: none of the suggested treatments require surgery. You can see results quickly and without extensive downtime.

Reduce Noticeable Wrinkles

One of the best ways to look younger is to address fine lines and wrinkles on the face. Depending on the specific area of concern, our team recommends Botox or soft tissue fillers.

Botox is generally injected between the eyebrows and on the forehead into the muscles that contract and form wrinkles. The product paralyzes these muscles, causing the overlying wrinkle to soften. Soft tissue fillers like Restylane and Perlane are typically used for deeper wrinkles and folds, such as the nasolabial folds. When injected, these substances act like a cushion to fill in wrinkles.

Botox and dermal fillers are both performed during a quick, in-office procedure. Treatment is generally well tolerated and should be repeated every few months to maintain the effects.

Replenish Lost Volume

Another way that soft tissue fillers can be used is to restore volume to areas of the face that have lost fat with age. For example, the fat underneath the eyes can become displaced over time, and the area might start to look hollow. Fillers restore volume for a more youthful contour. Fillers can also be used to improve the contours of the cheeks and along the jawline.

Enhance Thin Lips

The lips tend to thin with age, and the surrounding skin can become lined and wrinkled. Lip enhancement with dermal filler or fat injections restores healthy, youthful volume and smoothes wrinkles. Treatment can be performed so subtly that it is not obvious that any work has been done.

Tighten Lax Skin

Has your skin lost its youthful laxity? Does it now sag unattractively? Non-surgical skin tightening treatment with Ulthera is designed to lift and tone the skin for a firmer, smoother contour. Ulthera uses ultrasound energy to trigger the production of fresh collagen for gradually firmer, smoother skin. It can be used to lift the skin on the brow and chin area.

Brighten Skin Tone

If your skin looks dull or dry, a professional skin treatment can help. Our team offers a variety of facials, peels and eye treatments to add a radiant glow to your complexion. A simple in-office, spa-like procedure can significantly improve the health and vitality of your skin.

Contact Us for More Details

To design your personal cosmetic treatment plan for 2016, contact the Plastic Surgery Group of New Jersey. Call (973) 233-1933 today to speak with a member of our team.

What Makes PSG Hydrating Serum Special?

There has been a lot of press given to hyaluronic acid (HYA) for several years now. The array of products featuring HYA spans from nutritional supplements, cosmetics, and into injectables for joints as well as for balancing facial symmetry, plumping up lips and filling wrinkles.

The PSG Hydrating Serum has a few special attributes that make it the superior choice for everyday skin care, as well as a follow up to procedures such as chemical peels, dermaplaning, BBL (Broad Band Light), Collagen Induction Therapy (CIT, or Microneedling) and Ulthera.

Hyaluronic acid has the ability to attract and bind up to 1000x it’s own weight in water, so when present in the skin, it attracts water and plumps up the area.  Most HYA products sit on the surface of the skin and only penetrate just the very surface skin, but the PSG Hydrating Serum also features fractionated HYA that by its multiple molecular forms penetrates deeper; plumping and supporting from a better position in the skin.  It contains antioxidants to soothe irritated skin and guard against free radical damage, but probably most importantly, it features a special copper peptide that has far reaching effects for the skin.

Wrinkles can be viewed as small, improperly healed wounds. Wrinkles are characterized by incorrect deposition of collagen and imperfect skin cell layering, which is also seen in healed wounds albeit on a  larger scale.  Could the agents that modify the process of wound healing (by minimizing scar formation and improving skin remodeling) have a potential to prevent or even reduce wrinkles? The class of compounds called copper peptides are a good example of wound-healing agents that also have anti-wrinkle properties.

What exactly are copper peptides and how can they boost skin rejuvenation? Generally speaking, peptides are small fragments of proteins. (And the proteins are the key building blocks of most living tissues.) Certain kinds of peptides have an avid affinity for copper, to which they bind very tightly. The resulting compound consisting of a peptide and a copper atom is known as a copper peptide.

A distinctive feature of copper peptides is that they reduce scar tissue formation while stimulating normal skin remodeling. In other words, they help better restore the damaged area to its original look. This is particularly important during and as a follow up to peels, laser resurfacing, BBL, Ulthera, Dermaplaning and CIT microneedling procedures, as the very reason for doing these procedures is to stimulate remodeling of collagen and reorganization of scarred, wrinkled and many other compromised skin issues.

What about people who do not have any wounds or ulcerations to heal? Can copper peptides be useful for regular skin protection and rejuvenation? It appears that they can. The available evidence indicated the following potential skin benefits:

  • Many existing skin care treatments are based on the concept of abrading, penetrating or removing the outermost layers of the skin. The resulting healing process stimulates skin remodeling leading to smoother, younger looking skin. Since copper peptides optimize healing and improve skin remodeling, they can augment the effect of treatments based on various forms of controlled skin injury.
  • Copper peptides are effective against various forms of skin irritation, due to their anti-inflammatory effects. Skin irritation, even in the absence of open lesions, dramatically accelerates skin aging by promoting the formation of free radicals. In many cases, copper peptides can reduce or eliminate the irritation and help maximize treatment benefits.
  • It is always easier to prevent the damage than to fix it later. To a significant degree, skin aging is caused by the accumulation of minor day-to-day damage from sun, wind, detergents, acne, abrasions and so forth. As these minute lesions heal, they leave microscopic imperfections, which, eventually, accumulate to become visible signs of aging.  It appears that copper peptides can help minimize the damage from daily wear and tear of the skin.

The bottom line:

PSG Hydrating Serum, featuring copper peptides are a promising skin treatment with a good safety profile. The products ability to improve the healing of various types of skin lesions is well established. The antioxidants and copper peptides may slow down the development of the signs of skin aging by limiting the consequences of daily wear and tear and augment the results of the skin rejuvenation treatments based on controlled skin injury. Daily use will soften and hydrate the skin, plump up and smooth the texture, and help prevent further damage.

Tips for Healthy Eating this Holiday Season

Eat healthy over the holidaysAt The Plastic Surgery Group of New Jersey, we know that our patients prioritize their health, well-being and appearance. Part of any healthy lifestyle is diet, and with the holidays approaching, it can be difficult for some people to keep their diets on track. Our team has put together a list of tips for healthy eating over the holidays.

Participate in Potlucks

Many offices and social groups like to throw potluck-style gatherings around the holidays. Don’t sit on the sidelines and hope that someone else brings something sensible to eat. Contribute your own dish, such as a veggie platter or fruit salad, to ensure there is at least one healthy option. Your friends and coworkers who are also watching their diet will thank you!

Control Portion Size

Trick yourself into eating reasonable portions by using smaller salad or dessert plates for your main course. Limit calorie-laden beverages and alcoholic drinks by pouring them into tall, skinny glasses (not short, wide ones).

Have a Pre-Party Snack.

Don’t show up at a holiday party on an empty stomach. Before leaving your house, have a light snack (e.g., a piece of fruit, low-fat string cheese, hard-boiled eggs) to sustain you. This lowers the risk of over-eating during the soirée.

Don’t Let Shopping Derail You

Spending the afternoon at the mall looking for gifts? Don’t let hunger and fatigue tempt you into consuming an oversized cinnamon bun or pretzel. Bring along small snacks from home. Or, select a quiet corner of a sit-down restaurant and eat a proper meal without the distraction of loud noises.

Monitor Your Clothing Fit

Once a week, slip on your favorite skinny jeans and think about how they feel. If they are too tight, tweak your diet and exercise routine for the week. If they are still comfortable, you’re on the right track!

Counteract Splurges

Eying the office candy dish? Before you enjoy a piece, complete a physical activity. Climb a few flights of stairs, walk around the building or do some push-ups or planks in your office.

Shift the Focus away from Food

Decorating cookies and gingerbread houses is a holiday tradition. However, you might find that most candy decorations end up in your mouth instead of on the cookie or gingerbread. To avoid a sugar overload, modify the decoration tradition so you aren’t focused on food. Decorate wreaths or Christmas tree ornaments. Or, try something new and sign up to serve a holiday meal at a homeless shelter.

Eating Healthy but Not Seeing Results?

If you normally follow a healthy diet and regularly exercise, but still struggle with excess fat or disproportionate body contours, our plastic surgeons can help. We offer a variety of body sculpting treatments to reduce fat and eliminate excess skin wherever needed.

To learn more about your body sculpting treatment options, please schedule an informational consultation with our team. Call us at (973) 233-1933 today to make your appointment.

How Plastic Surgery Helps Cure Breast Cancer

Written by Barry S. Citron, M.D., F.A.C.S.
Plastic surgery and breast cancer

Thirty years ago, before I became a plastic surgeon, I cared for many sick patients on the wards of Jackson Memorial, Los Angeles County and the Veterans Administration Hospitals. One of the saddest cases, seen unfortunately with disturbing frequency, was that of young women with advanced breast cancer, fearful of losing their breasts, who chose not to address a lump. Could awareness and availability of plastic surgery breast reconstruction have allayed those fears, preventing advanced disease? I believe the answer to be a resounding yes. In these cases, the knowledge that plastic surgery is available helps a patient accept and treat their disease.

Breast cancer treatment and reconstruction has progressed exponentially over the past 30 years. The cancer operations are less invasive and many nipple sparing mastectomies are performed. Previously reconstructing a breast mound to restore a sense of balance to the post mastectomy patient was an acceptable outcome. Today, as plastic surgeons, we are proud of our ability to re-create beautiful breasts. We use modern shaped implants, fat transfer and the patient’s own tissue routinely to accomplish these goals. Frequently the cosmetic result after cancer surgery and reconstruction results in a better shaped breast, then the patient had before her diagnosis of breast cancer. The knowledge that surgical treatment will not cause devastating deformity and may result in a positive change gives breast cancer patients the strength to accept their diagnosis and continue to live their lives. In this way I believe that plastic surgery, for many patients, helps to treat and cure breast cancer.


Restoring Wholeness: Importance of Plastic Surgery in Breast Cancer Recovery

reconstruction after breast cancerAccording to the American Cancer Society, breast cancer is the most common cancer among women excluding skin cancer, and accounts for nearly 1 in 3 cancers diagnosed in US women. It is estimated that 232,000 new breast cancers were diagnosed in 2014. Published research shows that almost 70% of women with a breast cancer diagnosis are not informed of their care options. While that seems like a high number in the Northeast United States, the statistics include middle America and many communities underserved by breast specialists and reconstructive plastic surgeons.

The Breast Cancer Patient Education Act of 2012 was originally introduced by Representative Leonard Lance from the 7th district in NJ. The legislation is designed to increase awareness among breast cancer patients about reconstructive options. It requires the Secretary of Health and Human Services to plan and implement an education campaign to inform breast cancer patients of the availability and coverage of breast reconstruction, prostheses and other options.

I remember the exact moment when I really understood the true essence of breast reconstruction. I was a plastic surgery resident at Memorial Sloan Kettering in 1996 when I had the opportunity to observe a consultation by one of the plastic surgery attendings. There was a 60ish year-old woman interested in delayed breast reconstruction after having had a one-sided mastectomy almost ten years earlier. She came to the appointment with her husband and I overheard them talking before the consultation began. The husband made it very clear that he did not understand why they were there. He told her she looked fine, and it didn’t matter to him whether or not she had breast reconstruction. The woman then turned to her husband and said, “When the doorbell rings, you run to see who’s there and I run to get my prosthesis.” It was a defining moment for the woman’s husband. He finally understood. It was not about him or what he wanted or would accept. The moment felt like yesterday for me and I was humbled to truly understand the importance of what I was being trained to do.

The concept of body image is very complicated and encompasses much more than the words used to define it. Body image is the mental picture we have of ourselves and it is connected to personality, most likely with some genetic basis. While there are certainly cultural differences about body form, beauty and modesty, there are also many similarities that cross cultural lines.

Body image is a complex perception of one’s appearance that involves emotions and physical sensations that develops over time as a result of interactions with people and the social world. Cues about what we should look like come from our parents, our peers and the media. Especially in our current world, television, magazines and the Internet contribute a great deal to the internal “vision” of one’s self. It is indeed difficult to escape the media’s ideals of body form, including breast size and shape. In some ways, the public unknowingly adopts these ideals, often creating feelings of inadequacy, which are internalized. As a result, the idea of a mastectomy may cause some women to feel less feminine.

Since that day as a resident nearly two decades ago, I have countless stories of breast cancer survivors who have taken control of their own destiny, like the wife answering the doorbell. Breast reconstruction is much more than physically restoring a lost part. It’s a psychological victory of preserving one’s body image, which goes a long way towards the mental recovery after breast cancer.

As a medical community and a society, we need to continue to increase education and awareness of breast cancer screening and options for treatment and reconstruction. We also need to eliminate the stigma of breast reconstruction as a sign of vanity. Every woman deserves to feel whole. How about calling it “restoring wholeness” rather than “breast reconstruction”?


Global Trends in Plastic Surgery

Plastic surgery trends around the worldThe International Society of Aesthetic Plastic Surgery (ISAPS) recently revealed that 20 million cosmetic procedures were performed last year, indicating that plastic surgery is growing in global popularity. The ISAPS report also suggests that plastic surgeons are offering the latest techniques and technology, such as fat grafting, to meet the needs of their patients.

Here, the team at the Plastic Surgery Group of New Jersey breaks down the 2014 statistical report from ISAPS, the leading international body of board certified cosmetic plastic surgeons.

U.S. Tops List of Countries that Performed the Most Procedures

According to the ISAPS report, 20 percent of people that had surgical and nonsurgical procedures last year lived in the U.S. Ten percent resided in Brazil (per ISAPS, Brazilians can write off breast augmentation and rhinoplasty on their income taxes!), 6 percent in Japan and nearly 5 percent in South Korea. Mexico accounted for 3.5 percent of surgical and nonsurgical procedures.

Most Popular Surgical Procedures

Globally, the most popular surgical procedure in 2014 was eyelid surgery. Over 1.4 million procedures were performed to reverse the signs of aging, correct genetically droopy lids or create a more natural fold in the upper eyelid (which is popular in Asian countries).

Liposuction and breast augmentation were the second and third most popular surgical procedures, with fat grafting and rhinoplasty rounding out the top five.

Most Popular Non-Surgical Procedures

Treatments with botulinum toxin products (i.e., Botox, Dysport) were the most popular non-surgical procedures, followed by hyaluronic acid treatments like Juvederm and Restylane. This finding indicates that global citizens enjoy quick, in-office treatments that offer noticeable anti-aging results with no downtime. Hair removal, chemical peel and laser skin resurfacing were also leading procedures.

Women vs. Men

Women represented 86 percent of non-surgical and surgical procedure patients. More women had breast augmentation than any other procedure (1.3 million procedures performed worldwide). Liposuction, eyelid surgery, fat grafting and tummy tuck were also popular among women.

More men than ever before had cosmetic procedures in 2014 (2.5 million). They opted mostly for eyelid surgery, rhinoplasty, liposuction, gynecomastia treatment and fat grafting.

We Can Help You Look and Feel Your Best

Are you inspired by the growing interest in plastic surgery around the world? Would you like to discuss your personal cosmetic goals with a talented group of plastic surgeons? If so, please schedule a consultation with the team at the Plastic Surgery Group of New Jersey. Call (973) 233-1933 to make an appointment today.

Dr. Rosen answers: How Has Breast Reconstruction Evolved to Improve Overall Outcomes?

Upload: October 1, 2015When I began practice in 1989, the only type of surgery performed to treat breast cancer was a modified radical mastectomy and the only option we had to treat it was by using a small selection of round tissue expanders. So much has changed since then! This predated Facebook, Google and the iPhone so please understand information traveled slowly back then. Very few companies were producing implants and in 1990 when the implant crisis over Dow Corning’s silicone devices hit the media, the circus that followed set back the industry still further.

Today we have a plethora of options due to better techniques and technologies, but they fall into distinct categories. Synthetic devices to fill up the lost breast or use of the body’s own natural tissue.

The really huge leap in the evolution of breast reconstruction was the recognition that the breast gland could be removed from the body without sacrificing the breast skin or nipple and keeping incisions to a minimum (nipple sparing mastectomy). So now as surgeons we were able to focus on making more anatomically accurate looking implants to fill up the void after the gland was scooped out or use the body’s own natural tissues to do so. We did both!

Today, tissue can be taken from many places on the body (Belly, Back, Butt, Thigh) and transferred with microsurgery to the breast area where it is reattached. It feels exactly like a native breast which is mainly composed of fatty tissue.

Expanders and implants now are manufactured by many companies throughout the world and they come in every shape and size that anyone could ever need or want. New sutures and biologic materials now allow us to perform these procedures faster and with more predictable results. They even improved the silicone substance within implants that prevent it from extruding. Older implants before 2006 were filled with a liquid substance with the consistency of honey. These could leak from the implant and travel to adjacent breast tissues. They did not find this to cause any diseases but it did cause inflammation and lumps in the breast. Implants today are made of a cohesive substance with the consistency of, but softer than, a Gummy Bear candy. Hence the popularity of the moniker, Gummy Bear Implant. (No actual implant has this name, but maybe they should!) They also have a very low failure rate and are easily replaced. The manufacturers actually warranty them for a lifetime.

Today, since the MRI and digital mammograms are so accurate, breast cancer is detected very early. The breast skin and nipple can be saved in most cases and filling the void up with a modern properly shaped implant or natural fatty tissue from another part of the body where it is not needed, yields a breast that looks almost identical to the original. We actually perform our mastectomy and expander reconstructions as outpatients in our surgery center and tissue transfers only require a few days in the hospital.

Many patients now find their cancers so early that they don’t need mastectomy at all and opt for  lumpectomy. My hope would be no one would ever need a mastectomy again and reconstruction would be obsolete. Until that day comes, we are going to continue our pursuit of improving upon breast reconstruction, and returning patients to “wholeness” again.


PSG MediSpa Introduces New Product — PSG Hydrating Serum

Upload: September 25, 2015Just in time for the most dehydrating time of the year, we are pleased to be introducing a superior hydration serum that is beneficial for all skin types and conditions!

PSG Hydrating Serum is an advanced blend of both small (fractionated) and high molecular weight Hyaluronic Acids that penetrate deeply, saturating multiple skin layers, binding and retaining moisture, quenching dehydrated skin and providing all day/all night moisture retention.

Additional humectants: (Sodium PCA and Glycerin) rejuvenate, plump, smooth and soften the skin, supporting healthy collagen and maintaining the skin barrier.

A powerful blend of peptides, and antioxidants:  Palmitoyl Tripeptide-28, Ergothioneine, Glutathione and Camillia Sinensis (white tea) extract protect cells from damage, calm irritation, nourish and soothe the skin whilst guarding against free radical damage.

An Essential Mineral Complex: (Zinc PCA & Copper PCA) moisturize and condition the skin, promote collagen synthesis and wound healing.

Can be used alone or to boost any skin care products hydrating effects

Only 3 or 4 drops are needed for the face.  Can be used for neck, décolleté, lips, etc.

Ultra clean, allergen free, gluten free, fragrance free and paraben free formula

Call today to learn more about our PSG Hydrating Serum or to make an appointment with one of our New Jersey/ NYC area MediSpa aestheticians! 973-233-1933


Turn Over a New Leaf with These Skin Care Treatments

Fall skin careThe arrival of fall is the perfect opportunity to rejuvenate your skin. Cleansing the skin after hours spent under the summer sun can unveil fresh, healthy skin. Here, the Plastic Surgery Group shares three essential skin care tips as well as treatments to keep in mind for this fall.


As the leaves change color this fall, so should your moisturizer. Though a lightweight facial moisturizer can keep your skin from getting too oily during the summer,  your skin runs into the exact opposite problem during the fall and winter months. Use a heavier cream or oil-based serum to keep your skin hydrated and healthy.
Including regular facials in your skin care regimen can also keep your skin beautiful and fresh year round. Our popular Royal Facial includes deep cleansing, exfoliation, and a hydrating and lifting modeling masque to keep skin refreshed and youthful-looking.


Exfoliating can repair sun damage by removing dead cells and unclogging the pores. Try exfoliating at home once or twice a week with a gentle facial scrub before putting on any makeup, moisturizer or sunscreen.

For even clearer, more beautiful skin, try one of our premier, in-office exfoliative treatments. The Glycolic Peel skin treatment is a favorite among our patients because it brightens and smoothens the skin by treating aging skin, adult acne, hyperpigmentation and fine lines.


The sun never rests and can still harm your skin in overcast or cloudy weather. Because of this, sunscreen should be worn year round to avoid sunburns, redness, and even premature wrinkles and fine lines.

If you are looking to repair your skin following hours spent out in the sun this summer, our redness laser treatment can help. This laser skin treatment can improve the appearance of the skin by eliminating facial redness often caused by sun damage, acne or rosacea. For signs of premature aging caused by long-term sun exposure, consider our laser wrinkle treatment. This treatment is a great option to eliminate wrinkles and fine lines, which can appear as a result of sun damage. Following treatment, patients may experience redness and peeling. Once the skin heals, patients can enjoy new, rejuvenated skin just in time for fall.

To find out more about your skin rejuvenation options, contact the Plastic Surgery Group of New Jersey. One of our trusted experts will be happy to discuss with you in detail our nonsurgical cosmetic treatments that leave your skin revitalized and radiant. Schedule a one-on-one consultation today by calling (973) 233-1933.

Eyelid Surgery vs Forehead Lift: Which is Right for Me?

Eyelid surgery vs forehead liftIf you’re considering plastic surgery to restore beauty and youth to your eyes and face, you may be wondering which procedure is right for you. Eyelid surgery and forehead lift are two facial rejuvenation procedures often sought out by people who want to get rid of wrinkles, sagging eyebrows or the dreaded dark circles underneath the eyes. Before choosing to undergo one or both procedures, it’s important to understand the differences between the two.

What is Eyelid Surgery?

Puffy upper eyelids can not only make someone look tired, but also interfere with their eyesight. In some cases, skin from the upper eyelids can hang so low that it can block peripheral vision or make it hard for someone to open their eyes completely. Blepharoplasty, or eyelid surgery, can address these issues and improve the appearance of the upper or lower eyelids or both. Removing excess skin or lifting drooping skin can allow someone to open their eyes with ease and make the eyes look bigger and brighter.

Other patients seek eyelid surgery to treat dark circles, or “bags” underneath the eyes that make them appear older or unrested. Lower eyelid surgery removes excess skin and fat to achieve a rejuvenated look throughout the eye area.

What is Forehead Lift?

Have you ever been told you look upset because of your “furrowed” brow? Wrinkles and deep creases across the forehead can make someone look unapproachable and/or add to an older, tired facial appearance. Forehead lift, also known as a brow lift, raises and reshapes “falling,” sagging skin around the eyebrows that often causes the eyelids to appear hooded.

The procedure softens the deep creases and wrinkles around the forehead for a more youthful and beautiful facial appearance.

At The Plastic Surgery Group, we offer New Jersey and New York City patients several different techniques to the forehead lift depending on each patient’s individual goals and needs. Many of our patients like to combine forehead lift with facelift or eyelid surgery for a smoother, brighter-looking face.

Choosing a Procedure: What You Need to Consider

Before pursuing one of these procedures, ask yourself the following:

  • Are your eyebrows in a good position but your upper eyelids droop due to excess skin? If so, you may need upper eyelid surgery.
  • Does the skin on your forehead hang but there is no extra skin on the upper eyelids? If the answer is yes, forehead lift may be a better option.
  • Do you have excess skin in the upper eyelids and sagging eyebrows? If so, your plastic surgeon may recommend both eyelid surgery and forehead lift.

The best way to find out which procedure is right for you is to meet with an experienced plastic surgeon. The Plastic Surgery Group has helped thousands of New Jersey and New York City patients achieve a youthful facial appearance. One of our trusted plastic surgeons can help you decide whether eyelid surgery or forehead lift can best address your personal needs and goals. Schedule a one-on-one consultation today by calling (973) 233-1933.

Facial Plastic Surgery Makes You More Likeable, Study Says

Plastic surgery makes you likeableWe all know that facial plastic surgery can change the way someone feels about themselves, but can it also change how others feel about that person? A new study says yes. Researchers from Georgetown University found women who underwent certain facial plastic surgery procedures were rated as more likable, attractive and feminine by strangers.

What the Study Found

Researchers set out to find just how much personality perception changes after someone undergoes facial plastic surgery. A total of 170 people were shown the before and after photos of 30 women who had one or more of the following procedures: facelift, eyebrow lift, neck lift, upper and lower eye lift, and chin implant. No reviewer saw both the before and after photo of the same woman and no one knew whether plastic surgery had been performed. They were then asked to rate the photos on eight traits: aggressiveness, extroversion, likeability, trustworthiness, risk-seeking, social skills, attractiveness and femininity. The results found plastic surgery had a positive impact on how people are perceived by others. Here are some highlights of the findings:

  • Photos of women with facial plastic surgery were rated significantly higher for likeability, social skills, attractiveness and femininity.
  • Photos of women who underwent facelift or lower eye lift were rated highest.
  • Women who underwent facelift surgery scored highest in likeability.

Our Facial Plastic Surgery Procedures

Researchers believe first impressions are heavily based on a person’s facial features. For example, someone with a furrowed brow may be perceived to be displeased or upset. Researchers also believe a person looks happier when the contours of the face are lifted, and as a result, may be judged to be likable and approachable.

The Plastic Surgery Group offers the facial procedures mentioned in the study above as well as other procedures for people who are looking to rejuvenate and improve their facial features.

  • Facelift raises the contours of the face by eliminating excess skin. It also rejuvenates the face by tightening skin and removing wrinkles. The Plastic Surgery Group offers several approaches to facelift surgery depending on the needs and goals of each patient.
  • Chin surgery reshapes the chin area with either an implantable prosthetic or liposuction and brings a more balanced look to facial features.
  • Neck lift improves signs of aging around the jawline and neck by removing loose, excess fat and skin.
  • Eyelid surgery restores youth to the area around the eyes by eliminating sagging skin on the upper and lower eyelids.
  • Forehead lift smoothens the lines formed across the forehead, restoring a smooth, youthful look to the face.
  • Rhinoplasty can improve the size and shape of the nose, providing balance to the rest of the person’s facial features.

The Plastic Surgery Group proudly serves New Jersey and New York City and can help you boost your confidence with a more youthful, beautiful look. Schedule a one-on-one consultation with one of our highly trained plastic surgeons today by calling (973) 233-1933.

Ulthera Expert Answers Your Questions

Our Ulthera expert, Medical Aesthetician Nancy Dugan provides some important details on how Ulthera procedures are planned and priced.

Joseph: I’m interested in an Ulthera neck procedure and I’ve spoken to other doctors about it, but the price range is so wide between practices. Why is that?

Nancy: Hi Joseph, We customize our treatments, and experience has taught us that the more lines, and the higher the energy, the better the result, so we calculate the lines by the size of the area, as well as the quality, laxity, and depth of the skin. There are several transducers to deliver the energy to the skin: 4.5 mm, 3.0 mm, and 1.5 mm in order of depth. The energy can be adjusted on each of the transducers according to the desired result as well as the mentioned criteria. We calculate our pricing on the number of lines required to get the best result. The “neck” is considered to be the area from the jaw line down to the clavicle. The area directly under the jaw line generally takes @ 120 lines per transducer. It would be less for a small person, and more for a larger person. The sides of the neck leading to the clavicle has up to 3 columns of 25 lines on each side, so it could require up to 150 lines per transducer for that. Ultimate treatment with ultimate results would use all 3 transducers, but read on and compare to what you’re concerned with. The “lifting” transducers are considered the 4.5m and the 3.0 m. The blue 4.5m transducer works on the s.m.a.s muscle (the one they tighten in a facelift) located under the fat layer, to stimulate collagen and tighten that area. A second 4.5m transducer, the purple one, is a little more superficial in its action, so we use that when there’s a lot of fat in the face to target that, because fat resides a little higher in the skin above the s.m.a.s. muscle. The 3.0m transducer reaches the connective tissue of the dermis right above the fat layer of the skin. That’s the layer that gives your skin its tenseness, strength and support. The “finessing/smoothing” transducer is the 1.5m. The 1.5m works at the very top of the connective tissue right under the epidermis, and that is for the crinkly looking skin on the surface to build it up and plump it out.

So, on average, a neck treatment can be as few as 500 lines with 1 transducer, maybe 800 lines with 2 transducers, and up to 1200 lines using all 3 transducers. So, for a neck procedure, costs can vary from $2500 -$5000 depending upon what we’ve got to work with in the case of the skin, the size of the area, and where we’re trying to get in so far as results desired. That all being said, we usually do the lower face (cheekbone to jaw line) too, because that helps the jowls that the neck treatment won’t affect as much. Adding that to the full neck would add another 430 lines with 2 transducers, and another 190 lines if all 3 are used. Lower eyes take about 60 (using 3.0 and 1.5 only), peri-oral (upper lip) takes about 30, chin, another 30, these only with the 1.5. So, what you need, is a consultation to determine your priorities and to estimate the number of lines it will take to get you to where you want to be. To address your initial question, some offices do a standard protocol of about 550 lines or so, and that’s why they can just price it without looking at you in much depth, however that’s likely not the way to get what you want, because are any of us really “average”?

Plastic Surgery Is a Popular Option after Massive Weight Loss

Weight loss and body contouring surgeryAccording to data from the American Society of Plastic Surgeons, tummy tuck, arm lift, thigh lift and other procedures linked to massive weight loss were more popular in 2014 than ever before. ASPS President Scot Glasberg believes there is a correlation between weight loss surgery and the growth of these procedures.

Let’s look at the numbers: In 2013, nearly 179,000 Americans had weight loss surgery (gastric bypass, gastric sleeve and other procedures). Lower body lifts increased by 7 percent, tummy tucks and thigh lifts increased 5 percent and upper arm lifts increased 3 percent from 2013 to 2014, according to ASPS numbers.

How Plastic Surgery Improves the Body’s Appearance after Weight Loss

The Plastic Surgery Group can understand why weight loss surgeries are fueling an increase in certain plastic surgery procedures. Bariatric surgery is a great tool for people struggling with obesity to lose weight and live healthier, happier lives. However, rapid, substantial weight loss leaves behind loose skin. Someone that has lost a lot of weight will look smaller and thinner, but their skin usually does not shrink to tightly cover the new contours. This loose skin not only obscures the body’s beautiful new shape, but can also chafe and become irritated or infected easily.

The only solution to treating loose skin after massive weight loss is plastic surgery, an option that many weight loss surgery patients are choosing. The ASPS claims that one out of four weight loss surgery patients opt for cosmetic surgery.

Treatment Options

Tummy tuck removes abdominal skin that has lost elasticity and will not shrink to cover the abdomen (the loose skin may accumulate to form a “pooch”). Tummy tuck also removes surplus fat deposits for a flatter and firmer abdominal profile. And, the procedure repairs damaged or possibly separated abdominal muscles.

Thigh lift treats redundant, hanging skin from the thighs and tightens the remaining skin. Thigh lift includes liposuction of the inner thigh area. The legs look firmer and more toned after thigh lift.

Upper arm lift (brachioplasty) eliminates loose skin that hangs from the upper arms (elbow to armpit). Arm lift may also incorporate liposuction techniques to remove targeted fat deposits. Arm lift reveals a tighter and more toned arm contour.

Breast lift restores saggy breasts to a more attractive and youthful-looking position by eliminating loose skin and reshaping the breast tissue higher on the chest wall. Breast lift can reduce oversized areolas and correct downward pointing nipples.

Learn More about Post-Weight Loss Body Contouring

If you have had weight loss surgery (or are planning your operation) and would like to explore your body contouring plastic surgery options, we can provide more information during a consultation. Call (973) 233-1933 to make an appointment with one of our board certified plastic surgeons.

How Plastic Surgery Could Improve Career Opportunities

Plastic surgery boosts job opportunitiesOne of the realities of the modern workplace is the importance of image. Job candidates and employees are judged not only by their professional qualifications, but also by the way they look and carry themselves.

As more people realize the importance of image in the workplace, the demand for plastic surgery rises. Plastic surgeons admit that a common motivating factor for many candidates is the desire to advance professionally. Plastic surgery addresses perceived flaws that hamper an individual’s self-image, and provides the much-needed boost of confidence to go after new career opportunities.

The Plastic Surgery Group believes that for the right people, cosmetic enhancement can pave the way for new jobs, promotions and raises. In this post, they explain why.

Staying Competitive in the Workplace

The 2014 plastic surgery statistics from the American Society of Plastic Surgeons revealed an uptick in the demand for male plastic surgery. According to some of the association’s members, many of these men desire a more youthful appearance to stay competitive in an increasingly younger workplace. With so many recent college graduates, older executives want to match their younger, more energetic colleagues and competitors.

It’s not just men — many women feel that looking youthful is important to landing a job and earning raises and promotions.

Facelift and eyelid surgery are two of the most requested facial rejuvenation procedures among aging executives. Treatments with cosmetic injectables are also popular, as they can be performed during a quick lunch break and require no downtime.

It’s Not All About Looks; It’s Also About Confidence

Confidence is a key component to career success. Confident, well-adjusted workers tend to get hired and receive raises and promotions more often than their self-conscious or timid peers.

What does this mean for you?

If a certain physical feature embarrasses or bothers you, it is possible that you project a self-conscious vibe in interviews and meetings. For example, you might avoid looking someone in the eye because you feel embarrassed of your oversized nose. Or, you might sit hunched over because you feel self-conscious of saggy breasts or a disproportionate body. Perhaps you don’t speak up in collaborative settings because you imagine everyone will fixate on your wrinkles. This type of behavior could come across as aloof, unpleasant and uninterested.

The truth is most people are fixated on themselves and their own flaws. We are our own worst critics and notice things that a coworker or boss would never see. However, as long as your expectations are reasonable, plastic surgery can be helpful for your attitude. For the right candidates, plastic surgery will provide a much-needed boost in self-esteem and overall sense of satisfaction. And, scientists from the University of Michigan found a correlation between confidence and higher wages. If you have a performance review approaching, start planning ahead!

Explore Your Opportunities for Cosmetic Enhancement

If you would like to discuss your own plastic surgery needs and goals, contact the Plastic Surgery Group today. Call (973) 233-1933 to make an appointment with one of our board certified plastic surgeons.

What You Really Want to Know about Tummy Tuck … But Are Afraid to Ask

Candid answers to tummy tuck questionsAt the Plastic Surgery Group, we believe the best tummy tuck patients are the most informed. We urge our patients to ask any question (regardless of how minor or cringe-worthy it might be) in the pre-operative consultation phase.

Truthfully, certain questions are difficult or embarrassing to bring up. Our team has compiled a list of tummy tuck questions you might hesitate to ask during consultation. If you don’t see your question(s) on this list, please contact us today to speak with one of our friendly staff members.

Will I need to stay overnight in the hospital after surgery?

In most cases, you will be released from the surgical facility shortly after your procedure. You will be able to recover comfortably in your own home the night of surgery. However, we do recommend you have a family member or friend stay with you for the first 24 hours after surgery.

Do I need to lose weight prior to surgery?

For the best results, you should be at, or close to, your ideal weight. Also, you should not plan to gain weight or become pregnant after surgery, as that could affect the surgical outcomes.

More important than your weight is your physical health condition. Eat well, sleep a lot and exercise regularly in the weeks leading up to surgery. Do not smoke, and stop taking any medications that could cause complications (we will provide a list for you). Being in good shape will reduce the surgical risks and shorten your recovery time.

Will tummy tuck treat my stretch marks?

Tummy tuck will remove some stretch marks, depending on where they are located. It is most effective at removing stretch marks on the lower abdomen (i.e., below the belly button), which is achieved by removing the excess skin and tightening the remaining skin. Tummy tuck usually won’t affect stretch marks above the belly button. Another procedure, such as body lift, may be more effective.

Will drains be used after surgery?

Small, thin tubes may be placed under the skin temporarily to drain excess blood and fluid. Our team will provide detailed instructions for caring for the drains and the incision site.

What will recovery be like?

Tummy tuck recovery may be uncomfortable at first, but it is tolerable. Bruising and swelling are normal, temporary side effects. Your abdomen may also be numb, tender or sensitive to the touch. We will prescribe pain medication and share tips for minimizing discomfort.

Initially, your range of motion will be limited. Expect to spend your first week of recovery in bed or in a comfortable spot on the couch, resting quietly. Make sure you have plenty of easy-to-digest food, water and entertainment to keep you occupied. Ask a family member or friend to help with food preparation, childcare, laundry and other household chores.

We will schedule several follow-up appointments with you to remove your drains, check your healing progress, re-dress your incisions and remove your sutures. We will answer questions and let you know when it is safe for you to return to work, exercise, socializing and the rest of your normal activities.

What are the risks of tummy tuck?

Tummy tuck candidates must understand and accept the risks and possible complications of surgery. Every operation presents some degree of risk, regardless of the experience and skill of the surgeon. Tummy tuck risks include:

  • Adverse reaction to the anesthesia
  • Bleeding
  • Infection
  • Changes in skin sensation and numbness
  • Unfavorable scarring
  • Accumulation of fluid

Have More Questions? Call the Plastic Surgery Group

Remember: no question is too embarrassing to discuss with our knowledgeable, professional team. We have heard it all!

For more information about tummy tuck or the procedure of your choosing, contact the Plastic Surgery Group by calling (973) 233-1933 today.

Avoiding Smiling to Prevent Wrinkles? Luckily, You Don’t Have To

Preventing wrinkles before they appearLast month, Tess Christian, a 50-year-old cooking instructor from the U.K., made headlines when she admitted she hasn’t smiled in the past four decades. She has nothing to be sad about; actually, her perpetually neutral expression is her effort to maintain a youthful appearance.

“I don’t have wrinkles because I have trained myself to control my facial muscles,” Christian told the Daily Mail. “Everyone asks if I’ve had Botox, but I haven’t, and I know that it’s thanks to the fact I haven’t laughed or smiled since I was a teenager. My dedication has paid off; I don’t have a single line on my face.”

While Christian’s strategy may seem extreme, it’s true that whenever we make a facial expression, such as smiling, talking or frowning, a fold or crease appears on the skin. Over time, these lines become permanently etched in the skin. Because of these dynamics at play, Christian’s strategy isn’t necessarily misguided.

Admittedly, the Plastic Surgery Group finds it a particularly unpleasant way to prevent wrinkles. Smiling is a spontaneous behavior that communicates our joy to others. However, we understand the desire to have smooth and wrinkle-free skin. We have some suggestions for preventing facial wrinkles or treating existing lines. We think you will find them more reasonable than censoring your natural, beautiful smile.


Tess Christian made mention of Botox in her comments, saying that many people assume she has regular treatments with the cosmetic injectable to maintain smooth skin. We have to agree that Botox is one of the (if not the) most effective wrinkle reducers used today. When injected into specific areas of the face and neck, it relaxes the facial muscles that cause lines and wrinkles. Established lines will smooth out and new wrinkles will not form. Botox injections not affect the muscles that you need to smile, eat, open your eyes and make other normal facial expressions.

We do want to clarify something that Christian said about Botox, which is that people ask her if she has had the treatment. When it is administered properly, Botox is undetectable. No one will ask you whether you’ve had Botox injections. The results are subtle and natural looking.

Injectable Dermal Fillers

Like Botox, dermal fillers are cosmetic injectable products; however, they function in a completely different way. When injected under the skin, products like Restylane, Sculptra and Perlane act as an inflatable cushion to fill in facial lines and wrinkles and support the structures of the face.

Laser Skin Resurfacing

Laser skin resurfacing is another way to improve the appearance of wrinkles. Treatment involves removing the outer layer of wrinkled, damaged skin to reveal fresh, healthy skin underneath. Microdermabrasion and chemical peels accomplish the same objective, but with different technology.


If you are concerned about deep wrinkles coupled with other signs of facial aging (e.g., sagging, skin, fat displacement and loss of muscle tone), comprehensive correction in the form of facelift may be your best option.

During facelift, the underlying structures of the face are lifted, fat is redistributed and muscle tone is restored. The skin is re-draped more tightly over the facial structures, which smoothes out wrinkles and facial folds.

Learn More about Wrinkle Reduction Treatments

Don’t let the fear of developing or worsening wrinkles stop you from expressing your happiness with a smile. The Plastic Surgery Group can discuss your wrinkle reduction treatment options during a private consultation. Call us today at (973) 233-1933 to schedule an appointment.

Common Cosmetic Concerns by Age Group

Upload: December 17, 2014The team at the Plastic Surgery Group serves a diverse group of patients of all ages. Our goal is to help our patients feel more confident and attractive by offering quality, personalized care. While every patient has a unique cosmetic concern (i.e., a certain bothersome feature they’d like improve), our team has noticed some commonalities in cosmetic concerns within age groups.

Children & Teens

Young children typically do not have any cosmetic concerns, per se. However, some children do have oversized or protruding ears that we can repair with a procedure called otoplasty (or ear pinning). The operation is most often performed on children ages 4 to 14.


Fortunately, twenty-somethings do not yet need to worry about visible signs of facial aging or the effects of gravity on the body. In their 20s, some women may feel self-conscious of their breast appearance. The breasts have generally stopped growing by the time a woman enters her 20s, and she may be dissatisfied with her natural breast size or shape. Breast augmentation or breast reduction are common among women in their 20s.

Another common cosmetic concern amongst twenty-somethings is the tone and texture of the skin. Flaws like acne scarring, hyperpigmentation and sun damage can be treated with non-surgical skin care procedures at our Medi Spa.


Cosmetic concerns tend to shift once our patients hit their thirties. Many women become mothers and notice permanent physical changes (most obviously to the abdomen and breasts) after childbirth and breastfeeding. Mommy makeover is perfect for restoring a woman’s pre-baby body.

Also, the effects of aging start to hit. It’s common for the metabolism to slow down on a patient in his or her thirties, and the body may start to deposit fat differently. Liposuction can contour an area with stubborn excess fat that won’t respond to diet or exercise.

Subtle signs of aging can also start to show on the face. Fine lines and wrinkles may crop up, but can be easily treated with non-surgical facial rejuvenation options.


These signs of aging intensify during a person’s forties. The lines and wrinkles start to deepen, under-eye bags may develop and the brow line may start to droop, creating a tired, angry or sad facial expression. Eyelid lift, brow lift and regular treatment with Botox and fillers are helpful to restore a more youthful and pleasant facial expression.

50s & Older

Our patients who are in their fifties and older typically complain about deep wrinkles and lines, fat displacement, loss of volume in the cheeks/lips and other noticeable signs of facial aging. One of the best treatment options is facelift; brow lift and eyelid lift are also effective and popular in this age group.

Considering Cosmetic Treatment?

Is there an area of your face or body that makes you feel a little self-conscious? No matter what your age is, we are happy to sit down with you, explore your unique cosmetic concerns and work on a plan of treatment. Please call us at (973) 233-1933 or send us an email to schedule a consultation with our team.

Caring for Your Skin during Winter

Upload: December 17, 2014Freezing temperatures and dry winds can dull even the most cooperative skin. Luckily, there are steps you can take to add the vibrancy back to your skin. Try these tips for beautiful and glowing skin.

Moisturize Properly

Let’s start with the basics. Moisturizing is critical to keeping skin moist and supple during the harsh winter months. However, using the wrong moisturizer or over-moisturizing can cause clogged pores, bumps and breakouts. The skin can only absorb so much product, and any excess product sits on the surface of the skin and can potentially clog up pores.

Look for a moisturizer targeted to your skin type (i.e., dry, oily or combination). Read the product labels and look for one or more of the following ingredients: safflower oil, soybean oil, cranberry oil, carrot oil, sunflower oil, rosehip oil, shea butter or phospholipids. These ingredients are great for repairing the lack of oil and hydration in the skin’s deep layers.

Also, be sure to apply moisturizer while your skin is still damp — this locks in the moisture.

Hydrate Your Scalp

We tend to neglect the scalp skin, which can become scaly, itchy and flaky without adequate hydration. On your next trip to the drugstore, scour the hair aisles for a shampoo and conditioner formulated to fight flakes, like a product from the Head and Shoulders or Clear Scalp & Hair Therapy lines.

Don’t Forget about Your Lips!

The lips can get chapped and cracked without adequate moisture. The digestive enzymes in saliva also contribute to cracking around the corners of the lips. Repeatedly licking them only makes the skin drier. Try a thick ointment like Aquaphor to treat dry lips. And, concoct a homemade exfoliant with sugar and coconut or almond oil to get rid of flaking.

Avoid Scratchy Fabrics

Wool and synthetic fibers can dry out and irritate the skin. If you need to wear wool for warmth, slip on a thin layer of cotton underneath to act as a barrier.

Pamper Your Hands

Gel manicures are extremely popular, but dissolving the strong polish is rough on the nails and hands. The nail beds and hands can suffer extreme dryness and cracking from repeated polish changes. If you are a regular at the nail salon, make sure to double up on hand cream before and after your manicure.

Schedule a Professional Skincare Consult

At the Plastic Surgery Group, our aestheticians offer a full range of skincare services in our Medi Spa. We can meet with you personally, discuss your skincare goals and develop a treatment plan to restore health and vitality to your skin.

To schedule a consultation with our team, please call (973) 233-1933 or send us an email.

Last-Minute Gift Ideas for the Beauty Lover in Your Life

Upload: December 17, 2014Welcome to the thick of the holiday season. The stores are packed, the malls are crowded and you might be overwhelmed with your gift-giving list. If you’re struggling to find the perfect last-minute gift for the beauty lover in your life, try these suggestions for a gift she’s sure to enjoy!

Does she love lipsticks?

Sephora is a treasure trove of gifts for the beauty lover in your life. One of this season’s best offerings is “Give Me Some Lip,” which is a six-piece lip product sampler set (including one full-size product). The set features lipsticks, lip pencils and lip glosses from Urban Decay, Nars, Marc Jacobs and other popular lines. Give Me Some Lip is sure to satisfy any lipstick addict’s desires!

Is she obsessed with fragrances?

Perfumes and other scented products are always well received during the holidays. If you aren’t sure which fragrance your beauty lover would enjoy, Marie Claire has an excellent fragrance finder guide.

Would she appreciate some new polishes?

One of the leading names in nail products, Butter London offers a bevy of holiday-themed gifts sets. Try Midnight Gander, Steampunk Ball or Gilded Gears, which come with beautifully colored polishes.

Does she want clear, glowing skin?

If your beauty lover doesn’t already have a Clarisonic skin care cleansing brush, it’s time to gift her one. Ulta offers a Clarisonic Mia gift set that comes with the brush, extra brush heads and refreshing gel cleanser for a great price.

Or, if your favorite beauty lover already has the Clarisonic brush (chances are, she does!), try the Josie Maran Winter Dreams skincare set, which is full of the line’s most popular argan oil products. You can find the set at Sephora.

Could she use some new tools for her arsenal?

You can’t go wrong gifting the Sonia Kashuk Brush Set, available at Target. The limited-edition “All that Jazz” set comes with 10 black-and-gold pieces, including brushes for the face, eye and lips.

Or, if your beauty lover gets more excited over hair tools, take a look at the Drybar line of blowdryers, flat irons and curling irons. Though a tad on the pricey side, these tools are professional-quality and are used by the popular line of Drybar salons. The 3-Day Bender Curling Iron is particularly well reviewed!

Is the winter weather affecting her skin?

Anyone with dry, cracked skin will appreciate the Bliss Buttah-Bling gift set, which comes with a trio of fragranced body butters (Lemon+Sage, Grapefruit+Aloe and Blood Orange+White Pepper). The body butter formulas are perfect for combating rough and scaly skin.

Would she enjoy a little extra pampering?

If you really want to spoil the beauty lover in your life, give her a voucher for a cosmetic beauty treatment at the Plastic Surgery Group. We offer wrinkle treatments with Botox or injectable fillers, IPL light therapy sessions, lip enhancement and more! Or, if your beauty lover has expressed the desire for more comprehensive cosmetic improvement, we also offer a full range of plastic surgery procedures. Explore the services section of our website for more information on our options.

Contact the Plastic Surgery Group

Are you interested in learning more about our services, or purchasing a voucher for your loved one? Contact our practice today and speak to a member of our team. Call (973) 233-1933 or send us an email.

Gifting Plastic Surgery – Yay or Nay?

Plastic Surgery GiftsIs it OK to gift a loved one plastic surgery?

This question becomes relevant as we approach the holiday season and begin to think about what our loved ones would love to receive.

Gifting plastic surgery can be a touchy subject. To an outsider, it may send a message that you think your loved one needs to improve their appearance. On the other hand, you know your loved one best. Have they expressed that they want to improve their appearance with a cosmetic procedure? If so, why not spoil them with something you know that they would love?

Plastic Surgery Gifting Becoming Popular

Last year, Elle Magazine reported on the rising trend of gifting plastic surgery. One of the plastic surgeons they interviewed in the article said that so far that season, he had sold more than 50 gift cards, many for non-surgical procedures like peels and dermal fillers. A few husbands did procure vouchers for procedures like liposuction or neck lift for their wives who were interested, the doctor noted.

Another dermatologist the magazine interviewed said it was common at her practice for a woman to undergo treatment herself, and then gift the treatment to a loved one so they could try it out. Talk about having a generous spirit!

Based on the current dialogue, it seems the key to gifting plastic surgery is that it not be a spontaneous or unsolicited move. The gift is more likely to be well-received when your loved one has been talking about undergoing treatment, or even gone in for a consultation, but hasn’t yet scheduled surgery.

However — when the roles are reversed and a wife is buying for her husband, the rules seem to change. Another doctor that Elle spoke to said that he noticed women were more likely to gift a non-surgical or surgical procedure to their husband without any provocation. Men are more hesitant to admit to wanting cosmetic enhancement, according to Elle. They may simply need an extra push.

A Few Guidelines

On their blog, the American Society of Plastic Surgeons offered some suggestions for gifting plastic surgery:

  1. Determine the recipient’s cosmetic desires and concerns (e.g., larger breasts, smoother facial skin).
  2. If they haven’t mentioned a specific procedure or treatment, do some research about the service(s) that may address their concern(s).
  3. Call a plastic surgeon (we can be reached at 973-233-1933) to inquire about the procedure(s) and to obtain a price estimate.
  4. Gift a card or voucher that states your intent to contribute to your loved one’s procedure or service.
  5. Have the recipient call the surgeon’s office to schedule a consultation.

The Final Word

Ultimately, the decision to undergo a cosmetic procedure is up to the recipient and the surgeon. Our patients retain the right to make decisions about their care, and our surgical team will advise whether we think an individual is qualified for a particular treatment.

Learn More – Call Us Today

For more information about our practice and the services that we offer, please call the Plastic Surgery Group at (973) 233-1933 or send us an email.

“Which would be better for my face/neck laxity: Venus Freeze or Ulthera?”

After a consultation with one of our doctors who determines you are a good candidate for one of our non-surgical procedures like Venus Freeze or Ulthera, how do you decide which procedure is right for you? Nancy Dugan, our technician specializing in the energy based procedures suggests the following:

Patients who are deemed good candidates for non-surgical procedures may consider combining the effects of Venus Freeze and Ulthera. Though they work in different ways, they are in fact complimentary procedures. Each works in different, but partially overlapping skin layers. The Ulthera is a single procedure that works on 3 depths: 4.5 mm, 3.0mm and 1.5 mm into the skin. It bypasses the surface and does its work underneath; tightening the skin, building collagen, lifting and improving over a period of up to 6 months after the treatment. It can be done for the brow, temples, under eyes, cheeks, upper neck, lower neck and décolleté. It is non-ablative, and works beneath the surface, so there is little to no outside evidence of the treatment, and no down time. Patients usually repeat the Ulthera yearly, though there are some who want more improvement that do it 2 or 3x per year. There are ways to customize the Ulthera treatment for patients with thicker or thinner skin, and techniques to address different patterns of laxity and wrinkling.

Venus Freeze works via radio frequency and magnetic pulses in a non-ablative fashion as well, though not as deep, nor is it as invasive as the Ulthera treatment. It also tightens the skin and builds collagen, though it requires weekly (6-10) treatments to do so, then we usually do a monthly touch up with the regular facial treatment. It’s a terrific way to enhance and speed up the effects of Ulthera, so we consider them to be complimentary treatments that can be used together or separately. Venus Freeze treatments can be started anytime after 2 weeks following an Ulthera procedure. It can be used on the face, neck, décolleté, arms, thighs, buttocks, back, stomach & flanks/hips. The body treatment with Venus Freeze tightens the skin, shrinks fat cells, and reduces the appearance of cellulite.

Just for comparison, because the subject often comes up, laser/light treatments work in the upper area of the skin to “ablate” the surface, after which the skin will heal in a more youthful pattern. Laser treatments can go as far as 1.5mm deep, which may require healing time, and create peeling, redness etc. Lasers are superior at improving the surface texture, capillaries, and brown spots. Ulthera and Venus Freeze are not lasers. They are skin tighteners that work under the skin, and don’t ablate the surface like a laser, which is why they don’t require downtime.

Non-Surgical Facial Rejuvenation Rising in Popularity

Non-Surgical Facial Cosmetic ProceduresAccording to statistics released by the American Society of Plastic Surgeons, minimally invasive cosmetic procedures continue to outpace surgical procedures at a tremendous clip. ASPS reported 6.3 million Botox treatments in 2013 compared to just 133,000 facelift procedures.

What’s interesting about ASPS’s data is that the number of facelift procedures hasn’t changed significantly since 2000. However, the numbers for Botox have exploded. In 2000, only 786,911 treatments were delivered, which translates to a 700 percent increase between 2000 and 2013. (To be fair, Botox wasn’t FDA approved in 2000; it received safety clearance two years later.)

Pharmaceutical companies in the beauty industry have struck a chord with individuals who want to age gracefully. Every year, these companies release new minimally invasive products to meet the voracious demand of their consumers.

Let’s explore some of the reasons non-surgical facial rejuvenation treatments like Botox and dermal fillers are becoming so popular:

Our patients are busy.

With jobs, kids and social lives, our patients are busy. Although they desire a more youthful-looking face, many simply do not have the time to allocate to recovering from a facelift or neck lift procedure.

Products like Botox or dermal fillers are a much more convenient option. Injectable facial rejuvenation treatment can be administered during a quick in-office appointment. There is virtually no downtime after treatment, either.

Also, for many of our patients, time is of the essence! We understand that our patients want to see quick results, especially with a looming wedding or high school reunion. Botox and dermal fillers deliver quick results.

Some patients want to “test the waters.”

We see patients who want to address signs of facial aging, but are hesitant to commit to surgery. Botox and filler treatment is a great compromise – they provide effective results that are only temporary. This strategy is great for people who want to try out the treatment, observe the results and then make a decision about their regular anti-aging routine.

The options are endless.

As we mentioned, pharmaceutical companies continually develop new products and develop new technology within the anti-aging arena. At our practice, we enjoy offering our patients many options in their facial rejuvenation treatment — and our patients appreciate the choice. If, for example, a certain dermal filler doesn’t provide the desired results, there are others to choose from.

Contact Our Practice

To learn more about Botox, dermal fillers and other non-surgical facial rejuvenation treatments, please call the Plastic Surgery Group at (973) 233-1933 or send us an email. We would be happy to schedule an informative consultation or discuss your options over the phone.

Study: Quality of Life Improves after Breast Augmentation

Breast Augmentation Can Make You HappierWomen with breast implants are socially and sexually more satisfied, and experience a higher quality of life, according to researchers.

This bold claim was part of a study published in an issue of Plastic and Reconstructive Surgery, the medical journal of the American Society of Plastic Surgeons.

The research team used the BREAST-Q survey, which looked at changes in six areas affecting a woman’s quality of life:

  1. Satisfaction with breasts
  2. Satisfaction with overall surgical outcome
  3. Psychosocial well-being
  4. Sexual well-being
  5. Physical well-being
  6. Satisfaction with care

More than 600 women were surveyed before their breast augmentation surgery, again at six weeks after surgery and yet again at six months afterward. Most of the women had silicone implants placed underneath the muscle.

The results found significant improvement in most areas assessed by the BREAST-Q survey. The women’s satisfaction with their breasts rose from 25 percent prior to surgery to nearly 80 after (using a 100-point scale). This improvement is significant, and comparable to patients who undergo major orthopedic surgery such as total hip replacement.

A Dip in Physical Function Right after Surgery

The BREAST-Q scores did show that physical functioning was lower at six weeks after surgery compared to before surgery. However, this information is not startling. The authors of the study suggested that this could account for how long it took some women to completely recover from surgery. The study did not have enough follow-up data to show whether the women’s physical function eventually returned to their pre-operative level.

Older Women Report Lower Levels of Satisfaction

Older patients showed lower scores for satisfaction with their breasts and overall procedure:

  • Average score of overall satisfaction for women under 30: 90
  • Women in their 30s: 86
  • Women in their 40s: 82
  • Women ages 50 and older: 77

What We’ve Seen in Our Practice

Here is some of the feedback that we’ve received from our breast augmentation patients:

“My results have exceeded even my highest expectations.”

“I am so thrilled with the results and I feel like I was reborn at the age of 50!!! Not only that I look much better — the change in my look contributes to my self-esteem and I feel now much more as a “real woman”!!!!”

“My breast augmentation and tummy tuck are beyond my expectations.”

Want Bigger, Fuller Breasts? Call the Plastic Surgery Group

If you’re considering breast augmentation to help you feel happier and more confident in your body, we would love to hear from you! Please call the Plastic Surgery Group at (973) 233-1933 or send us an email to schedule a breast implants consultation.

Important Questions to Ask During Your Plastic Surgery Consultation

Questions to Ask Your Plastic SurgeonYour surgical consultation is an excellent opportunity to learn more about your desired procedure, establish realistic goals and receive pre- and post-operative instructions. Our team at Plastic Surgery Group of New Jersey will take the time to answer all of your questions so you feel comfortable and informed proceeding with surgery.

We have compiled a comprehensive list of topics to cover and questions to ask during your plastic surgery consultation. Feel free to print this out and take it with you to your appointment!

Your Surgeon’s Qualifications

  • Are you certified by the American Board of Plastic Surgery?
  • What is your medical background and training?
  • Are you a member of any professional organizations (e.g., American Society for Aesthetic Plastic Surgery)?
  • How long have you been in practice?
  • How long have you worked with your current team?

Procedural Details

  • Where will my procedure be performed?
  • Is the surgical facility accredited?
  • What type of anesthesia will be used?
  • Who administers anesthesia?
  • What are the risks of surgery?
  • How do you handle complications that arise?
  • What surgical techniques do you plan to use?
  • How much will surgery cost?

Goals of Surgery

  • What type of results are typical of this surgery?
  • May I see some before-and-after photographs of previous patients?
  • Are my expectations of surgery reasonable?
  • What is your policy on revision surgery (if needed)?

How to Prepare for the Day of Surgery

  • What should I do in the days/weeks leading up to surgery?
  • What medications should I avoid when preparing for surgery?
  • Is smoking OK?
  • What arrangements can I make for my day of surgery and immediate recovery?
  • What time should I arrive at the surgical facility?
  • What should I wear to surgery?
  • Can I eat or drink on the morning of surgery?
  • How soon after my procedure will I be released to go home?

Recovery and Aftercare

  • How long will my recovery take?
  • When should I schedule a follow-up visit?
  • How should I care for my incisions?
  • Will I have surgical drains?
  • How soon after surgery can I shower?
  • When can I resume driving?
  • When can I resume exercise?
  • When can I go back to work?
  • Who should I call if I have a question?

Long-Term Results and Maintenance

  • How often will I need to return for a follow-up visit?
  • When will I see my full results of surgery?
  • How can I best maintain my results?

Contact Us Today

To schedule a consultation with our team, please call the Plastic Surgery Group at (973) 233-1933 or send us an email.

Summer Sun Protection Tips

Tips for Preventing Sun DamageWith summer officially underway, it’s likely that your calendar is filling up with plans for beach days, trips to the pool or lake and outdoor parties and BBQs. It’s understandable that you want to take full advantage of the warm weather and beautiful sunshine. However, sun protection is critical during summer activities. Overexposing your skin to the sun is dangerous; not only can it cause a sunburn, it can also lead to the development of premature wrinkles and increase your chance of skin cancer.

As you gear up for your next trip to the beach, pool or park, remember these sun protection tips.

Get the Right Gear

  • Sunscreen: The U.S. Centers for Disease Control and Prevention recommend selecting a sunscreen with a sun protective factor (SPF) of 15 or higher that offers protection against both UVA and UVB rays. If you have lighter skin, you should use a product with an SPF of at least 30.
  • Wide-brimmed hat: Baseball hats are stylishly sporty, but wide-brimmed hats are better for shading the face, head, ears and neck. Choose a tightly woven fabric like canvas, and avoid straw hats that have tiny holes that let sunlight through. If you do opt for a baseball cap, wear clothing that will protect your ears and the back of your neck, and be sure to apply sunscreen or stay in the shade.
  • Sunglasses: Sunglasses shield your eyes from harmful UV rays, reducing the risk of cataracts and protecting the thin, tender skin. The CDC recommends a wraparound pair that blocks as close to 100 percent of both UVA/UVB rays as possible.
  • Clothing: If you’re going for a hike or a walk along the water in the hot sun, wear a loose-fitting, long-sleeved shirt and pants. Keep in mind that dark-colored clothing may offer more sun protection than light-colored clothing, and wet clothing is less effective against UV rays. Some designers make sun protective clothing with an Ultraviolet Protection Factor (UPF) that only allows a fraction of the sun’s radiation to penetrate the fabric.

Avoid a Sunburn at the Beach

It is especially important to protect your skin if you’re heading to the beach. Dr. Perry Robins, president of the Skin Cancer Foundation, cautions, “The intensity of sun exposure for beach goers is certainly elevated. Both water and sand can reflect up to 80 percent of the sun’s rays, adding to your overall exposure.”

Before you head out for the day, coat yourself with a shot glass worth of sunscreen (your face needs another teaspoon). Apply sunscreen before you put on clothing or bathing suits so you don’t risk missing a spot, and let the product sink in for at least 20 minutes before you go out into the sun. If you don’t plan to wear a hat, coat your scalp and hairline (try a continuous spray product for an easy mist).

Sunscreen eventually wears off and becomes less effective. It should be reapplied every two hours or after you take a dip or work up a sweat. According to the Skin Cancer Foundation, a half day at the beach requires at least two applications of sunscreen.

Even if you’re fully protected from the sun with sunscreen, a hat and sunglasses, it’s still a good idea to take a break from the sun. Seek some shade under an umbrella, tree or patio to give your skin a break.

Remember that the peak hours for hazardous UV exposure are between 9 AM and 3 PM. Try to plan a morning or late afternoon visit to avoid sizzling during peak hours.

Rejuvenate Aging Skin

If you were careless with sun protection in your youth, and have noticed premature signs of aging around your face — such as wrinkles or sun spots — the Plastic Surgery Group offers non-surgical skin rejuvenating treatment, including IPL light therapy treatments. Our medi spa also offers a variety of skin care services that might interest you.

Visit our skin care section for more healthy skin tips, and call us today at (973) 233-1933 to a member of our team about your skin care treatment options.


New Jersey Repeals Cosmetic Surgery Tax

We are pleased to announce that the NJ Cosmetic Surgery Tax has been repealed as of 7-1-14!

It was a ten year process that took the tax from 6% to 0%, thanks to the efforts of many in NJSPS; as well as our very own Dr. Valerie Ablaza who worked directly on the advocacy efforts of this repeal.

Upload: July 17, 2014

Cosmetic Procedures for Men

Male Plastic Surgery ProceduresResearch indicates that more men are electing to undergo cosmetic surgery every year. In fact, according to the American Society for Aesthetic Plastic Surgery, the number of cosmetic surgeries for men increased more than 106 percent between 1997 and 2012.

At the Plastic Surgery Group, we welcome male patients who want to address personal cosmetic concerns and enjoy more confidence in their appearance. Our surgeons take the time to listen to our patients’ concerns and design tailored treatment plans to suit their individual needs.

Why Men Seek Plastic Surgery

There are a few reasons why men seek out cosmetic treatment. Some of our patients are business executives who want to look younger, fitter and more masculine to remain competitive in the workplace. Other men cannot achieve their ideal physique — despite rigorous exercise and diet — or have excess loose skin after massive weight loss. We also see a number of men who are embarrassed by enlarged, feminine-looking breasts. Some of our male patients have watched their spouses or girlfriends have cosmetic surgical procedures and have seen the positive changes first-hand in their physical appearance as well as their improved body image.

Let’s take a closer look at the most popular procedures among The Plastic Surgery Group’s male clientele and how they help these men achieve their cosmetic goals.

Breast Reduction

One of the most common procedures that our plastic surgeons perform on male patients is surgery to reduce oversized breasts (a condition known as gynecomastia). During male breast reduction, our surgeons create a more classically masculine-looking chest contour by removing excess glandular/fatty tissue and loose skin as well as decreasing areola size if needed.

Body Sculpting

In addition to oversized breasts, our male patients often have concerns about areas of excess fat and skin. Liposuction alone will target excess fat around the waist, back, buttocks, neck and underneath the chin. Tummy tuck surgery focuses on removing excess fat and skin from the abdominal area. Body lift procedures are helpful for men who have lost a significant amount of weight and are close to their ideal weight, but struggle with leftover loose, saggy skin. This procedure tightens skin circumferentially around the body.

Facial Rejuvenation

Looking rested and fresh-faced is important to our male patients. Our surgeons can correct the signs of facial aging and refine specific facial features through procedures such as rhinoplasty, eyelift and facelift. We can also place facial implants to enhance a patient’s chin, cheekbones and/or jawline.

Non-Surgical Treatments

Some of our male patients want to see facial rejuvenation results without committing to surgery. Many can achieve their desired results with non-surgical options such as Botox or dermal filler treatment. We also offer laser wrinkle and laser redness treatment to improve the appearance of aging or sun-damaged skin.

Schedule a Plastic Surgery Consultation

If you’d like to know more about plastic surgery for men, please call the Plastic Surgery Group at (973) 233-1933 or send us an email. A member of our team would be happy to schedule an appointment for you to meet with our surgeons and discuss your options.


Our Newest Clinical Care Skin Product : PSG Restorative Cream

Our patients often ask for night creams, and general good moisturizing products. We have several hydrating and moisturizing products, the Triple Antioxidant Moisturizer and Serum, the Peptide Duo that includes a Firming Serum and a Peptide Restructuring Cream, and of course our Moisturizing Sunscreens…but for a special treatment product that has a richer feel to it, we now have the answer: PSG Restorative Cream 

PSG Restorative Cream contains high functioning performance ingredients to assist and improve the restorative processes of the skin. It contains 4 types of Ceramides to repair the lipid barrier and increase moisture retention, plant stem cells to provide micronutrients and visually plump up the skin cells, 3 emollients to prevent dryness, a 3 part antioxidant complex to counteract free radical damage, peptides to support collagen growth to increase elasticity, and 4 powerful humectants to bind hydration in the skin.
Paraben free, hypoallergenic and gluten free, the PSG Restorative Cream is the ideal cream to hydrate, soften and protect your skin. Can be used for all skin types, including sensitive skin, retinol patients, young, middle and older skins.

PSG Restorative Cream can be used night or day, but it’s particularly indicated for evening use. Sleep is very important for the skin. It restores and balances hormone levels, including the damaging stress hormone cortisol, repairs tissue, replaces cells lost through age and damage, rebalances the acidity/alkalinity of the protective acid mantle, calms inflammation, and increases the moisture level. PSG Restorative Cream effectively supports and enhances these natural healing processes.

For more information or to schedule an appointment with one of our Medical Aestheticians, please call 973-233-1933!

You Can’t Exercise Skin

By Valerie J. Ablaza

At first it sounds ridiculous. Who thinks of exercising skin? Well, don’t laugh. There are many people among us who believe, or at least hope, that this exact concept can be a reality. There is an automatic assumption that working out enough is all that is necessary to get in shape, even when the biggest problem is loose skin. If it were only that easy!

Regular weight lifting absolutely builds muscle mass and can improve body contours, while aerobic activity burns calories, which then leads to weight loss. But unfortunately there are no activities that can be done in the gym to cause skin shrinkage or tightening to any significant degree. I often hear women complaining about loose abdominal skin after pregnancy that doesn’t improve with even the most intense workouts. Women and men who develop skin laxity after losing a lot of weight feel the same disappointment when it comes to expecting exercise to correct loose skin.

Of course, skin contraction can occur soon after pregnancies and weight loss in younger people and in “genetically blessed” individuals, but I’m talking about the loose, hanging skin that persists long after the baby was born or the weight was lost. That skin will not respond to any type of workout. The elastic fibers in the skin have been over-stretched. Many of these people end up in a plastic surgeon’s office as a “last resort.”

Don’t get me wrong: For the population as a whole, weight training and aerobic exercise is always better than inactivity. Sometimes, improving muscle mass and definition can lead to slight differences in skin tone, but there is no magical way to achieve anything other than minor contour changes without real surgery. Wouldn’t it be nice if a magic wand could be waved over the body and cause a “shrink-wrap” effect?

Some laser companies promise that skin can be tightened with use of their “magic wand”, whether it’s surface skin treatment or liposuction, but the resulting difference in skin tightness is usually insignificant. And don’t believe that application of any skin cream leads to firmer skin, no matter how much or how often it is used. The only way to make loose skin tighter with substantial contour improvement is to surgically remove the skin excess. This procedure necessarily results in seams, otherwise known as scars. Plastic surgeons become tailors for the human body.

In my experience, people will always tolerate a scar for a significantly better shape or contour. It’s a trade-off that patients make with a plastic surgeon. Skin will be tightened and breasts will be lifted in exchange for some type of scar and it will always be the shortest and smallest scar that will get the job done. Concealing a scar beneath clothing or swimwear is always the goal. Scars can also be “hidden” in naturally occurring skin lines and creases if necessary.

So it’s time to stop beating yourself up over not being able to tighten your skin with exercise, and certainly don’t throw in the towel. You’re not alone and there is light at the end of the tunnel. You may be able to get your dream body, just not in the way you were originally thinking.

The Plastic Surgery Group is Expanding!

We are proud to announce we have established a new office in the New York City area. Appointments will commence in March at:

30 Central Park South, Ste. 10A
New York, NY 10019

The new location will be open by appointment only for consultations, Botox treatments and filler injections for facial rejuvenation.

Let us know how we can make you feel quickly at home in our new office. Please contact us at           1-800-409-9059 with any questions or to schedule your next appointment.

We look forward to seeing you soon!

Introducing Juvéderm Voluma XC

Wrinkles are only part of the aging equation. Volume loss in the cheeks is a major factor in facial aging.

Upload: February 14, 2014

Juvéderm Voluma XC

  • Adds volume to the cheeks
  • Added volume lifts and corrects sagging
  • Enhances contour, creating a more youthful profile
  • Instant improvement — lasts up to 2 years

Now FDA Approved!

Call to schedule an appointment today – 973-233-1933

Introducing Our New Venus Legacy Device

The new improved Venus Freeze/Venus Legacy device is in house, and the Plastic Surgery Group is the first practice in NJ to have it! The Venus Legacy Device yields effective results with no pain and no downtime.

Who is a candidate? Anyone with mild skin laxity in the face or body is a candidate. The results are most noticeable with patients that are close to normal body weight, with mild laxity and/or small fatty areas that need reduction. It requires 6-10 initial weekly treatments and can be maintained by either an occasional series repeat, or a monthly touch up.

What can I expect? With 6 to 10 weekly treatments, the procedure will:

  • Tighten & shrink the skin on the face, neck, jawline, and décolleté
  • Reduce fluid around the eyes
  • Contour the arms
  • Contour the abdomen/stomach
  • Reduce localized fat spots
  • Reduce cellulite
  • Contour and lift the thighs and buttocks

How long does it last? The treatments improve the elasticity and tone of the skin, while time and the aging process do the opposite…so it’s something that can stay in ones anti-aging plan forever to keep neutralizing that process. Just as regular exercise keeps the muscles toned, Venus Legacy treatments keep the skin toned. So it’s something one can use consistently to hold off the degenerative process. Call to schedule your series today – 973-233-1933