Posted on June 26, 2012 at 8:14 pm
“Dr. Cohen, I’m trying to get a flat tummy, but diet and exercise are not working!” This is a common concern among my patients who have had kids, significant fluctuations in their weight, or are simply seeing the effects of aging and gravity. For women who are done having kids or have lost a significant amount of weight, it is usually a skin issue.
A tummy tuck, or abdominoplasty, as it is known, is done by making a very low incision just above the pubic hair, and the extra skin and fat is removed. I always tighten the abdominal muscles to create a flatter and more contoured abdomen.
What makes my tummy tucks unique is that I combine liposuction of the flanks (your sides) — not all surgeons do this. My incisions are closed with dissolvable sutures. I also have a unique way of creating a beautiful belly button. Belly buttons should be round. I create a round belly button, and the incision is well hidden inside.
Healing generally takes a week or two, and during that time you will wear a compression garment to minimize swelling and to support your abdomen. For more information about a Tummy Tuck or to schedule a consultation, please contact my Patient Care Coordinator, Shelley Hirschman, at (310) 659-8771 or email@example.com.
Posted on May 11, 2012 at 4:32 pm
“Dr. Cohen, what can I do about lip lines?” Many of my patients have been asking about the latest fillers for lip lines, and I have some news about a promising new treatment. LAVIV is an FDA approved therapy that uses your own collagen-producing cells (called Fibroblasts) to improve the appearance of moderate to severe smile lines. As you age, collagen, which provides firmness and structure to the skin, breaks down and wrinkles develop. LAVIV Therapy uses your own cells to create an injectible filler for your smile lines. Here’s how it works: I take a few small skin samples from behind your ear and send them to a Fibrocell Science manufacturing facility, which expands your cells into hundreds of millions of new cells over a period of ninety days. The cells are processed and returned to me for injection into your smile lines. What makes LAVIV different from other fillers is that it is prepared especially for you from your own skin cells.
For more information about LAVIV, please contact my Patient Care Coordinator, Shelley Hirschman, at (310) 659-8771 or firstname.lastname@example.org.
Posted on April 27, 2012 at 10:19 pm
I am excited to be using a new product designed to provide up to 72 hours of pain relief after surgery called EXPAREL. EXPAREL, which is Bupivacaine, is a local anesthesia which has been around for many years. What’s different is the way the product is delivered to the surgical site. I inject the medication directly into the surgical site while my patient is still asleep in the OR. The medication is packaged into little soap bubbles, allowing extended distribution of the medication over the course of three days, which provides a steady delivery of pain relief.
Clinical studies of EXPAREL have shown a marked improvement in pain management in plastic surgery as well as other surgical procedures. Our tummy tuck and breast augmentation patients have been extremely happy because they need less post-operative narcotics. Less narcotics means less nausea, vomiting, and side-effects. Your post-operative comfort is our main concern and goal.
If you’d like more information about EXPAREL, please call Shelley Hirschman, my Patient Care Coordinator, at (310) 659-8771.
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 email@example.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 firstname.lastname@example.org
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 email@example.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 firstname.lastname@example.org.
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 email@example.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.