Posted on December 14, 2011 at 12:05 am
Macromastia is the medical term for excessively large breasts, and I have performed hundreds of breast reductions on women who could no longer suffer with the symptoms, which include severe neck pain, shoulder pain, deep shoulder grooves, and painful skin rashes. I continue to see many patients with large painful breasts –- in fact, breast reduction is one of my most requested surgical procedures. I generally use the inferior pedicle technique, called the Wise Pattern. This places an incision around the nipple and vertical as well as underneath the breast. The incision is important because it helps me reshape the breasts. The nipple is not removed — it is left intact for best sensation and healing.
There are some patients who will benefit from a Verticle Mastopexy. This is an incision around the nipple and vertically down, also called the lollipop. I was trained to do this procedure by expert plastic surgeons in Atlanta, Georgia.
Breast reduction surgery may be covered by insurance and classified as reconstructive if you meet a “volume requirement”, meaning that at least 500 grams (or more) of breast tissue and fat can be safely removed from each side. To learn more about breast reduction surgery, please contact my Patient Care Coordinator Shelley Hirschman at (310) 659-8771 or shirschman@laskyclinic.com.
Posted on December 8, 2011 at 6:18 pm
Patient testimonial, December 2011
Posted on November 23, 2011 at 12:57 am
At a recent plastic surgery conference I saw a new, highly effective technique for smoothing out small, fine wrinkles around the face, and especially around the lips, using a mixture of Juvederm and the numbing agent Lidocaine. Using a very small needle, I fill in the small wrinkles, leaving a fine sheet of product under the skin, which stimulates the collagen to rebuild itself. There is minimal bruising, minimal pain, and it’s done in the office in about 20-30 minutes. There is no down time, and it lasts six months to a year.
For more information about this treatment or to schedule an appointment, please contact my Patient Care Coordinator, Shelley Hirschman, at (310) 659-8771 or shirschman@laskyclinic.com
Posted on October 13, 2011 at 9:50 pm
Why am I blogging about a peel when I am a surgeon? Because my patients want rejuvenized skin and a great treatment at a reasonable price.
I have had great success with a facial treatment called VI PEEL. While lasers usually require multiple sessions to achieve the desired results, one VI PEEL offers excellent results with less discomfort and expense. For most patients, peels are done three to four times a year, but if you have extremely damaged skin, the treatment can initially be done once a month to expedite desired results. A single treatment will achieve significant repair and add a healthy glow to your skin, but additional treatments may be needed to help concerns such as acne scars, pore enlargement, and hyper pigmentation.
This peel is suitable for all skin types, and patients love it because it is not painful, takes about 20 minutes, and you can apply makeup a few hours after the treatment. Additionally, the neck, arms, hands and chest all respond well to a VI PEEL. This peel has three different peeling agents, which work together to help stimulate new skin cells to form. I have found it to be very comfortable and easy to manage.
For more information about VI PEEL, please contact my Patient Care Coordinator, Shelley Hirschman, at (310) 659-8771 or email her at shirschman@laskyclinic.com
Posted on October 7, 2011 at 12:04 am
I am asked all the time, “What is the best incision for a breast augmentation?” I use all the incisions available… armpit, breast, and nipple… but have recently found my patients want a hidden incision under the armpit. This is called the transaxillary incision. Very few surgeons are trained in this technique. I was trained to do this technique by the best. My patients find it advantageous to have a minimal incision in the armpit, and after several weeks it fades.
Placing a breast implant under the muscle through a small incision in the armpit is a great choice for many reasons: First, there are no scars on the breast, just a thin scar in the armpit which fades to nearly invisible. Additionally, when an implant is placed under the muscle, you retain natural breast shape, there is no implant visibility, there’s a lower risk of capsular contracture (hardening) and less mammography interference than you would get with an implant placed over the muscle. I sometimes will use the endoscope to perform the procedure to keep the incision small and give me access to release the muscle for the best result.
The best candidates are those who have minimal breast tissue, are thin, and have no ptosis (drooping) to their breasts. For patients who have a very small nipple and areola complex and want the incision off the breast, the armpit is ideal.
For more information or to schedule a consult, please contact Shelley Hirschman, my Patient Care Coordinator, at (310) 659-8771, or email her at shirschman@laskyclinic.com.
Posted on June 28, 2011 at 8:38 pm
Medications, genetics, and weight gain all contribute to a condition in men called Gynecomastia, meaning excess male breast tissue. I see many young boys as well as adult men with male breast tissue. This is a common complaint in my practice. The best option for removing the excess tissue is liposculpture with direct excision of the breast tissue. Many surgeons who don’t practice plastic surgery don’t understand the techniques necessary to get the best result. It is necessary to do BOTH direct excision and liposuction to contour the chest to make it flat. This is usually a two hour outpatient surgery. Recovery is usually 1-2 weeks, and most patients return to work after a few days. I do use drains and men wear a male vest for 2-3 weeks under their clothes to allow the skin to retract efficiently.
Although it is generally considered a non-reimbursable cosmetic procedure, an insurance company might make an exception if the excess tissue is causing irritation and pain, eg: rubbing against clothing. For more information about gynecomastia surgery, please contact my Patient Care Coordinator Shelley Hirschman at (310) 659-8771 or by email at shirschman@laskyclinic.com
Posted on June 20, 2011 at 8:56 pm
FYI: Just because a doctor is “board certified” it does not necessarily mean they are certified by the American Board of Plastic Surgery (ABPS). In many states, a licensed physician from any medical field can perform cosmetic procedures without being board certified in plastic surgery. When choosing a plastic surgeon, make sure they are certified by the American Board of Plastic Surgery, which is the only board that certifies physicians in plastic surgery of the face and all areas of the body. Dr. Cohen has been an ABPS Board Certified Plastic Surgeon since 2002.
Posted on June 15, 2011 at 11:23 pm
If you’ve had kids, then you have probably noticed changes in your body including saggy breasts, a stretched out tummy, and random excess fat deposits that are resistant to diet and exercise. I can help you regain your pre-pregnancy body with a Mommy Makeover, which is a catch-all phrase for breast and tummy surgery.
After a decade of operating in Los Angeles as a Board Certified Plastic Surgeon, I feel that I have perfected my techniques. As bathing suit styles have changed, we are making a lower incision on the abdomen. My patients appreciate a very low incision that can be hidden, and I maintain as short a scar as possible. The belly button has a minimal incision that I call the “Beverly Hills Belly Button.” This is a special unique procedure that keeps the incision hidden in the belly button to create an “inny” as part of the tummy tuck. Liposculpture is an adjunct to perfect the result and restore the youthful pre-baby body.
Breast augmentation post pregnancy is also individualized as some patients need just volume, and some will need repositioning of the nipple areolar complex. I perform hundreds of breast augmentation surgeries a year. A submuscular implant with silicone gel or saline has been our standard.
After discussing your goals and expectations, I will customize your Mommy Makeover based on the procedures you choose. This is one of my most popular procedures, because patients tell their friends that the Mommy Makeover is both physically and emotionally beneficial.
For more information about a Mommy Makeover, please contact Shelley, my Patient Care Coordinator, at (310) 659-8771 or email her at shirschman@laskyclinic.com
Posted on October 11, 2010 at 12:56 am
The future is fat! Having just come back from the ASPS (American Society of Plastic Surgeons), meeting in Toronto last weekend fat is the rage. Fat grafting to the face and body helps restore your youthful appearance and has changed how I think about facelifting. Yesterday I used the waterjet which is a fantastic new machine to harvest fat more easily and gently and re-inject into a young woman’s hands. Hands are a great area for fat grafting as we all get older and the veins start to show more and this can show your age. Smooth full hands are a sign of youth. It is one of the areas I am asked frequently about. The waterjet pumps water into areas to help remove the fat in a more gentle way so that more will last or what we say “take” to the grafted areas. Usual areas of fat grafting is the face or hands or areas of liposuction that need refining. The website is www.humanmed.com if you are interested in the technology.
Posted on May 7, 2010 at 12:14 am
Offered Exclusively By Dr. Cohen
*The Vitalize Peel from SkinMedica brings the benefits of Retinoic Acid, Alpha/Beta Hydroxy Acids with Resorcinol to provide a strong, but gentle formulation suitable for all skin types and colors. Even after one peel you will notice improvement in your skin’s texture and tone, lessening of fine lines, and a healthier more youthful appearance. The Vitalize Peel is physician strength and has been clinically proven to help skin problems such as age spots, melasma, acne and fine lines. Dramatic results are achieved after a series of peels. Your peel will be scheduled every 3 to 4 weeks with minimal down time.
Special Offer only $125.00 ($200.00 value)
**$50.00 off of botox or dysport with your peel treatment
Space is limited so please call 310-598-1466 310-598-1466 or contact us today to schedule your appointment for May 6th and 7th
Andrew Cohen, MD
201 South Lasky Drive
Beverly Hills, Ca 90212
310.659.8771
www.andrewcohenmd.com
